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Sample records for dental screening nutrition

  1. Nutritional knowledge and attitudes of dental students.

    Science.gov (United States)

    Pietz, C L; Fryer, B A; Fryer, H C

    1980-03-01

    The nutritional knowledge and attitudes of 230 dental students were studied. The students answered 68.6% of the nutritional knowledge questions currectly, but the test scores were low because they were adversely affected by the degree of certainty. First-year students scored significantly higher than fourth-year students. There was no significant difference between scores of men and women. Knowledge scores were highest for questions on nutrition and oral health and lowest for those on nutritional assessment. Dental students generally expressed favorable attitudes toward nutrition and nutritional care of patients. They agreed that dentists were vital members of the health team and had a responsibility to become involved in health screening and nutrition education of patients. Dietitians were seen as valuable resources to be consulted about nutrition education of the dental patient. More first-year students supported the idea that dentists should prescribe nutritoinal supplements for patients, whereas more fourth-year students were undecided about this matter. There were no differences in nutrition attitude scores attributable to gender of the student or year in dental school. In this study, nutritional knowledge scores did not correlate with nutrition attitude scores.

  2. Nutrition and Experimental Dental Caries

    OpenAIRE

    田村,俊吉; タムラ, シュンキチ; Shunkichi, TAMURA

    1983-01-01

    Nutrition is an effective factor for the inhibition of the development of dental caries. The constitution of diet has a strong bearing on the development of dental caries. However the theoretical background regarding the development of dental caries has not been sastifactorily established. Experimentally, we have clarified the relation of nutrition and dental caries in rats. Experimental animals used in this study were Wistar strain Albino rats (closed colony, Tamura, 1950). Young rats of 21 ...

  3. Nutritional Disorders of Children. Prevention, Screening, and Followup.

    Science.gov (United States)

    Fomon, Samuel J.

    Intended for child health care providers, the text contains information on improving preventive efforts in nutrition, particurlarly those focused on prevention of the major health problems which are nutrition related (obesity, atherosclerosis, dental caries, and anemia). Part I focuses on screening of individual children likely to be at risk of…

  4. Nutritional Disorders of Children. Prevention, Screening, and Followup.

    Science.gov (United States)

    Fomon, Samuel J.

    Intended for child health care providers, the text contains information on improving preventive efforts in nutrition, particurlarly those focused on prevention of the major health problems which are nutrition related (obesity, atherosclerosis, dental caries, and anemia). Part I focuses on screening of individual children likely to be at risk of…

  5. Nutrition and health: guidelines for dental practitioners.

    Science.gov (United States)

    Palacios, C; Joshipura, Kj; Willett, Wc

    2009-09-01

    Good nutrition is vital to overall health, and poor diet and a sedentary lifestyle are major causes of morbidity and mortality worldwide. Nutritional factors are implicated in many oral and systemic diseases and conditions, including obesity, hypertension, dyslipidemia, type II diabetes, cardiovascular disease, osteoporosis, dental caries and some cancers including oral cancers. This review focuses on the evidence for the relations between key nutritional factors and health. Energy intake is related to body weight and obesity, highlighting the importance of lower-energy diets and regular physical activity for body weight maintenance and for preventing obesity. Evidence is presented for the health benefits of high quality carbohydrates, such as whole grain products, and fruits and vegetables, in reducing the risk of cardiovascular disease and cancer. The adverse effects of sugar, sweetened beverages, and trans and saturated fats on several diseases including caries, diabetes and cardiovascular disease are described. The health benefits of unsaturated fats, antioxidants, B vitamins and vitamin D in cardiovascular disease, periodontitis, cancer, and other conditions are documented. Both benefits and harmful effects of dairy product intake on health are discussed. Based on the evidence, nutritional guidelines are provided, as well as key recommendations for preventing obesity. Dentists can play a critical role in motivating and enabling healthy food choices.

  6. Community health and nutrition screening for Special Olympics athletes.

    Science.gov (United States)

    Cotugna, Nancy; Vickery, Connie E

    2003-12-01

    Since 1961, Special Olympics has provided sports training and athletic competition for people with mental retardation. A recent addition to these Olympics has been the Healthy Athletes Program, designed to help the athletes improve their health and fitness, leading to enhanced sports experiences and well being. Original health services included dental and eye screening. In 2002, Special Olympics Delaware piloted a Wellness Park to add nutrition, blood pressure, and flexibility screening. Faculty from a university's health college trained discipline-specific students to conduct the screenings. Thirty nutrition and dietetics students measured height, weight, waist circumference, and calculated body mass index (BMI) for the athletes. Figures and risk-assessments were recorded on a "health report card." Two hundred ten athletes attended the nutrition screening. Ages ranged from 8 to 63 years; 81 percent males and 19 percent females. According to BMI standards, 32 percent of the athletes were overweight; 17 percent were obese. Twenty-five percent of adult males and 73 percent of adult females had a high risk waist circumference. Athletes at high risk for obesity-related diseases were referred to their primary physician for follow up. Nutrition education handouts included a simplified Food Guide Pyramid, tips for healthy eating in restaurants, 5 A Day information, and healthful hydration guides. Approximately 1,250 athletes participate in Special Olympics Delaware each year, providing a great opportunity to do some much needed health screening and improve access to health care for this often neglected population.

  7. Nutritional assessment and screening for malnutrition.

    Science.gov (United States)

    Benoist, S; Brouquet, A

    2015-08-01

    Malnutrition can be detected in up to 50% of patients with gastrointestinal cancer. Although malnutrition reflects the severity of cancer, it is important to underline that anticancer treatments including surgery likely increase the severity of malnutrition. Additionally, malnutrition is associated with an increased risk of perioperative morbidity and mortality. Nutritional assessment should be a part of pre-treatment work up of gastrointestinal cancer patients because nutritional support has been shown to limit the negative impact of malnutrition on perioperative outcome. The objective of these practice guidelines is to address the following questions regarding nutritional screening in gastrointestinal cancer patients: who should benefit from nutritional assessment, when nutritional assessment should be proposed, how nutritional assessment should be carried out and why nutritional assessment is indicated. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  8. Diet, nutrition and the prevention of dental diseases

    DEFF Research Database (Denmark)

    Moynihan, Paula; Petersen, Poul Erik

    2004-01-01

    the evidence for an association between nutrition, diet and dental diseases and to present dietary recommendations for their prevention. Nutrition affects the teeth during development and malnutrition may exacerbate periodontal and oral infectious diseases. However, the most significant effect of nutrition......Oral health is related to diet in many ways, for example, nutritional influences on craniofacial development, oral cancer and oral infectious diseases. Dental diseases impact considerably on self-esteem and quality of life and are expensive to treat. The objective of this paper is to review...

  9. [Nutritional risk screening and nutrition assessment for gastrointestinal cancer patients].

    Science.gov (United States)

    Du, Yan-ping; Li, Ling-ling; He, Qing; Li, Yun; Song, Hu; Lin, Yi-jia; Peng, Jun-sheng

    2012-05-01

    To investigate the nutritional status, and provide evidence for nutritional treatment option. A total of 452 patients with gastrointestinal cancer were selected, including 156 gastric cancer,117 colon cancer, and 180 rectal cancer. The nutritional risk screening 2002(NRS2002) was applied to grade the nutritional risk. A multi-frequency bioelectrical impedance analysis was used to measure the patients' body composition. Albumin (Alb), prealbumin(PA), transferring(Tf), retinol binding protein(RBP), red blood cell(RBC), hemoglobin (Hb), haematocrit(Hct) were measured after fasting. The rate of patients with NRS2002 score more than 3 was 70.5%(110/156) for gastric cancer, 53.8%(63/117) for colon cancer, and 46.7%(86/180) for rectal cancer. The score for impaired nutritional status more than 1 for gastric cancer was higher than that for colorectal cancer(Pgastric cancer(Pobesity degree, fat content, fat percentage, and arm circumference were lower in gastric cancer patients as compared to colorectal cancer patients(Pgastric cancer patients(Pgastric cancer and colon cancer(Pgastric cancer are prone to fat loss and therefore have a higher nutritional risk and malnutrition than those with colorectal cancer. Combination of body composition analysis and laboratory examination may achieve comprehensive evaluation of the nutritional status of patients, and provide the evidence of nutritional therapy by being combined with NRS2002 score.

  10. Nutritional Screening of Children: A Manual for Screening & Followup.

    Science.gov (United States)

    Bureau of Community Health Services (DHHS/PHS), Rockville, MD.

    This manual shows health providers how to perform precisely and expertly each step of several procedures used in screening children for nutritional problems. It is intended for all health providers who are involved in weighing and measuring children, recording and plotting measurements on growth charts, taking blood samples to test for iron…

  11. A comparison of the nutritional knowledge of dental, dietetic and nutrition students.

    Science.gov (United States)

    Shah, K; Hunter, M L; Fairchild, R M; Morgan, M Z

    2011-01-08

    Conflicts in dietary messages remain widespread. Such conflicts can have negative effects on the behaviour, motivation and attitudes of individuals. Inconsistencies in dietary advice may be linked to inadequate training of professionals. Literature suggests that the nutrition training of dentists and oral health training of dietitians and nutritionists is limited. This study was designed to provide information on the nutritional knowledge of dental, dietetic and nutrition students and how this conforms to national nutritional guidelines, identifying differences between professional groups and conflicts in undergraduate training. Self-administered questionnaires were completed by 124 dental, dietetic and nutrition students at Cardiff University and the University of Wales Institute, Cardiff (UWIC). Significant inter-group differences (p students were mainly concerned with oral health problems (for example, acid erosion), while dietetic and nutrition students were mainly concerned with general health problems (for example, obesity). Just over a third of dental students felt that they had received sufficient training in the dietary management of patients. In conclusion, a common risk-factor approach and consistent nutrition guidelines are essential to improve health. In addition, recommendations should be made to incorporate oral health into the training of nutritionists and general health into the training of dentists.

  12. Nutritional screening: control of clinical undernutrition with analytical parameters

    OpenAIRE

    José Ignacio de Ulíbarri Pérez; Guillermo Fernández; Francisco Rodríguez Salvanés; Ana María Díaz López

    2014-01-01

    Objective: To update the system for nutritional screening. The high prevalence of nutritional unstability that causes the Clinical Undernutrition (CU), especially within the hospitals and assisted residencies, makes it necessary to use screening tools for the constant control of undernutrition to combat it during its development. CU is not so much due to a nutritional deficiency but to the illness and its treatments. However, the screening systems currently used are aimed at detecting an alre...

  13. Triagem nutricional em adultos hospitalizados Nutritional screening in inpatients

    Directory of Open Access Journals (Sweden)

    Mariur Gomes Beghetto

    2008-10-01

    Full Text Available Em hospitais, o objetivo de um procedimento de triagem nutricional é identificar indivíduos desnutridos ou em risco de desnutrição, possibilitando intervenção nutricional precoce e melhor alocação de recursos. Diferentes métodos são apresentados na literatura para esta finalidade: Malnutrition Screening Tool, Short Nutritional Assessment Questionnaire, Nutritional Risk Index, Nutrition Risk Score, Nutritional Risk Screening, Mini Nutritional Assessment, Malnutrition Universal Screening Tool, Nutritional Screening Tool, Nutritional Screening Equation. No entanto, o emprego de muitos destes instrumentos está limitado pela inadequada metodologia empregada na derivação e/ou validação, pela seleção de grupos específicos de pacientes, pela pouca praticidade ou por necessidade de um especialista para seu emprego. Na ausência de um padrão de referência para emitir o diagnóstico nutricional, desfechos clínicos relevantes devem balizar a derivação e a validação de novos instrumentos. Este trabalho descreve os instrumentos de triagem nutricional acima referidos e apresenta considerações quanto ao seu emprego para adultos hospitalizados não selecionados.In hospitals, the aim of a nutritional screening procedure is to identify malnourished individuals or those at risk of malnutrition, allowing early nutritional intervention and better allocation of resources. Different methods are presented in the literature for this purpose: Malnutrition Screening Tool, Short Nutritional Assessment Questionnaire, Nutritional Risk Index, Nutrition Risk Score, Nutritional Risk Screening, Mini Nutritional Assessment, Malnutrition Universal Screening Tool, Nutritional Screening Tool, Nutritional Screening Equation. However, the use of many of these instruments is limited by inadequate methodology employed in their derivation and / or validation, by selecting specific groups of patients, by their limited feasibility or by requiring an expert to

  14. Nutrition education of medical and dental students: innovation through curriculum integration.

    Science.gov (United States)

    Touger-Decker, Riva

    2004-02-01

    Nutrition is a necessary component of education in the health professions. Although often underplayed, nutrition is an integral facet of dental education, particularly because the oral cavity is the entry point to the gastrointestinal tract. This article addresses the current status of nutrition education in medical and dental schools, including the common themes, strategies, and challenges of integrating nutrition education in this venue, particularly in dental schools. The survival and progression of nutrition as a component of medical and dental education depends to a large extent on the creativity and innovative strategies used by educators and administrators in medical and dental schools and in training programs. A forward-thinking attitude with a focus on the integration of nutrition topics throughout the 4 y of medical or dental school and subsequent training programs will increase the potential for a successful program.

  15. A Study of Nutrition in Entry-Level Dental Hygiene Education Programs.

    Science.gov (United States)

    Johnson, Deborah L; Gurenlian, JoAnn R; Freudenthal, Jacqueline J

    2016-01-01

    The aims of this study were to document the extent of nutritional content in U.S. dental hygiene program curricula; identify program directors' opinions, perceptions, and barriers to expanding nutritional content; and evaluate if a proposed nutrition curriculum model would be beneficial. This mixed methods study involved quantitative and qualitative aspects. An invitation letter was sent to all 335 directors of entry-level U.S. dental hygiene programs. In response, 55 directors submitted nutrition course syllabi from their programs (16.4% of the total) for the quantitative analysis. In addition, 14 nutrition instructors and ten program directors were interviewed regarding their perceptions and opinions of nutrition education for dental hygiene students. All aspects of the content analysis results revealed that nutrition content in entry-level dental hygiene programs is diverse. Some programs did not include nutrition content, while others provided oral and systemic nutrition intervention subject matter. Some programs offered multiple clinical nutrition applications and patient contact opportunities while most required none. The interview results disclosed a variety of opinions and perceptions of dental hygienists' role in nutrition. Several interviewees viewed dental hygienists' role in nutrition to be an integral part of patient care, while others indicated no role or providing caries prevention counseling only. Although dental hygienists are expected to provide nutrition assessments and interventions, no standards or standardized competencies exist for nutrition in dental hygiene education. A standardized nutrition model could be beneficial for entry-level programs to ensure dental hygienists possess basic knowledge to perform nutrition assessments and intervention to address Healthy People 2020's intervention initiatives.

  16. Development and validation of a dental pain-screening questionnaire.

    Science.gov (United States)

    Pau, Allan; Croucher, Ray; Marcenes, Wagner; Leung, Theresa

    2005-12-15

    Dental pain, estimated to affect 12-40% of community-dwelling adults, is a symptom of a wide range of clinical conditions. A population screening instrument is needed to study their prevalence. This project aimed to develop a questionnaire for classifying a sample of dental pain patients into three groups of common dental pain conditions, i.e. Group 1 (Acute periapical periodontitis and Irreversible pulpitis), Group 2 (Reversible pulpitis and Dentine hypersensitivity) and Group 3 (Pericoronitis). Initial items were generated through a literature review, individual unstructured patient interviews and consultation with experts. Items generated were administered to a sample of dental pain patients for self-completion. Responses were subjected to a series of factor and discriminant analyses to identify questions capable of differentiating the sample into three groups, originally categorized by clinical diagnosis, with high classification rates. The selected items were administered to a further sample of dental pain patients to test for its sensitivity and specificity in classifying the sample into three groups against the gold standard of clinical diagnosis. The final 16-item Dental Pain Questionnaire (DePaQ) was capable of correctly classifying 89.7% of dental pain cases initially categorized by clinical diagnoses. The sensitivity of the questionnaire was 0.80-Group z1, 0.85-Group 2 and 0.59-Group 3. Specificity was 0.83-Group A1, 0.89-Group A2 and 0.90-Group 3. The DePaQ, which can easily be administered by non-clinical personnel, may be used to collect epidemiological data on common dental pain conditions, assess dental needs for a specified population, and triage of patients seeking treatment for dental pain.

  17. Screening for elder mistreatment in dental and medical clinics

    Science.gov (United States)

    Strauss, Shiela; Russell, Stefanie; Singh, Geetika; Blankenship, Jamie; Vemula, Roja; Caceres, Billy; Valenti, Michael; Sutin, David

    2011-01-01

    Objective Elder mistreatment (EM) is a potentially fatal and largely unrecognised problem in the United States. The purpose of this study was to determine the prevalence of EM in busy clinics and specifically, we report on the feasibility of screening for EM as well as the appropriate instrumentation for screening. Background Data Prevalence estimates for elder mistreatment vary, but recent data from a national sample of community-residing adults over age 60 indicate that 11.4% of older adults report some form of elder mistreatment (1). There is a paucity of research related to screening in dental and medical clinics to understand the prevalence in such practice settings. Methods A cross-sectional study from January 2008 to March 2009. We enrolled 241 patients at two clinics: a medical clinic (N=102) and the dental clinics (N=139). A mini-mental status exam was conducted with a minimum of 18 or better for inclusion. An elder mistreatment screen was next used (EAI-R for medical, HS-EAST for dental). Results For the 241 patients, we were able to compare data from the EAI-R with the HS-EAST. This pilot work demonstrates the feasibility of screening for EM in busy clinics and we documented patient enrolment of 20% in the medical clinics, and 66% in dental clinics. Patients are willing to answer extremely-sensitive questions related to elder mistreatment, and are also willing to use computer technology for interviewing. Conclusion Dental and medical clinics are important practice venues to screen for elder mistreatment. PMID:22225431

  18. Nutritional and Phytochemical Screening of Garcinia kola

    Directory of Open Access Journals (Sweden)

    A.O. Adesuyi

    2012-02-01

    Full Text Available The Nutritional and Phytochemical Screening of Garcinia kola were Investigated. The Nutritional Analyses involves Proximate analyses; Anti-Nutrient composition and Mineral composition. The Phytochemical parameters carried out were Flavonoids; Phenol; Alkaloids; Saponin and Tannin. The proximate Analyses showed that the sample has high level of Carbohydrate 88.30%, little amount of Crude Fibre and Protein 1.23 and 1.86%, respectively and negligible amount of Ash content 0.47% and Crude Fat 0.19%. Also a considerable level 7.6% of moisture was shown. This composition shows that the sample could be a good source of Carbohydrate, dietary fibre and Protein. The Anti-Nutrient composition presents are in negligible amount. The Parameters are Oxalate (0.423 g/100 g, Phytate (0.57 g/100 g and Trypsin Inhibitor (0.37 g/100 g. The Mineral content show a high level of calcium (2200 ppm,Potassium (968 ppm and Sodium (852 ppm. Other mineral analysed were found to range from moderate to negligible. Garcinia Kola could be a good source of minerals despite the negligible amount of Anti-Nutrients found that could prevent the absorption of these minerals. The result also show a high level of Saponin (2.471%, Flavonoids (2.041% and Cardiac Glycosides (3.421%. Alkaloids and Tannins were present in Considerable amount 0.647 and 0.34%, respectively. But Phenol is present in negligible amount (0.147%. With the high level of Cardiac glycosides, Garcinia kola can be used as anti-inflammatory and as active components of drugs derived from plants.

  19. Nutritional screening: control of clinical undernutrition with analytical parameters

    Directory of Open Access Journals (Sweden)

    José Ignacio de Ulíbarri Pérez

    2014-04-01

    Full Text Available Objective: To update the system for nutritional screening. The high prevalence of nutritional unstability that causes the Clinical Undernutrition (CU, especially within the hospitals and assisted residencies, makes it necessary to use screening tools for the constant control of undernutrition to combat it during its development. CU is not so much due to a nutritional deficiency but to the illness and its treatments. However, the screening systems currently used are aimed at detecting an already established undernutrition rather than at detecting any nutritional risk that may be present. The metabolic changes of the nutritional status that have a trophopathic effect, can be easily and automatically detected in plasma, which allows to make the necessary changes in treatments that might be too aggressive, as well as to apply nutritional support according to each case. The manual screening systems can detect those somatic changes typical of undernutrition only after many days or weeks, which might be too late. Plasma albumin is a very reliable parameter for nutritional control. A lowered amount of it, due to whatever reason, is a clear sign of a possible deficit as well as of a nutritional risk suffered by the cell way before the somatic signs of undernutrition will become apparent. A fast detection of nutritional risk, anticipating undernutrition, offers prognostic abilities, which makes screening tools based on analytic parameters the most useful, ergonomic, reliable and efficient system for nutritional screening and prognosis in the clinical practice. Conclusion: It is necessary to update some concepts, to leave behind old myths and to choose modern screening systems that have proven to be efficient. This is the only way achieving the dream of controlling CU among ill and vulnerable patients.

  20. Nutrition for refugee children: risks, screening, and treatment.

    Science.gov (United States)

    Fabio, Mary

    2014-08-01

    Pediatric refugees are at an increased risk for growth and nutritional deficits. As more children are resettled to the United States, it is important to screen appropriately in order to identify any growth or nutritional issues. Resettled refugee children continue to be at risk for both over- and undernutrition, therefore culturally appropriate education and counseling should be provided to improve long-term health.

  1. NUTRITIONAL STATUS OF EDENTULOUS INDIVIDUALS TREATED IN UFBA DENTAL SCHOOL

    Directory of Open Access Journals (Sweden)

    Samilly Evangelista Souza

    2013-03-01

    Full Text Available With increasing life expectancy, the elderly population is growing around the world. However, even with the development of preventive dentistry in recent decades and the advent of dental implants, you can still find people who need rehabilitation wearers. Whereas the risk of malnutrition may be associated with the condition of edentulism, the objective is evaluate the nutritional profile of 50 edentulous that rehabilitated in the discipline of Complete Denture, School of Dentistry, Federal University of Bahia. The individuals were assessed using cross-sectional study by questionnaire to assess nutritional status - MNA *. The average age of patients was 67.3 (+ 6.7 years, 86% women. Among respondents, 50% are edentulous for more than 20 years (p <0.05, caries (42% and periodontal disease (28% as main factors of Perfil nutricional de indivíduos desdentados tooth loss (p = 0.33. The results showed that the MNA 82% of patients had normal nutritional status, 16% were at risk of malnutrition and only 2% were malnourished, with statistically significant differences between groups. It was concluded that in edentulous subjects evaluated, malnutrition is not associated with loss of natural teeth.

  2. Oral Health, Nutritional Choices, and Dental Fear and Anxiety

    Directory of Open Access Journals (Sweden)

    Jennifer R. Beaudette

    2017-01-01

    Full Text Available Oral health is an integral part of overall health. Poor oral health can lead to an increased risk of chronic diseases including diabetes mellitus, cardiovascular disease, and some types of cancer. The etiology of these diseases could be linked to the individual’s inability to eat a healthy diet when their dentition is compromised. While periodontal or implant surgery may be necessary to reconstruct tissue around natural teeth or replace missing teeth, respectively, some individuals avoid such interventions because of their associated fear and anxiety. Thus, while the relationship between poor oral health, compromised nutritional choices and fear and anxiety regarding periodontal procedures is not entirely new, this review provides an up-to-date summary of literature addressing aspects of this complex relationship. This review also identifies potential strategies for clinicians to help their patients overcome their fear and anxiety associated with dental treatment, and allow them to seek the care they need.

  3. Dietary screening tool identifies nutritional risk in older adults123

    Science.gov (United States)

    Miller, Paige E; Mitchell, Diane C; Hartman, Terryl J; Lawrence, Frank R; Sempos, Christopher T; Smiciklas-Wright, Helen

    2009-01-01

    Background: No rapid methods exist for screening overall dietary intakes in older adults. Objective: The purpose of this study was to develop and evaluate a scoring system for a diet screening tool to identify nutritional risk in community-dwelling older adults. Design: This cross-sectional study in older adults (n = 204) who reside in rural areas examined nutrition status by using an in-person interview, biochemical measures, and four 24-h recalls that included the use of dietary supplements. Results: The dietary screening tool was able to characterize 3 levels of nutritional risk: at risk, possible risk, and not at risk. Individuals classified as at nutritional risk had significantly lower indicators of diet quality (Healthy Eating Index and Mean Adequacy Ratio) and intakes of protein, most micronutrients, dietary fiber, fruit, and vegetables. The at-risk group had higher intakes of fats and oils and refined grains. The at-risk group also had the lowest serum vitamin B-12, folate, β-cryptoxanthin, lutein, and zeaxanthin concentrations. The not-at-nutritional-risk group had significantly higher lycopene and β-carotene and lower homocysteine and methylmalonic acid concentrations. Conclusion: The dietary screening tool is a simple and practical tool that can help to detect nutritional risk in older adults. PMID:19458013

  4. Screening of nutritional status in The Netherlands

    NARCIS (Netherlands)

    Kruizenga, H.M.; Wierdsma, N.J.; Bokhorst, van M.A.E.; Schueren, van der D.E.; Hollander, H.J.; Jonkers-Schuitema, C.F.; Heijden, van der E.; Melis, G.C.; Staveren, van W.A.

    2003-01-01

    Background and Aims: In 2001, the Dutch Dietetic Association conducted a national screening on malnutrition. The goal of this screening was to determine the prevalence of disease-related malnutrition in The Netherlands in all fields of medical care and to investigate the involvement of the dietitian

  5. Assessing School Effects on Dental Hygiene and Nutrition Behaviors of Canadian Adolescents

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    Ma, Xin

    2007-01-01

    This study examines what school experiences influence dental hygiene and nutrition behaviors of Canadian adolescents from the 1998 Cross-national Survey on Health Behaviors in School-aged Children (HBSC). Multilevel analyses highlight the rare use of dental floss among adolescents. Females are more likely to brush and floss teeth than males.…

  6. Speech screening of children in the dental office.

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    Mason, R M; Helmick, J W; Unger, J W; Gattozzi, J G; Murphy, M W

    1977-04-01

    Screening for speech problems in the dental office involves less than five minutes. Procedures include the sampling of a child's pronunciations in counting activities, word responses to pictures or questions, and conversational speech situations. Use of a normative sound development chart will help judge each child's pronunciation skills. Oral diadochokinetic testing provides a means of evaluating the maturational level of the neuromotor components of the oral structures used in support of sound production. Finally, the child's ability to modify sound production after stimulation, that is, his "stimulability," adds important data for determining the child's potential for outgrowing his problem. The screening assessment of these several characteristics of speech performance, then, provides sufficient diagnostic criteria for the dentist to recommend those children for speech therapy whose error productions will not likely improve through maturation alone. In instances where examination indicates that maturation should cause spontaneous improvement of speech, the dentist would then be able to inform the parents.

  7. Nutrition Risk in Home-Bound Older Adults: Using Dietician-Trained and Supervised Nutrition Volunteers for Screening and Intervention

    Science.gov (United States)

    Laforest, Sophie; Goldin, Benita; Nour, Kareen; Roy, Marie-Andree; Payette, Helene

    2007-01-01

    Nutrition screening and early intervention in home-bound older adults are key to preventing unfavourable health outcomes and functional decline. This pilot study's objectives were (a) to test the reliability of the Elderly Nutrition Screening Tool (ENS [C]) when administered by dietician-trained and supervised nutrition volunteers, and (b) to…

  8. Results of nutritional screening in institutionalized elderly in Hungary.

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    Lelovics, Zsuzsanna; Bozó, Réka Kegyes; Lampek, Kinga; Figler, Mária

    2009-01-01

    Dietetics contributes to life-long, sustainable health and optimal life quality of people. The knowledge of the nutritional state can be informative and normative in order to optimize personal care. The aims of this study were to summarize the relevant legislative considerations of nourishing the elderly in different long-term residential social institutions and to screen the nutritional state of those living there. No investigation of this type has ever been carried out in Hungary or in central eastern Europe before. We used the malnutrition universal screening tool (MUST) screening program for the evaluation of nutritional status. Our survey was done in 20 Hungarian nursing homes in 2006. The sample (n=1381) was representative of regional distribution and number of residents. In our study population 38.2% of the patients were endangered in point of malnutrition. The results of our survey call attention to the elevated number of elderly people at risk of malnutrition in nursing homes. As malnutrition has serious consequences regarding also quality of life, nutritional screening of nursing home residents is not only a basic economical interest, but is also in full harmony with the idea "not only to feed, but to nourish" and it is a basic moral duty.

  9. Nutritional considerations and dental management of children and adolescents with HIV/AIDS.

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    Mittal, Meenu

    2011-01-01

    The HIV infected child has increased caloric needs, yet multiple factors interfere with adequate nutritional intake. Nutritional support is needed to maintain optimum nourishment during the symptomatic period, in order to prevent further deterioration of the nutritional status during acute episodes of infection, and to improve the nutritional status during the stable symptom free period. With the advent of better methods of detection and better therapies, we are beginning to see HIV infected children surviving longer; and thus coming under the care of a host of affiliated medical personnel, including dentists. Oral health care workers need to provide dental care for HIV-infected patients and recognize as well as understand the significance of oral manifestations associated with HIV infection. The present article reviews, on the basis of literature, nutritional status, nutrition assessment and counseling in HIV/AIDS children and adolescents. Dental treatment considerations in these, as well as modifications in treatment if required, are also discussed.

  10. Dental screening of medical patients for oral infections and inflammation : Consideration of risk and benefit

    NARCIS (Netherlands)

    Maret, Delphine; Peters, Ove A.; Vigarios, Emmanuelle; Epstein, Joel B.; van der Sluis, Lucas

    The primary purpose of preoperative dental screening of medical patients is to detect acute or chronic oral conditions that may require management prior to planned medical interventions. The aim of this communication is to discuss the background of preoperative dental screening and the link between

  11. Importance of early nutritional screening in patients with gastric cancer.

    Science.gov (United States)

    Gavazzi, Cecilia; Colatruglio, Silvia; Sironi, Alessandro; Mazzaferro, Vincenzo; Miceli, Rosalba

    2011-12-01

    In the present study, we evaluated the relationship between nutritional status, disease stage and quality of life (QoL) in 100 patients recently diagnosed with gastric carcinoma. The patients' nutritional status was investigated with anthropometric, biochemical, inflammatory and functional variables; and we also evaluated the nutritional risk with the Nutritional Risk Screening 2002. Oncological staging was standard. QoL was evaluated using the Functional Assessment of Anorexia/Cachexia Therapy questionnaire. The statistical correlation between nutritional risk score (NRS) and oncological characteristics or QoL was evaluated using both univariable and multivariable analyses. Weight loss and reduction of food intake were the most frequent pathological nutritional indicators, while biochemical, inflammatory and functional variables were in the normal range. According to NRS, thirty-six patients were malnourished or at risk for malnutrition. Patients with NRS ≥ 3 presented a significantly greater percentage of stage IV gastric cancer and pathological values of C-reactive protein, while no correlation was found with the site of tumour. NRS was negatively associated with QoL (P gastric cancer malnutrition is frequent at diagnosis and this is likely due to reduction in food intake. Moreover, NRS is directly correlated with tumour stage and inversely correlated with QoL, which makes it a useful tool to identify patients in need of an early nutritional intervention during oncological treatments.

  12. Validity and reliability of nutrition screening administered by nurses.

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    Lim, Su Lin; Ang, Emily; Foo, Yet Li; Ng, Lian Ye; Tong, Chung Yan; Ferguson, Maree; Daniels, Lynne

    2013-12-01

    Nutrition screening is usually administered by nurses. However, most studies on nutrition screening tools have not used nurses to validate the tools. The 3-Minute Nutrition Screening (3-MinNS) assesses weight loss, dietary intake, and muscle wastage, with the composite score of each used to determine risk of malnutrition. The aim of the study was to determine the validity and reliability of 3-MinNS administered by nurses, who are the intended assessors. In this cross-sectional study, 3 ward-based nurses screened 121 patients aged 21 years and over using 3-MinNS in 3 wards within 24 hours of admission. A dietitian then assessed patients' nutrition status using Subjective Global Assessment within 48 hours of admission, while blinded to the results of the screening. To assess the reliability of 3-MinNS, 37 patients screened by the first nurse were rescreened by a second nurse within 24 hours, who was blinded to the results of the first nurse. The sensitivity, specificity, and best cutoff score for 3-MinNS were determined using the receiver operator characteristics curve. The best cutoff score to identify all patients at risk of malnutrition using 3-MinNS was 3, with sensitivity of 89% and specificity of 88%. This cutoff point also identified all (100%) severely malnourished patients. There was strong correlation between 3-MinNS and SGA (r = .78, P nurses conducting the 3-MinNS tool was 78.3%. The 3-MinNS is a valid and reliable tool for nurses to identify patients at risk of malnutrition.

  13. Patients' attitudes about rapid oral HIV screening in an urban, free dental clinic.

    Science.gov (United States)

    Dietz, Craig Allan; Ablah, Elizabeth; Reznik, David; Robbins, Darcy K

    2008-03-01

    The 2006 Centers for Disease Control recommendations for routine HIV screening in all health care settings could include dental clinics an important testing venue. However, little is known about patients' attitudes regarding the routine use of rapid oral HIV screening at an urban free dental clinic. This pilot study seeks to evaluate the patient perspective on rapid HIV screening in this setting. In June 2007, patients at a free dental clinic in Kansas City, Missouri, were provided an attitude assessment survey prior to their dental visit. This dental clinic serves a diverse patient population consisting of approximately 37% white, 47% black, 6% Hispanic, 4% Asian, and 1% Native American uninsured patients. Results were analyzed for acceptance of testing and potential barriers. Of the 150 respondents, 73% reported they would be willing to take a free rapid HIV screening test during their dental visit. Overall, 91% of Hispanics, 79% of Caucasians, and 73% of African American patients reported they would be willing to be screened. Patients with a history of multiple prior screening tests for HIV were more likely to agree to oral rapid HIV screening in the dental clinic. The majority (62%) reported that it did not matter who provided them with the screening result, although some (37%) preferred their dentist above any other provider. Low self-perception of risk (37%) and having already received screening elsewhere (24%) were the main reasons for not accepting a free, rapid HIV screening. Overall, dental clinic patients widely accepted the offer of rapid oral HIV screening. Rapid HIV screening in the dental clinic setting is a viable option to increase the number of individuals who know their HIV status.

  14. Increasing malnutrition during hospitalization: documentation by a nutritional screening program.

    Science.gov (United States)

    Pinchcofsky, G D; Kaminski, M V

    1985-01-01

    Nutritional status can change during hospitalization. To evaluate the degree of change, a nutrition screening program (NSP) that included admission and 3-week reassessment was implemented. NSP parameters were weight for height, percentage of weight loss, arm muscle circumference, triceps skinfold, serum albumin, and total lymphocyte count. Nutritional risk factors (NRF) were also recorded: cancer, nothing by mouth (NPO) for 3 or more days, loss of appetite, difficulty chewing or swallowing, persistent fever, and cancer chemotherapy or radiation therapy. Of 15,876 patients admitted during the period of March 1982 through December 1982, 583 (3.67%) were found to be suffering from malnutrition or to have NRFs. Of the 583 patients, 182 received nutritional support and were excluded from the study. The remaining patients were reassessed after 3 weeks and had significant decreases in nutritional parameters; 622 patients with deficits in one parameter (visceral or somatic) on admission had a significant decrease in all parameters (p less than .001) on 3-week assessment. There was a deterioration in nutritional status in those patients entering the hospital with NRFs only or with one low parameter.

  15. Nutrition Program Boosts Dental Health of Orange County Migrant Families.

    Science.gov (United States)

    Cotter, Anne; And Others

    1995-01-01

    In Orange County, California, 76 migrant preschool children and 45 parents participated in a 7-week pilot program concerned with preventing dental disease by encouraging good dental habits and healthy food choices. Parent questionnaires revealed that the most remarkable program-related change was a decrease in consumption of sugary foods for over…

  16. MNA® Mini Nutritional Assessment as a nutritional screening tool for hospitalized older adults; rationales and feasibility.

    Science.gov (United States)

    Calvo, I; Olivar, J; Martínez, E; Rico, A; Díaz, J; Gimena, M

    2012-01-01

    The high prevalence of malnutrition in the growing population of older adults makes malnutrition screening critical, especially in hospitalized elderly patients. The aim of our study was to evaluate the use of the MNA® Mini Nutritional Assessment in hospitalized older adults for rapid evaluation of nutritional risk. A prospective cohort study was made of 106 patients 65 years old or older admitted to an internal medicine ward of a tertiary-care teaching hospital to evaluate the use of the short form, or screening phase, of the MNA-SF. In the first 48 hours of admission, the full MNA questionnaire was administered and laboratory tests and a dermatologic evaluation were made. The MNA score showed that 77% of the patients were at risk of malnutrition or were frankly malnourished. Low blood levels of albumin, cholesterol and vitamins A and D showed a statistically significant association with malnutrition or risk of malnutrition. Separate evaluation of the MNA-SF showed that it was accurate, sensitive and had predictive value for the screening process. Routine use of the MNA-SF questionnaire by admission nurses to screen patients is recommended. Patients with MNA-SF scores of 11 or lower should be specifically assessed by the nutritional intervention team.

  17. Correlation between dental caries and nutritional status: preschool children in a Brazilian municipality

    Directory of Open Access Journals (Sweden)

    Angela Xavier

    Full Text Available INTRODUCTION: Dental caries and nutritional status in children in preschool age are serious public health problems, with multifactorial etiology, with diet as a common risk factor. OBJECTIVE: This cross-sectional study assessed the relationship between dental caries and nutritional status of preschool children attending public schools in a city in the State of Sao Paulo. MATERIAL AND METHOD: The study population was comprised of 3-5 year-old preschool children (n = 229 attending public schools, in which dmft (decay, missing, filled, teeth was used for dental caries assessment and Body Mass Index (BMI was used for nutritional status in accordance with the recommendations of the World Health Organization. Statistical analysis was performed in a descriptive way through absolute and relative frequencies and Spearman Correlation test and Kruskal Wallis (P<0.05. RESULT: A dmft of 1.65 (2.87 and a SiC index (Significant Caries Index of 4.88 (3.20 have been found, indicating polarization of dental caries. It was observed that 66.81% of children presented with nutritional status within the normal range and children with malnutrition had a mean dmft of 4.0 (3.66, which is two times higher than the other categories of nutritional status. No statistically significant correlation has been found by correlating dmft and components with Body Mass Index. CONCLUSION: This research did not identify a significant correlation between the occurrence of dental caries and nutritional status of preschool children, researches should be conducted to elucidate this relationship.

  18. A Nutrition Screening Form for Female Infertility Patients.

    Science.gov (United States)

    Langley, Susie

    2014-12-01

    A Nutrition Screening Form (NSF) was designed to identify lifestyle risk factors that negatively impact fertility and to provide a descriptive profile of 300 female infertility patients in a private urban infertility clinic. The NSF was mailed to all new patients prior to the initial physician's visit and self-reported data were assessed using specific criteria to determine if a nutrition referral was warranted. This observational study revealed that 43% of the women had a body mass index (BMI) history of "dieting" and unrealistic weight goals potentially limiting energy and essential nutrients. A high number reported eating disorders, vegetarianism, low fat or low cholesterol diets, and dietary supplement use. Fourteen percent appeared not to supplement with folic acid, 13% rated exercise as "extremely" or "very active", and 28% reported a "high" perceived level of stress. This preliminary research demonstrated that a NSF can be a useful tool to identify nutrition-related lifestyle factors that may negatively impact fertility and identified weight, BMI, diet, exercise, and stress as modifiable risk factors deserving future research. NSF information can help increase awareness among health professionals and patients about the important link between nutrition, fertility, and successful reproductive outcomes.

  19. Review of American Society for Parenteral and Enteral Nutrition (ASPEN) Clinical Guidelines for Nutrition Support in Cancer Patients: nutrition screening and assessment.

    Science.gov (United States)

    Huhmann, Maureen B; August, David A

    2008-01-01

    It is clear that cancer patients develop complex nutrition issues. Nutrition support may or may not be indicated in these patients depending on individual patient characteristics. This review article, the first in a series of articles to examine the A.S.P.E.N. Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric Patients Cancer Guidelines, evaluates the evidence related to the use of nutrition screening and nutrition assessment in cancer patients. This first article will provide background concerning nutrition issues in cancer patients as well as discuss the role of nutrition screening and nutrition assessment in the care of cancer patients. The goal of this review is to enrich the discussion contained in the Clinical Guidelines, cite the primary literature more completely, and suggest updates to the guideline statements in light of subsequent published studies. Future articles will explore the guidelines related to nutrition support in oncology patients receiving anticancer therapies.

  20. Digital Dental X-ray Database for Caries Screening

    Science.gov (United States)

    Rad, Abdolvahab Ehsani; Rahim, Mohd Shafry Mohd; Rehman, Amjad; Saba, Tanzila

    2016-06-01

    Standard database is the essential requirement to compare the performance of image analysis techniques. Hence the main issue in dental image analysis is the lack of available image database which is provided in this paper. Periapical dental X-ray images which are suitable for any analysis and approved by many dental experts are collected. This type of dental radiograph imaging is common and inexpensive, which is normally used for dental disease diagnosis and abnormalities detection. Database contains 120 various Periapical X-ray images from top to bottom jaw. Dental digital database is constructed to provide the source for researchers to use and compare the image analysis techniques and improve or manipulate the performance of each technique.

  1. Oral habits--part 1: the dental effects and management of nutritive and non-nutritive sucking.

    Science.gov (United States)

    Silva, Mihiri; Manton, David

    2014-01-01

    Nutritive sucking and non-nutritive sucking are among the most commonly reported oral habits in children. These habits generally cease around four years of age as interaction with other children increases. However, prolonged habits may alter dento-skeletal development, leading to orthodontic problems, which may persist into the permanent dentition. Rewards, reminder therapy, and appliance therapy have been described for the management of nutritive and non-nutritive sucking habits. Reminder therapy includes the use of gloves, thumb-guards, mittens, and tastants applied to fingers. When other modes of treatment have failed, appliance therapy, such as palatal cribs or Bluegrass appliances, may be necessary to prevent the placement of the digit in its sucking position. These tools are very effective and are associated with few adverse effects; however, they must be used with the cooperation of the child and never as punishment. The purpose of this paper is to update clinicians about nutritive and non-nutritive sucking habits in children and their impact on dental/skeletal development, and management options.

  2. Poor performance of mandatory nutritional screening of in-hospital patients

    DEFF Research Database (Denmark)

    Geiker, Nina Rica Wium; Larsen, Sisse Marie Hørup; Stender, Steen

    2012-01-01

    , the most common error being underestimation of nutritional status. Forty-six percent of patients required a secondary nutritional risk screening and 30% were found to be nutritionally at risk. Conclusion: Only 8% of patients received the mandatory nutritional risk screening without procedural errors. We......Background & aims: Since 2006 it has been mandatory at Copenhagen University Hospital Gentofte to screen all patients for nutritional risk within 24 h of admittance. Audits conducted by department staff estimate that 70-80% of assessments are correctly executed, but the validity of this estimate...... is unknown. The aim of the present study was to discover the true proportion of hospitalized patients receiving nutritional risk screening within the stipulated time limit and to evaluate the validity of the screening by comparison with medical records. Methods: Retrospective examination of medical records...

  3. Pilot Study on the Influence of Nutritional Counselling and Implant Therapy on the Nutritional Status in Dentally Compromised Patients.

    Directory of Open Access Journals (Sweden)

    Bernd Wöstmann

    Full Text Available To investigate the impact of implant-prosthetic rehabilitation combined with nutritional counseling on the nutritional status of patients with severely reduced dentitions.An explorative intervention study including an intra-individual comparison of 20 patients with severely reduced dentitions in terms of nutrition- and quality of life-related parameters recorded at baseline and at six and twelve months after implant-prosthetic rehabilitation.Twenty patients from the Department of Prosthetic Dentistry of Justus-Liebig University of Giessen, with an mean age of 63 years, who had fewer than ten pairs of antagonists.The baseline data collection included dental status, a chewing ability test, laboratory parameters, anthropometric data (body mass index, energy supply, a 3-day dietary record, an analysis of the oral health-related quality of life (OHRQoL with the OHIP-G14, the Mini-Mental Status (MMS and Mini Nutritional Assessment (MNA. Six months after implantation and prosthetic rehabilitation, individual nutritional counseling was performed by a dietician. Data were again collected and analyzed. A final follow-up was conducted 12 months after prosthetic rehabilitation.Despite the highly significant improvement in masticatory ability and OHRQoL after implant-prosthetic rehabilitation, no significant changes were observed regarding MNA, anthropometric data or energy supply. Except for cholinesterase (p = 0.012, ferritin (p = 0.003, folic acid (p = 0.019 and vitamin A (p = 0.004, no laboratory parameter changed significantly during the investigation period. In addition, no general significant differences were observed for nutrient intake or food choice.The present study does not confirm the assumption that the implant-prosthetic rehabilitation of patients with severely reduced residual dentitions with or without an individual nutritional counseling influences nutritional status.

  4. NRS-2002 for pre-treatment nutritional risk screening and nutritional status assessment in head and neck cancer patients.

    Science.gov (United States)

    Orell-Kotikangas, Helena; Österlund, Pia; Saarilahti, Kauko; Ravasco, Paula; Schwab, Ursula; Mäkitie, Antti A

    2015-06-01

    The aim of this study was to assess the value of nutritional risk screening-2002 (NRS-2002) as a nutritional risk screening and status assessment method and to compare it with nutritional status assessed by subjective and objective methods in the screening of head and neck cancer patients. Sixty-five consecutive patients (50 male), with a median age of 61 years (range, 33-77), with head and neck squamous cell carcinoma (HNSCC) were enrolled prior to cancer therapy. Nutritional status was assessed by NRS-2002, patient-generated subjective global assessment (PG-SGA), handgrip strength (HGS) and mid-arm muscle area (MAMA). Twenty-eight percent of patients were at nutritional risk based on NRS-2002, and 34 % were malnourished according to PG-SGA, while 43 % had low HGS. NRS-2002 cut-off score of ≥3 compared with the nutritional status according to PG-SGA showed 77 % specificity and 98 % sensitivity (K = 0.78). NRS-2002 was able to predict malnutrition (PG-SGA BC) both in men (p nutrition screening in head and neck cancer patients prior to oncological treatment.

  5. Cost savings from a teledentistry model for school dental screening: an Australian health system perspective.

    Science.gov (United States)

    Estai, Mohamed; Bunt, Stuart; Kanagasingam, Yogesan; Tennant, Marc

    2017-06-05

    Objective The aim of the present study was to compare the costs of teledentistry and traditional dental screening approaches in Australian school children.Methods A cost-minimisation analysis was performed from the perspective of the oral health system, comparing the cost of dental screening in school children using a traditional visual examination approach with the cost of mid-level dental practitioners (MLDPs), such as dental therapists, screening the same cohort of children remotely using teledentistry. A model was developed to simulate the costs (over a 12-month period) of the two models of dental screening for all school children (2.7million children) aged 5-14 years across all Australian states and territories. The fixed costs and the variable costs, including staff salary, travel and accommodation costs, and cost of supply were calculated. All costs are given in Australian dollars.Results The total estimated cost of the teledentistry model was $50million. The fixed cost of teledentistry was $1million and that of staff salaries (tele-assistants, charters and their supervisors, as well as information technology support was estimated to be $49million. The estimated staff salary saved with the teledentistry model was $56million, and the estimated travel allowance and supply expenses avoided were $16million and $14million respectively; an annual reduction of $85million in total.Conclusions The present study shows that the teledentistry model of dental screening can minimise costs. The estimated savings were due primarily to the low salaries of dental therapists and the avoidance of travel and accommodation costs. Such savings could be redistributed to improve infrastructure and oral health services in rural or other underserved areas.What is known about the topic? Caries is a preventable disease, which, if it remains untreated, can cause significant morbidity requiring costly treatment. Regular dental screening and oral health education have the great potential

  6. Ability of different screening tools to predict positive effect on nutritional intervention among the elderly in primary health care

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Beermann, Tina; Kjær, Stine;

    2013-01-01

    Routine identification of nutritional risk screening is paramount as the first stage in nutritional treatment of the elderly. The major focus of former validation studies of screening tools has been on the ability to predict undernutrition. The aim of this study was to validate Mini Nutritional...... Assessment-Short Form (MNA-SF), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Screening 2002 (NRS-2002), Body Mass Index (BMI)...

  7. Screening for Diabetes in a Dental School Clinic to Assess Interprofessional Communication Between Physicians and Dental Students.

    Science.gov (United States)

    Biethman, Rick Ken; Pandarakalam, Cyril; Garcia, M Nathalia; Whitener, Sara; Hildebolt, Charles F

    2017-09-01

    If a dental student diagnoses a patient in a dental school clinic as being at high risk of prediabetes or diabetes, the patient should be referred to his or her physician for further diagnostic evaluation, and the physician should send back the evaluation results so that the dental team can optimize treatment and health care choices if the diagnosis is confirmed. The primary aim of this study was to evaluate physicians' responses to written and oral requests for information regarding follow-up diabetes testing. A secondary aim was to evaluate patients' compliance with recommendations to seek medical care after being determined to be at high risk of prediabetes or diabetes in the dental clinic. Based on at least one positive risk factor for diabetes, 74 patients in one U.S. dental school's clinic were screened by third- and fourth-year dental students for prediabetes or diabetes and underwent point of care HbA1C (glycalated hemoglobin) blood tests between June 2014 and June 2015. Patients with an HbA1C value of 5.7% or above were referred to their physicians for follow-up testing. The physician was mailed the patient's HIPAA release and a request for updates to the student regarding the patient's diabetes status. If the physician did not provide the requested information, a dental student telephoned him or her to obtain the patient's diabetes status. Of the 74 patients, 34 (46%) tested positive with HbA1C tests and were referred to their physicians. Of those 34 referred patients, 20 (59%) saw their physicians for additional evaluations within six months of referral. None of the 20 physicians responded to the written requests for information on additional diabetes testing. After one or two telephone requests, all 20 physicians provided the test results. This study found that most of the patients (59%) followed their dental practitioner's advice to seek follow-up care with their physician, supporting the value of conducting these tests in a dental clinic. However, the

  8. [Nutritional screening in heart failure patients: 5 methods review].

    Science.gov (United States)

    Guerra-Sánchez, Luis; Martínez-Rincón, Carmen; Fresno-Flores, Mar

    2014-01-01

    Introduccion: La malnutrición aumenta la mortalidad y la estancia hospitalaria. Cada vez más instituciones sanitarias adoptan medidas de cribado nutricional con el fin de detectar precozmente la malnutrición o el riesgo de desarrollarla. No existe un método universalmente aceptado para la valoración nutricional. Objetivo: Determinar un método rápido y fiable, que no precise de entrenamiento previo, para el cribado nutricional de pacientes con insuficiencia cardiaca. Métodos: Estudio observacional, transversal, en el que se evaluaron mediante la valoración subjetiva global (VSG), el Mini nutritional assesment (MNA) tanto en su versión abreviada o de cribado (MNA-SF) como en su versión extendida o de valoración (MNA-LF), el nutritional Risk Screnning (NRS 2002), el Conocimiento nutricional o método Ulibarri (CONUT), el método Cardona y el Malnutrition Universal Screening Tool (MUST), el estado nutricional de 242 pacientes ingresados en un hospital terciario de alta complejidad con diagnósticos compatibles con descompensación de insuficiencia cardiaca crónica. Se analizaron la sensibilidad, especificidad, los valores predictivos, las razones de verosimilitud, la odds ratio diagnostica y el índice de correlación kappa, de los distintos métodos comparados con la valoración subjetiva global, que fue considerada como prueba cierta. Resultados: La edad media fue de 75±9. El 50,8% (n=123) fueron hombres. El índice de correlación kappa de los distintos métodos de cribado con respecto a la valoración subjetiva global fueron MNA valoración =0,637; MNA cribado =0,556; NRS =0,483; MUST =0,197; Cardona =0,188; CONUT =0,076. Discusión: El Mini Nutritional Assesment fue el método que mejor relación ofreció, tanto en su etapa de cribado como en la de valoración con la Valoración subjetiva global.

  9. Phase 1 implementation of nutrition screening in a Dublin acute teaching hospital

    LENUS (Irish Health Repository)

    2014-01-01

    Nutrition Screening Week results from 2010 and 2011 indicated that one in three to four patients admitted to Irish Hospitals are at risk of disease-related malnutrition, 74-75% of whom are at high risk1. Nutrition screening tools are used to screen for malnutrition risk. One such tool, the Malnutrition Universal Screening Tool (MUST)2 is a practical, easy to use tool that often takes ≤5 minutes to complete. MUST has been validated across care settings and across patient populations, and has been recommended for use in Irish Hospitals by the Department of Health and Children as part of standard care3. The National Institute for Health and Clinical Excellence in the UK has demonstrated significant financial savings associated with the use of routine nutrition screening, in part due to reduced length of hospital stay4. The Irish Society for Clinical Nutrition and Metabolism (IrSPEN) has also demonstrated this5

  10. Reliability of gingival blood sample to screen diabetes in dental hospital

    Directory of Open Access Journals (Sweden)

    Suneetha Koneru

    2015-01-01

    Conclusions: The results of the present study showed blood obtained from periodontal pocket probing is a reliable sample to screen diabetes in periodontal disease population. Early diagnosis of diabetes in the dental hospitals can help improve the patient′s oral health and overall health status by helping patients avoid or reduce complications from diabetes.

  11. IDIOS: An innovative index for evaluating dental imaging-based osteoporosis screening indices

    Energy Technology Data Exchange (ETDEWEB)

    Barngkgei, Imad; Al Haffar, Iyad; Khattab, Razan [Faculty of Dentistry, Damascus University, Damascus (Syrian Arab Republic); Halboub, Esam; Almashraqi, Abeer Abdulkareem [Dept. of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan (Saudi Arabia)

    2016-09-15

    The goal of this study was to develop a new index as an objective reference for evaluating current and newly developed indices used for osteoporosis screening based on dental images. Its name; IDIOS, stands for Index of Dental-imaging Indices of Osteoporosis Screening. A comprehensive PubMed search was conducted to retrieve studies on dental imaging-based indices for osteoporosis screening. The results of the eligible studies, along with other relevant criteria, were used to develop IDIOS, which has scores ranging from 0 (0%) to 15 (100%). The indices presented in the studies we included were then evaluated using IDIOS. The 104 studies that were included utilized 24, 4, and 9 indices derived from panoramic, periapical, and computed tomographic/cone-beam computed tomographic techniques, respectively. The IDIOS scores for these indices ranged from 0 (0%) to 11.75 (78.32%). IDIOS is a valuable reference index that facilitates the evaluation of other dental imaging-based osteoporosis screening indices. Furthermore, IDIOS can be utilized to evaluate the accuracy of newly developed indices.

  12. MNA ® Mini Nutritional Assessment as a nutritional screening tool for hospitalized older adults; rationales and feasibility

    OpenAIRE

    Calvo, Isabel; Olivar, Juana; Martínez, Eufrasio; Rico, Antonia G.; Díaz, Joaquina M.; Gimena, Manuel

    2012-01-01

    The high prevalence of malnutrition in the growing population of older adults makes malnutrition screening critical, especially in hospitalized elderly patients. The aim of our study was to evaluate the use of the MNA® Mini Nutritional Assessment in hospitalized older adults for rapid evaluation of nutritional risk. A prospective cohort study was made of 106 patients 65 years old or older admitted to an internal medicine ward of a tertiary-care teaching hospital to eva...

  13. The Effectiveness of Nutritional Screening in Hospital and Primary Care Settings: a Systematic Review

    Directory of Open Access Journals (Sweden)

    A Rashidian

    2005-10-01

    Full Text Available Objectives: To determine the effectiveness of nutritional screening programmes in improving quality of care and patient outcomes compared with usual care. Methods: Searches were performed on MEDLINE, EMBASE, CINHAL, the Cochrane database, and Current Controlled Trials. Due to the assumed scarcity of high quality evidence, interventional studies in hospital or primary care settings with adequate reporting and comparisons were considered as eligible. Team members met after reviewing the papers. Decisions on inclusion or exclusion of papers were made when all agreed. Two reviewers independently extracted data from included studies. Results: 705 abstracts were considered and thirty full-text papers were ordered and reviewed. Following further review of the extracted data two papers met the inclusion criteria. One was a clustered randomized study of 26 general practices to evaluate the effectiveness of screening for elderly ailments including malnutrition. It concluded nutritional screening did not improve referral to dieticians, detection of nutritional problems, or patients’ quality of life. This study was underpowered for evaluating the effectiveness of nutritional screening. A non-randomized controlled before-after study of four hospital wards concluded that intervention improved weight recording, but not referral to dieticians or care at the mealtime of at risk patients. Discussion: Very few studies assess the effectiveness of nutritional screening with relevant outcomes and acceptable quality. The available evidence does not support systematic application of screening tools to hospital, or general practice patients. Given the current level of interest and political support for nutritional screening, further studies are urgently required.

  14. Hygiene-therapists could be used to screen for dental caries and periodontal disease.

    Science.gov (United States)

    Richards, Derek

    2015-12-01

    A purposive sample of large NHS dental practices with a minimum of three surgeries employing at least one hygiene-therapist (HT) was taken. Asymptomatic patients attending for routine checkups who consented to the study underwent a screen by H-T for dental caries and periodontal disease (index test) followed by a screen by a general dental practitioner (reference test). Patients were recruited consecutively. H-Ts and dentists attended a compulsory training day, which covered recruitment, consenting, screening process, calibration using stock photographs and patient record form completion. Diagnostic threshold for caries was any tooth in the patient's mouth that showed evidence of frank cavitation or shadowing and opacity that would indicate dental caries into the dentine. The diagnostic threshold for periodontal disease was any pocket in the patient's mouth where the black-band of a basic periodontal examination (BPE) probe (3.5 to 5.5 mm) partially or totally disappeared (ie BPE code 3). The index test was compared with the reference test to determine true-positive, false-positive, false-negative and true-negative values. Sensitivity, specificity, positive predictive value, negative predictive value and diagnostic odds ratios are shown in Table 1. Eighteen hundred and ninety-nine patients consented to dental screening with 996 patients being randomly allocated to see the dentist first and 903 H-T first. The time interval between the index and reference test never exceeded 21 minutes. With the exception of two practices failing to collect data on smoking and dentures there were no missing results regarding the outcome of a positive or negative screening decision. No adverse events were reported. Mean screening time was five min 25 s for H-Ts and four min 26 s for dentists. Dentists identified 668 patients with caries (Prevalence of 0.35) while H-Ts classified 548 positive and correctly identified 1,047 of the 1,231 patients with no caries. Dentists identified 1074

  15. Association between dental pain and depression in Korean adults using the Korean National Health and Nutrition Examination Survey.

    Science.gov (United States)

    Yang, S E; Park, Y G; Han, K; Min, J A; Kim, S Y

    2016-01-01

    The purpose of this study was to evaluate the relationships between the prevalence of depression and dental pain using a well characterised, nationally representative, population-based study. This study analysed data from the 2012 Korea National Health and Nutrition Examination Survey (n = 4886). Oral health status was assessed using the oral health questionnaire, and oral examination was performed by trained dentists. Depression was defined as the participant having been diagnosed as depression during the previous year. Logistic regression was applied to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CI), controlling for a range of covariates. Results demonstrated that participants included in 'root canal treatment is necessary' showed higher prevalence of self-reported dental pain; in particular, participants with depression presented more dental pain than those without depression. After adjusting for sociodemographic factors, self-reported dental pain increased in participants with depression. The AOR (95% CI) for having self-reported dental pain was 1·58 (1·08-2·33) in dentists' diagnosis of no dental pain/depression group, 1·62 (1·32-1·98) in dentists' diagnosis of dental pain/no depression group and 2·84 (1·10-7·37) in dentists' diagnosis of dental pain/depression group. It was concluded that depression was associated with dental pain after adjustment for potential confounders in Korean adults. Thus, dentists should consider the possible presence of psychopathology when treating patients with dental pain.

  16. Screen time in Mexican children: findings from the 2012 National Health and Nutrition Survey (ENSANUT 2012)

    OpenAIRE

    2013-01-01

    Objective. To provide descriptive information on the screen time levels of Mexican children. Materials and methods. 5 660 children aged 10-18 years from the 2012 National Health and Nutrition Survey (ENSANUT 2012) were studied. Screen time (watching television, movies, playing video games and using a computer) was self-reported. Results. On average, children engaged in 3 hours/day of screen time, irrespective of gender and age. Screen time was higher in obese children, children from th...

  17. Low-cost screening for microbial contaminants in aerosols generated in a dental office.

    Science.gov (United States)

    Hubar, J Sean; Pelon, William

    2005-01-01

    It has been reported that aerosols and droplets generated by high-speed dental drills and cavitrons are contaminated with blood and bacteria and represent a potential route for transmitting disease. Bacterial cells possess a negative electrical charge, while the cathode ray tubes (CRT) that are used in computer monitors generate positively charged static electric fields. Consequently, bacteria dispersed within these aerosols could be attracted to the screens on CRT monitors. In this study, pathogenic strains of Staphylococcus aureus were found on CRT screens in different locations within the Louisiana State University School of Dentistry facility. The results suggest that surveying CRT screens is a simple method for evaluating the airborne microbial contaminants present within a dental office.

  18. Nutritional and Phytochemical Screening of Aloe Bar Badensis

    Directory of Open Access Journals (Sweden)

    A.O. Adesuyi and O.A. Awosanya

    2012-01-01

    Full Text Available The aim of this research Study is to analyse qualitatively and quantitatively the Aloe barbadensis for Proximate, Anti-Nutrient and Phytochemical composition. The Proximate, Anti-Nutrient composition and Phytochemical screening of Aloe barbadensis were determined. The Proximate composition involves the Moisture content, Crude protein, Crude fibre, Crude Fat, Ash content and Carbohydrate. The Anti-Nutrients involved Oxalate, Tannins and Phytate while the Phytochemicals determined were the Saponins, Phenols, Alkaloids and Flavonoids. Aloe barbadensis was found to be rich in Carbohydrate (73.07%, so it can be used as a good source of Carborhydrate. The Protein and Fat content were found to be relatively low, (4.73 and 0.27% respectively. But Aloe barbadensis can still be used as a source of Protein and Fat. Qualitatively, Tannin, Oxalate and Phytate were found in trace amount. Tannin, Phytate and Oxalate contents were 0.155 g/100 g, 0.683 g/100 g, and 0.524 g/100 g respectively. This could affect the availability of Minerals in Aloe barbadensis. It was also discovered that Phytochemicals are present in quantities of 0.232 g/100g, 5.651 g/100 g, 2.471 g/100 g and 3.246 g/100 g for Phenols, Saponins, Alkaloids and Flavonoids respectively. This is an indication of Cosmetic and medicinal Value of Aloe barbadensis. The Sample was also found to be a rich source of minerals. Sodium and Potassium content (5280 and 10670 PPM respectively indicates the tendency of Aloe barbadensis to be able to regulate or control the osmotic balance of the body fluid as well as body pH. Aloe barbadensis is also found to be rich in Phosphorus (6657 PPM, which is essential for bone formation. Lead occur in traces. Magnesium (325.8 PPM is also present, which could help to lower the blood pressure. The overall data suggest that Aloe barbadensis has some Nutritional and Medicinal Properties.

  19. Availability of nutrition screening parameters in New Brunswick hospitals and nursing homes.

    Science.gov (United States)

    Caissie, Isabelle; Villalon, Lita; Carrier, Natalie; Laporte, Manon

    2012-01-01

    We explored the availability of parameters for a nutrition screening system among elderly people in New Brunswick (NB) health care facilities. Patients aged 65 or older were asked to participate in the study; each participant had been admitted to one of four hospitals or lived in one of six nursing homes. Availability of nutrition screening parameters (weight, height, weight change, serum albumin level, appetite, and food intake record) was assessed by auditing the participants' medical charts. When data were not available, the feasibility of obtaining them was determined. Additional data related to nutrition screening were also obtained. In total, 421 participants were recruited for the study: 140 (33.2%) who lived in nursing homes and 281 (66.8%) who were in hospitals. Parameters needed to conduct nutrition screening, such as weight upon admission, were available for 83.6% of participants; usual weight was available for 43.0%, height for 86.0%, and serum albumin level for 47.5%. Our findings show that basic parameters for nutrition screening are available, and that implementation of a nutrition screening system is feasible for patients in NB health care facilities.

  20. Indian patients' attitudes towards chairside screening in a dental setting for medical conditions.

    Science.gov (United States)

    Sansare, Kaustubh; Raghav, Mamta; Kasbe, Abhiram; Karjodkar, Freny; Sharma, Neeraj; Gupta, Ambika; Singh, Harneet; Iyengar, Asha; Patil, Seema; Selvamuthukumar, Sanarpalayam C; Krithika, Chandrasekaran; Glick, Michael; Greenberg, Barbara L

    2015-10-01

    India has a high prevalence of cardiovascular disease (CVD), diabetes mellitus (DM), tuberculosis (TB), human immunodeficiency virus/acquired immune-deficiency syndrome (HIV/AIDS) and hepatitis B. United States-based studies indicate provider and patient support for medical screening in the dental setting. We assessed patient attitudes towards, and willingness to participate in, medical screening in the dental setting in India. A 5-point Likert scale survey (with scores ranging from 1=very important/willing to 5=very unimportant/unwilling) was given to a convenience sample of adult patients visiting five university-based dental clinics (clinic group) and one private-practice setting (private group). The Mann-Whitney U-test was used to compare mean response scores between patient groups. Logistic regression was used to assess factors associated with a favourable outcome. Both patient groups felt it important for dentists to identify increased risk for medical conditions (89.3% vs. 94.9%, respectively; P=0.02). The majority of patients were willing to have a dentist screen for the specified conditions: CVD (80.6% clinic and 84.5% private); DM (84.5% clinic and 77.5% private); TB (76.7% clinic and 73.2% private); hepatitis (73.3% clinic and 67.5% private); and HIV/AIDS (71.0% clinic and 70.5% private). The majority of patients were willing to participate in chairside screening that yielded immediate results (84.6% clinic and 86.1% private), discuss results immediately (85.8% clinic and 87.2% private) and pay 150 Indian rupees (55.9% clinic and 91.7% private). Younger patients (dental settings [adjusted odds ratio (OR)=0.63; 95% confidence interval (95% CI): 0.26-0.84] and be available for screening that yielded immediate results (adjusted OR=0.63; 95% CI: 0.40-0.99). Indian dental patients were in favour of chairside medical screening. © 2015 FDI World Dental Federation.

  1. The efficacy of screening for common dental diseases by hygiene-therapists: a diagnostic test accuracy study.

    Science.gov (United States)

    Macey, R; Glenny, A; Walsh, T; Tickle, M; Worthington, H; Ashley, J; Brocklehurst, P

    2015-03-01

    Regularly attending adult patients are increasingly asymptomatic and not in need of treatment when attending for their routine dental examinations. As oral health improves further, using the general dental practitioner to undertake the "checkup" on regular "low-risk" patients represents a substantial and potentially unnecessary cost for state-funded systems. Given recent regulatory changes in the United Kingdom, it is now theoretically possible to delegate a range of tasks to hygiene-therapists. This has the potential to release the general dental practitioner's time and increase the capacity to care. The aim of this study is to compare the diagnostic test accuracy of hygiene-therapists when screening for dental caries and periodontal disease in regularly attending asymptomatic adults who attend for their checkup. A visual screen by hygiene-therapists acted as the index test, and the general dental practitioner acted as the reference standard. Consenting asymptomatic adult patients, who were regularly attending patients at 10 practices across the Northwest of England, entered the study. Both sets of clinicians made an assessment of dental caries and periodontal disease. The primary outcomes measured were the sensitivity and specificity values for dental caries and periodontal disease. In total, 1899 patients were screened. The summary point for sensitivity of dental care professionals when screening for caries and periodontal disease was 0.81 (95% CI, 0.74 to 0.87) and 0.89 (0.86 to 0.92), respectively. The summary point for specificity of dental care professionals when screening for caries and periodontal disease was 0.87 (0.78 to 0.92) and 0.75 (0.66 to 0.82), respectively. The results suggest that hygiene-therapists could be used to screen for dental caries and periodontal disease. This has important ramifications for service design in public-funded health systems.

  2. Reliability of Gingival Blood Sample to Screen Diabetes in Dental Hospital

    OpenAIRE

    Suneetha Koneru; Rambabu Tanikonda

    2015-01-01

    Background: Early detection and treatment of diabetes mellitus may reduce the burden of diabetes and its complications. Screening of undiagnosed diabetes with gingival blood sample in patients attending to the dental hospital and to check the reliability with standard method. Methods: Five hundred and fifty new patients age ranged from 30 to 50 years were randomly selected. Of 550 patients examined, gingival blood samples of 454 patients were collected from bleeding site and analyzed with...

  3. A new screening pathway for identifying asymptomatic patients using dental panoramic radiographs

    Science.gov (United States)

    Hayashi, Tatsuro; Matsumoto, Takuya; Sawagashira, Tsuyoshi; Tagami, Motoki; Katsumata, Akitoshi; Hayashi, Yoshinori; Muramatsu, Chisako; Zhou, Xiangrong; Iida, Yukihiro; Matsuoka, Masato; Katagi, Kiyoji; Fujita, Hiroshi

    2012-03-01

    To identify asymptomatic patients is the challenging task and the essential first step in diagnosis. Findings of dental panoramic radiographs include not only dental conditions but also radiographic signs that are suggestive of possible systemic diseases such as osteoporosis, arteriosclerosis, and maxillary sinusitis. Detection of such signs on panoramic radiographs has a potential to provide supplemental benefits for patients. However, it is not easy for general dental practitioners to pay careful attention to such signs. We addressed the development of a computer-aided detection (CAD) system that detects radiographic signs of pathology on panoramic images, and the design of the framework of new screening pathway by cooperation of dentists and our CAD system. The performance evaluation of our CAD system showed the sensitivity and specificity in the identification of osteoporotic patients were 92.6 % and 100 %, respectively, and those of the maxillary sinus abnormality were 89.6 % and 73.6 %, respectively. The detection rate of carotid artery calcifications that suggests the need for further medical evaluation was approximately 93.6 % with 4.4 false-positives per image. To validate the utility of the new screening pathway, preliminary clinical trials by using our CAD system were conducted. To date, 223 panoramic images were processed and 4 asymptomatic patients with suspected osteoporosis, 7 asymptomatic patients with suspected calcifications, and 40 asymptomatic patients with suspected maxillary sinusitis were detected in our initial trial. It was suggested that our new screening pathway could be useful to identify asymptomatic patients with systemic diseases.

  4. Medical, nutritional, and dental considerations in children with low birth weight.

    LENUS (Irish Health Repository)

    O'Connell, Susan

    2009-11-01

    It is estimated that 8 to 26 percent of infants are born with low birth weight (LBW) worldwide. These children are at risk for medical problems in childhood and adulthood and often have poor oral health. The influence of fetal growth on birth weight and its relevance to childhood growth and future adult health is controversial. Evidence now indicates that the postnatal period is a critical time when nutrition may predispose the child to lifelong metabolic disturbance and obesity. Given the lack of consensus on optimum infant nutrition for LBW, premature, and small-for-gestational-age infants, many such infants may be suboptimally managed. This may result in rapid postnatal weight gain and ongoing health problems. The purpose of this review was to summarize medical terminology and issues related to fetal growth, morbidity associated with being born low birth weight, premature, or small for gestational age, and the importance of appropriate nutrition in such infants. Pediatric dentists can play an important role in supporting healthy feeding practices and improving long-term health in these children. Early integrated medical and dental care should be encouraged for all children with low birth weight.

  5. Optimization of Screening Method for Feed Nutrition and Processing Conditions

    Institute of Scientific and Technical Information of China (English)

    YangYun-qing; WangYi-tong; 等

    1999-01-01

    On the basis of regressional relationship between nutritional indexes and technological conditions,when confronted with feed quality that contains multiple nutritional indexes,a comprehensive equation of evaluating feed quality was developed by using fuzzy mathematical method at first in this study,and then the optimum technological conditions were established by introduction of statistical frequency analysis method pursuant to the comprehensive evaluating equation mentioned above compared with conventional multi-aim nonlinear programming,this method can lead to easy solutions,and also can make adjustment of the importance of nutritional indexes to feed quality according to practical considerations.An example was given of soybean extruding to show how the method worked.

  6. Nutrition risk screening of ICU patients%ICU患儿营养风险筛查

    Institute of Scientific and Technical Information of China (English)

    龚玲

    2014-01-01

    ICU患儿的病情较重,进展迅速,因此恰当的营养支持对于ICU患儿病情的恢复是有利的.ICU患儿需要根据其本身的营养状况以及潜在的营养风险来制定恰当的营养支持计划.营养风险筛查不仅可以评估患儿的营养状况,更能预测其潜在的营养风险,从而指导患儿的营养支持治疗计划的制定,最终改善预后.寻找出适用于ICU患儿的全面、简便、快捷、易行的营养风险筛查工具,实施恰当的营养风险筛查对ICU患儿的生长发育以及疾病的预后均具有重要意义.%It's known that ICU patients is in critical condition and might deteriorate rapidly,so it's important for them to get appropriate nutritional support in order to recover.We must make proper nutrition treatment plan for patients according to their different nutritional condition and potential risk.Nutritional risk screening can not only assess the nutritional status of children,is more likely to predict its potential nutritional risk,to guide nutritional support treatment plan,and ultimately improve the prognosis.Looking out for comprehensive,simple,fast,and easy nutritional risk screening tools as soon as possible and appropriate nutrition risk screening is significantly for growth and development as well as prognosis of ICU patients.

  7. Refeeding syndrome: screening, incidence, and treatment during parenteral nutrition.

    Science.gov (United States)

    Walmsley, Russell S

    2013-12-01

    The possible deleterious effects of feeding after a period of prolonged starvation have been known for over 60 years. The resultant biochemical disturbance, symptoms, and signs have been termed the refeeding syndrome (RS). The key to the pathophysiology is the stimulation of insulin release resulting in anabolic activity. Depleted electrolyte and micronutrient stores are overwhelmed and cellular function disrupted. A concise definition of RS is not agreed and hampers interpretation of clinical data. Hypophosphatemia and appearance of tissue edema/pathological fluid shifts are the most often agreed diagnostic criteria. The characteristics of particular patient groups at risk have been recognized for some time, and there are guidelines from the National Institute for Clinical Excellence in the UK to aid recognition of individuals at high risk along with protocols for initiating nutrition. Using loose diagnostic criteria, RS appears to occur in 4% of cases of parenteral nutrition (PN) when case records were reviewed by experts in a large study into PN care in the UK. Disappointingly, prescribers recognized only 50% of at risk cases. Early data from a similar study in New Zealand appear to show a similar pattern. Prospective series looking at patients receiving nutrition support in institutions with Nutrition Support Teams have found an incidence of 1-5%. RS is still underrecognized. Patients receiving PN should be counted as being in a high-risk category and feeding protocols to avoid RS applied. Low rates of RS then occur and death from this cause be avoided.

  8. A nutritional risk screening model for patients with liver cirrhosis established using discriminant analysis

    Directory of Open Access Journals (Sweden)

    ZHU Binghua

    2017-06-01

    Full Text Available ObjectiveTo establish a nutritional risk screening model for patients with liver cirrhosis using discriminant analysis. MethodsThe clinical data of 273 patients with liver cirrhosis who were admitted to Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from August 2015 to March 2016 were collected. Body height, body weight, upper arm circumference, triceps skinfold thickness, subscapular skinfold thickness, and hand grip strength were measured and recorded, and then body mass index (BMI and upper arm muscle circumference were calculated. Laboratory markers including liver function parameters, renal function parameters, and vitamins were measured. The patients were asked to complete Nutritional Risk Screening 2002 and Malnutrition Universal Screening Tool (MUST, and a self-developed nutritional risk screening pathway was used for nutritional risk classification. Observation scales of the four diagnostic methods in traditional Chinese medicine were used to collect patients′ symptoms and signs. Continuous data were expressed as mean±SD (x±s; an analysis of variance was used for comparison between multiple groups, and the least significant difference t-test was used for further comparison between two groups. Discriminant analysis was used for model establishment, and cross validation was used for model verification. ResultsThe nutritional risk screening pathway for patients with liver cirrhosis was used for the screening of respondents, and there were 49 patients (17.95% in non-risk group, 49 (17.95% in possible-risk group, and 175 (64.10% in risk group. The distance criterion function was used to establish the nutritional risk screening model for patients with liver cirrhosis: D1=-11.885+0.310×BMI+0150×MAC+0.005×P-Alb-0.001×Vit B12+0.103×Vit D-0.89×ascites-0.404×weakness-0.560×hypochondriac pain+0035×dysphoria with feverish sensation (note: if a patient has ascites, weakness, hypochondriac pain

  9. Simulation of dental intensifying screen for intraoral radiographic using MCNP5 code

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Vanessa M.; Oliveira, Renato C.M., E-mail: vanessamachado@ufmg.br [Curso Superior de Tecnologia em Radiologia. Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil); Barros, Graiciany P.; Oliveira, Arno H.; Veloso, M. Auxiliadora F. [Departamento de Engenharia Nuclear. Escola de Engenharia. Universidade Federal de Minas Gerais, Belo Horizonte, MG (Brazil)

    2011-07-01

    One of basic principles for radiological protection is the optimization of techniques for obtain radiographic images, in way that the dose in the patient is kept as low as reasonably achievable (ALARA). Intensifying screens are used in medical radiology, which reduce considerably the dose rates in the production of radiographic images, maintaining the quality of these, while in dental radiology, there is no a intensifying screen available for intraoral examinations. From this technological requirement, this paper evaluates a computational modeling of an intensifying screen for use in intraoral radiography. For this, it was used the Monte Carlo code MCNP5 that allows the radiography simulation through the transport of electrons and photons in the different materials present in this examination. The goal of an intensifying screen is the conversion of X-ray photons to photons in the visible spectrum, knowing that radiographic films are more sensitive to light photons than to X-ray photons. So the screen should be composed of an efficient material for converting x-rays photons in light photons, therefore was made simulations using different materials, thicknesses and positions possible for placing screen in radiographic film in order to find the way more technically feasible. (author)

  10. Optimization of Screening Method for Feed Nutrition and Processing Conditions

    Institute of Scientific and Technical Information of China (English)

    1999-01-01

    On the basis of regressional relationship between nutritional indexes and technological conditions, when confronted with feed quality that contains multiple nutritional indexes ,a comprehensive equation of evaluating feed quality was developed by using fuzzy mathematical method at first in this study,and then the optimum technological conditions were established by introduction of statistical frequency analysis method pursuant to the comprehensive evaluating equation mentioned above compared with conventional multi-aim nonlinear programming,this method can lead to easy solutions ,and also can make adjustment of the importance of nu- tritional indexes to feed quality according to practical considerations. An example was given of soybean ex- truding to show how the method worked.

  11. Nutritional screening of older home-dwelling Norwegians: a comparison between two instruments

    Directory of Open Access Journals (Sweden)

    Söderhamn U

    2012-09-01

    Full Text Available Ulrika Söderhamn, Bjørg Dale, Kari Sundsli, Olle SöderhamnCentre for Caring Research-Southern Norway, Faculty of Health and Sport Sciences, University of Agder, Grimstad, NorwayBackground: It is important to obtain knowledge about the prevalence of nutritional risk and associated factors among older home-dwelling people in order to be able to meet nutritional challenges in this group in the future and to plan appropriate interventions. The aim of this survey was to investigate the prevalence of home-dwelling older people at nutritional risk and to identify associated factors using two different nutritional screening instruments as self-report instruments.Methods: This study had a cross-sectional design. A postal questionnaire, including the Norwegian versions of the Nutritional Form for the Elderly (NUFFE-NO and Mini Nutritional Assessment – Short Form (MNA-SF, background variables, and health-related questions was sent to a randomized sample of 6033 home-dwelling older people in southern Norway. A total of 2106 (34.9% subjects were included in the study. Data were analyzed using descriptive statistics and logistic regression analyses.Results: When using the NUFFE-NO and MNA-SF, 426 (22.3% and 258 (13.5% older persons, respectively, were identified to be at nutritional risk. The risk of undernutrition increased with age. Several predictors for being at risk of undernutrition, including chronic disease/handicap and receiving family help, as well as protective factors, including sufficient food intake and having social contacts, were identified.Conclusion: Health professionals must be aware of older people's vulnerability to risk of undernutrition, perform screening, and have a plan for preventing undernutrition. For that purpose, MNA-SF and NUFFE-NO can be suggested for screening older people living at home.Keywords: aged, risk factors, undernutrition, screening

  12. Efficacy of panoramic radiography as a screening procedure in dental examination compared with clinical evaluation

    Energy Technology Data Exchange (ETDEWEB)

    An, Seo Young; An, Chang Hyeon; Choi, Karp Shik [Kyungpook National Univ. School of Dentistry, Daegu (Korea, Republic of)

    2007-06-15

    To evaluate the efficacy of panoramic radiography by comparing the results of clinical examination with radiographic findings. We studied 190 patients (20 men and 170 women; mean age, 40 years; range, 22 to 68 years) who visited the health promotion center of Korea Medical Science Institute and were examined both clinically and by panoramic radiography. We compared results from both examinations. Treatment options by clinical examination were described as 'no treatment indicated', 'treatment of dental caries', 'removal of calculus', 'treatment of periodontal disease'. 'prothodonic treatment' and 'extraction of the third molar'. Findings taken from the panoramic radiography were: dental caries, peroapical lesion, alveolar bone loss, calculus deposition, retained root, impaction of the third molar, disease of maxillary sinus, bony change of mandibular condyle, etc. The prevalence of panoramic findings were: 37.9% of dental caries, 17.4% of periapical lesions, 44.7% of alveolar bone losses, 62.6% of calculi deposition. 7.9% of retained roots, 26.8% of third molar impactions, 6.3% of disease of maxillary sinus, 2.1% of bony changes of mandibular condlye and 35.8% of miscellaneous lesions. Abnormal conditions revealed by panoramic radiography which had not been discovered on clinical examination were: 24.2% of the patients had dental caries, 17.4% had periapical lesions, 7.4% had calculi deposition, 5.3% had retained roots, 15.3% had third molar impactions. The opposite cases were: 5.2% had dental caries, 12.6% had calculi deposition, and 9.5% had third molar impactions. The use of panoramic radiography as a supplement to the clinical examination might be a valuable screening technique.

  13. Automated scheme for measuring mandibular cortical thickness on dental panoramic radiographs for osteoporosis screening

    Science.gov (United States)

    Matsumoto, T.; Hayashi, T.; Hara, T.; Katsumata, A.; Muramatsu, C.; Zhou, X.; Iida, Y.; Matsuoka, M.; Katagi, Ki.; Fujita, H.

    2012-03-01

    Findings of dental panoramic radiographs (DPRs) have shown that the mandibular cortical thickness (MCT) was significantly correlated with osteoporosis. Identifying asymptomatic patients with osteoporosis through dental examinations may bring a supplemental benefit for the patients. However, most of the DPRs are used for only diagnosing dental conditions by dentists in their routine clinical work. The aim of this study was to develop a computeraided diagnosis scheme that automatically measures MCT to assist dentists in screening osteoporosis. First, the inferior border of mandibular bone was detected by use of an active contour method. Second, the locations of mental foramina were estimated on the basis of the inferior border of mandibular bone. Finally, MCT was measured on the basis of the grayscale profile analysis. One hundred DPRs were used to evaluate our proposed scheme. Experimental results showed that the sensitivity and specificity for identifying osteoporotic patients were 92.6 % and 100 %, respectively. We conducted multiclinic trials, in which 223 cases have been obtained and processed in about a month. Our scheme succeeded in detecting all cases of suspected osteoporosis. Therefore, our scheme may have a potential to identify osteoporotic patients at an early stage.

  14. [Dental age in the relation with nutrition model of school children from swimming classes of championship school].

    Science.gov (United States)

    Dyras, Marta; Lyszczarz, Justyna; Wójtowicz, Barbara; Jankowska, Katarzyna

    2002-01-01

    The aim of this work was the comparison of calendar age with dental age in the aspect of basic nutritional ingredients intake with precise taking into consideration microelements, macroelements and vitamins. 79 schoolchildren from swimming classes of championship school in Cracow aged 10-13 were included in the examination. Among this group of pupils 24-hour recall and complex dental examination including the estimation of dental status, the hygienic status of oral cavity were conducted and the presence of dental and occlusion defects were estimated. 24-hour recall including 3 following days contained the number of products in every meal, the number of meals and the time of their consumption. The schoolchildren were divided into 3 groups on the ground of the difference between dental and calendar age. Dentition on time (no more than 5 months difference between dental and calendar age) was stated by 25 pupils--group I. Accelerated dentition of fixed teeth was observed by 36 pupils--group II and delayed dentition by 18 persons--group III. In all groups lower than safe calcium intake (80% of pupils from these groups) and iron intake (55%) was noticed. In the range of left micro- and macroelements the disturbances in nutritional status were mainly stated bypersons with delayed dentition. The shortages in Magnesium intake concerned 67% of school children and in Zinc intake--72%. In the group of schoolchildren with accelerated dentition these shortages were about 40%. In the range of vitamins intake low niacin intake (39% of schoolchildren) and riboflavin intake (25%) were stated. The differences among these groups were observed only in thiamine intake (33% from group II and 19% from group III). In the group III more often low energetic value of daily nutrient intake was stated.

  15. Dental fluorosis, fluoride in urine, and nutritional status in adolescent students living in the rural areas of Guanajuato, Mexico.

    Science.gov (United States)

    Del Carmen, Aguilar-Díaz Fatima; Javier, de la Fuente-Hernández; Aline, Cintra-Viveiro Cristina

    2016-01-01

    The aim of this study was to assess urine fluoride concentration, nutritional status, and dental fluorosis in adolescent students living in the rural areas of Guanajuato, Mexico. A cross-sectional study was conducted including participants aged 11-20 years. The presence and severity of dental fluorosis was registered according to the Thylstrup and Fejerskov index (TFI) criteria. Anthropometric measures were also recorded. Urine sample of the first morning spot was recollected to assess urine fluoride concentration by using the potentiometric method with an ion-selective electrode. Water samples were also recollected and analyzed. Bivariate tests were performed to compare urine fluoride concentration according to different variables such as sex, body mass index, and TFI. Nonparametric tests were used. A logistic regression model was performed (SPSS® 21.0). This study included 307 participants with a mean age of 15.6 ± 1.6; 62.5% of the participants showed normal weight. A total of 91.9% of the participants had dental fluorosis, and 61.6% had TFI > 4. Mean fluoride content in urine ranged between 0.5 and 6.65 mg/L, with a mean of 1.27 ± 1.2 mg/L. Underweight children showed greater urine fluoride concentration. The increment of urine fluoride was a related (OR = 1.40) to having severe dental fluorosis. Most of the studied population had moderate or severe dental fluorosis. Urine fluoride concentration was related to fluorosis severity and nutritional status. Underweight children showed greater urine fluoride concentration as well as severe dental fluorosis.

  16. Correlation between dental and nutritional status in community-dwelling elderly Japanese.

    Science.gov (United States)

    Yoshida, Mitsuyoshi; Kikutani, Takeshi; Yoshikawa, Mineka; Tsuga, Kazuhiro; Kimura, Misaka; Akagawa, Yasumasa

    2011-07-01

    The purpose of this study was to clarify the correlation between dental and nutritional status among community-dwelling elderly Japanese people. The subjects were 182 elderly individuals, aged 65-85 years, who voluntarily participated in a health seminar at Kyoto Prefectural University of Medicine. These subjects were divided into two groups according to the occlusion. The subjects in the retained contact group were those who had retained molar occlusion with natural teeth. The lost contact group were those who retained molar occlusion with removable partial dentures. Anthropometric variables such as body mass index (BMI) were collected and dietary intake was assessed using a brief self-administered diet history questionnaire (BDHQ). No statistical difference in BMI or intake of macronutrients was found between these two occlusal groups. The lost contact group reported significantly lower consumption of vegetables and higher consumption of confectionaries (foods rich in sugar) than did the retained contact group (P < 0.05), and therefore had significantly lower intake of vitamin C and dietary fiber (P < 0.05). It can be concluded that natural tooth contact loss in the posterior region affect the intake of vitamins and dietary fiber. . © 2011 Japan Geriatrics Society.

  17. Training food service supervisors using hand-held computers to conduct nutritional screening of institutionalized elderly patients.

    Science.gov (United States)

    Orta, J

    1995-01-01

    Six food service supervisors (FSSs) working in skilled nursing facilities were trained to use a hand-held computer, COMPU-CAL/PRO 5.1, to screen institutionalized elderly patients for selected nutritional variables and to record results in the medical record. The study demonstrates that hand-held computer-assisted nutritional screenings: (1) are readily adaptable to on-going efforts, (2) are useful in identifying potential indicators of poor nutritional status in institutionalized elderly patients, (3) can be taught to FSS in a relatively short time, (4) increase nutritionally relevant variables that can be assessed, and (5) improve the quality of documentation in the medical record.

  18. Comparative evaluation of the sensitometric properties of screen-film systems and conventional dental receptors for intraoral radiography

    Energy Technology Data Exchange (ETDEWEB)

    Kircos, L.T.; Staninec, M.; Chou, L.

    1989-12-01

    This investigation determined the sensitometric properties of 27 rare-earth screen-film combinations and compared them to E- and D-speed films and xeroradiography, the current standards for intraoral radiography. A series of exposures from base plus fog to film saturation were made to determine the Hurter and Driffield curve of each image receptor. The base plus fog, film saturation, speed, gamma, average gradient, and resolution were determined. When dental receptors and screen-film systems are compared on the basis of radiographic quality (contrast and resolution), many screen-film systems have similar resolution (greater than 10 line pairs/mm), significantly greater contrast (greater than 2.0), and a substantial speed advantage (greater than 10). Thus selected screen-film systems may be an alternative to conventional dental receptors for intraoral radiography.

  19. Evaluation of conducting a screening assessment of nutritional status of hospitalized patients. Presentation of main goals and objectives of the global health project "NutritionDay".

    Science.gov (United States)

    Jeznach-Steinhagen, Anna; Ostrowska, Joanna; Czerwonogrodzka-Senczyna, Aneta

    2016-01-01

    European Society for Clinical Nutrition and Metabolism (ESPEN) commenced in 2004 a global health project named "NutritionDay" aiming to promote awareness of proper nutritional status of hospitalized patients and to draw attention to the need for early detection of malnutrition among patients. Under the Polish law--pursunat to the regulation of the Minister of Health dated September 15, 2011 (amendment as of 27.12.2013)--a nutritional status of each patient should be assessed at the time of a hospital admission. of this study was to analyze the fulfilment of the mandatory questionnaire assessment of nutritional status at selected wards of one of Warsaw's clinical hospitals. The study included an analysis of medical records of patients hospitalized within 6 months (n = 26375). The correct fulfilment of screening questionnaire assessing nutritional status (NRS 2002 survey) and the information about patients' body weight as well as the results assessment of nutritional status were subject to the analysis. NRS 2002 questionnaire was present in only 67,14% medical records of patients, however 49.24% of them were unfilled. The obtained results confirming low degree of NRS 2002 questionnaires' fulfilment in one of the Warsaw clinical hospitals draws attention to the need for education of hospital personnel in the field of significance of screening of nutritional assessment and its regulations. The "NutritionDay" project is an interesting form to attract attention of the aforementioned problem and its global extent additionally encourage medical units to participate in the project.

  20. The relationship between dental status, food selection, nutrient intake, nutritional status, and body mass index in older people

    Directory of Open Access Journals (Sweden)

    Wagner Marcenes

    2003-05-01

    Full Text Available This paper reviewed the findings from a national survey in Great Britain which assessed whether dental status affected older people's food selection, nutrient intake, and nutritional status. The survey analyzed national random samples of free-living and institution subjects for dental examination, interview, and four-day food diary as well as blood and urine tests In the free-living sample, intakes of non-starch polysaccharides, protein, calcium, non-heme iron, niacin, and vitamin C were significantly lower in edentulous as compared to dentate subjects. People with 21 or more teeth consumed more of most nutrients, particularly non-starch polysaccharides. This relationship in intake was not apparent in the hematological analysis. Plasma ascorbate and retinol were the only analytes significantly associated with dental status. Having 21 or more teeth increased the likelihood of having an acceptable body mass index (BMI. Thus, maintaining a natural and functional dentition defined as having more than twenty teeth into old age plays an important role in having a healthy diet rich in fruits and vegetables, a satisfactory nutritional status, and an acceptable BMI.

  1. Dental Problems in Calcium Metabolism Disorders

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    Ali Rabbani M.D.

    2011-06-01

    Full Text Available Background: Calcium metabolism disorders can be acute or chronic and chronic disorders can cause different disease states such as dental problems. Methods: In this descriptive cross-sectional study done in Children's Medical Center affiliated to Tehran University of Medical Sciences during 2005-2009, all (93 patients with hypoparathyroidism, nutritional rickets, hypophosphatemic rickets and renal osteodysthrophy from the endocrinology and nephrology departments of the Center were referred to a dentist there for orodental examination. Subsequently, the frequency of dental problems including taurodontism, enamel hypoplasia, dental abscess, dental caries and gingivitis were recorded and analyzed. Results: Nutritional rickets was the most common disorder in this study and delay in dentition was the most frequent dental problem in the patients (61.9%. Most cases of taurdontism and enamel hypoplasia were seen in patients with hypoparathyroidism (33% and 50%, respectively. Dental abscess, dental caries and gingivitis were more common in patients with renal osteodysthrophia (50%, 90% and 20%, respectively. In addition, dental caries and delay in dentition were the most prevalent disorders in this study (69.8% and 49.5%, respectively. Conclusion: According to the above findings, it seems that effective screening, regular periodic examinations, proper diagnosis and timely treatment of dental diseases are the main principles of prevention of orodental problems. Moreover, dentists as well as pediatricians should be aware of the features of the aforesaid disorders which lead to dental problems so that early intervention could prevent subsequent serious and more invasive dental problems.

  2. Screening for acute childhood malnutrition during the National Nutrition Week in mali increases treatment referrals.

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    Daniele H Nyirandutiye

    Full Text Available OBJECTIVE: To evaluate a pilot intervention designed to integrate mid-upper arm circumference (MUAC screening for acute malnutrition into the semi-annual Child Nutrition Week (Semaine d'Intensification des Activités de Nutrition, or "SIAN" activities carried out in June 2008. DESIGN: A cross-sectional survey was conducted in Kolokani and Nara, two health districts in the Koulikoro region of Mali, 4-5 months after the SIAN, using a population-proportionate, multi-stage random sample of: 1 health centers, and 2 households in communities linked to each of the selected health centers. Caregivers of 1543 children who were 6-59 months of age at the time of the SIAN, 17 community-based volunteers and 45 health center staff members were interviewed. RESULTS: A total of 1278 children 6-59 months (83% of those studied reportedly participated in SIAN. Of the participating children, 1258 received vitamin A (98% of SIAN participants; 82% of all eligible children, 945 received anti-helminth tablets (84% of participants; 71% of eligibles, and 669 were screened for acute malnutrition (52% of participants; 43% of eligibles. 186 of the children screened (27% were reportedly identified as acutely malnourished. SIAN screening covered a significantly greater proportion of children than were examined in both community-based (22% of children and health center-based screening activities (5% of children combined during the 4-5 months after the SIAN (P<0.0001. In general, community volunteers and health personnel positively evaluated their experience adding MUAC screening to SIAN. CONCLUSION: Integrating MUAC screening for acute malnutrition in SIAN permits the assessment of a large number of children for acute malnutrition, and should be continued.

  3. Saliva as the Sole Nutritional Source in the Development of Multispecies Communities in Dental Plaque.

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    Jakubovics, Nicholas S

    2015-06-01

    Dental plaque is a polymicrobial biofilm that forms on the surfaces of teeth and, if inadequately controlled, can lead to dental caries or periodontitis. Nutrient availability is the fundamental limiting factor for the formation of dental plaque, and for its ability to generate acid and erode dental enamel. Nutrient availability is also critical for bacteria to grow in subgingival biofilms and to initiate periodontitis. Over the early stages of dental plaque formation, micro-organisms acquire nutrients by breaking down complex salivary substrates such as mucins and other glycoproteins. Once dental plaque matures, dietary carbohydrates become more important for supragingival dental plaque, and gingival crevicular fluid forms the major nutrient source for subgingival microorganisms. Many species of oral bacteria do not grow in laboratory monocultures when saliva is the sole nutrient source, and it is now clear that intermicrobial interactions are critical for the development of dental plaque. This chapter aims to provide an overview of the key metabolic requirements of some well-characterized oral bacteria, and the nutrient webs that promote the growth of multispecies communities and underpin the pathogenicity of dental plaque for both dental caries and periodontitis.

  4. Nutrigenetic screening strains of the mulberry silkworm, Bombyx mori, for nutritional efficiency.

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    Ramesha, Chinnaswamy; Lakshmi, Hothur; Kumari, Savarapu Sugnana; Anuradha, Chevva M; Kumar, Chitta Suresh

    2012-01-01

    The activity of sericulture is declining due the reduction of mulberry production area in sericulture practicing countries lead to adverse effects on silkworm rearing and cocoon production. Screening for nutrigenetic traits in silkworm, Bombyx mori L. (Lepidoptera: Bombycidae) is an essential prerequisite for better understanding and development of nutritionally efficient breeds/hybrids, which show less food consumption with higher efficiency conversion. The aim of this study was to identify nutritionally efficient polyvoltine silkworm strains using the germplasm breeds RMW(2), RMW(3), RMW(4), RMG(3), RMG(1), RMG(4), RMG(5), RMG(6) and APM(1) as the control. The 1(st) day of 5(th) stage silkworm larvae of polyvoltine strains were subjected to standard gravimetric analysis until spinning for three consecutive generations covering 3 different seasons on 19 nutrigenetic traits. Highly significant (p ≤ 0.001) differences were found among all nutrigenetic traits of polyvoltine silkworm strains in the experimental groups. The nutritionally efficient polvoltine silkworm strains were resulted by utilizing nutrition consumption index and efficiency of conversion of ingesta/cocoon traits as the index. Higher nutritional efficiency conversions were found in the polyvoltine silkworm strains on efficiency of conversion of ingesta to cocoon and shell than control. Comparatively smaller consumption index, respiration, metabolic rate with superior relative growth rate, and quantum of food ingesta and digesta requisite per gram of cocoon and shell were found; the lowest amount was in new polyvoltine strains compared to the control. Furthermore, based on the overall nutrigenetic traits utilized as index or 'biomarkers', three polyvoltine silkworm strains (RMG(4), RMW(2), and RMW(3)) were identified as having the potential for nutrition efficiency conversion. The data from the present study advances our knowledge for the development of nutritionally efficient silkworm breeds

  5. Is the presence of a validated malnutrition screening tool associated with better nutritional care in hospitalized patients?

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    Eglseer, Doris; Halfens, Ruud J G; Lohrmann, Christa

    2017-05-01

    The aims of this study were to evaluate the association between the use of clinical guidelines and the use of validated screening tools, evaluate the nutritional screening policy in hospitals, and examine the association between the use of validated screening tools and the prevalence of malnutrition and nutritional interventions in hospitalized patients. This was a cross-sectional, multicenter study. Data were collected using a standardized questionnaire on three levels: institution (presence of a guideline for malnutrition), department (use of a validated screening tool), and patient (e.g., malnutrition prevalence). In all, 53 hospitals with 5255 patients participated. About 45% of the hospitals indicated that they have guidelines for malnutrition. Of the departments surveyed, 38.6% used validated screening tools as part of a standard procedure. The nutritional status of 74.5% of the patients was screened during admission, mostly on the basis of clinical observation and patient weight. A validated screening tool was used for 21.2% of the patients. Significant differences between wards with and without validated screening tools were found with regard to malnutrition prevalence (P = 0.002) and the following interventions: referral to a dietitian (P malnutrition screening tools is associated with better nutritional care and lower malnutrition prevalence rates in hospitalized patients. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Screening of Probiotic Candidates in Human Oral Bacteria for the Prevention of Dental Disease.

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    Tomohiko Terai

    Full Text Available The oral cavity in healthy subjects has a well-balanced microbiota that consists of more than 700 species. However, a disturbance of this balance, with an increase of harmful microbes and a decrease of beneficial microbes, causes oral disorders such as periodontal disease or dental caries. Nowadays, probiotics are expected to confer oral health benefits by modulating the oral microbiota. This study screened new probiotic candidates with potential oral health benefits and no harmful effects on the oral cavity. We screened 14 lactobacillus strains and 36 streptococcus strains out of 896 oral isolates derived from healthy subjects. These bacteria did not produce volatile sulfur compounds or water-insoluble glucan, had higher antibacterial activity against periodontal bacteria, and had higher adherence activity to oral epithelial cells or salivary-coated hydroxyapatite in vitro. We then evaluated the risk of primary cariogenicity and infective endocarditis of the selected oral isolates. As a result, Lactobacillus crispatus YIT 12319, Lactobacillus fermentum YIT 12320, Lactobacillus gasseri YIT 12321, and Streptococcus mitis YIT 12322 were selected because they showed no cariogenic potential in an artificial mouth system and a lower risk of experimental infective endocarditis in a rat model. These candidates are expected as new probiotics with potential oral health benefits and no adverse effects on general health.

  7. Neurodevelopmental outcomes at 5 years in children exposed prenatally to maternal dental amalgam: the Seychelles Child Development Nutrition Study.

    Science.gov (United States)

    Watson, Gene E; van Wijngaarden, Edwin; Love, Tanzy M T; McSorley, Emeir M; Bonham, Maxine P; Mulhern, Maria S; Yeates, Alison J; Davidson, Philip W; Shamlaye, Conrad F; Strain, J J; Thurston, Sally W; Harrington, Donald; Zareba, Grazyna; Wallace, Julie M W; Myers, Gary J

    2013-01-01

    Limited human data are available to assess the association between prenatal mercury vapor (Hg⁰)) exposure from maternal dental amalgam restorations and neurodevelopment of children. We evaluated the association between maternal dental amalgam status during gestation and children's neurodevelopmental outcomes at 5 years in the Seychelles Child Development Nutrition Study (SCDNS). Maternal amalgam status was determined prospectively in a longitudinal cohort study examining the associations of prenatal exposure to nutrients and methylmercury (MeHg) with neurodevelopment. A total of 236 mother-child pairs initially enrolled in the SCDNS in 2001 were eligible to participate. Maternal amalgam status was measured as number of amalgam surfaces (the primary metric) and number of occlusal points. The neurodevelopmental assessment battery was comprised of age-appropriate tests of cognitive, language, and perceptual functions, and scholastic achievement. Linear regression analysis controlled for MeHg exposure, maternal fatty acid status, and other covariates relevant to child development. Maternal amalgam status evaluation yielded an average of 7.0 surfaces (range 0-28) and 11.0 occlusal points (range 0-40) during pregnancy. Neither the number of maternal amalgam surfaces nor occlusal points were associated with any outcome. Our findings do not provide evidence to support a relationship between prenatal exposure to Hg⁰ from maternal dental amalgam and neurodevelopmental outcomes in children at 5 years of age.

  8. A Comparison of the Nutritional Risk Screening 2002 Tool With the Subjective Global Assessment Tool to Detect Nutritional Status in Chinese Patients Undergoing Surgery With Gastrointestinal Cancer.

    Science.gov (United States)

    Chi, Juntao; Yin, Shaohua; Zhu, Yongjian; Gao, Fengli; Song, Xinna; Song, Zhenlan; Lv, Junying; Li, Miaomiao

    The objectives of this study were to describe the nutritional status of Chinese patients with gastrointestinal cancer undergoing surgery and to compare the ease of use, diversity, and concordance of the Nutritional Risk Screening 2002 with the Subjective Global Assessment in the same patients. A total of 280 gastrointestinal cancer patients admitted for elective surgery were evaluated by the Nutritional Risk Screening 2002 (NRS 2002) and Subjective Global Assessment (SGA) tools within 48 hours of admission from April to October 2012. Related opinions about ease of using the tools were obtained from 10 nurses. The prevalence of patients at nutritional risk with the SGA and NRS 2002 was 33.9% and 53.2% on admission. In the total group, ≤70 age group, and >70 age group, respectively, consistency was observed in 214 (76.4%), 175 (91.1%), and 39 (44.3%); and kappa values were 0.54 (p 70 age group (p nutritional status of patients with gastrointestinal cancer undergoing surgery, but it appeared to detect more patients at nutritional risk in the >70 age group.

  9. Pressure ulcer is associated with malnutrition as assessed by Nutritional Risk Screening (NRS 2002) in a mixed hospital population.

    Science.gov (United States)

    Alhaug, Johanne; Gay, Caryl L; Henriksen, Christine; Lerdal, Anners

    2017-01-01

    Background and aim: Pressure ulcers (PUs) and malnutrition represent a significant health problem for hospital inpatients. Satisfactory nutritional status is crucial for proper wound healing. Risk of malnutrition can be identified using standardized screening tools, such as the Nutritional Risk Screening (NRS) 2002. Objective: The objective of this study was to examine whether nutritional status based on the NRS 2002 is associated with PU in hospital inpatients. Design: The data for this cross-sectional analysis were based on 10 screening days between September 2012 and May 2014. All adult inpatients admitted to a medical or surgical ward on the screening days were evaluated for eligibility. Nursing students and ward nurses conducted the NRS 2002 initial screening and skin examinations for PU classification (Stages I-IV). A registered clinical dietician conducted all NRS 2002 final screenings. Results: The sample consisted of 651 patients, with mean age 62.9 years. Skin examinations indicated an 8% PU prevalence. Factors associated with PUs included age ≥ 70 years, low body mass index (BMI) and hospitalization in the medical department. Based on the initial screening, 48% were at 'Low risk' for malnutrition and 52% were at 'Possible risk'. After final screening, 34% of the sample was identified as 'At risk' for malnutrition. Patients identified at 'Possible risk' by the initial screening or 'At risk' by the final screening were more likely than patients at 'Low risk' to have a PU (OR = 2.58 and 2.55, respectively). Each of the three initial screening items was significantly associated PU, with 'Is BMINutritional risk using the NRS 2002 is associated with the presence of PU in a mixed hospital population. The final screening had a slightly stronger association with PU compared to the initial screening.

  10. Assessing nutrition in the critically ill elderly patient: A comparison of two screening tools

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    Swagata Tripathy

    2015-01-01

    Full Text Available Context: Few malnutrition screening tests are validated in the elderly Intensive Care Unit (ICU patient. Aim: Having previously established malnutrition as a cause of higher mortality in this population, we compared two screening tools in elderly patients. Subjects and Methods: For this prospective study, 111 consecutive patients admitted to the ICU and > 65 years underwent the Malnutrition Universal Screening Tool (MUST, and the Geriatric Nutrition Risk Index (GNRI screening tests. Statistical Analysis: Standard definition of malnutrition risk was taken as the gold standard to evaluate the sensitivity, specificity and predictive values of the tools. The k statistic was calculated to measure the agreement between the tools. The Shrout classification was used to interpret its values. Results: The mean age of the patients screened was 74.7 ± 8.4 (65-97 years. The standard definition, MUST and GNRI identified 52.2%, 65.4%, and 64.9% to be malnourished, respectively. The sensitivity and specificity of the tests were 96.5% computed tomography (CI (87.9-99.5% and 72.3% CI (57.5-84.5% for MUST and 89.5% CI (75.2-96.7% and 55.0% CI (75.2-96.9% for GNRI, respectively. Screening was not possible by GNRI and MUST tool in 31% versus 4% of patients, respectively. The agreement between the tools was moderate for Standard-MUST k = 0.65 and MUST-GNRI k = 0.60 and fair for Standard-GNRI k = 0.43. Conclusions: The risk of malnutrition is high among our patients as identified by all the tools. Both GNRI and MUST showed a high sensitivity with MUST showing a higher specificity and greater applicability.

  11. A cross sectional study of nutritional status among a group of school children in relation with gingivitis and dental caries severity

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    Harun Achmad

    2016-12-01

    Full Text Available To determine nutritional status among a school children of Barru Regency, South Sulawesi, Indonesia, in relation with gingivitis and dental caries severity. Cross-sectional study. A total of 127 school children in the age range of 9-12 years from Barru Regency were included in this study as a sample of simple random sampling. Nutritional status of children (BMI index, degree of gingival inflammation (using chi-square test statistic, and missing teeth (DMF-T index were recorded. Additional information was collected using a questionnaire survey regarding knowledge about dental health, dietary habits, and oral health behaviors. The data were processed using the program Statistical Package for the Social Sciences (SPSS. A group of who severe underweight (102 children, had higher odds for mild gingivitis (GI 79.4% than others group of who has an ideal weight (16 children, had mild gingivitis (GI 62.5%. Children, who severe underweight, had higher odds for moderate caries (38.2% than others group of who has an ideal weight, had moderate caries (18.8%. Based on chi-square test, there are correlation of nutritional status and dental caries severity (p=0.000nutritional status with gingivitis and dental caries severity among a school children.

  12. The quantity of information which parents and their seven-year-old children have on the affects of nutrition, oral hygiene and fluoride prophylaxis on dental health

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    Igić Marija

    2009-01-01

    Full Text Available Introduction. Health education plays a crucial oral in maintaining good oral health of human population and, primarily, in reducing the incidence of caries as one of the most frequent oral diseases. This implies the need for a change in the behavior of individuals, groups or the society as a whole, in terms of the following: establishing a proper nutrition regime, establishing the habit of maintaining oral hygiene and the use of fluorides. The goal of the paper is to determine the quantity of information which parents and their seven year old children have on the effects of nutrition, oral hygiene and fluoride prophylaxis on dental health in rural and urban environment. Material and methods. The survey included 450 seven-year-old children and their parents in urban and rural environments. The quantity of information about proper nutrition, oral hygiene and fluoride prophylaxis was determined based on specific questionnaires for children and their parents. Results. The quantity of information about the effects of proper nutrition, oral hygiene and fluoride prophylaxis on dental health of seven year old children is significantly larger in urban, as compared to the rural environment. The quantity of information of parents about the effects of proper nutrition, oral hygiene and fluoride prophylaxis on dental health is larger in urban, as compared to the rural environment. Conclusion. This research suggests a need to intensify health education activities, especially in the rural environment.

  13. Validation of nutritional screening tools against anthropometric and functional assessments among elderly people in selangor.

    Science.gov (United States)

    Suzana, Shahar; Siti Saifa, Hussain

    2007-03-01

    This cross sectional study was conducted to determine the validity of three screening tools, Mini Nutritional Assessment Short Form (MNA-SF), Malnutrition Risk Screening Tool for Community (MRST-C) and Malnutrition Risk Screening Tool for Hospital (MRST-H) among elderly people at health clinics. The screening tools were validated against anthropometric and functional assessments. The anthropometric assessments that were carried out included body weight, height, arm span, body mass index (BMI), calf circumference (CC) and mid upper arm circumference (MUAC). A set of questionnaire on manual dexterity, muscular strength, instrumental activities daily living (IADL) and cognitive status was used to assess functional abilities. A total of 156 subjects were recruited from rural (38 subjects) and urban (118 subjects) health clinics at Sabak Bernam and Cheras respectively. Subjects' age ranged from 60 to 83 years old, with 44.2% were men and 55.8% women. The prevalence of muscle wasting among the subjects assessed from MUAC and CC were both 7.0%. MNA-SF had the highest correlation with BMI (r = 0.497, pMNA-SF (93.2%), followed by MRST-H (52.5%) and MRST-C (25.8%). Specificity was the highest for MRST-H (97.3%), followed by MRST-C (90.8%) and MNA-SF (79.4%). Positive predictive value (PPV) for MRST-H, MNA-SF and MRST-C was 55.5%, 18.2% and 14.1%, respectively. In conclusion, among the screening tools being validated, MNA-SF is considered the most appropriate tool to be used in health clinics for identification of elderly individuals who are at high risk of malnutrition.

  14. Nutrition

    Science.gov (United States)

    ... for staff development or offered staff development on nutrition and dietary behavior to those who teach health education increased ... for staff development or offered staff development on nutrition and dietary behavior to those who teach health education increased ...

  15. Accuracy of quick and easy undernutrition screening tools--Short Nutritional Assessment Questionnaire, Malnutrition Universal Screening Tool, and modified Malnutrition Universal Screening Tool--in patients undergoing cardiac surgery.

    Science.gov (United States)

    van Venrooij, Lenny M W; van Leeuwen, Paul A M; Hopmans, Wendy; Borgmeijer-Hoelen, Mieke M M J; de Vos, Rien; De Mol, Bas A J M

    2011-12-01

    The objective of this study was to compare the quick-and-easy undernutrition screening tools, ie, Short Nutritional Assessment Questionnaire and Malnutrition Universal Screening Tool, in patients undergoing cardiac surgery with respect to their accuracy in detecting undernutrition measured by a low-fat free mass index (FFMI; calculated as kg/m(2)), and secondly, to assess their association with postoperative adverse outcomes. Between February 2008 and December 2009, a single-center observational cohort study was performed (n=325). A low FFMI was set at ≤14.6 in women and ≤16.7 in men measured using bioelectrical impedance spectroscopy. To compare the accuracy of the Malnutrition Universal Screening Tool and Short Nutritional Assessment Questionnaire in detecting low FFMI sensitivity, specificity, and other accuracy test characteristics were calculated. The associations between the Malnutrition Universal Screening Tool and Short Nutritional Assessment Questionnaire and adverse outcomes were analyzed using logistic regression analyses with odds ratios and 95% confidence intervals (CI) presented. Sensitivity and receiver operator characteristic-based area under the curve to detect low FFMI were 59% and 19%, and 0.71 (95% CI: 0.60 to 0.82) and 0.56 (95% CI: 0.44 to 0.68) for the Malnutrition Universal Screening Tool and Short Nutritional Assessment Questionnaire, respectively. Accuracy of the Malnutrition Universal Screening Tool improved when age and sex were added to the nutritional screening process (sensitivity 74%, area under the curve: 0.72 [95% CI: 0.62 to 0.82]). This modified version of the Malnutrition Universal Screening Tool, but not the original Malnutrition Universal Screening Tool or Short Nutritional Assessment Questionnaire, was associated with prolonged intensive care unit and hospital stay (odds ratio: 2.1, 95% CI: 1.3 to 3.4; odds ratio: 1.6, 95% CI: 1.0 to 2.7). The accuracy to detect a low FFMI was considerably higher for the Malnutrition

  16. Association between dental pain and tooth loss with health-related quality of life: the Korea national health and nutrition examination survey: A population-based cohort study.

    Science.gov (United States)

    Yang, Sung-Eun; Park, Yong-Gyu; Han, Kyungdo; Kim, Sin-Young

    2016-08-01

    Dental pain and tooth loss are global public health concerns. However, there have been no large cross-sectional epidemiologic studies of a representative sample of an entire country's populations. The purpose of this study was to evaluate the relationships between dental pain and tooth loss with health-related quality of life (HRQOL) using a well characterized, nationally representative, population-based study.This study analyzed data of 3924, representing 21,836,566 adults from the 2012 Korea National Health and Nutrition Examination Survey. Subjects were divided into 4 groups as follows: tooth loss of up to 8 teeth without dental pain, tooth loss of up to 8 teeth with dental pain, tooth loss of 8 to 28 teeth without dental pain, and tooth loss of 8 to 28 teeth with dental pain. Logistic regression was applied to estimate the adjusted odds ratios (ORs) and 95% confidence intervals (CI), controlling for a range of covariates.Among the 3924 subjects, representing an estimated 21,836,566 adults, the prevalence of tooth loss of 8 to 28 teeth was 24.6% and the prevalence of dental pain was 35%. The tooth loss of 8 to 28 teeth with dental pain group showed the highest level of impaired HRQOL in all 5 dimensions, and the tooth loss up to 8 teeth without dental pain group showed the lowest level. The proportion of both groups without dental pain decreased significantly from the younger age to older age group. After adjustment for sociodemographic factors, the ORs (95% CI) of mobility, self-case, usual activity, pain/discomfort, and anxiety/depression were 1.93 (1.32-2.84), 1.90 (1.25-2.90), 1.46 (0.88-2.43), 1.48 (0.88-2.49), and 1.46 (0.85-2.51) in tooth loss of 8 to 28 teeth with dental pain group. Although the ORs of tooth loss of 8 to 28 teeth without dental pain group did not significantly increase.Dental pain and tooth loss has a considerable impact of HRQOL in the Korean adult population. In our study, HRQOL is more closely associated with dental pain than with

  17. Association between dental pain and tooth loss with health-related quality of life: the Korea national health and nutrition examination survey

    Science.gov (United States)

    Yang, Sung-Eun; Park, Yong-Gyu; Han, Kyungdo; Kim, Sin-Young

    2016-01-01

    Abstract Dental pain and tooth loss are global public health concerns. However, there have been no large cross-sectional epidemiologic studies of a representative sample of an entire country's populations. The purpose of this study was to evaluate the relationships between dental pain and tooth loss with health-related quality of life (HRQOL) using a well characterized, nationally representative, population-based study. This study analyzed data of 3924, representing 21,836,566 adults from the 2012 Korea National Health and Nutrition Examination Survey. Subjects were divided into 4 groups as follows: tooth loss of up to 8 teeth without dental pain, tooth loss of up to 8 teeth with dental pain, tooth loss of 8 to 28 teeth without dental pain, and tooth loss of 8 to 28 teeth with dental pain. Logistic regression was applied to estimate the adjusted odds ratios (ORs) and 95% confidence intervals (CI), controlling for a range of covariates. Among the 3924 subjects, representing an estimated 21,836,566 adults, the prevalence of tooth loss of 8 to 28 teeth was 24.6% and the prevalence of dental pain was 35%. The tooth loss of 8 to 28 teeth with dental pain group showed the highest level of impaired HRQOL in all 5 dimensions, and the tooth loss up to 8 teeth without dental pain group showed the lowest level. The proportion of both groups without dental pain decreased significantly from the younger age to older age group. After adjustment for sociodemographic factors, the ORs (95% CI) of mobility, self-case, usual activity, pain/discomfort, and anxiety/depression were 1.93 (1.32–2.84), 1.90 (1.25–2.90), 1.46 (0.88–2.43), 1.48 (0.88–2.49), and 1.46 (0.85–2.51) in tooth loss of 8 to 28 teeth with dental pain group. Although the ORs of tooth loss of 8 to 28 teeth without dental pain group did not significantly increase. Dental pain and tooth loss has a considerable impact of HRQOL in the Korean adult population. In our study, HRQOL is more closely associated with

  18. Assessing the Impact of Voice-Over Screen-Captured Presentations Delivered Online on Dental Students' Learning.

    Science.gov (United States)

    Schönwetter, Dieter J; Gareau-Wilson, Nicole; Cunha, Rodrigo Sanches; Mello, Isabel

    2016-02-01

    The traditional lecturing method is still one of the most common forms of delivering content to students in dental education, but innovative learning technologies have the potential to improve the effectiveness and quality of teaching dental students. What challenges instructors is the extent to which these learning tools have a direct impact on student learning outcomes. The aim of this study was to assess the impact of a voice-over screen-captured learning tool by identifying a positive, nil, or negative impact on student learning as well as student engagement (affective, behavioral, and cognitive) when compared to the traditional face-to-face lecture. Extraneous variables thought to impact student learning were controlled by the use of baseline measures as well as random assignment of second-year dental students to one of two teaching conditions: voice-over screen-captured presentation delivered online and the traditional classroom lecture. A total of 28 students enrolled in the preclinical course in endodontics at a Canadian dental school participated in the study, 14 in each of the two teaching conditions. The results showed that, in most cases, the students who experienced the online lecture had somewhat higher posttest scores and perceived satisfaction levels than those in the face-to-face lecture group, but the differences did not achieve statistical significance except for their long-term recognition test scores. This study found that the students had comparable learning outcomes whether they experienced the face-to-face or the online lecture, but that the online lecture had a more positive impact on their long-term learning. The controls for extraneous variables used in this study suggest ways to improve research into the comparative impact of traditional and innovative teaching methods on student learning outcomes.

  19. Screening for anti-nutritional compounds in complementary foods and food aid products for infants and young children

    DEFF Research Database (Denmark)

    Roos, Nanna; Sørensen, Jens Christian; Sørensen, Hilmer

    2013-01-01

    . The aim of this study was to screen complementary foods from developing countries for the anti-nutritional compounds, phytate, polyphenols, inhibitors of trypsin and chymotrypsin, and lectins. Commercial products based on whole grain cereals were included as a 'worst-case' scenario for anti...

  20. Association between dental prosthesis need, nutritional status and quality of life of elderly subjects

    DEFF Research Database (Denmark)

    Pillai, Rajath; Mathur, Vijay Prakash; Jain, Veena;

    2015-01-01

    To determine the effect of prosthesis need on nutritional status and oral health-related quality of life (OHrQoL) in elderly and to check the disparity between prosthesis need and prosthesis want in the Indian elderly. METHODS: A total of 946 geriatric participants reporting to a geriatric medicine...... need (r = -0.460). Participants with some prosthesis need had significantly lower MNA and GOHAI scores as compared to those with no prosthesis need. Though prosthesis need was high (79.7 %), demand was low (39.3 %). CONCLUSION: Prosthesis need affects nutritional status and OHrQoL in elderly...... clinic were recruited in the study. Mini-nutritional assessment (MNA), geriatric oral health assessment (GOHAI) indices, prosthesis need according to WHO criteria, and prosthesis want was recorded along with age, gender, socioeconomic status and posterior occluding pair. RESULTS: Significant associations...

  1. Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA screening tool

    Directory of Open Access Journals (Sweden)

    Eisenmann Joey C

    2009-03-01

    Full Text Available Abstract Background Parents directly influence children's physical activity and nutrition behaviors and also dictate the physical and social environments that are available to their children. This paper summarizes the development of an easy to use screening tool (The Family Nutrition and Physical Activity (FNPA Screening Tool designed to assess family environmental and behavioral factors that may predispose a child to becoming overweight. Methods The FNPA instrument was developed using constructs identified in a comprehensive evidence analysis conducted in collaboration with the American Dietetics Association. Two or three items were created for each of the ten constructs with evidence grades of II or higher. Parents of first grade students from a large urban school district (39 schools were recruited to complete the FNPA screening tool and provide permission to link results to BMI data obtained from trained nurses in each school. A total of 1085 surveys were completed out of the available sample of 2189 children in the district. Factor analysis was conducted to examine the factor structure of the scale. Mixed model analyses were conducted on the composite FNPA score to determine if patterns in home environments and behaviors matched some of the expected socio-economic (SES and ethnic patterns in BMI. Correlations among FNPA constructs and other main variables were computed to examine possible associations among the various factors. Finally, logistic regression was used to evaluate the construct validity of the FNPA scale. Results Factor analyses revealed the presence of a single factor and this unidimensional structure was supported by the correlation analyses. The correlations among constructs were consistently positive but the total score had higher correlations with child BMI than the other individual constructs. The FNPA scores followed expected demographic patterns with low income families reporting lower (less favorable scores than

  2. The association between dental health and nutritional status in chronic obstructive pulmonary disease.

    Science.gov (United States)

    Terashima, Takeshi; Chubachi, Shotaro; Matsuzaki, Tatsu; Nakajima, Takahiro; Satoh, Minako; Iwami, Eri; Yoshida, Kyouko; Katakura, Akira; Betsuyaku, Tomoko

    2016-04-06

    Chronic obstructive pulmonary disease (COPD) and periodontitis are chronic inflammatory systemic diseases with common risk factors (smoking and aging). In COPD, poor periodontal health could result in inadequate nutrition, potentially causing loss of muscle volume. The purpose of this case-control study was to examine our hypothesis that COPD patients have poorer periodontal health and poorer nutritional status than non-COPD patients. Periodontal status was assessed using bleeding on probing (BOP), pocket depth (PD), and plaque-control ratio (PCR). Nutritional status was assessed using body mass index, lean body mass, and serum albumin levels. The COPD group (n= 60) had fewer remaining teeth, greater BOP, greater PD, and lower serum albumin levels compared with smokers without COPD (n= 41) and nonsmokers (n= 35;p30% of remaining teeth with a PD ≥ 4 mm (RR, 4.82;p= 0.011). A significant negative correlation existed between the number of teeth with a PD ≥ 4 mm and serum albumin level (r(2)= 0.127;p= 0.013). We demonstrated that poor periodontal health was associated with hypoalbuminemia, suggesting poor nutritional status and inflammation in COPD. © The Author(s) 2016.

  3. Influence of different stool types on muscle activity and lumbar posture among dentists during a simulated dental screening task.

    Science.gov (United States)

    De Bruyne, Mieke A A; Van Renterghem, Benedikt; Baird, Andrew; Palmans, Tanneke; Danneels, Lieven; Dolphens, Mieke

    2016-09-01

    Whereas in the past dental stools typically facilitated a 90° hip angle, a number of currently available alternative designs allow for a more extended hip posture. The present study investigated the influence of different stool types on muscle activity and lumbar posture. Twenty five participants completed a simulated dental procedure on a standard stool, a saddle and the Ghopec. The latter stool comprises a seat pan consisting of a horizontal rear part for the pelvis and an inclinable sloping down front part for the upper legs, with a vertically and horizontally adjustable back rest. Lumbar posture was most close to neutral on the Ghopec, whereas sitting on a standard/saddle stool resulted in more flexed/extended postures respectively. Sitting with a 90° angle (standard stool) resulted in higher activation of back muscles while sitting with a 125° angle (saddle and Ghopec) activated abdominal muscles more, although less in the presence of a backrest (Ghopec). To maintain neutral posture during dental screening, the Ghopec is considered the most suitable design for the tasks undertaken. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. The current status of nutritional screening among hospitalized patients%住院患者营养筛查现状

    Institute of Scientific and Technical Information of China (English)

    陶晔璇

    2011-01-01

    A proper evaluation of nutrition status is the major approach to identify nutritional problems in hospitalized patients and to determine the necessity of nutritional intervention. In this study, some commonly used nutrition screening tools are presented and compared for their advantages and disadvantages. So far, none of these tools has ever been generally accepted as the most effective. Therefore,well-designed clinical trials are still needed to develop the nutrition screening tools for that are adaptable to hospitalized patients in China.%正确的营养评估,是识别患者营养问题,判断其是否需要营养千预的重要手段.文章概述了目前最常使用的营养筛查工具,并比较各个筛查工具的优缺点.迄今为止,还没有被公认最有效的筛查工具,因此仍需通过良好的临床研究设计,以明确适用于中国住院患者的营养筛查工具.

  5. Nutrition.

    Science.gov (United States)

    Durnin, J V

    1976-07-01

    Nutrition appeared somewhat late on the scene in the I.B.P. projects in the U.K., but eventually it occupied an integral part of many of the H.A. (human adaptability) investigations. The nutritional data obtained in the studies of isolated and nearisolated communities in Tristan da Cunha and in New Guinea provided information of wide nutritional significance. There were also detailed and extensive studies in Israel which, similarly to those in New Guinea, attempted to relate nutritional factors to enviroment, working conditions, and physical fitness. Some extraordinarily low energy intakes found in Ethiopians have induced much speculation on the extent which man can adequately adapt to restricted food supplies. Interesting nutritional observations, of general importance, have also arisen from results obtained on such disparate groups as Glasgow adolescents, Tanzanian and Sudanese students, children in Malawi and vegans in the U.K.

  6. [Efficacy and effectiveness of different nutritional screening tools in a tertiary hospital].

    Science.gov (United States)

    Calleja Fernández, Alicia; Vidal Casariego, Alfonso; Cano Rodríguez, Isidoro; Ballesteros Pomar, María D

    2015-05-01

    Introducción: La elevada prevalencia de desnutrición en el medio hospitalario y sus repercusiones hacen necesario el empleo de herramientas de cribado nutricional para su detección, diagnóstico y tratamiento precoz. Objetivo: Evaluar la herramienta de cribado nutricional más adecuada para el paciente hospitalizado en un hospital de tercer nivel, a nivel global y por servicios de hospitalización. Metodología: Estudio transversal realizado en condiciones de práctica clínica habitual. Se evaluaron 4 métodos de cribado nutricional: Valoración Subjetiva Global (VSG), Mini Nutritional Assessment (MNA), Malnutrition Universal Screening Tool (MUST) y Nutritional Risk Screening 2002 (NRS-2002). Los servicios de hospitalización se agruparon en: servicios médicos, Cirugía General, Traumatología, otros servicios quirúrgicos y Oncología-Hematología. Se realizó un análisis estadístico de sensibilidad (S) y especificidad (Sp) y fueron comparados mediante curva COR. Resultados: Fueron valorados 201 pacientes con mediana de edad de 71,6 (RIC 21,4) años y el 51,2% fueron mujeres. La prevalencia de riesgo nutricional (RN) y desnutrición (DN) detectada fue: VSG 62,1%, MNA 68,6%, MUST 53,7% y NRS-2002 35,8%. Con todas las herramientas de cribado nutricional, excepto el MNA, se detectó una mayor prevalencia de RN y DN en los servicios médicos y quirúrgicos. En el análisis global el MNA obtuvo una S =93,3%, una Sp = 71,6% y un área bajo la curva COR de 0,825; el MUST obtuvo una S = 82,4%, una Sp = 93,4% y un área bajo la curva COR de 0,879; el NRS-2002 obtuvo una S = 56,0%, una Sp = 97,4% y un área bajo la curva COR de 0,766. Estos resultados fueron similares en el análisis por servicios de hospitalización. Conclusión: La herramienta de cribado nutricional recomendada en un centro hospitalario de tercer nivel y población envejecida sería el MUST por los adecuados resultados de sensibilidad y especificidad y la facilidad en su realización.

  7. 营养风险筛查和微型营养评定用于高龄糖尿病患者营养评估的比较%COMPARISON OF NUTRITIONAL RISK SCREENING 2002 AND MINI NUTRITION ASSESSMENT FOR NUTRITIONAL SCREENING IN PATIENTS WITH ELDER DIABETICS

    Institute of Scientific and Technical Information of China (English)

    李婷; 沈静; 吴红梅

    2014-01-01

    Objective To compare the feasibility and result of nutritional risk screening (NRS ) 2002 and mini nutrition assessment(MNA) for nutritional screening in inpatients with elder diabetics .Methods To-tally 52 patients who met the criteria ,nutritional screening was performed by nutritional risk screening 2002 and mini nutrition .Results All patients completed both NRS 2002 and MNA .Prevalence of nutritional risk or undernutrition screened by NRS 2002 or MNA was 67 .31% or 51 .92% ,No significant difference was observed between the results of these two screening tools .Conclusion Both NRS 2002 and MNA are feasible in screening undernutrition in patients with elder diabetics .%目的:比较营养风险筛查和微型营养评定用于高龄糖尿病患者营养评估的结果。方法对符合纳入标准的52例高龄糖尿病患者分别采用营养风险筛查和微型营养评定进行营养筛查。结果52例患者均完成N RS2002和M N A。N RS2002显示营养风险发生率为67.31%,M N A显示营养不良总发生率为51.92%,二种方法在营养筛查结果间差异无统计学意义。结论 N RS2002和M N A均适用于高龄糖尿病患者营养筛查。

  8. Screening and assessment of nutritional status following stroke: results from a national survey of registered dietitians in Canada.

    Science.gov (United States)

    Peters, Lauren; O'Connor, Colleen; Giroux, Isabelle; Teasell, Robert; Foley, Norine

    2015-07-26

    The objective of this study was to survey registered dietitians (RDs) at acute care hospitals across Canada to determine whether valid screening and assessment methods (i.e. those with formal evaluation of the psychometric and/or clinimetric properties of the tool) are used to identify protein-energy malnutrition following stroke. One hundred and twenty-five Canadian healthcare institutions admitting high volumes (≥100/year) of acute stroke patients were identified. RDs at these sites who provided services to patients recovering from acute stroke were contacted and invited to participate in an online survey. Ninety-five RDs completed the survey. Sixty dietitians (63%) indicated that patients were screened routinely at their institution, which was conducted primarily by dietitians (n = 64, 67.3%). Ten respondents (10.5%) stated they used a screening tool with previously-established validity, while 32 (33.7%) indicated they used a validated assessment tool. Among dietitians using validated tools, 40% and 64% indicated that they used modified versions of the original screening and assessment tools. The most frequently cited tools used for both screening and assessment purposes were Subjective Global Assessment and Mini Nutritional Assessment. The results of this national survey suggest that screening and assessment of nutritional status following acute stroke is conducted using tools that have not been validated previously. Implications for Rehabilitation Although the use of valid screening and assessment tools is considered part of evidence-based practice, and recommendations for their adoption are included in several national stroke-specific clinical practice guidelines, the results from an online survey suggest that they are not used in clinical practice by RDs in Canada caring for patients following stroke. There are associated risks with the use of screening and assessment tools, which have not been formally validated. The true nutritional status of

  9. Nutritional screening of patients at a memory clinic--association between patients' and their relatives' self-reports.

    Science.gov (United States)

    Lyngroth, Anne Liv; Hernes, Susanne Miriam Sørensen; Madsen, Bengt-Ove; Söderhamn, Ulrika; Grov, Ellen Karine

    2016-03-01

    To compare individual reports by patients and relatives (proxy) of the Nutritional Form For the Elderly and relate the Nutritional Form For the Elderly scores to Mini Mental Status Examination scores, weight loss, Body Mass Index, five-point Clock Drawing Test and background variables. Undernutrition or risk of undernutrition is a significant problem among people with dementia. A poor nutritional state increases the risk of infections, delayed convalescence after acute illness and reduced quality of life. A cross-sectional study. Application of the Nutritional Form For the Elderly in addition to clinical nutrition parameters and cognitive tests in a memory clinic among 213 persons referred for assessment due to possible cognitive impairment or dementia. Patients' and proxy Nutritional Form For the Elderly scores yielded comparative results. Nutritional Form For the Elderly scores ≥6 (medium to high risk of undernutrition) were found in 32% of the patients vs. 43% of proxy. Mean Mini Mental Status Examination score was 23·2 (SD 4·5) and 50% failed the Clock Drawing Test. Involuntary weight loss was reported by 42% of the patients, and in 26% of the patients, Body Mass Index values were below 22 kg/m(2) , indicating undernutrition. By regression analysis, Clock Drawing Test (p = 0·019) and Mini Mental Status Examination (p = 0·04) might predict the risk of reduced nutritional status. The study demonstrates that a significant proportion of patients at our memory clinic were at nutritional risk. Corresponding results exist between patients' and proxy Nutritional Form For the Elderly scores; however, the patients assessed themselves more well-nourished as compared to proxy assessment. The discrepancies seem to increase with more severe cognitive impairment. Females and single-dwelling individuals were at higher risk of undernutrition compared to males and cohabitants. Self-reporting and proxy-rating seem both applicable for nutritional screening among moderate

  10. The STRONGkids nutritional risk screening tool can be used by paediatric nurses to identify hospitalised children at risk.

    Science.gov (United States)

    Moeeni, Vesal; Walls, Tony; Day, Andrew S

    2014-12-01

    Hospitalised children have higher rates of undernutrition. Early detection of at-risk patients could lead to prompt preventative or corrective interventions. Several nutritional risk screening tools are available for screening hospitalised children including the STRONGkids tool. This study was designed to assess the usefulness of STRONGkids when applied by nurses rather than a paediatrician. The STRONGkids questionnaire was simplified to enhance clarity with nursing staff. Trained nursing staff were asked to apply the tool to children, aged 1 month to 17 years, admitted to the Christchurch Hospital, New Zealand. Each patient was also assessed by a paediatrician. In addition, the current nutritional state of each patient was defined by measuring their weight and height. Of the 162 children enrolled, 11.7% were undernourished and 13% overnourished. STRONGkids recognised 84% of undernourished children when the tool was applied by nurses and 90% when the tool was applied by a paediatrician, indicating substantial agreement (kappa = 0.65). A minor simplification to the questionnaire improved its utility. STRONGkids successfully recognised at-risk children, when applied by either nurses or a paediatrician. It was suitable and feasible for nursing staff to use it to screen for children at risk of nutritional deterioration. ©2014 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  11. Screening of Quercus infectoria gall extracts as anti-bacterial agents against dental pathogens.

    Science.gov (United States)

    Vermani, Archa

    2009-01-01

    A number of bacteria have now become antibiotic-resistant. This increases the importance of ayurvedic drugs. We report, here, the activity of different extracts (petroleum ether, chloroform, methanol and water) of Quercus infectoria galls against dental pathogens -- Streptococcus mutans, Streptococcus salivarius, Staphylococcus aureus, Lactobacillus acidophilus (designated) and Streptococcus sanguis (isolated). The cup-plate method was used in anti-bacterial activity of the extracts at concentration of 200 mg/ml against dental pathogens. Minimum inhibitory concentration (MIC) values of most effective extracts against the most susceptible bacteria were determined using a two-fold serial micro dilution method. Methanolic extract showed maximum anti-bacterial activity against all the bacteria. The most susceptible bacteria were S. sanguis followed by S. aureus, S. mutans, S. salivarius and L. acidophilus. The MIC values showed that methanolic extract was more effective than water extract. The plant has the potential to generate herbal metabolites. The crude extracts demonstrating anti-dental caries activity could result in the discovery of new chemical classes of antibiotics. These chemical classes of antibiotics could serve as selective agents for the maintenance of human health and provide bio-chemical tools for the study of infectious diseases.

  12. Advances in nutrition screening and nutritional assessment among critically ill children%危重症儿童营养筛查及营养评定的研究进展

    Institute of Scientific and Technical Information of China (English)

    李菁菁; 王莹

    2014-01-01

    Malnutrition is common in critically ill children.Nutrition prescription is hampered by various factors,and the nutritional status of these children often deteriorates during hospitalization.Nutrition therapy for critically ill children must be based on proper nutrition screening and nutritional assessment.Adopting dynamic nutritional assessment is an effective method to monitor patients under nutrition therapy and inform the prescription and administration of nutrition therapy.This article reviews the recent advances in nutrition screening and nutritional assessment in critically ill children.%危重症儿童营养不良发生率高,住院期间因多种因素导致营养处方难以完成,增加营养不良发生.合理的营养筛查及营养评定是危重症儿童营养治疗的基石.实施动态营养评定可有效评价营养治疗疗效,并提供改善营养状况的建议.现就危重症儿童营养筛查及营养评定的研究进展进行综述.

  13. Genomic library screening for viruses from the human dental plaque revealed pathogen-specific lytic phage sequences.

    Science.gov (United States)

    Al-Jarbou, Ahmed Nasser

    2012-01-01

    Bacterial pathogenesis presents an astounding arsenal of virulence factors that allow them to conquer many different niches throughout the course of infection. Principally fascinating is the fact that some bacterial species are able to induce different diseases by expression of different combinations of virulence factors. Nevertheless, studies aiming at screening for the presence of bacteriophages in humans have been limited. Such screening procedures would eventually lead to identification of phage-encoded properties that impart increased bacterial fitness and/or virulence in a particular niche, and hence, would potentially be used to reverse the course of bacterial infections. As the human oral cavity represents a rich and dynamic ecosystem for several upper respiratory tract pathogens. However, little is known about virus diversity in human dental plaque which is an important reservoir. We applied the culture-independent approach to characterize virus diversity in human dental plaque making a library from a virus DNA fraction amplified using a multiple displacement method and sequenced 80 clones. The resulting sequence showed 44% significant identities to GenBank databases by TBLASTX analysis. TBLAST homology comparisons showed that 66% was viral; 18% eukarya; 10% bacterial; 6% mobile elements. These sequences were sorted into 6 contigs and 45 single sequences in which 4 contigs and a single sequence showed significant identity to a small region of a putative prophage in the Corynebacterium diphtheria genome. These findings interestingly highlight the uniqueness of over half of the sequences, whilst the dominance of a pathogen-specific prophage sequences imply their role in virulence.

  14. Do the malnutrition universal screening tool (MUST and Birmingham nutrition risk (BNR score predict mortality in older hospitalised patients?

    Directory of Open Access Journals (Sweden)

    Lee Emma

    2008-10-01

    Full Text Available Abstract Background Undernutrition is common in older hospitalised patients, and routine screening is advocated. It is unclear whether screening tools such as the Birmingham Nutrition Risk (BNR score and the Malnutrition Universal Screening Tool (MUST can successfully predict outcome in this patient group. Methods Consecutive admissions to Medicine for the Elderly assessment wards in Dundee were assessed between mid-October 2003 and mid-January 2004. Body Mass Index (BMI, MUST and BNR scores were prospectively collected. Time to death was obtained from the Scottish Death Register and compared across strata of risk. Results 115 patients were analysed, mean age 82.1 years. 39/115 (34% were male. 20 patients were identified as high risk by both methods of screening. A further 10 were categorised high risk only with the Birmingham classification and 12 only with MUST. 80/115 (67% patients had died at the time of accessing death records. MUST category significantly predicted death (log rank test, p = 0.022. Neither BMI (log rank p = 0.37 or Birmingham nutrition score (log rank p = 0.35 predicted death. Conclusion The MUST score, but not the BNR, is able to predict increased mortality in older hospitalised patients.

  15. Dental caries and periodontal disease among U.S. pregnant women and nonpregnant women of reproductive age, National Health and Nutrition Examination Survey, 1999-2004.

    Science.gov (United States)

    Azofeifa, Alejandro; Yeung, Lorraine F; Alverson, C J; Beltrán-Aguilar, Eugenio

    2016-09-01

    This study assessed and compared the prevalence and severity of dental caries and the prevalence of periodontal disease among pregnant and nonpregnant women of reproductive age (15-44 years) using data from the National Health and Nutrition Examination Survey, NHANES (1999-2004). Estimates were derived from a sample of 897 pregnant women and 3,971 nonpregnant women. Chi-square and two-sample t-tests were used to assess differences between groups stratified by age, race/ethnicity, education, and poverty. Bonferroni method was applied to adjust for multiple comparisons. In general, there were no statistically significant differences in the prevalence estimates of dental caries and periodontal disease between pregnant women and nonpregnant women. However, results showed significant differences when stratified by sociodemographic characteristics. For example, the prevalence of untreated dental caries among women aged 15-24 years was significantly higher in pregnant women than in nonpregnant women (41 percent versus 24 percent, P = 0.001). Regardless of their pregnancy status, racial/ethnic minorities or women with less education or lower family income had higher prevalence of untreated dental caries, severity of dental caries, and periodontal disease compared to the respective reference groups of non-Hispanic whites or women with more education or higher family income. Results of this study show few clinical differences in dental caries and periodontal disease between pregnant and nonpregnant women but persistent disparities by sociodemographic characteristics. In order to reduce oral health disparities in the United States, it is important to improve access to oral health care particularly among vulnerable groups. Integrating oral health into the overall health care could benefit and improve women's oral health outcomes. © 2016 American Association of Public Health Dentistry.

  16. Dental caries and periodontal disease among U.S. pregnant women and nonpregnant women of reproductive age, National Health and Nutrition Examination Survey, 1999–2004

    Science.gov (United States)

    Azofeifa, Alejandro; Yeung, Lorraine F.; Alverson, C. J.; Beltrán-Aguilar, Eugenio

    2016-01-01

    Objectives This study assessed and compared the prevalence and severity of dental caries and the prevalence of periodontal disease among pregnant and nonpregnant women of reproductive age (15–44 years) using data from the National Health and Nutrition Examination Survey, NHANES (1999–2004). Methods Estimates were derived from a sample of 897 pregnant women and 3,971 nonpregnant women. Chi-square and two-sample t-tests were used to assess differences between groups stratified by age, race/ethnicity, education, and poverty. Bonferroni method was applied to adjust for multiple comparisons. Results In general, there were no statistically significant differences in the prevalence estimates of dental caries and periodontal disease between pregnant women and nonpregnant women. However, results showed significant differences when stratified by sociodemographic characteristics. For example, the prevalence of untreated dental caries among women aged 15–24 years was significantly higher in pregnant women than in nonpregnant women (41 percent versus 24 percent, P=0.001). Regardless of their pregnancy status, racial/ethnic minorities or women with less education or lower family income had higher prevalence of untreated dental caries, severity of dental caries, and periodontal disease compared to the respective reference groups of non-Hispanic whites or women with more education or higher family income. Conclusion Results of this study show few clinical differences in dental caries and periodontal disease between pregnant and nonpregnant women but persistent disparities by sociodemographic characteristics. In order to reduce oral health disparities in the United States, it is important to improve access to oral health care particularly among vulnerable groups. Integrating oral health into the overall health care could benefit and improve women’s oral health outcomes. PMID:27154283

  17. Nutrition screening and counseling in adults with lung cancer: a systematic review of the evidence.

    Science.gov (United States)

    Moreland, Susan S

    2010-10-01

    Maintenance of adequate nutrition is an integral component of the cancer treatment process. Numerous factors should be considered when evaluating the nutritional status of patients with cancer. A systematic review of the literature revealed the importance of nutrition interventions in patients with cancer who were undergoing chemotherapy. Counseling in nutrition has been shown to improve quality of life, strengthen response to therapy, and increase survival. Lung cancer presents a significant risk as the leading cause of cancer morbidity and mortality in the United States. In addition, nutritional deficiencies are experienced by most adults with lung cancer during the course of their disease and treatment. The deficiencies compound the cost of treatment and also increase morbidity and mortality in this patient population. Further study of nutritional interventions is needed to promote better outcomes and quality of life in patients with lung cancer.

  18. Quantitative assessment of mandibular cortical erosion on dental panoramic radiographs for screening osteoporosis.

    Science.gov (United States)

    Muramatsu, Chisako; Horiba, Kazuki; Hayashi, Tatsuro; Fukui, Tatsumasa; Hara, Takeshi; Katsumata, Akitoshi; Fujita, Hiroshi

    2016-11-01

    Studies reported that the mandibular cortical width (MCW) measured on dental panoramic radiographs (DPRs) was significantly correlated with bone mineral density. However, MCW is not a perfect index by itself, and studies suggest the added utility of mandibular cortical index (MCI). In this study, we propose a method for computerized estimation of mandibular cortical degree (MCD), a new continuous measure of MCI, for osteoporotic risk assessment. The mandibular contour was automatically segmented using an active contour model. The regions of interest near mental foramen were extracted for MCW and MCD determination. The MCW was measured on the basis of residue-line detection results and pixel profiles. Image features including texture features based on gray-level co-occurrence matrices were determined. The MCD were estimated using support vector regression (SVR). The SVR was trained using previously collected 99 DPRs, including 26 osteoporotic cases, by a computed radiography system. The proposed scheme was tested using 99 DPRs obtained by a photon-counting system with data of bone mineral density at distal forearm. The number of osteoporotic, osteopenic, and control cases were 12, 18, and 69 cases, respectively. The subjective MCD by a dental radiologist was employed for training and evaluation. The correlation coefficients with the subjective MCD were -0.549 for MCW alone, 0.609 for the MCD by the features without MCW, and 0.617 for the MCD by the features and MCW. The correlation coefficients with the BMD were 0.619, -0.608, and -0.670, respectively. The areas under the receiver operating characteristic curves for detecting osteoporotic cases were 0.830, 0.884, and 0.901, respectively, whereas those for detecting high-risk cases were 0.835, 0.833, and 0.880, respectively. In conclusion, our scheme may have a potential to identify asymptomatic osteoporotic and osteopenic patients through dental examinations.

  19. Dental fluorosis and lumbar spine bone mineral density in adults, ages 20 to 49 years: results from the 2003 to 2004 National Health and Nutrition Examination Survey.

    Science.gov (United States)

    Wiener, R Constance; Sambamoorthi, Usha

    2013-12-01

    Osteoporosis is an urgent public health concern. Many factors influence bone mineral density (BMD), a criterion used to diagnose osteoporosis. The purpose of this study was to determine if dental fluorosis may be a marker for osteoporosis. The association between dental fluorosis and BMD at the lumbar spine was examined. Using a cross-sectional design with 1,805 adults, ages 20 to 49 years, from the 2003 to 2004 National Health and Nutrition Examination Survey, an analysis of the association between dental fluorosis and BMD was performed, using chi-square and multivariable logistic regression. Other variables included predisposing factors (gender, age and race/ethnicity), enabling factors (marital status, education, poverty status and health insurance) and lifestyle/behavioral factors (perceived health status, smoking, alcohol intake, physical activity and body mass index). Overall, 13.5% had fluorosis; 6.8% with fluorosis and 9.8% without fluorosis had low lumbar spine BMD. Multivariable analysis found there was not a statistically significant association between fluorosis and lumbar spine BMD (adjusted odds ratio=0.82; 95% CI (0.43. 1.56)). Dental fluorosis and lumbar spine BMD were not found to be associated in a sample of adults.

  20. Oral health and nutrition.

    Science.gov (United States)

    Pla, G W

    1994-03-01

    The relationships between oral health conditions, dietary practices and nutritional status, and general health status in the older American are complex, with many interrelating factors. Just as inadequate nutrition can affect oral health, poor oral health status affects food choices and, thus, nutritional status. It is clearly essential that the primary care practitioner and/or screening health professionals always include an evaluation of oral status in assessment of an elderly person. Effective care for the elderly dental patient requires knowledge about the disease of aging and the impact of those diseases on oral health and nutrition, pharmacology and drug interactions and their impact on oral health status, the biology of aging including sensory changes, the relationship of general medicine and systemic diseases, and psychology and sociology. The attitudes of empathy and understanding, caring and compassion, respect and a positive attitude toward the older patient, and flexibility in treatment planning are also critical elements. The interdisciplinary team of physicians, nurses, nutrition professionals, dentists, and social service professionals must all work together to ensure that good oral health status and adequate nutrition are maintained in older Americans. Recognizing and treating oral health and nutrition problems are important in improving the health and quality of life for the elderly population. Research that can provide more answers to health care problems in this growing group; educating professionals with respect to the relationships between oral health and nutrition; and public policy changes with regard to provision and funding of nutrition services, especially when provided by registered and/or licensed nutrition professionals, contribute to improving the health and quality of life for elders.

  1. National Dairy Council Award for Excellence in Medical and Dental Nutrition Education Lecture, 1994: nutrition education in medical schools--the prospect before us.

    Science.gov (United States)

    Shils, M E

    1994-10-01

    The criteria usually used for evaluating the state of nutrition education in our medical schools include the numbers of schools with required nutrition courses, attendance at nutrition electives, student satisfaction with their nutrition teaching, and the number of postgraduate clinical nutrition programs. These criteria indicate either no change or actual decreases over the years. More important, barriers persist that exclude essential nutrition education for all students in the clinical years. This pessimistic evaluation is tempered by events that, if properly addressed, may lead to improvement. Changes in the traditional medical curriculum are occurring in an increasing number of schools. More curriculum planning, execution, and oversight by interdepartmental faculty (problem-based and small-group learning); a greater emphasis on health promotion and disease prevention; and expansion of primary care offer the potential for more emphasis on nutrition education. This will not happen automatically but requires a vigorous effort by the Society and its members to become involved in the reform movement.

  2. Use of Subjective Global Assessment, Patient-Generated Subjective Global Assessment and Nutritional Risk Screening 2002 to evaluate the nutritional status of non-critically ill patients on parenteral nutrition.

    Science.gov (United States)

    Badia-Tahull, M B; Cobo-Sacristán, S; Leiva-Badosa, E; Miquel-Zurita, M E; Méndez-Cabalerio, N; Jódar-Masanés, R; Llop-Talaverón, J

    2014-02-01

    Objetivo: Evaluar el estado nutricional de pacientes no críticos de cirugía digestiva, en el momento de iniciar la nutrición parenteral, utilizando tres tests de evaluación nutricional. Estudiar la correlación entre los tests y su asociación con los parámetros clínicos y de laboratorio utilizados para el seguimiento de estos pacientes. Métodos: Estudio prospectivo de 4 meses. Se recogen variables antropométricas y clínicas. Los resultados de Subjective Global Assessment, Patient-Generated Subjective Global Assessment y Nutritional Risk Screening 2002 se comparan mediante test kappa. La relación entre las variables clínicas y de laboratorio con Subjective Global Assessment se estudian con regresión multinominal; y con Patient-Generated Subjective Global Assessment y Nutritional Risk Screening mediante regresión lineal múltiple. Edad y sexo se introdujeron como variables de ajuste. Resultados: La desnutrición en 45 pacientes estudiados variaba entre el 51% y el 57%. Subjective Global Assessment correlacionaba bien con Patient-Generated Subjective Global Assessment y el Nutritional Risk Screening (= 0,531 p = 0,000). Nutritional Risk Screening 2002 mostró mejor asociación con variables clínicas y analíticas: peor estado nutricional en este test se asoció con peor comportamiento de albúmina (B = -0,087; CI = -0,169/-0,005]); prealbumina (B = -0,005; CI = [-0,011/ 0,001]), proteína C reactiva (B = 0,006;CI = [0,001/0,011]) y leucocitos (B = 0,134; CI = [0,031/0,237]) al final de la nutrición parenteral. Discusión: La mitad de los pacientes de cirugía digestiva presentan algún grado de desnutrición en el momento de iniciar la nutrición parenteral. El Nutritional Risk Screening 2002 se mostró como el test con mayor relación con las variables utilizadas en el seguimiento clínico de los pacientes con nutrición parenteral.

  3. Ten-year results of a Screening Program during pregnancy for children’s dental caries prophylaxis

    Directory of Open Access Journals (Sweden)

    Sonia Merluzzi

    2011-12-01

    Full Text Available Introduction: Dental caries is a multifactorial disease with many contributing factors in the genesis of risk (11. Streptococcus mutans (SM is a gram positive, facultative anaerobe commonly found in the human oral cavity. Described for the first time in 1924 by Clarke, is the main germ responsible for the caries disease (5, 9. In fact, SM produces an insoluble extracellular polysaccharide sucrose which plays an important role as a mediator of the adhesiveness, both as a cementing molecule for other microorganisms, and to create a protected site where the microorganism can proliferate (6, 9, 10. Its presence in the plaque is not equal for all people and is closely related to sugar consumption (9. Its transmission can take place early in the life of the child through the mother’s saliva (2, 3, 4, 8.The early acquisition of this organism is associated with Early Childhood Caries (ECC and then creates a primary colonization which is hardly removed (1, 7. Paying special attention to the health of women and children, this work aimed to decrease the incidence of childhood tooth decay, streamlining preventive efforts in a population at risk. Methods: Since 1999, all women referred to our clinic in the second trimester of pregnancy or during childbirth were offered the opportunity to perform a simple test to measure the presence of SM in saliva and have been given some advice (diet, hygiene, fuoro-prophylaxis, dental visit. The sampling of saliva was performed after chewing one paraffin tablet for about 1 minute. For the microbiological examination the technique of dip-slide test (CTR bacteria, Ivoclar Vivadent was used; results were classified according to semi-quantitative classes of microorganism concentration.Women were classified positive when bacterial concentration was 100000 CFU/ml. Besides a general advice on hygiene and diet, these women were invited to undergo a prophylactic treatment with chlorhexidine, a disinfectant with bactericidal

  4. Nutritional risk screening and application of nutritional support in elderly inpatients%老年住院患者营养风险筛查及营养支持使用的现状调查

    Institute of Scientific and Technical Information of China (English)

    张静; 陈格亮; 王莉萍; 花超; 温晓丽

    2011-01-01

    目的 应用营养风险筛查2002(nutrition risk screening,NRS 2002)调查老年科住院患者的营养风险、营养不足发生率及营养支持的现状.方法 选择 2010年1月至2010年6月在长宁区中心医院老年科住院的患者120例,65-89岁,平均年龄(72±6.3)岁.,应用NRS 2002方法对患者入院后第2天和出院时进行营养风险筛查,并调查患者的营养支持状况.NRS 2002≥3分有营养风险,体质指数(BMI)<18.5kg/m2并结合临床状况判定营养不足.结果 人院时所有患者营养风险发生率为26.6%,所有患者的营养支持率为35.0%,肠外与肠内营养比例为2:7.结论 NRS 2002适用于老年住院患者的营养风险筛查.营养支持在老年患者中不够合理和充分.%Objective To investigate the nutritional risk, incidence of malnutrition and nutritional support status in the elderly inpatients by applying Nutrition Risk Screening 2002 ( NRS 2002) Methods 120 cases (≥65 years old) hospitalized in Changning District Central Hospital from January 2010 to June 2010 were consecutively enrolled in the study . NRS 2002 was applied to screen nutritional risk and investigate patients' nutrition status on the second morning after admission and at the time of discharge. The nutritional risk was determined by the assessed scores (≥ 3). Insufficient nutrition can be diagnosed with body mass index (BMI)( <18.5 kg/m2 ) combined with clinical status of nutrition. Results The rate of nutritional risk was 26.6 % on the evaluated morning after admission. Nutritional support index of all patients was 35.0 % .The ratio of parenteral nutrition and enteral nutrition was 2 ∶ 7. Conclusions It is suitable to use NRS 2002 to screen the nutritional risk in elderly patients . The application of nutritional support in the elderly is neither reasonable nor full enough.

  5. Diabetes Screening in US Women With a History of Gestational Diabetes, National Health and Nutrition Examination Survey, 2007–2012

    Science.gov (United States)

    Turyk, Mary E.; Kominiarek, Michelle A.; Xia, Yinglin; Gerber, Ben S.

    2016-01-01

    Introduction Women with a history of gestational diabetes mellitus (GDM) are at increased risk for developing type 2 diabetes mellitus. We examined individual, socioeconomic, and health care use characteristics of women with a history of GDM and the association of those characteristics with diabetes screening, and we estimated their rates of undiagnosed prediabetes and diabetes. Methods Using 3 cycles of the National Health and Nutrition Examination Survey (2007–2008, 2009–2010, and 2011–2012), we identified 284 women with a history of GDM who were eligible for diabetes screening. Screening status was defined by self-report of having had a blood test for diabetes within the prior 3 years. Undiagnosed prediabetes and diabetes were assessed by hemoglobin A1c measurement. Results Among women with a history of GDM, 67% reported diabetes screening within the prior 3 years. Weighted bivariate analyses showed screened women differed from unscreened women in measured body mass index (BMI) category (P = .01) and number of health visits in the prior year (P = .001). In multivariable analysis, screening was associated with a greater number of health visits in the prior year (1 visit vs 0 visits, adjusted odds ratio [AOR], 1.91; 95% confidence interval [CI], 0.71–5.18; 2 or 3 visits, AOR, 7.05; and ≥4 visits, AOR, 5.83). Overall, 24.4% (95% CI, 18.3%–31.7%) of women had undiagnosed prediabetes and 6.5% (95% CI, 3.7%–11.3%) had undiagnosed diabetes. Conclusion More health visits in the prior year was associated with receiving diabetes screening. Fewer opportunities for screening may delay early detection, clinical management, and prevention of diabetes. Prediabetes in women with a history of GDM may be underrecognized and inadequately treated. PMID:27609302

  6. Nutrition - Multiple Languages

    Science.gov (United States)

    ... PDF California Dental Association Nutrition Resources - English Nutrition Resources - Hmoob (Hmong) PDF U.S. Committee for Refugees and Immigrants Indonesian (Bahasa Indonesia) Expand Section Choose MyPlate: 10 Tips to a ...

  7. Analysis of elderly patients with nutritional risk screening and application of nutritional support%老年住院患者营养风险筛查及营养支持状况的分析

    Institute of Scientific and Technical Information of China (English)

    潘美珍; 唐伟红

    2014-01-01

    Objective To investigate the prevalence of nutritional risk and nutritional support in elderly patients.Methods By using the method of continuous sampling point ( NRS 2002 ) hospitalized elderly patients with nutritional risk screening method for screening , analysis the incidence of nutritional risk , to nutritional support of patients with nutritional risk , and to observe the effect.Results Elderly patients with a higher incidence of nutritional risk , and increases with age.Nutritional support of patients with good prognosis.Conclusion The nutritional risk screening of nutritional support is of positive significance to the clinical in eld -erly patients.%目的:分析老年患者的营养风险发生情况以及临床营养支持的应用状况。方法采用定点连续抽样方法,对住院老年患者用营养风险筛查(NRS 2002)方法进行筛查,分析营养风险发生率,对有营养风险患者进行营养支持,并观察疗效。结果老年患者中营养风险发生率较高,并随年龄增长而升高,进行营养支持者预后好。结论通过营养风险筛查对老年患者进行营养支持对临床有积极意义。

  8. Obesity and Insulin Resistance Screening Tools in American Adolescents: National Health and Nutrition Examination Survey (NHANES) 1999 to 2010.

    Science.gov (United States)

    Lee, Joey A; Laurson, Kelly R

    2016-08-01

    To identify which feasible obesity and insulin resistance (IR) screening tools are most strongly associated in adolescents by using a nationally representative sample. Adolescents aged 12.0 to 18.9 years who were participating in the National Health and Nutrition Examination Survey (NHANES) (n=3584) and who were measured for height, weight, waist circumference (WC), triceps and subscapular skinfold thickness, glycated hemoglobin, fasting glucose (FG) and fasting insulin (FI) level were included. Adolescents were split by gender and grouped by body mass index (BMI) percentile. Age- and gender-specific classifications were constructed for each obesity screening tool measure to account for growth and maturation. General linear models were used to establish groups objectively for analysis based on when IR began to increase. Additional general linear models were used to identify when IR significantly increased for each IR measure as obesity group increased and to identify the variance accounted for among each obesity-IR screening tool relationship. As the obesity group increased, homeostasis model assessment-insulin resistance (HOMA-IR) and FI significantly increased, while FG increased only (above the referent) in groups with BMI percentiles ≥95.0, and glycated hemoglobin level did not vary across obesity groups. The most strongly associated screening tools were WC and FI in boys (R(2)=0.253) and girls (R(2)=0.257). FI had the strongest association with all of the obesity measures. BMI associations were slightly weaker than WC in each in relation to IR. Our findings show that WC and FI are the most strongly associated obesity and IR screening tool measures in adolescents. These feasible screening tools should be utilized in screening practices for at-risk adolescents. Copyright © 2015 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

  9. Utilization of teledentistry as a tool to screen for dental caries among 12-year-old school children in a rural region of India.

    Science.gov (United States)

    Purohit, Bharathi M; Singh, Abhinav; Dwivedi, Ashish

    2017-03-01

    The study aims to assess the reliability of video-graphic method as a tool to screen the dental caries among 12-year-old school children in a rural region of India. A total of 139 school children participated in the study. Visual tactile examinations were conducted using the Decayed, Missing, and Filled Teeth (DMFT) index. Simultaneously, standardized video recording of the oral cavity was performed. Sensitivity and specificity values were calculated for video-graphic assessment of dental caries. Bland-Altman plot was used to assess agreement between the two methods of caries assessment. Likelihood ratio (LR) and receiver-operating characteristic (ROC) curve were used to assess the predictive accuracy of the video-graphic method. Mean DMFT for the study population was 2.47 ± 2.01 and 2.46 ± 1.91 by visual tactile and video-graphic assessment (P = 0.76; > 0.05). Sensitivity and specificity values of 0.86 and 0.58 were established for video-graphic assessment. A fair degree of agreement was noted between the two methods with Intraclass correlation coefficient (ICC) value of 0.56. LR for video-graphic assessment was 2.05. Bland-Altman plot confirmed the level of agreement between the two assessment methods. The area under curve was 0.69 (CI 0.57, 0.80, P = 0.001). Teledentistry examination is comparable to clinical examination when screening for dental caries among school children. This study provides evidence that teledentistry may be used as an alternative screening tool for assessment of dental caries and is viable for remote consultation and treatment planning. Teledentistry offers to change the dynamics of dental care delivery and may effectively bridge the rural-urban oral health divide. © 2016 American Association of Public Health Dentistry.

  10. Screening on binary Ti alloy with excellent mechanical property and castability for dental prosthesis application

    Science.gov (United States)

    Li, H. F.; Qiu, K. J.; Yuan, W.; Zhou, F. Y.; Wang, B. L.; Li, L.; Zheng, Y. F.; Liu, Y. H.

    2016-11-01

    In the present study, the microstructure, mechanical property, castability, corrosion behavior and in vitro cytocompatibility of binary Ti-2X alloys with various alloying elements, including Ag, Bi, Ga, Ge, Hf, In, Mo, Nb, Sn and Zr, were systematically investigated, in order to assess their potential applications in dental field. The experimental results showed that all binary Ti‒2X alloys consisted entirely α-Ti phase. The tensile strength and microhardness of Ti were improved by adding alloying elements. The castability of Ti was significantly improved by separately adding 2 wt.% Bi, Ga, Hf, Mo, Nb, Sn and Zr. The corrosion resistance of Ti in both normal artificial saliva solution (AS) and extreme artificial saliva solution (ASFL, AS with 0.2 wt.% NaF and 0.3 wt.% lactic acid) has been improved by separately adding alloying elements. In addition, the extracts of studied Ti‒2X alloys produced no significant deleterious effect to both fibroblasts L929 cells and osteoblast-like MG63 cells, indicating a good in vitro cytocompatibility, at the same level as pure Ti. The combination of enhanced mechanical properties, castability, corrosion behavior, and in vitro cytocompatibility make the developed Ti‒2X alloys have great potential for future stomatological applications.

  11. Screening of matrices and fibers for reinforced thermoplastics intended for dental applications.

    Science.gov (United States)

    Goldberg, A J; Burstone, C J; Hadjinikolaou, I; Jancar, J

    1994-02-01

    Plastics reinforced with continuous fibers (FRC) are being developed for dental applications, such as prosthodontic frameworks and orthodontic retainers. Flexure properties, stress relaxation and hydrolytic stability of FRC based on six thermoplastic matrices, three types of fibers, and three fiber volume fractions were evaluated. Samples with clinically relevant dimensions were tested. Polycarbonate was the preferred matrix material. Polycarbonate reinforced with 42 volume percent glass fibers exhibited the highest combination of flexure modulus (17.9 +/- 2.6 GPa), flexure strength (426 +/- 40 MPa), reinforcing efficiency (0.79), and resistance to stress relaxation. No statistically significant difference was observed between E and S2 glass reinforced composites under the experimental conditions used. Kevlar reinforced materials exhibited a low flexure modulus and strength. The apparent flexure moduli of all composites decreased with span length in the range of clinical interest. Generally, the prevalent mode of failure for all FRC investigated was brittle failure under flexure loading. Relatively large sample-to-sample variation in both composition and properties indicated that improved fabrication methods will be needed in future studies. The combination of good flexure properties, formability, and translucency suggests that novel appliance designs for dentistry are feasible with FRC, but further studies of its properties and particularly the effects of fiber/matrix interfacial quality are needed.

  12. Gingival crevicular blood: As a non-invasive screening tool for diabetes mellitus in dental clinics

    Directory of Open Access Journals (Sweden)

    Neema Shetty

    2013-01-01

    Full Text Available Background: A high number of patients with periodontitis may have undiagnosed diabetes. Self-monitoring devices provide a simple method for rapid monitoring of the glucose level in the blood by utilizing a blood sample from the finger, but this method requires a needle puncture to obtain blood. It is possible that gingival crevicular blood (GCB from routine periodontal probing may be a source of blood for glucose measurements. Aim: To establish whether GCB can be used as a non-invasive diagnostic aid in screening for diabetes mellitus during routine periodontal examination. Materials and Methods: The study involved 50 diabetics and 50 non-diabetics, with an age range of 26-66 years. Both diabetic and non-diabetic patients had moderate to severe gingivitis with at least one tooth in the maxillary anterior region showing bleeding upon probing. The Gingival Index and Oral Hygiene Index-Simplified were recorded. Blood oozing from the gingival sulcus/pocket following periodontal pocket probing was collected using a capillary tube and transferred to the test stick of a glucose self-monitoring device (Accu-Chek, Roche Diagnostic, Germany in patients with comparable gingival and oral hygiene status. This value was compared with the peripheral fingerstick blood glucose (PFBG value, which was obtained by pricking the finger tip at the same visit. Statistical analysis was performed using Pearson′s correlation coefficient. Result: There was no statistically significant difference between the gingival crevicular blood glucose (GCBG values and the PFBG values in both the diabetic (P = 0.129, NS and the non-diabetic (P = 0.503, NS groups. Karl Pearson′s product-moment correlation coefficient was calculated, which showed a positive correlation between the two measurements in the diabetic (r = 0.943 as well as the non-diabetic (r = 0.926 groups. Conclusion: The results suggest that GCB can be used as a non-invasive diagnostic aid in screening for diabetes

  13. [Nutritional status and screen time among public school students in Niterói, Rio de Janeiro State, Brazil].

    Science.gov (United States)

    Vasconcellos, Marcelo Barros de; Anjos, Luiz Antonio dos; Vasconcellos, Mauricio Teixeira Leite de

    2013-04-01

    The aim of this study was to assess nutritional status, sedentary behavior (TV, computer, and videogame time and screen time as the sum of these first three) and physical activity using a questionnaire with youth (10 to 18 years of age) enrolled in public schools in Niterói, Rio de Janeiro State, Brazil. Anthropometry (body mass and stature), sedentary behavior, and information on physical activity were obtained in a probability sample of 10 to 18 year-old students (n = 328; 108 boys) stratified by school and selected in two stages (classes and students). Low height for age did not appear as a problem, but 25.7% of the youth presented excess weight (18% overweight and 7.7% obese). Total screen time did not differ between the sexes, but boys spent more time playing videogames than girls, regardless of age, while girls watched more TV. Boys spent twice as much time as girls of all ages in physical activity (three times more in the ≥ 14 year-old group). Screen time was significantly associated with excess weight. In conclusion, public school youth in Niterói show high prevalence rates of excess weight associated with inadequate lifestyle.

  14. 681 cases of nutritional risk screening in hospitalized children%681例住院患儿的营养风险筛查

    Institute of Scientific and Technical Information of China (English)

    周云; 杜明红; 陈长玲; 胡燕

    2011-01-01

    目的 调查住院患儿的营养风险及营养不良发生率,为临床进行营养支持提供依据.方法 以681例住院患儿为研究对象,采用营养风险筛查(NRS) 2002评分系统进行NRS,通过体格测量评估儿童营养状况.结果 681例住院患儿中营养风险检出率为26.1%(178/681),营养不良检出率为18.2%(124/681).营养风险检出率及营养不良检出率间相关系数为0.864,P<0.01.结论 NRS 2002评分系统用于住院患儿的NRS,对营养不良的发生有一定预示作用.%Objective To investigate incidence rate of nutritional risk and malnutrition in hospitalized children and provide infor for clinical nutritional support. Methods Taking 681 hospitalized children as research objects, nutritional risks screening (NRS) 2002 scoring system was used to conduct nutritional risk screening, and nutritional status of children was evaluated through physical measurement. Results Detection rate of nutritional risk in 681 hospitalized children was 26.1%(178 cases) while that of malnutrition was 18.2 % (124 cases). The correlation coefficient between detection rates of nutritional risk and malnutrition was 0. 864, P<0.01. Conclusion Nutritional risk screening of hospitalized children using NRS 2002 scoring system plays a certain role in indicating malnutrition.

  15. Observer performance in diagnosing osteoporosis by dental panoramic radiographs: results from the osteoporosis screening project in dentistry (OSPD).

    Science.gov (United States)

    Taguchi, A; Asano, A; Ohtsuka, M; Nakamoto, T; Suei, Y; Tsuda, M; Kudo, Y; Inagaki, K; Noguchi, T; Tanimoto, K; Jacobs, R; Klemetti, E; White, S C; Horner, K

    2008-07-01

    Mandibular cortical erosion detected on dental panoramic radiographs (DPRs) may be useful for identifying women with osteoporosis, but little is known about the variation in diagnostic efficacy of observers worldwide. The purpose of this study was to measure the accuracy in identifying women at risk for osteoporosis in a worldwide group of observers using DPRs. We constructed a website that included background information about osteoporosis screening and instructions regarding the interpretation of mandibular cortical erosion. DPRs of 100 Japanese postmenopausal women aged 50 years or older who had completed skeletal bone mineral measurements by dual energy X-ray absorptiometry were digitized at 300 dpi. These were displayed on the website and used for the evaluation of diagnostic efficacy. Sixty observers aged 25 to 66 years recruited from 16 countries participated in this study. These observers classified cortical erosion into one of three groups (none, mild to moderate, and severe) on the website via the Internet, twice with an approximately 2-week interval. The diagnostic efficacy of the Osteoporosis Self-Assessment Tool (OST), a simple clinical decision rule based on age and weight, was also calculated and compared with that of cortical erosion. The overall mean sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the 60 observers in identifying women with osteoporosis by cortical erosion on DPRs were 82.5, 46.2, 46.7, and 84.0%, respectively. Those same values by the OST index were 82.9, 43.1, 43.9, and 82.4%, respectively. The intra-observer agreement in classifying cortical erosion on DPRs was sufficient (weighted kappa values>0.6) in 36 (60%) observers. This was significantly increased in observers who specialized in oral radiology (Prisk for osteoporosis, among observers with sufficient intra-observer agreement. Information gathered from radiographic examination is at least as useful as that gathered from the

  16. Nutritional status and dental fluorosis among schoolchildren in communities with different drinking water fluoride concentrations in a central region in Mexico.

    Science.gov (United States)

    Irigoyen-Camacho, M E; García Pérez, A; Mejía González, A; Huizar Alvarez, R

    2016-01-15

    Poor water quality and under nutrition are important factors affecting the health of many communities in developing countries. The aims of this study were: i) to describe the fluoride water concentration and the hydrogeological conditions in a region of a state located in the central in Mexico ii) to measure the association between undernutrition and dental fluorosis in children living in communities with different drinking water fluoride concentrations in a state located in the central region of Mexico. Field work was performed in the region to identify the prevailing groundwater flow characteristics and water wells were sampled to analyze water fluoride concentration. Children were selected from three communities that had different drinking water fluoride concentrations (i.e., 0.56, 0.70 and 1.60 mg/l). Fluoridated salt was available in these communities. The Thylstrup-Fejerskov Index (TFI) was used to assess dental fluorosis. Categories four or higher of this index involve changes in the entire tooth surface (ITF ≥ 4). The weight and height of the children were measured. The assessment of undernutrition was based on the World Health Organization criteria: children were classified as being at risk of low-height (Height-for-Age Z score fluorosis categories (ITF ≥ 4) was 15.9%, 21.1% of the children were at risk of low height-for-age, and 8.0% had low height-for-age. The percentage of children with fluorosis (ITF ≥ 4) was 6.3%, 9.1% and 31.9% (p ˂ 0.001) and low high-for-age was 2.9%, 2.5% and 8.4% (p ˂ 0.001), for the communities with F concentrations of 0.56 mg/l, 0.70 mg/l and 1.6 mg/l, respectively. The logistic regression model showed an association between dental fluorosis (TFI ≥ 4) and low height-for-age (OR 2.09, p = 0.022) after adjusting for sex, number of teeth erupted, source of drinking water, use of fluoridated toothpaste and tap water fluoride concentration in the community. Children with low height-for-age were more likely to have dental

  17. Disparities in the experience and treatment of dental caries among children aged 9-18 years: the cross-sectional study of Korean National Health and Nutrition Examination Survey (2012-2013).

    Science.gov (United States)

    Kim, Juyeong; Choi, Young; Park, Sohee; Kim, Jeong Lim; Lee, Tae-Hoon; Cho, Kyoung Hee; Park, Eun-Cheol

    2016-06-07

    The aim of this study is to examine the association between parental socioeconomic status (SES) and the experience as well as treatment of dental caries among children aged 9 to 18 years. Data from 1253 children aged 9-18 years from the Korean National Health and Nutrition Examination Survey (2012-2013) were analyzed. Parental socioeconomic status was measured using household income level and maternal educational level. The decayed, missing, and filled teeth (DMFT) index was used to measure experience of dental caries (DMFT ≥ 1). Non-treatment of dental caries was measured according to whether the participants who experienced dental caries used a dental service at a dental clinic to treat caries during the previous year. Logistic regression was used to investigate the association between parental socioeconomic status and the experience of dental caries as well as the association between parental socioeconomic status and the non-treatment of dental caries among children that have experienced caries. A total of 808 subjects (64.5 %) experienced dental caries among 1253 participants, and 582 of these 808 subjects (72.0 %) did not receive treatment among those having experience of dental caries. Parental socioeconomic status was not associated with experience of dental caries. However, those from low- and middle-income households were less likely to receive treatment than those from high-income households (odds ratio [OR] 2.11 [95 % confidence interval (CI) 1.16-3.86], OR 2.14 [95 % CI 1.27-3.62]). In particular, those from low- and middle-income households who had regular dental checkups were more likely to have untreated caries than those from high-income households (OR 3.58 [95 % CI 1.25-10.24]). This study demonstrates the parental household income-related disparities in children's dental health treatment. Efforts should be made to lower financial barriers to dental health services, particularly among those from low-income households, in order to reduce

  18. Report of Block Field Experience at Jefferson County Department of Health Bureau of Nutrition, Birmingham, Alabama.

    Science.gov (United States)

    1985-01-01

    2000 international travelers per year. The Sexually Transmitted Diseases Clinic provides premarital 9 blood tests for couples and clinical care for...tests, pap smears, nutritional counseling, TB screening , pediatric dental care, etc. ( (possible income eligibility limitations for some services). (2

  19. Breast and Cervical Cancer Screening Behavior in Female Cancer Survivors: The Korea National Health and Nutrition Examination Survey, 2007-2012.

    Science.gov (United States)

    Lee, Eun-Ae; Shin, Jinyoung; Hwang, Eun-Joo; Lee, Jung-Woong

    2017-05-01

    The aim of this study was to compare breast and cervical cancer screening rates between female cancer survivors and a population without cancer to identify factors related to cervical and breast cancer screening in cancer survivors. We included 17,765 adults (738 cancer survivors and 17,027 individuals without cancer) in this study, all of whom who were 30 years of age or older and participated in the Fourth and Fifth Korean National Health and Nutritional Examination Surveys from 2007-2012. Multiple logistic regression analysis was performed to identify factors related to cervical and breast cancer screening uptake in female cancer survivors. The screening rate for breast cancer was 56.6%, which was higher than that in the non-cancer control group (P=0.001). The screening rate for cervical cancer was 51.4%, which was not different from that of the non-cancer control group. In terms of breast cancer screening, cancer survivors showed no significant difference in the rate of screening 5 years after their cancer diagnosis. However, cervical cancer survivors were less likely to have cervical cancer screening 10 years after their cancer diagnosis. There was no significant association between cancer screening and sociodemographic factors. Breast and cervical cancer screening rates in Korean female cancer survivors are low. Secondary primary cancer screening of female cancer survivors needs to be planned in a comprehensive manner, with the consideration of influences beyond sociodemographic factors.

  20. Type 2 diabetes as a risk indicator for dental caries in Korean adults: the 2011-2012 Korea national health and nutrition examination survey.

    Science.gov (United States)

    Song, I-S; Han, K; Park, Y-M; Ryu, J-J; Park, J-B

    2017-09-01

    The associations between type 2 diabetes (T2D) and untreated dental caries was examined. This study hypothesized that there would be a positive association between T2D and the prevalence of decayed permanent teeth (DT) in representative Korean adults. The information was derived from the Korea National Health and Nutrition Examination Survey conducted in 2011-2012. Sociodemographic and lifestyle variables, anthropometric and biochemical status, metabolic health and glucose tolerance status, oral health behaviors, and dental caries index were evaluated. The number of DT had a positive association with degree of fasting plasma glucose (FPG) level, and glycated hemoglobin (HbA1c) (p-value = 0.045 and 0.007, respectively). The levels of FPG and HbA1c increased with the number of DT (p for trend = 0.009 and 0.004, respectively). The prevalence of untreated caries uncontrolled T2D participants was about 26% higher than those with normal glucose tolerance levels after adjusting for potential confounders including diets and socioeconomic status (OR [95% CI] = 1.26 [1.02, 1.56]). T2D is an independent risk indicator for untreated caries in Korean adults. Copyright© 2017 Dennis Barber Ltd.

  1. [Pediatrics. Screening for nutritional deficiencies in hospitalized children: new practices at the Hôpital de I'Enfance in Lausanne].

    Science.gov (United States)

    Dony, C; Ranson, M O; Gerdy, P; Gehri, M; Coti, Bertrand P

    2013-01-16

    Screening for undernutrition among hospitalized children requires a systematic assessment of dietary intake. The development of a new tool for quick and playful assessment of dietary intake, called "Fleur" ("Flower"), at the Hôpital de l'Enfance in Lausanne allows to identify children at risk of undernutrition and to adapt their nutrition to their specific needs.

  2. Association between the Family Nutrition and Physical Activity screening tool and cardiovascular disease risk factors in 10-year old children

    Science.gov (United States)

    Yee, Kimbo Edward

    Purpose. To examine the association of the Family Nutrition and Physical Activity (FNPA) screening tool, a behaviorally based screening tool designed to assess the obesogenic family environment and behaviors, with cardiovascular disease (CVD) risk factors in 10-year old children. Methods. One hundred nineteen children were assessed for body mass index (BMI), percent body fat (%BF), waist circumference (WC), total cholesterol, HDL-cholesterol, and resting blood pressure. A continuous CVD risk score was created using total cholesterol to HDL-cholesterol ratio (TC:HDL), mean arterial pressure (MAP), and WC. The FNPA survey was completed by parents. The associations between the FNPA score and individual CVD risk factors and the continuous CVD risk score were examined using correlation analyses. Results. Approximately 35% of the sample were overweight (19%) or obese (16%). The mean FNPA score was 24.6 +/- 2.5 (range 18 to 29). Significant correlations were found between the FNPA score and WC (r = -.35, pChildren from a high-risk, obesogenic family environment as indicated with a lower FNPA score have a higher CVD risk factor profile than children from a low-risk family environment.

  3. Nutritional Screening of Older Adults : Risk Factors for and Consequences of Malnutrition

    OpenAIRE

    2016-01-01

    Aims The overall aim of this thesis was to extend current knowledge about the prevalence of malnutrition, to identify possible risk factors for development of malnutrition, and to describe the consequences of malnutrition in relation to all-cause and cause-specific mortality among older adults admitted to hospital. Methods The prevalence of malnutrition was estimated in a cohort of 1771 older adults (≥65 years) who were admitted to a Swedish hospital during 2008–2009 (15 months) and screened ...

  4. Nutrition screening and intervention effect of enteral nutrition on 60 abandoned and disabled children%60例孤残儿童营养筛查及肠营养干预效果分析

    Institute of Scientific and Technical Information of China (English)

    王季鸿; 龚佩花; 范玉玲; 艾梅荣

    2015-01-01

    目的::通过对孤残儿童定期营养监测,及时实施肠营养干预,改善营养状况,以利于孤残儿童健康成长。方法:定期进行营养筛查,对存在营养风险的孤残儿童进行营养评估和肠营养干预。结果:肠营养干预对营养不良孤残儿童显著有效,受干预孤残儿童体重增长速率与正常儿童比较P﹤0.01,出现部分赶上生长。结论:孤残儿童有必要定期进行营养筛查、评估和及时肠营养干预,改善营养状况,促进孤残儿童体格发育。%Objective:To improve the nutrition status of the abandoned and disabled children through the timely implementa-tion of enteral nutrition interventions and the regular nutrition monitoring, which will help them to grow up healthily. Methods:Through being screened the nutrition status regularly, the abandoned and disabled children with low nutritional status were given the as-sessment and enteral nutrition intervention. Results: The enteral nutrition intervention for the abandoned and disabled children with malnutrition was significantly effective. The weight growth rate of the children having received the nutrition intervention was comparable with that of other normal children (P﹤0. 01), and a part of these children had occurred the catch-up growth. Conclusions:It is nec-essary to do the regular nutritional screening, assessment and timely enteral nutrition interventions for the abandoned and disabled chil-dren, which will help them to improve the nutritional status and have a better physical development.

  5. Evaluation of malnutrition detected with the Nutritional Risk Screening 2002 (NRS-2002) and the quality of life in hospitalized patients with chronic obstructive pulmonary disease.

    Science.gov (United States)

    Arslan, M; Soylu, M; Kaner, G; İnanç, N; Başmısırlı, E

    2016-01-01

    Patients with severe chronic obstructive pulmonary disease (COPD) have impaired quality of life, but the relationship between their nutritional status and quality of life has not been established. The aim of this study was to determine the relationship between quality of life and nutritional status in hospitalized COPD patients. Demographic data, quality of life and nutritional status of 90 inpatients with a mean age of 68.76 ± 10.85 years were enrolled in the study. The Nutritional Risk Screening 2002 (NRS-2002) tool was used to evaluate their nutritional status. The quality of life was assessed using the Short Form-36 (SF-36) questionnaire. The correlation analysis was used for the relationship between SF-36 subscales and nutritional status variables. Of the 90 COPD patients included in the study, 54.4 % were men, and 45.6 % were women. Moderate, severe, and very severe COPD were detected in 37.8 %, 38.9 %, and 23.3 % of the patients, respectively. At risk of malnutrition were 55.6 % of the 90 COPD patients, whereas 44.4 % were not. The scores for physical function, physical role functioning, pain, general health, emotional role functioning, vitality, social function, and mental function subscales were lower in the patients at risk of malnutrition (p nutritional status of COPD patients should be an integral part of their clinical treatment plans aiming towards improving their quality of life. Hippokratia 2016, 20(2):147-152.

  6. 内科老年患者营养风险筛查及营养支持使用情况分析%Analysis of nutritional risk screening and application of nutritional support in elderly inpatients

    Institute of Scientific and Technical Information of China (English)

    张静; 陈格亮; 花超; 温晓丽; 刘璟

    2013-01-01

    目的 调查我院内科住院患者应用营养风险筛查2002 (NRS2002)方法的适用率、营养风险发生率以及营养支持使用情况,为营养支持在内科老年住院患者中的合理应用提供参考依据.方法 选择新入长宁区中心医院内科的老年患者共500例,应用NRS 2002方法进行营养风险筛查,并调查营养支持的使用情况.结果 患者的营养筛查适用率为95.20%,营养不足和营养风险发生率分别为18.8%和31.09%.有营养风险者115例接受营养支持(77.70%),无营养风险者38例接受营养支持(11.59%).结论 NRS2002方法对内科老年住院患者营养风险筛查有较高的适用率.内科老年住院患者存在一定的营养风险或营养不足,目前临床可能存在营养支持的某些不合理性.%Objective To investigate the applicable rate of nutrition risk screen 2002 (NRS 2002),the incidence of nutrition risk and the use of nutrition support in hospitalized elderly patients to provide a reference for the appropriate use of nutrition support in the elderly inpatients.Methods To screen 500 elderly hospitalized patients with NRS 2002 and to find the use of nutrition support.Results The applicable rate of NRS 2002 in all patients was 95.20%,18.8% of the patients were malnourished and 31.09% were at risk for malnourishment.One hundred and fifteen (77.70%) patients at risk of malnourishment accepted nutrition support,while 38 (11.59%) patients without malnourishment accepted nutrition support.Conclusion There is a high applicable rate for NRS 2002 in nutrition risk screening among hospitalized elderly patients,who might be malnourished or at risk for malnourishment.The rationale clinical nutrition support still needs to be improved.

  7. Nutrition screening by MUST on the oncological patient in radiotherapy; Triagem nutricional por meio do MUST para paciente oncologico em radioterapia

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Paula Acevedo Souza dos; Cunha, Tamires Regina da Silva; Soares, Bruna Lucia de Mendonca; Maio, Regiane; Burgos, Maria Goretti Pessoa de Araujo, E-mail: paulaacevedosouza@gmail.com, E-mail: tamires_rsc@hotmail.com, E-mail: bruna-luc@hotmail.com [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil). Departamento de Nutricao; Cabral, Edla Karina, E-mail: edla_cabral@hotmail.com [Hospital de Cancer de Pernambuco, Recife, PE (Brazil)

    2016-11-01

    Introduction: Radiotherapy contributes to the reduction of food intake and increased weight loss due to the appearance of gastrointestinal symptoms, which consequently leads to malnutrition. Objective: Identify nutritional risk through the Malnutrition Universal Screening Tool (MUST), in patients submitted to radiotherapy for the treatment of cancer. Method: Cross-sectional study with outpatients at the radiotherapy service of the Cancer Hospital of Pernambuco, during October 2014 until May 2015. Socio-demographic characteristics, lifestyle (smoking, alcohol use and physical activity), anthropometric variables (habitual weight, current weight and body mass index), comorbidities (hypertension and diabetes), tumor type, time since diagnosis and duration of treatment were evaluated. Nutritional risk was assessed using the MUST, which classifies patients as being at low, medium or high nutritional risk. Results: 150 patients were studied with an average age of 47.3 years, with a predominance of women (72%) and similar proportions of adults and elderly individuals. The sample mainly comprised individuals from in-state regions and inactive/retired individuals who received one to three times the minimum salary. Nutritional risk was significantly higher among elderly individuals (62.9%), among whom high risk predominated (45.7%), whereas most adults had no risk (61.2%). The most frequent tumors were gynecological (59.4%) with weight gain (33.3%), followed by tumors of the head and neck region with a high degree of weight loss (p = 0.007). Conclusion: The use of MUST led to the detection of nutritional risk in 50% of the studied patients, with a predominance of elderly individuals, the majority of whom were at high risk. Tumors of the head and neck led to weight loss, whereas gynecological tumors led to weight gain. Out-patient nutritional screening is important for the early establishment of specialized nutritional counseling. (author)

  8. The effect of Nutrition Screening Initiative Checklist on the ability of nurses’ nutrition nursing behavior%应用营养筛查表对护士营养护理行为能力的影响

    Institute of Scientific and Technical Information of China (English)

    操静; 潘莉; 魏莹莹; 李九群; 王玲; 陆文玲; 张华; 吴桂琴

    2012-01-01

    目的 应用营养筛查评估工具提高临床护士营养护理行为的能力.方法 对观察科室的病人使用由丹麦肠外肠内营养协会开发,被ESPEN推荐的营养风险筛查2002 (NRS2002)改良工具;对护士营养护理行为调查工具采用英国临床护士营养护理行为标准量表,由专职调查者对113名临床护士进行一对一的观察并记录(其中对73名护士进行了使用筛查评估工具前后护理行为对比),评判其1天护理工作中的营养护理行为.结果 6项使用前后护士营养护理行为100%达标;10项使用后显著性差异(P <0.0001);1项后达标率显著(P<0.05);1项无法观察;2项使用前后达标率无变化(P>0.05)(其中1项达标率在95%以上,1项使用前无人达标,使用后达标率4.1%).结论 使用营养筛查与评估工具能引导护士关注病人营养方面的问题,提高护士营养护理行为能力.%Objective To apply Nutrition Screening Initiative Checklist to improve the ability of clinical nurses’ nutrition nursing behavior.Methods A nutrition screening tool developed by Denmark Society Parenteral and Enteral Nutrition Association and recommended by ESPEN ( European Society Parenteral and Enteral Nutrition) was performed to observe patients.An audit tool which was designed by the National Health Service [NHS] in England to audit nurses'nutrition nursing behavior was adopted.One-to-one researcher-to-participant observations and documentation were conducted to audit 113 clinical nurses'nutrition nursing behavior in one day's nursing workResults Six of 20 audit criteria were 100% achieved before and after the screening.After the screening,10 criteria were significantly improved (P < 0.0001 ),1 criteria was improved ( P < 0.05 ),whereas 1 criteria was failed to observe ; while 2 criteria had no significant difference (P > 0.05) (one of which was more than 95% achieved,and the other one was 0% and 4.1% achieved before and after the

  9. 普通外科住院患者营养风险筛查及营养支持应用情况%Nutritional risk screening and application of nutritional support for hospitalized patients in general surgical wards

    Institute of Scientific and Technical Information of China (English)

    张海鸣; 周科军; 潘瑞蓉; 王涛涛; 周晶晶; 夏松; 王宏星

    2015-01-01

    目的 调查普通外科住院患者营养风险、营养不良发生率及营养支持应用情况,评价营养支持的合理性.方法 普通外科住院患者1 236例,采用营养风险评估法(NRS 2002)进行营养风险筛查,对存在营养风险患者进行营养不良评估,并分析患者营养风险发生率及营养支持比例. 结果 共1 156名患者完成NRS 2002筛查,完成率93.5%,其中肝胆胰疾病患者521例,胃肠疾病患者635例. 营养风险总发生率为39.1%,营养不良发生率为52.7%;胃肠疾病患者的营养风险及营养不良发生率(43.0%、26.5%)均高于肝胆胰疾病患者(34.4%、13.4%) ( P<0.05);有营养风险且营养不良患者、有营养风险但无营养不良患者以及无营养风险且无营养不良患者行营养支持者分别占64.7%、66.8%、16.9%,所有患者肠外和肠内营养的应用比例为3.1 :1. 结论 普通外科住院患者存在明显的营养风险或营养不足,不同疾病的营养风险及营养不良发生率不同,应注意分病种筛查和评估;有营养风险患者给予营养支持率不足,肠内肠外营养应用存在明显不合理性.%Objective To investigate the incidences of nutritional risk and malnutrition,and the application of nutrition support among hospitalized patients in general surgical wards, and to evaluate the rationality of nutrition support.Methods A nutritional risk screening was performed in 1 236 hospitalized patients in the general surgery ward with nutritional risk screening 2002 ( NRS2002 ) .The assessment on the condition of malnutrition was conducted in the patients with nutritional risk.The incidence of nutritional risk and the proportion of the patients accepting nutrition support were analyzed.Results A total of 1 156 patients were involved in the NRS2002 screening,with the response rate of 93.5%.There were 521 patients with liver,gallbladder and pancreas diseases,and 635 patients with gastrointestinal diseases.The overall incidence of

  10. Screening of Nutritional Parameters for the Production of Protease from Aspergillus Oryzae

    Directory of Open Access Journals (Sweden)

    G. Srinubabu

    2007-01-01

    Full Text Available Production of protease enzyme by fungus Aspergillus oryzae was investigated. The proteolytic activity was observed when the fungus was grown in the medium containing glucose, malt extract, yeast extract, peptone, K2HPO4, MgSO4 and FeSO4. The present paper describes the screening of media components and fermentation conditions in shake flask. The organism utilized carbon sources glucose, fructose, sucrose, lactose, dextrin and starch among them glucose was found to be the best carbon source, for nitrogen sources various inorganic and organic media components were investigated among them peptone is found to be the best nitrogen source. 1% cottonseed followed by 2% Soya bean meal was found to be the best inducer. With optimized media two-fold increase in the protease production. The fungus growth depends on the concentration of carbon, nitrogen and salt solution, where as the enzyme production was also influenced by the culture time, pH and interaction between these two variables.

  11. MNA® Mini Nutritional Assessment as a nutritional screening tool for hospitalized older adults; rationales and feasibility Uso del mini nutritional assessment como herramienta de cribaje nutricional en la población mayor de 65 años en el ámbito hospitalario; conveniencia y factibilidad

    OpenAIRE

    Calvo, I.; Olivar, J.; Martínez, E.; A. Rico; J. Díaz(Universitat de Valencia Dpto. de Física Atómica, Molecular y Nuclear, Spain); M. Gimena

    2012-01-01

    The high prevalence of malnutrition in the growing population of older adults makes malnutrition screening critical, especially in hospitalized elderly patients. The aim of our study was to evaluate the use of the MNA® Mini Nutritional Assessment in hospitalized older adults for rapid evaluation of nutritional risk. A prospective cohort study was made of 106 patients 65 years old or older admitted to an internal medicine ward of a tertiary-care teaching hospital to evaluate the use of the sho...

  12. 呼吸科住院患者营养风险筛查和营养支持应用调查%Nutritional risk screening and application of nutritional support in hospitalized patients of respiratory department

    Institute of Scientific and Technical Information of China (English)

    夏进; 梁宗安

    2011-01-01

    Objective To investigate the prevalence of undernutrition , nutritional risk and nutritional support in respiratory department.Methods 395 adult patients were consecutively enrolled from august to september 2010 in respiratory department of West China Hospital, Siehuan University.Nutritional screening was conducted and nutritional support was evaluated , also, the relationship between the nutritional risk and nutritional support was analyzed.Results Among all 395 patients, malnutrition rate and nutritional risk were 19.0% and 47.3%.The nutritional risk of older group was signifinantly higher than that of the younger one (57.0 % and 34.1%, P < 0.01 ).The average length of stay of patients with nutritional risk was nuch longer than those without( 10.0 ± 5.0 and 13.4 ± 10.0, P < 0.01 ); patients hospitalized with severe pneumonia, acute exacerbation of chronic obstructive pulmonary disease and pulmonary fibrosis are more likely to have nutritional risk, among them, severe pneumonia is most likely.Nutritional support rate among the patients with nutritional risk and without were 29.4% and 7.7%.Conclusion A large proportion of inpatients were undernutrition or at nutritional risk in respiratory department.The application of nutritional support is inappropriate.NRS2002 can be used in nutritional assessment in hospitalized patients with respiratory disorder, guiding rational use of nutritional support.%目的 调查呼吸科住院惠者营养不足、营养风险及营养支持使用情况.方法 采用定点连续抽样,对2010年8月~9月在四川大学华西医院呼吸科住院的395例患者进行营养筛查,并调查其营养支持情况,分析二者问关系.结果 395例患者中,营养不足及营养风险发生率分别为19.0%和47.3%;老年组(≥60岁)营养风险发生率明显高于中青年组(<60岁),分别为57.0%和34.1%(P<0.01);存在营养风险的患者的平均住院日较无营养风险者明显延长,分别为(10.0±5.0)d

  13. Risk stratification based on nutritional screening on admission: Three-year clinical outcomes in hospitalized patients with acute heart failure syndrome.

    Science.gov (United States)

    Fujino, Masashi; Takahama, Hiroyuki; Hamasaki, Toshimitsu; Sekiguchi, Kenichi; Kusano, Kengo; Anzai, Toshihisa; Noguchi, Teruo; Goto, Yoichi; Kitakaze, Masafumi; Yokoyama, Hiroyuki; Ogawa, Hisao; Yasuda, Satoshi

    2016-11-01

    Several blood tests are commonly used to assess nutritional status, including serum albumin levels (SAL) and lymphocyte counts (LC). The aim of this study is to investigate whether nutritional screening on admission can be used to determine risk levels for adverse clinical events in acute heart failure syndrome (AHFS) patients. In 432 consecutive AHFS patients, we measured SAL and LC and prospectively followed the patients for their combined clinical events (all-cause death and re-hospitalization for heart failure) for three years from admission. The classification and regression tree (CART) tool identified the cut-off criteria for SAL and LC to differentiate among patients with different risks of clinical events as 3.5g/dl and 963/mm(3), respectively. The CART tool classified 15.5% patients as high risk, 15.7% as intermediate risk, and 68.8% as low risk. The CART for nutritional status (CART-NS) values were strongly correlated with combined clinical events [hazard ratio of 2.13 (low vs high risk), 95% confidence interval of 1.42-3.16, p5g/dl: 70.2, 42.4% or LC algorithm for nutritional screening, even in emergency clinical settings, can determine risk levels for further adverse events in AHFS patients. Copyright © 2016 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

  14. Dental Fluorosis

    Science.gov (United States)

    ... have been broadly termed dental fluorosis. What is dental fluorosis? Dental fluorosis is a condition that causes ... less than 2 milligrams per liter. What causes dental fluorosis? Dental fluorosis is caused by taking in ...

  15. Dental Amalgam

    Science.gov (United States)

    ... Products and Medical Procedures Dental Devices Dental Amalgam Dental Amalgam Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print Dental amalgam is a dental filling material which is ...

  16. Appliance and comparison of Nutritional Risk Screening versus Mini Nutritional Assessment for nutritional screening in elderly inpatients with type 2 diabetes mellitus%营养风险筛查和简易营养评价在老年2型糖尿病住院患者营养筛查中的应用和比较

    Institute of Scientific and Technical Information of China (English)

    刘鹏举; 方京徽

    2011-01-01

    调查老年T2DM患者营养风险、营养不良(不足)、超重/肥胖发生率,比较营养风险筛查2002(NRS2002)和简易营养评价(MNA)用于住院老年T2DM患者营养筛查的结果.采用连续定点抽样,对于符合人选标准且获知情同意的268例老年T2DM患者在入院次日晨分别采用NRS2002和MNA进行营养筛查. 结果268例患者全部完成NRS2002和MNA.用BMI中国标准判定营养不足、超重和肥胖的发生率分别为7.8%、34.7%和12.0%;NRS2002筛查显示营养风险发生率为30.2%,MNA筛查显示营养不足发生率为33.2%,两种方法 筛查的结果差异无显著性意义(P=0.458). 结论 NRS2002和MNA均适用于老年T2DM患者的营养筛查.NRS2002更简便易行,可操作性更强.%Objective To investigate the prevalence of nutritional risk, malnutrition (undernutrition), and overweight/obesity and to compare the results between Nutritional Risk Screening 2002(NRS2002) and Mini Nutritional Assessment (MNA) in elderly inpatients with type 2 diabetes mellitus. Methods Total 268 patients who met the entry criteria and signed informed consent were consecutively enrolled in this study. Nutritional screening for all the patients was performed by NRS2002 and MNA in the next morning of hospital admission. Results All the patients completed both NRS2002 and MNA. According to the Chinese body mass index(BMI) standard, the prevalences of undernutrition, overweight,and obesity were 7. 8%, 34. 7%, and 12. 0%, respectively. Prevalence of nutritional risk or undernutrition screened by NRS2002 or MNA was 30.2% or 33.2%, respectively. No significant difference was observed between the results of the two screening tools (X2 = 0. 551, P = 0. 458) . Conclusions Both NRS2002 and MNA are feasible for nutritional screening in elderly inpatients with type 2 diabetes mellitus,and NRS2002 is more simple and practicable.

  17. Gender Differences in Elders’ Participation in the National Can-cer Screening Program: Evidence from the Korean National Health and Nutrition Examination Survey 2010–12

    Directory of Open Access Journals (Sweden)

    Yang-Hyun KIM

    2015-10-01

    Full Text Available Background: Cancer-screening programs are effective in reducing cancer prevalence and mortality; however, cancer remains the leading cause of death in elderly people in Korea. The aim of this study was to identify the factors associated with elders’ participation in the National Cancer Screening Program (NCSP and differences in screening rates by gender.Methods: Original data from the Korea National Health and Nutrition and Examination Survey were analyzed by logistic regression analysis. The sample consisted of 5,505 elderly individuals over age 60. Selected demographic variables, cancer screening participation, physical and psychological health status, and lifestyle were examined.Results: The NCSP participation rates decreased in both men and women as age increased. Private medical insurance (OR 95% CI: 1.04–1.78, one or more chronic disease (OR 95% CI: 1.07–1.71, and current smoker (OR 95% CI: 0.52–0.94 had the strongest associations with cancer screening participation among men after multivariate adjustment. In contrast, cancer screening participation among women was significantly associated only with living place (OR 95% CI: 1.06–2.203 after multivariate adjustment.Conclusions: Effective health promoting interventions for elders require individualized programs that address gender-related factors associated with elders’ participation in cancer screening programs.

  18. Socioeconomic status, food security, and dental caries in US children: mediation analyses of data from the National Health and Nutrition Examination Survey, 2007-2008.

    Science.gov (United States)

    Chi, Donald L; Masterson, Erin E; Carle, Adam C; Mancl, Lloyd A; Coldwell, Susan E

    2014-05-01

    We examined associations of household socioeconomic status (SES) and food security with children's oral health outcomes. We analyzed 2007 and 2008 US National Health and Nutrition Examination Survey data for children aged 5 to 17 years (n = 2206) to examine the relationship between food security and untreated dental caries and to assess whether food security mediates the SES-caries relationship. About 20.1% of children had untreated caries. Most households had full food security (62%); 13% had marginal, 17% had low, and 8% had very low food security. Higher SES was associated with significantly lower caries prevalence (prevalence ratio [PR] = 0.77; 95% confidence interval = 0.63, 0.94; P = .01). Children from households with low or very low food security had significantly higher caries prevalence (PR = 2.00 and PR = 1.70, respectively) than did children living in fully food-secure households. Caries prevalence did not differ among children from fully and marginally food-secure households (P = .17). Food insecurity did not appear to mediate the SES-caries relationship. Interventions and policies to ensure food security may help address the US pediatric caries epidemic.

  19. Validación de una herramienta de cribado nutricional para pacientes pediátricos hospitalizados Validation of a nutritional screening tool for hospitalized pediatric patients

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    R. A. Lama More

    2012-10-01

    present, there is no consensus about the most suitable nutrition screening tool for pediatric patients. Aim: To validate STAMP (Screening Tool for the Assessment of Malnutrition in Pediatrics pediatric screening tool in Spain. Methods: Descriptive cross-sectional study of patients admitted to a 3rd level children's hospital with both medical and surgical specialities. During the first 24 hours of admission, STAMP screening tool was applied. For its validation, results were compared with those obtained from a nutritional assessment performed by specialist staff, which included clinical, anthropometric and body composition data. Results: A sample of 250 children was studied. Nutritional assessment identified 64 patients (25.6% under risk, 40 of whom were malnourished (16%. STAMP classified 48.4% of the patients as being under nutritional risk. This tool showed 75% sensitivity and 60.8% specificity when identifying patients under risk according to nutritional assessment. It showed 90% sensitivity and 59.5% specificity when identifying malnourished patients. Comments: Malnutrition was less frequent than that reported in other European countries, although diagnosis technique was different. STAMP is a simple and useful tool for nutritional screening, avoiding the need to assess all patients on admission in order to identify those under nutritional risk.

  20. Doctor, Clinic, and Dental Visits

    Science.gov (United States)

    ... Viral Suppression Doctor, Clinical & Dental Visits Treatment Adherence Mental Health Substance Abuse Issues Sexual Health Nutrition & Food Safety Exercise Immunizations Aging with HIV/AIDS Women’s Health Housing ...

  1. Comparative Analysis of Normal versus Fetal Growth Restriction in Pregnancy: The Significance of Maternal Body Mass Index, Nutritional Status, Anemia, and Ultrasonography Screening

    Directory of Open Access Journals (Sweden)

    Laxmichaya D. Sawant

    2013-01-01

    Full Text Available Fetal growth restriction or intrauterine growth restriction is one of the leading causes of perinatal mortality and morbidity in newborns. Fetal growth restriction is a complex multifactorial condition resulting from several fetal and maternal disorders. The objective of this study was twofold: first to examine the correlation between maternal parameters such as body mass index (BMI, nutritional status, anemia, and placental weight and diameter, and their effects on fetal growth and then to evaluate the effect of early screening by ultrasonography (USG on the outcome of growth restricted pregnancies. In this study, 53 cases of fetal growth restriction were compared to 53 normal fetuses delivered in consecutive sequence. Growth restricted fetuses were delivered earlier in gestation, when compared with normal growth fetuses. Maternal anemia and malnutrition have significant association with the fetal growth restriction. Maternal anthropometry, such as low BMI, had effects on placental diameter and weight, which, in turn, adversely affected fetal weight. Thus, early USG screening along with robust screening for maternal BMI, nutritional status, and anemia can assist the obstetric team in providing early diagnosis, prompt intervention, and better outcome in pregnancy with fetal growth restriction.

  2. How Group Size and Composition Influences the Effectiveness of Collaborative Screen-Based Simulation Training: A Study of Dental and Nursing University Students Learning Radiographic Techniques

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    Tor Söderström

    2012-12-01

    Full Text Available This study analyses how changes in the design of screen-based computer simulation training influence the collaborative training process. Specifically, this study examine how the size of a group and a group’s composition influence the way these tools are used. One case study consisted of 18+18 dental students randomized into either collaborative 3D simulation training or conventional collaborative training. The students worked in groups of three. The other case consisted of 12 nursing students working in pairs (partners determined by the students with a 3D simulator. The results showed that simulation training encouraged different types of dialogue compared to conventional training and that the communication patterns were enhanced in the nursing students ́ dyadic simulation training. The concrete changes concerning group size and the composition of the group influenced the nursing students’ engagement with the learning environment and consequently the communication patterns that emerged. These findings suggest that smaller groups will probably be more efficient than larger groups in a free collaboration setting that uses screen-based simulation training.

  3. 老年住院患者营养风险筛查及营养支持状况%Nutritional risk screen and nutritional interventions in the elderly inpatients

    Institute of Scientific and Technical Information of China (English)

    朱跃平; 丁福; 刘欣彤; 肖谦; 马厚勋; 吕洋; 何锡珍; 杨君; 曾懿

    2013-01-01

    目的 调查老年住院患者的营养风险、营养不足发生率以及营养支持状况,为指导老年住院患者营养治疗提供依据.方法 采用定点连续抽样的方法,用营养风险筛查表(NRS2002)对426例老年住院患者进行营养风险筛查,NRS2002总分≥3分为有营养风险;体重指数(BMI) <18.5 kg/m2(或血清白蛋白< 30 g/L)为营养不足.调查营养干预情况,分析营养风险与营养干预之间的关系.结果 426例老年住院患者中,营养不足和营养风险的发生率分别为30.5%和55.2%,其中老年期痴呆患者(80.6%,)、恶性肿瘤(79.1%)、肺部感染或COPD(71.2%)和危重症患者(心力衰竭、呼吸衰竭或肾功能不全75%)营养风险的发生率较高.426例患者中,199例(46.7%)接受了营养支持,其中有营养不足和营养风险患者的营养支持率为75.8% (178/235),无营养风险患者的营养支持率为19.9%(38/191).结论 老年住院患者营养不足、营养风险发生率较高,尤其以老年期痴呆患者更为突出,但临床营养支持却存在不合理性.因此,对老年住院患者的临床营养支持的规范性值得进一步探讨.%Objective To investigate nutritional risks,under-nutrition rates and nutritional interventions among elderly inpatients in order to provide evidences of nutritional support.Methods The international standard of Nutritional Risk Screening (NRS,2002) was applied to assessment the nutritional risks of 426 elderly inpatients with fix-point consecutive sampling.The total score of NRS ≥3 indicated the nutritional risk,body mass index (BMI) < 18.5 kg/m2 or serum albumin < 30 g/L indicated undernutrition.The nutritional interventions,the relationship between nutritional risks and nutritional support was analyzed.Results The respectively rate of undernutrition and nutritional risk was 30.5% and 55.2% among 426 elderly inpatients.The rate of nutritional risks in proper ordered for patients with

  4. Nutritional screening tools application in a general hospital: a comparative study Aplicação de instrumentos de triagem nutricional em hospital geral: um estudo comparativo

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    Janaína Damasceno Bezerra

    2012-05-01

    Full Text Available Introduction: There are many nutritional screening tools and it becomes difficult to choose which one is the best to be used in clinical nutrition practice. Objective: To compare five nutritional screening tools (MST, NRS-2002, MUST, MNA and MNA-SF in adults and elderly hospitalized. Materials and Methods: A cross-sectional study, with the application of nutritional screening tools in adult and elderly patients in the first 48 hours of hospitalization was performed. Nutritional risk occurrence between adult and elderly patients was compared. Statistical analyses were performed using descriptive data and a non-parametric test (Man Whitney. Results: We evaluated 77 patients, 51 (66.2% adults and 26 (33.8% elderly, aged 53.6 (standard deviation of 17.9 years, with female predominance (53.2%. The main reasons for hospitalization were neoplasia and nephrolithotripsy. Overall, one quarter of patients was at nutritional risk. Nutritional risk in adults was detected with similarity by MUST and MST. However it was underestimated by NRS-2002. The MNA and MNA-SF, exclusively for the elderly, also had similar result to detect nutritional risk. In relation to the time of application, the MNA was the instrument with longer application time. Conclusion: Considering the higher detection of patients with nutritional risk, the easiness and the lower application time, we suggest, respectively, MUST and MNA-SF to be used in adult and elderly patients admitted in this hospital.Introdução: Com inúmeros instrumentos de triagem nutricional existentes, é difícil eleger o mais adequado para os protocolos de nutrição hospitalar. Objetivo: Comparar cinco instrumentos de triagem nutricional (MST, NRS-2002, MUST, MNA e MNA-SF em adultos e idosos hospitalizados. Materiais e Métodos: Nesse estudo transversal, cinco instrumentos de triagem nutricional foram aplicados aos pacientes nas primeiras 48 horas de internação hospitalar. A ocorrência de risco nutricional

  5. [Factors impacting the growth and nutritional status of cystic fibrosis patients younger than 10 years of age who did not undergo neonatal screening].

    Science.gov (United States)

    Hortencio, Taís Daiene Russo; Nogueira, Roberto José Negrão; Marson, Fernando Augusto de Lima; Hessel, Gabriel; Ribeiro, José Dirceu; Ribeiro, Antônio Fernando

    2015-01-01

    The aim of this study was to evaluate by clinical and laboratory parameters how cystic fibrosis (CF) affects growth and nutritional status of children who were undergoing CF treatment but did not receive newborn screening. A historical cohort study of 52 CF patients younger than 10 years of age were followed in a reference center in Campinas, Southeast Brazil. Anthropometric measurements were abstracted from medical records until March/2010, when neonatal screening program was implemented. Between September/2009 and March/2010, parental height of the 52 CF patients were also measured. Regarding nutritional status, four patients had Z-scores ≤ -2 for height/age (H/A) and body mass index/age (BMI/A). The following variables were associated with improved H/A ratio: fewer hospitalizations, longer time from first appointment to diagnosis, longer time from birth to diagnosis and later onset of respiratory disease. Forced vital capacity [FVC(%)], forced expiratory flow between 25-75% of FVC [FEF25-75(%)], forced expiratory volume in the first second [FEV1(%)], gestational age, birth weight and early respiratory symptoms were associated with IMC/A. Greater number of hospitalizations, diagnosis delay and early onset of respiratory disease had a negative impact on growth. Lower spirometric values, lower gestational age, lower birth weight, and early onset of respiratory symptoms had negative impact on nutritional status. Malnutrition was observed in 7.7% of cases, but 23% of children had nutritional risk. Copyright © 2014 Associação de Pediatria de São Paulo. Publicado por Elsevier Editora Ltda. All rights reserved.

  6. Adjunctive screening devices for oral lesions: their use by Canadian Dental Hygienists and the need for knowledge translation.

    Science.gov (United States)

    Laronde, D M; Corbett, K K

    2015-12-22

    Screening for oral cancer and other mucosal conditions is a knowledge-to-action objective that should be easy: there is supportive evidence, it is fast and non-invasive, and the oral cavity is easy to visualize. However, over 60% of oral cancers are diagnosed late, when treatment is complex and prognosis poor. Adjunctive screening devices (ASDs), e.g. toluidine blue (TB), fluorescence visualization (FV), chemiluminescence (CL) and brush biopsies, were designed to assess risk of oral lesions or aid in identification and localization of oral premalignant and malignant lesions. Little is known on how clinicians feel about using ASDs.

  7. 住院患儿营养风险筛查的证据报告%Evidence Report of Nutritional Risk Screening of Hospitalized Children

    Institute of Scientific and Technical Information of China (English)

    张慧文; 顾莺

    2016-01-01

    Objective To explore the best evidence of nutritional risk screening of hospitalized children. Methods We conducted literature review in Cochrane Library, JBI library, Canadian Clinical Practice Guidelines Online, EBM reviews, Nursing consult, PubMed, Embase, Sinomed and CNKI for literatures on basic guideline, systematic reviews and diagnostic studies of nutritional risk screening of hospitalized children and the studies were critically appraised by two reviewers. Then the data of included studies were extracted. Results Seven studies were included with 1 study of basic guideline, 2 studies on systematic review and 4 diagnostic studies. It is supposed to conduct nutritional risk screening based on evidence requirement. With sensitivity of 80% and specificity of 49%, Screening Tool for Risk on Nutritional status and Growth, (STRONGkids) was suitable for screening children with high risk but The Paediatric Yorkhill Malnutrition Score (PYMS) was with low sensitivity when used in screening children with low risk. Conclusion With high sensitivity, STRONGkids is a suitable tool for screening nutritional risk of hospitalized children in clinic.%目的:评价总结住院患儿营养风险筛查最佳证据。方法计算机检索 Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、加拿大临床实践指南数据库、美国指南网、EBM reviews、Nursing consult、PubMed、Embase、中国生物医学文献数据库及中国知网内关于住院患儿营养风险筛查的所有指南、系统评价及诊断性研究。由2名研究者分别对文献质量进行评价和资料提取并对符合质量标准的文献进行证据提取。结果共纳入7篇文献,其中以专家共识为基础指南1篇,系统评价2篇和诊断性研究4篇。建议医疗机构根据证据要求对住院患儿进行营养风险筛查。营养状态和生长发育风险筛查工具更容易实施,其敏感度为80%,特异度为49%,且其筛选高风险

  8. 住院患儿营养风险筛查及营养评估%Clinical application of the nutritional risk screening and nutrition assessment in hospitalized children

    Institute of Scientific and Technical Information of China (English)

    何冰洁; 廖艳; 刘玉玲; 龙晓玲; 温小丽; 付四毛

    2014-01-01

    目的 调查住院患儿的营养风险及营养不良发生情况,为临床进行营养支持提供依据.方法 采用STRONGkids营养风险筛查工具对651例住院患儿进行营养风险筛查,并通过体格测量评估儿童营养状况,同时记录住院期间患儿的诊断、住院时间等资料并进行分析.结果 651例住院患儿中,7.07%(46例)存在高度营养风险,80.95%(527例)存在中度营养风险,11.98%(78例)为低度营养风险.营养不良检出率是22.58%,其中中度营养不良111例(17.05%),重度营养不良36例(5.53%).先天性心脏病、慢性肝病、慢性肾病为存在高度营养风险疾病前3位(x2=21.43,P<0.01);根据营养评价的结果显示患有先天性心脏病、慢性肾病的患儿发生重度营养不良的比例远高于其他疾病(x2=16.53,P<0.05).高度营养风险患儿住院期间较低度营养风险患儿更容易出现体质量丢失(P<0.05),其住院时间明显长于中、低度营养风险患儿(P<0.05).结论 住院患儿营养不良发生率高,营养风险不同导致临床结局不同;STRONGkids评分法评估住院儿童的营养风险,能早期发现住院期间营养不良以及有恶化可能的患者,有利于及时给予全面的营养评估以及早期合理的营养治疗,改善临床结局.%Objective To investigate hospitalized children's nutritional risk and malnutrition occurrence,and to provide clinical basis for nutrition support.Methods Nutritional risk screening tool STRONGkids was applied to 651 cases of hospitalized children with nutritional risk screening,and through physical measurement to assess children' s nutritional status,at the same time during the patient's diagnosis,the length of time data for analysis was recorded.Results Of 651 cases of hospitalized children,7.07% (46 cases) were of highly nutritional risk,80.95% (527 cases) with moderate nutrition risk,and 11.98% (78 cases) were of low nutrition risk.Malnutrition rate was 22.58

  9. Incidence of dental caries in chronic urticaria

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    Kaur Surrinder

    1991-01-01

    Full Text Available Three hundred patients of chronic urticaria were screened for dental affections. Sixty two (20.66% patients were detected to have dental caries. Among the control group which com-prised of 100 patients, 20% had dental caries. There was thus no increased incidence of dental caries among patients with urticaria. Only 2 patients had remission of urticaria following treat-ment of caries. Dental caries therefore is probably not a cause of chronic urticaria.

  10. Influence of nutrition on oral health

    OpenAIRE

    Grgić, Olja; Blagojević, Duška

    2012-01-01

    Introduction. Diet has a great impact on oral health. Hence, poor nutrition, and consistent bad eating habits lead to a number of diseases and malformations in the maxillofacial area, such as dental caries and dental erosions. The authors of this study have attempted to give clinical guidelines for correcting diet in order to prevent dental caries and dental erosions. Material and Methods. The material for the present work was obtained from available domestic and foreign literature. Dental Ca...

  11. An In Vitro Procedure for Phenotypic Screening of Growth Parameters and Symbiotic Performances in Lotus corniculatus Cultivars Maintained in Different Nutritional Conditions

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    Vladimir Totev Valkov

    2016-10-01

    Full Text Available The establishment of legumes crops with phenotypic traits that favour their persistence and competitiveness in mixed swards is a pressing task in sustainable agriculture. However, to fully exploit the potential benefits of introducing pasture-based grass-legume systems, an increased scientific knowledge of legume agronomy for screening of favourable traits is needed. We exploited a short-cut phenotypic screening as a preliminary step to characterize the growth capacity of three different Lotus corniculatus cvs cultivated in different nutritional conditions as well as the evaluation of their nodulation capacities. This experimental scheme, developed for legume species amenable to grow on agar plates conditions, may represent a very preliminary step to achieve phenotypic discrimination on different cultivars.

  12. An In Vitro Procedure for Phenotypic Screening of Growth Parameters and Symbiotic Performances in Lotus corniculatus Cultivars Maintained in Different Nutritional Conditions.

    Science.gov (United States)

    Valkov, Vladimir Totev; Chiurazzi, Maurizio

    2016-10-13

    The establishment of legumes crops with phenotypic traits that favour their persistence and competitiveness in mixed swards is a pressing task in sustainable agriculture. However, to fully exploit the potential benefits of introducing pasture-based grass-legume systems, an increased scientific knowledge of legume agronomy for screening of favourable traits is needed. We exploited a short-cut phenotypic screening as a preliminary step to characterize the growth capacity of three different Lotus corniculatus cvs cultivated in different nutritional conditions as well as the evaluation of their nodulation capacities. This experimental scheme, developed for legume species amenable to grow on agar plates conditions, may represent a very preliminary step to achieve phenotypic discrimination on different cultivars.

  13. An In Vitro Procedure for Phenotypic Screening of Growth Parameters and Symbiotic Performances in Lotus corniculatus Cultivars Maintained in Different Nutritional Conditions

    Science.gov (United States)

    Valkov, Vladimir Totev; Chiurazzi, Maurizio

    2016-01-01

    The establishment of legumes crops with phenotypic traits that favour their persistence and competitiveness in mixed swards is a pressing task in sustainable agriculture. However, to fully exploit the potential benefits of introducing pasture-based grass-legume systems, an increased scientific knowledge of legume agronomy for screening of favourable traits is needed. We exploited a short-cut phenotypic screening as a preliminary step to characterize the growth capacity of three different Lotus corniculatus cvs cultivated in different nutritional conditions as well as the evaluation of their nodulation capacities. This experimental scheme, developed for legume species amenable to grow on agar plates conditions, may represent a very preliminary step to achieve phenotypic discrimination on different cultivars. PMID:27754365

  14. 营养风险筛查对普外科住院患者的重要性分析%Importance Analysis of Nutrition Risk Screening on the Hospitalized Patients of General Surgery

    Institute of Scientific and Technical Information of China (English)

    李兆云

    2015-01-01

    术前营养不良是影响手术愈合的重要原因,老年患者、胃肠外科患者增多使得外科营养问题更为突出。营养分析筛查可以有效筛查外科住院患者的营养情况,并可结合筛查结果对患者制定相应的营养支持计划,这可以更好地改善普外科住院患者的预后,进而促使外科营养的地位从“营养支持”向“营养治疗”转变。%Preoperative malnutrition is an important cause of surgical healing,the number of elderly patients and patients with gastrointestinal surgery makes surgical nutrition problems more prominent.Nutritional analysis screening can effectively screen the nutritional status of hospitalized patients,and can be combined with the screening results to develop appropriate nutritional support program,this can better improve the prognosis of patients in Department of general surgery,then promote the surgical nutrition status from the “nutritional support” to the “nutrition treatment”.

  15. 胃肠肿瘤化疗患者营养风险筛查和营养支持状况分析%Screening on nutritional risk and analysis of nutritional support in patients with gastrointestinal tumor during chemotherapy

    Institute of Scientific and Technical Information of China (English)

    王群; 杨志刚; 严俊; 许辉东; 邢戌健

    2014-01-01

    Objective To explore the incidence of nutritional risk and status of nutritional support in patients with gastrointestinal tumor during chemotherapy,and to provide the evidence for rational application of nutritional support. Methods A total of 136 patients with gastrointestinal tumor during chemotherapy including 64 cases of NRS ﹤ 3(NRS negative group)and 72 cases of NRS≥3(NRSpositive group)were assessed by Nutritional Risk Screening in 2002(NRS2002). According to whether administration of parenteral nutrition support or not,patients in NRS positive group were divided into observation group(n=36)and control group(n=36). The nutritional status and main toxicities were observed. Results In these 136 cases,the incidence of nutritional risk was 52. 9%. The percentage of NRS≥3 in patients aged over 50 years old was 62. 0%,which was higher than that(43. 1%)of patients aged under 50 years old(P﹤0. 05). After chemotherapy for 4 weeks,the blood levels of ALB,PA and HB in all groups were reduced compared with those before chemotherapy,these indicators in control group were all lower than those of observation group P﹤0. 05). The degree of liver impairment in observation group was significantly lower than that of control group(P﹤0. 05). Conclusion The incidence of nutritional risk in patients with gastrointestinal tumor during chemotherapy is high,nutritional support during chemotherapy can improve nutrition status and enhance the tolerance of chemotherapy,hence their prognosis may be improved.%目的探讨胃肠肿瘤化疗患者营养风险发生率和营养支持状况,为合理使用营养支持提供参考。方法采用营养风险筛查2002(NRS2002)对136例胃肠肿瘤患者化疗前营养风险进行评估,其中NRS﹤3分64例(NRS 阴性组),NRS≥3分72例( NRS阳性组)。根据是否进行肠外营养支持,将NRS阳性组中的患者分为观察组和对照组,每组各36例。比较患者化疗前后营养

  16. Pediatric patients with diabetes nutrition risk screening and nutrition assessment%小儿糖尿病患者营养风险筛查和营养评价

    Institute of Scientific and Technical Information of China (English)

    楚敏; 董晓燕; 张静; 王洁; 姚媛

    2013-01-01

    Objective: to pediatric patients with diabetes nutritional assessment and nutritional risk screening. Methods: from 2010 -2011 year in our hospital treatment for pediatric patients with diabetes 80 cases, for these patients by mini nutritional assessment ( MNA ) and biochemical detection of pediatric patients with diabetes were a comprehensive nutritional evaluation. Results: the mini nutritional assessment ( MNA ) display in pediatric patients with diabetes in malnourished patients with the proportion of 18.75%, with risk of malnutrition in patients with the proportion of 63.75%, nutrition in patients with normal proportion was 17.50%; and in biochemical assays, the nutrition of the normal pediatric diabetes patients with malnutrition pediatric patients with diabetes compared, its total lymphocyte count ( TLC ) were significantly higher than the malnourished group, with significant difference ( P<0.05 ). Conclusion: the mini nutritional assessment ( MNA ) determination of the nutritional status of the diabetic patients, contribute to the early detection of such patients at nutritional risk and earlier improvement program, conducive to the patient's clinical treatment.%目的:对小儿糖尿病患者进行营养评价和营养风险筛查.方法:选取2010年-2011年间在我院接受治疗的小儿糖尿病患者80例,对这些患者采用微型营养评价法(MNA)和生化检测来对小儿糖尿病患者进行一个综合的营养评价.结果:微型营养评价法(MNA)显示在小儿糖尿病患者中营养不良患者所占的比例为18.75%,具有营养不良危险的患者所占的比例为63.75%,营养正常的患者所占的比例为17.50%;而在生化检测中,营养正常的小儿糖尿病患者与营养不良的小儿糖尿病患者相比,其总淋巴细胞计数(TLC)都要明显高于营养不良组,具有统计学差异(P<0.05).结论:利用微型营养评价法(MNA)测定小儿糖尿病患者的营养状况,有助于及早发

  17. 住院儿童营养风险筛查及分析%Screening and analysis of nutritional risk in hospitalized children

    Institute of Scientific and Technical Information of China (English)

    张芳; 李惠玲; 李萍; 汪健

    2016-01-01

    目的:了解住院儿童营养风险状况和营养高风险的分布特点,为临床营养支持明确方向。方法运用儿科营养不良评估筛查工具对苏州大学附属儿童医院2015年3-4月符合营养风险评定标准的4728例住院患儿进行营养风险筛查。运用SPSS 19.0统计分析不同性别、年龄、专科住院儿童营养高风险的发生率及各项评分。结果4728例住院儿童中,营养高风险发生率为18.21%,内科22.74%,外科9.22%;住院儿童居营养高风险发生率前三位的是消化科(40.10%)、肾脏风湿免疫科(32.13%)、心血管内科(26.06%);女性住院儿童营养高风险的发生率比男性高(19.99%与17.27%),差异有统计学意义(P<0.05);7岁以上住院儿童的营养高风险发生率最高(24.91%),不同年龄住院儿童营养高风险发生率比较差异有统计学意义(χ2=64.844,P<0.05);4~7岁住院儿童营养风险总评分最高,为(4.76±1.13)分,其次是7岁以上住院儿童(4.71±1.27)分,不同年龄营养高风险住院儿童的营养风险评分比较差异有统计学意义( P<0.05)。结论住院儿童存在较高的营养风险且分布存在差异,1岁及以内的消化系统疾病或手术患儿、3岁以上的慢性疾病患儿是临床营养干预的重点。%Objective To know the status of nutritional risk and the distributing characteristics of high nutritional risk, and provide references for clinical nutrition support. Methods Totally 4 728 hospitalized children that accorded with the assessment standard of nutritional risk in Children′s Hospital of Soocow University from March 2015 to April 2015 were screened out by pediatric nutrition assessment screening tool as the research object. The occurrence of high nutritional risk of hospitalized children and the scores were analyzed by SPSS 19.0 according to different sex, age and departments.Results Among 4 728 hospitalized children, the occurrence rate of high nutritional risk

  18. 胃癌患者营养风险筛查临床现状调查及分析%Investigation and Analysis on the Clinical Situation of Nutritional Risk Screening in Patients with Gastric Cancer

    Institute of Scientific and Technical Information of China (English)

    印义琼; 刘春娟; 刘丽容; 钟静; 文曰

    2011-01-01

    Objective To investigate the clinical situation of nutritional risk screening for hospitalized patients with gastric cancer. Methods From September 2009 to January 2010, we applied nutrition risk screening 2002 (NRS 2002) to investigate the nutritional status of 120 hospitalized gastric cancer patients in the surgery department of a tertiary hospital, and analyzed the way of nutritional support for these patients. Results Among all the patients, the incidences of undernutrtion and nutritional risk were respectively 11. 7% and 27. 5%. Twenty-six out of the 33 nutritional risk patients received nutrition support, and 30 out of the 87 patients without nutritional risk received nutrition support. Conclusions Nutritional support for patients with nutritional risk is important in decreasing the occurrence of in-hospital infectious complications and other bad clinical outcomes. NRS 2002 is a simple and easy tool for predicting the nutrition risk in hospitalized gastric cancer patients, but the guideline of enteral nutrition and parenteral nutrition must be reinforced among doctors and nurses.%目的 调查胃癌患者的营养风险及营养支持应用现状.方法 2009年9月-2010年1月,对某三甲医院普外科收治的120例胃癌住院患者营养情况进行营养风险筛查2002(nutritional risk screening 2002,NRS 2002)评估,并就营养支持应用方式进行分析.结果 所有患者中营养不足和营养风险的发生率分别为11.7%和27.5%;在33例有营养风险患者中,有26例(78.8%)接受了营养支持;在无营养风险的87例患者中,有30例(34.5%)接受了营养支持.结论 对有营养风险的患者进行必要的营养支持,对于减少患者住院期间感染性并发症或其他不良临床结局的发生有积极作用.NRS 2002的方法简便,适用于胃癌患者的营养风险筛查,但医护人员需要进一步加强对肠外、肠内营养指南的认识.

  19. Nutritional Assessment in Patients with Malignant Bone Tumors and Nutrition Risk Screening Correlation Analysis%恶性骨肿瘤患者营养评价与营养风险筛查相关性研究分析

    Institute of Scientific and Technical Information of China (English)

    蒋志雄; 韦少雪

    2013-01-01

    Objective To analyse the malignant bone cancer patients nutrition evaluation and nutrition risk screening of the relationship between the relationship. Methods using nutritional assessment and risk of screening methods on 90 cases of patients with malignant bone tumors measurement and screening,among them including the patient's actual nutrition evaluation weight,height,serum albumin concentration,in addition to ideal weight peace weight inquires the, the calculation of body mass index (BMI), the actual weight and usual y the proportion of weight (% UBW),the actual weight and ideal weight ratio (% IBM), meet the fol owing criteria of for the malnutrition:(1)BMI<18.5;(2)%UBM or 90%or IBM;Serum Alb (35g/L"concentration. Nutrition risk of screening 64 patients NRS quartile 3 points, 26 patients NRSnutrition support group and the control group,were divided into each group 32 people and measurement of admission with chemotherapy and after release of the day's body mass index respectively,the chemotherapy before and after chemotherapy 2,7,10 days of IgA,serum albumin and peripheral white blood cel s for testing. Results in chemotherapy after10days NRS negative groups body mass indexes for(24.2±2.48 kg/m2,NRS positive group for(20.7±2.43kg/m2,the experimental group for(21.9±3.11kg/m2,the control group for(19.8±2.56 kg/m2,P<0.05.The seventh heaven and emperor after chemotherapy release day IgA,serum albumin and peripheral white blood count are higher than the control group. Conclusion the reasonable nutrition evaluation and support can ef ectively increase nutrition material preparation,enhance immunity, nutrition can predict the risk screening malnutrition risk.%目的分析恶性骨肿瘤患者的营养评价与营养风险筛查之间的相关性关系。方法运用营养评价与风险筛查的方法对90例恶性骨肿瘤患者进行测量与筛查,其中营养

  20. Optimizing patient nutrition

    DEFF Research Database (Denmark)

    Geiker, Nina Rica Wium

    (Paper I). The present study is, to my knowledge, the only study investigating the validity of performed nutritional risk screenings by comparing them with medical records. Eight per cent of patients were correctly screened for nutritional risk. A total of 24% of 2393 patients were nutritionally screened......Malnutrition, under-nutrition and/or obesity, may develop due to disease but may also cause disease. The prevalence of under-nutrition among hospitalized patients is high: 40-60% are either already under-nourished on admittance or at-risk of becoming malnourished. As in the general population...... of prescription medication, and take longer to recover. Acknowledging the adverse effects of malnutrition on health, since 2006 it has been mandatory to screen all patients for nutritional risk within 24 hours of admittance at all hospitals in the Capital Region, Denmark. The compliance to and the validity...

  1. Optimizing patient nutrition

    DEFF Research Database (Denmark)

    Geiker, Nina Rica Wium

    (Paper I). The present study is, to my knowledge, the only study investigating the validity of performed nutritional risk screenings by comparing them with medical records. Eight per cent of patients were correctly screened for nutritional risk. A total of 24% of 2393 patients were nutritionally screened......Malnutrition, under-nutrition and/or obesity, may develop due to disease but may also cause disease. The prevalence of under-nutrition among hospitalized patients is high: 40-60% are either already under-nourished on admittance or at-risk of becoming malnourished. As in the general population...... of prescription medication, and take longer to recover. Acknowledging the adverse effects of malnutrition on health, since 2006 it has been mandatory to screen all patients for nutritional risk within 24 hours of admittance at all hospitals in the Capital Region, Denmark. The compliance to and the validity...

  2. 口腔颌面部肿瘤患者营养风险筛查和营养治疗%Nutritional risk screening and enteral nutrition in patients with oral and maxillofacial cancers

    Institute of Scientific and Technical Information of China (English)

    姚嘉晖; 张美芳; 张海峰; 马蓓蕾; 殷秋明; 唐雯

    2011-01-01

    PURPOSE: To screen the nutritional risk of patients with oral and maxillofacial cancers using NRS2002 and evaluate the clinical usefulness of NRS2002. Meanwhile, nutritional support was given after screening and the effect was evaluated. METHODS: Fifty-nine patients with oral and maxillofacial cancers were enrolled in this study. The medical history and the intake condition of all patients were recorded, body weight and height were measured.The serum hemoglobin(Hb), lymphocyte count(LC), albumin(Alb), pre-albumin(PA) of the patients were detected. According to the requirements of NRS2002, the patients were screened before and after surgery. The patients with nutritional risks were divided into experimental group and control group randomly. The blood biochemical parameters in the two groups were compared after nutritional intervention. The data was analyzed by student's t test and Chi-square test with SPSS11.5 software package. RESULTS: Nutritional risk pre-operatively was 27.1% while the figure increased to 71.2% after operation (P<0.05). Compared to pre-operation, nutritional risk increased significantly. Hb, LC,Alb and PA decreased significantly (P<0.01). Before nutritional intervention,there was no difference of the biochemical stats between the patients in the experimental group and the control group (P>0.05). After 7 days' treatment, the biochemical parameters except Hb and PA increased significantly in the control group. In the experimental group, LC, Alb and PA increased significantly (P< 0.05), .especially Alb (P<0.01), but Hb decreased. Compared with the control group, the NRS 2002 score decreased significantly in the experimental group after nutritional intervention. CONCLUSIONS: NRS2002 can reflect the nutritional risk of the patients with oral and maxillofacial cancers conveniently and swiftly. Nutritional support after operation can significantly increase the nutritional status of the patients, reduce the infectious complications and

  3. 营养风险筛查2002的临床应用和分析%Clinical application of Nutritional Risk Screening 2002

    Institute of Scientific and Technical Information of China (English)

    孙志慧; 胡若梅; 万津颖

    2009-01-01

    Objective To evaluate the clinical application of Nutritional Risk Screening 2002 (NRS 2002) in inpatients.Methods Totally 400 inpatients who were admitted to Tianjin Tianhe Hospital from Novem- ber 2008 to March 2009 were enrolled in this study.Physical examinations,including body height and body meas-urement,were performed the next morning after admission.The nutritional status was evaluated with NRS 2002.Results In all 400 inpatients.NRS 2002 was strongly practicable in 306 patients (76.5%) and weakly practica-ble in 94 patients (23.5%);Ninety-six patients (24.0%) had nutritional risks,which were most common in the department of internal medicine and the Department of neurology.The average age of patients with nutritional risks was (79.0±11.4) years,which was significantly higher than that of patients without nutritional risks [(58.1±15.8) years] (P<0.01).Conclusion NRS 2002 is effective and practicable in evaluating the nutritional status of inpatient.%目的 评估营养风险筛查2002 (NRS 2002)在住院患者营养筛查中的应用价值.方法 以2008年11月-2009年3月天津天和医院新住院患者400例为研究对象,在入院后第2天清晨测定身高、体重,详细记录病史及患者情况,采用NRS 2002对患者进行营养风险评价并进行分析.结果 400例患者中,306例为强适用(76.5%),94例为弱适用(23.5%);96例(24.0%)存在营养风险,其中普通内科(38.3%)和神经科(31.8%)患者的发生率居前两位.有营养风险患者的平均年龄为(79.0±11.4)岁,明显高于无营养风险患者的(58.1±15.8)岁(P<0.01).结论 NRS 2002可有效用于筛查住院患者的营养状况.

  4. Two newborns with nutritional vitamin B12 deficiency: challenges in newborn screening for vitamin B12 deficiency.

    Science.gov (United States)

    Campbell, C D; Ganesh, J; Ficicioglu, C

    2005-12-01

    Vitamin B12 deficiency causes decreased Methionine Synthase and L-Methylmalonyl-CoA Mutase activity and results in accumulation of Homocysteine, Methylmalonic acid and Propionylcarnitine. Propionylcarnitine is included in tandem mass spectrometry-based newborn screening programs for detection of certain inborn errors of metabolism. We report two asymptomatic newborns with Vitamin B12 deficiency due to maternal deficiencies. One was detected incidentally at 3 weeks of age; the second on supplemental newborn screening based on elevated Propionylcarnitine at 2 days of age. This illustrates the potential for false negative results for Vitamin B12 deficiency screening by acylcarnitine profiling in newborn screening. Homocysteine and Methylmalonic acid may be better markers of Vitamin B12 deficiency. In conclusion, we suggest measuring Methylmalonic acid, Propionylcarnitine and Homocysteine levels in blood spots in expanded newborn screening in order to detect asymptomatic newborns with Vitamin B12 deficiency. Further studies are needed to establish the sensitivity of these three markers in screening for Vitamin B12 deficiency.

  5. Association of the Family Nutrition and Physical Activity Screening Tool with Weight Status, Percent Body Fat, and Acanthosis Nigricans in Children from a Low Socioeconomic, Urban Community.

    Science.gov (United States)

    Yee, Kimbo E; Pfeiffer, Karin A; Turek, Kelly; Bakhoya, Marion; Carlson, Joseph J; Sharman, Mahesh; Lamb, Erin; Eisenmann, Joey C

    2015-11-05

    To examine the association of the Family Nutrition and Physical Activity (FNPA) screening tool with weight status, percent body fat, and acanthosis nigricans (AN) in 6- to 13-year-old children from a low socioeconomic, urban community. Children (n=415) from four elementary schools located around Flint, Michigan were assessed for body mass index, percent body fat, and AN. The FNPA screening tool was completed by parents. Mann-Whitney U tests were used to assess differences in FNPA score by sex and presence of AN. Logistic regression was used to evaluate the association of the FNPA (tertiles) with weight status and AN. Children with AN (13.7%) had a significantly lower FNPA score (56.3 + 7.1) compared with children without AN (61.0 + 7.1; PChildren with FNPA scores in the lowest tertile (high-risk) had odds ratios of 1.74 (95% CI =1.05 - 2.91) and 2.77 (95% CI =1.22 - 6.27) compared with children with FNPA scores in the highest tertile (low-risk) for being overfat and having AN, respectively. Although the FNPA screening tool did not predict risk for being overweight or obese, it was significantly associated with an increased odds of children at risk for being overfat or having AN.

  6. Association between dental pain and tooth loss with health-related quality of life: the Korea national health and nutrition examination survey

    OpenAIRE

    Yang, Sung-Eun; Park, Yong-Gyu; Han, Kyungdo; Kim, Sin-Young

    2016-01-01

    Abstract Dental pain and tooth loss are global public health concerns. However, there have been no large cross-sectional epidemiologic studies of a representative sample of an entire country's populations. The purpose of this study was to evaluate the relationships between dental pain and tooth loss with health-related quality of life (HRQOL) using a well characterized, nationally representative, population-based study. This study analyzed data of 3924, representing 21,836,566 adults from the...

  7. Dental Emergencies

    OpenAIRE

    Domb, Ivor

    1982-01-01

    Emergency dental problems can result from trauma, dental pathology, or from dental treatment itself. While the physician can treat many instances of dental trauma, the patient should see a dentist as soon as possible so that teeth can be saved. Emergency treatment of dental pathology usually involves relief of pain and/or swelling. Bleeding is the most frequent post-treatment emergency. The physician should be able to make the patient comfortable until definitive dental treatment can be avail...

  8. 腹部外科患者的营养风险筛查%Nutritional risk screening in patients undergoing abdominal surgery

    Institute of Scientific and Technical Information of China (English)

    胡惠惠; 任泽强; 张秀忠; 左传丽

    2011-01-01

    Objective To assess the prevalence of malnutrition and nutritional risks in patients undergoing abdominal surgery.Methods 124 patients undergoing abdominal surgery from two general surgery wards were consecutively evaluated according to the Nutritional Risk Screening (NRS) published by ESPEN in 2002.Then the incidences of malnutrition and nutritional risk were calculated.Results The incidence of malnutrition was 14.5% and the incidence of nutritional risk was 25.0% in the patients at admission; A higher prevalence of malnutrition occurred in cancer patients than in non - oncologic patients ( P < 0.05 ), with significant statistical difference.The incidences of nutritional risk in the senior patients (60 -90 years old) and the cancer patients were higher than those in the junior patients ( 18 -59 years old) and the non- oncologic patients (P <0.01 ).Conclusion Assessment of the nutritional status by NRS2002 is feasible for patients undergoing abdominal surgery.The clinical nutrition support should be rationally applied according to the NRS2002 results, especially for the elderly patients and the cancer patients who are more susceptible to malnutrition and nutritional risks.%目的 评估腹部外科患者营养不良、营养风险发生情况.方法 采用欧洲营养风险筛查(NRS 2002)方法,定点连续抽取徐州医学院附属医院2个普外科病区中的124例腹部外科患者进行营养风险筛查,统计营养不良、营养风险的发生率.结果 腹部外科患者入院时营养不良的发生率为14.5%,营养风险的发生率为25.0%;恶性肿瘤疾病患者营养不良的发生率高于良性疾病患者,差异有统计学意义(P<0.05);60~90岁年龄组患者、恶性肿瘤疾病患者营养风险的发生率分别高于18~59岁年龄组患者及良性疾病患者,差异有统计学意义(P<0.01).结论 NRS2002可用于腹部外科患者的营养风险筛查.应根据NRS2002评估结果指导临床营养支持的合理应用,尤

  9. Dental Procedures.

    Science.gov (United States)

    Ramponi, Denise R

    2016-01-01

    Dental problems are a common complaint in emergency departments in the United States. There are a wide variety of dental issues addressed in emergency department visits such as dental caries, loose teeth, dental trauma, gingival infections, and dry socket syndrome. Review of the most common dental blocks and dental procedures will allow the practitioner the opportunity to make the patient more comfortable and reduce the amount of analgesia the patient will need upon discharge. Familiarity with the dental equipment, tooth, and mouth anatomy will help prepare the practitioner for to perform these dental procedures.

  10. Biomedical Science, Unit II: Nutrition in Health and Medicine. Digestion of Foods; Organic Chemistry of Nutrients; Energy and Cell Respiration; The Optimal Diet; Foodborne Diseases; Food Technology; Dental Science and Nutrition. Instructor's Manual. Revised Version. 1975.

    Science.gov (United States)

    Biomedical Interdisciplinary Curriculum Project, Berkeley, CA.

    This collection of lessons deals with nutrition in health and medicine and specifically the digestive system and its functions. The primary objective of this collection of lessons is to provide information on what constitutes good nutrition. Among the problems treated in these lessons are heart disease, peptic ulcer, hepatitis, vitamin deficiency…

  11. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ(c))

    NARCIS (Netherlands)

    Kruizenga, H.M.; Seidell, J.C.; Vet, de H.C.W.; Wierdsma, N.J.; Schueren, van M.A.E.

    2005-01-01

    Objective: For the early detection and treatment of malnourished hospital patients no valid screening instrument for the Dutch language exists. Calculation of percentage weight loss and body mass index (BMI) by the nurse at admission to the hospital appeared to be not feasible. Therefore, the short,

  12. Validation of the NANA (Novel Assessment of Nutrition and Ageing) touch screen system for use at home by older adults.

    Science.gov (United States)

    Astell, A J; Hwang, F; Brown, L J E; Timon, C; Maclean, L M; Smith, T; Adlam, T; Khadra, H; Williams, E A

    2014-12-01

    Prospective measurement of nutrition, cognition, and physical activity in later life would facilitate early detection of detrimental change and early intervention but is hard to achieve in community settings. Technology can simplify the task and facilitate daily data collection. The Novel Assessment of Nutrition and Ageing (NANA) toolkit was developed to provide a holistic picture of an individual's function including diet, cognition and activity levels. This study aimed to validate the NANA toolkit for data collection in the community. Forty participants aged 65 years and over trialled the NANA toolkit in their homes for three 7-day periods at four-week intervals. Data collected using the NANA toolkit were compared with standard measures of diet (four-day food diary), cognitive ability (processing speed) and physical activity (self-report). Bland-Altman analysis of dietary intake (energy, carbohydrates, protein fat) found a good relationship with the food diary and cognitive processing speed and physical activity (hours) were significantly correlated with their standard counterparts. The NANA toolkit enables daily reporting of data that would otherwise be collected sporadically while reducing demands on participants; older adults can complete the daily reporting at home without a researcher being present; and it enables prospective investigation of several domains at once.

  13. 营养风险筛查表2002对胰腺癌患者术前营养的评估%Nutritional Risk Screening 2002 used for preoperative nutritional assessment of patients with pancreatic cancer

    Institute of Scientific and Technical Information of China (English)

    韩冰; 徐庆祥; 丁义涛; 卞晓洁; 仇毓东; 周铁; 毛谅; 谢敏; 包善华

    2016-01-01

    Objective To investigate the value of the Nutritional Risk Screening 2002 (NRS2002) for preoperative nutritional assessment of patients with pancreatic cancer.Methods Ninety-one patients who had undergone surgery in the Department of General Surgery,the Affiliated Drum Tower Hospital of Nanjing University Medical School from March 2012 to December 2014 were included into this study.These patients had all underwent preoperative nutritional assessment using NRS2002.According to the results of the NRS2002 evaluation,all these patients were divided into two groups,the nutritional risk group (51 patients) with a score of NRS2002 ≥ 3 and the non-nutritional risk group (40 patients) with a score of NRS2002 <3.The preoperative and postoperative nutritional indicators,postoperative complications,physical state and quality of life,length of postoperative hospital stay,and medical costs were compared between the two groups.Results The anthropometric measurements in the risk group were significantly lower than that of the no risk group.These included the body mass index (22.4 ± 1.8 vs 24.5 ± 1.6),triceps skinfold thickness (14.6±3.7 vs 16.5 ±4.0)mm,mid-arm circumference (26.1 ±3.7 vs 28.2±4.l)cm,and midarm muscle circumference (21.5 ± 2.5 vs 23.0 ± 2.9) (P < 0.05).Similarly,in the risk group,the preoperative and postoperative prealbumin,albumin on postoperative day 1,and transferrin on postoperative day 4 and day 7 were significantly lower than that of the no risk group.In addition,there were significant differences between the two groups in postoperative complication rates (25/51 vs 8/40),surgical site complications (22/51 vs 7/40),non-surgical site complications (11/51 vs 2/40),Karnofsky Performance Status,Zubrod-ECOG-WHO,Quality of Life,dosage of albumin,length of postoperative hospital stay,medical cost and Glasgow prognostic score.Conclusions The nutritional status of patients with pancreatic cancer would influence rehabilitation after surgery.NRS2002

  14. Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk

    DEFF Research Database (Denmark)

    Jie, Bin; Jiang, Zhu-Ming; Nolan, Marie T

    2012-01-01

    This multicenter, prospective cohort study evaluated the effect of preoperative nutritional support in abdominal surgical patients at nutritional risk as defined by the Nutritional Risk Screening Tool 2002 (NRS-2002)....

  15. MNA® Mini Nutritional Assessment as a nutritional screening tool for hospitalized older adults; rationales and feasibility Uso del mini nutritional assessment como herramienta de cribaje nutricional en la población mayor de 65 años en el ámbito hospitalario; conveniencia y factibilidad

    Directory of Open Access Journals (Sweden)

    I. Calvo

    2012-10-01

    Full Text Available The high prevalence of malnutrition in the growing population of older adults makes malnutrition screening critical, especially in hospitalized elderly patients. The aim of our study was to evaluate the use of the MNA® Mini Nutritional Assessment in hospitalized older adults for rapid evaluation of nutritional risk. A prospective cohort study was made of 106 patients 65 years old or older admitted to an internal medicine ward of a tertiary-care teaching hospital to evaluate the use of the short form, or screening phase, of the MNA-SF. In the first 48 hours of admission, the full MNA questionnaire was administered and laboratory tests and a dermatologic evaluation were made. The MNA score showed that 77% of the patients were at risk of malnutrition or were frankly malnourished. Low blood levels of albumin, cholesterol and vitamins A and D showed a statistically significant association with malnutrition or risk of malnutrition. Separate evaluation of the MNA-SF showed that it was accurate, sensitive and had predictive value for the screening process. Routine use of the MNA-SF questionnaire by admission nurses to screen patients is recommended. Patients with MNA-SF scores of 11 or lower should be specifically assessed by the nutritional intervention team.El envejecimiento de la población y la elevada prevalencia de desnutrición en este colectivo hacen que el cribaje de desnutrición sea fundamental, especialmente en ancianos ingresados. Realizamos un estudio prospectivo sobre una población de 106 pacientes mayores de 65 años, ingresados en plantas de Medicina Interna de un hospital terciario, en el que se ha seguido la aplicación sistemática de Minimal Nutritional Assessment (MNA en las primeras 48 horas de ingreso, así como una evaluación hematológica y dermatológica. Hemos detectado situación nutricional de riesgo (RM o malnutrición (MN en el 77% de los casos. Los marcadores biológicos que resultaron asociados estadísticamente a la

  16. 胃肠道肿瘤患者的营养风险筛查及营养状况评价%Nutritional risk screening and nutrition assessment for gastrointestinal cancer patients

    Institute of Scientific and Technical Information of China (English)

    杜艳平; 李玲玲; 贺青; 李赟; 宋虎; 林义佳; 彭俊生

    2012-01-01

    目的 探讨胃肠道肿瘤患者的营养状况,为营养治疗的选择提供依据.方法 选取2010年6月至2011年12月期间中山大学附属第六医院收治的453例胃肠道肿瘤患者作为研究对象,其中胃癌156例,结肠癌117例,直肠癌180例.应用营养风险筛查2002 (NRS2002)进行营养风险评分;多频生物电阻抗分析仪测定机体组分;空腹抽血测定白蛋白(Alb)、前白蛋白(PA)、转铁蛋白(Tf)和视黄醇结合蛋白(RBP)4项营养指标以及红细胞(RBC)、血红蛋白(Hb)和红细胞比容(Hct)3项血液指标.结果 NRS2002评分结果显示,总评分在3分以上者在胃癌、结肠癌和直肠癌中所占的比例分别为70.5%(110/156)、53.8%(63/117)和46.7%(86/180),胃癌明显高于结肠癌和直肠癌(P<0.05);营养受损评分1分以上者的比例胃癌高于结肠癌和直肠癌(P<0.05);而疾病评分2分以上者的比例却低于结肠癌和直肠癌(P<0.05).胃癌患者体质量指数、肥胖度、脂肪含量、脂肪百分数、手臂围度均明显低于结肠癌和直肠癌,而蛋白质百分比、肌肉百分比、手臂肌肉百分数、细胞质量百分数却明显高于结肠癌和直肠癌(P<0.05).胃癌和结肠癌患者中Alb、PA、Tf、RBC、Hb及Hct低于正常值的比例均高于直肠癌(P<0.05).结论 胃癌患者易出现脂肪的丢失,存在营养风险及营养不良的概率高于结肠癌和直肠癌.联合人体组分分析及实验室检查能够更全面地评定胃肠道肿瘤患者的营养状况,与NRS2002评分相结合,可作为营养治疗方案的选择依据.%Objective To investigate the nutritional status,and provide evidence for nutritional treatment option.Methods A total of 452 patients with gastrointestinal cancer were selected,including 156 gastric cancer,117 colon cancer,and 180 rectal cancer.The nutritional risk screening 2002(NRS2002) was applied to grade the nutritional risk.A multi-frequency bioelectrical impedance

  17. Screening of traditional South African leafy vegetables for specific anti-nutritional factors before and after processing

    Directory of Open Access Journals (Sweden)

    Humaira ESSACK

    Full Text Available Abstract This study investigated the effect of processing on anti-nutritional factors of thirteen traditional leafy vegetables collected in Kwa Zulu-Natal, South Africa. The aim was to determine whether processing reduced anti-nutrient levels of leafy vegetables. The vegetables were boiled in a plant-to-distilled water ratio of 1:4 (w/v at 97 °C for a time period of 5 and 15 min. The vegetables studied were: Amaranthus dubius, Amaranthus hybridus, Asystasia gangetica, Bidens pilosa, Ceratotheca triloba, Chenopodium album, Emex australis, Galinsoga parviflora, Guilleminea densa, Momordica balsamina, Oxygonum sinuatum, Physalis viscosa and Solanum nigrum. From this study, it was determined that non processed samples contained anti-nutrients such as tannins, phytic acid, alkaloids, oxalic acid, and cyanogenic glycoside. Both boiling parameters were effective in reducing the tannin, phytic acid, alkaloid, oxalic acid and cyanogenic glycoside contents of all 13 traditional leafy vegetables. The results of this study provide evidence that the local traditional leafy vegetables which the population is so reliant upon, are important contributors to micronutrient malnutrition in developing countries and can be minimized through common boiling methods for a minimum of 5 and maximum of 15 minutes.

  18. Validity of a practitioner-administered observational tool to measure physical activity, nutrition, and screen time in school-age programs.

    Science.gov (United States)

    Lee, Rebekka M; Emmons, Karen M; Okechukwu, Cassandra A; Barrett, Jessica L; Kenney, Erica L; Cradock, Angie L; Giles, Catherine M; deBlois, Madeleine E; Gortmaker, Steven L

    2014-11-28

    Nutrition and physical activity interventions have been effective in creating environmental changes in afterschool programs. However, accurate assessment can be time-consuming and expensive as initiatives are scaled up for optimal population impact. This study aims to determine the criterion validity of a simple, low-cost, practitioner-administered observational measure of afterschool physical activity, nutrition, and screen time practices and child behaviors. Directors from 35 programs in three cities completed the Out-of-School Nutrition and Physical Activity Observational Practice Assessment Tool (OSNAP-OPAT) on five days. Trained observers recorded snacks served and obtained accelerometer data each day during the same week. Observations of physical activity participation and snack consumption were conducted on two days. Correlations were calculated to validate weekly average estimates from OSNAP-OPAT compared to criterion measures. Weekly criterion averages are based on 175 meals served, snack consumption of 528 children, and physical activity levels of 356 children. OSNAP-OPAT validly assessed serving water (r = 0.73), fruits and vegetables (r = 0.84), juice >4oz (r = 0.56), and grains (r = 0.60) at snack; sugary drinks (r = 0.70) and foods (r = 0.68) from outside the program; and children's water consumption (r = 0.56) (all p activity time offered were correlated with accelerometer estimates (minutes of moderate and vigorous physical activity r = 0.59, p = 0.02; vigorous physical activity r = 0.63, p = 0.01). The reported proportion of children participating in moderate and vigorous physical activity was correlated with observations (r = 0.48, p = 0.03), as were reports of computer (r = 0.85) and TV/movie (r = 0.68) time compared to direct observations (both p activity environments and behaviors in afterschool settings. Phase 1 of this measure validation was conducted during a study registered at

  19. Under 5 Energize: Tracking Progress of a Preschool Nutrition and Physical Activity Programme with Regional Measures of Body Size and Dental Health at Age of Four Years

    Directory of Open Access Journals (Sweden)

    Elaine Rush

    2017-05-01

    Full Text Available To reduce weight gain and encourage healthy eating including reduced sugar intake, Under 5 Energize (U5E was introduced to 121 early-childhood-centres in the Waikato region of New Zealand in July 2013. Using anonymized data collected from January 2013 to September 2016 through free physical assessments of all 4-year-olds provided by the NZ Ministry of Health, the prevalence of obesity and dental decay children measured in the Waikato region was examined. Data were divided into four periods representing pre-implementation and 3 years of gradual implementation. Obesity was defined according to International Obesity Task Force criteria. Of 18,774 Waikato children included in the analysis, 32% were indigenous Māori, and 32% attended an U5E centre. Pre-implementation prevalences of obesity (4% and visible dental decay (11% of children attending and not-attending U5E centres were not different. While obesity prevalence did not change significantly over time, prevalence of dental decay decreased among children at U5E (trend p = 0.003 but not non-U5E (trend p = 0.14 centres, such that prevalences were significantly different between children at U5E vs. non-U5E centres at Year 3 (p = 0.02. The U5E intervention is a small but arguably effective part of the wider system approach that is required to improve children’s future health.

  20. About Dental Amalgam Fillings

    Science.gov (United States)

    ... and Medical Procedures Dental Devices Dental Amalgam About Dental Amalgam Fillings Share Tweet Linkedin Pin it More ... should I have my fillings removed? What is dental amalgam? Dental amalgam is a dental filling material ...

  1. Dental Implant Surgery

    Science.gov (United States)

    ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ...

  2. Dental Sealants

    Science.gov (United States)

    ... Dates Electronic Submission of Applications Grants 101 (How to Write a Grant) Questions and Answers Grant Writing Tips ... offers strategies for providing oral care. NIDCR > Data & Statistics > Find Data by Topic > Dental Sealants Dental Sealants ...

  3. Dental Assistants

    Science.gov (United States)

    ... Z INDEX | OOH SITE MAP | EN ESPAÑOL Healthcare > Dental Assistants PRINTER-FRIENDLY EN ESPAÑOL Summary What They ... of workers and occupations. What They Do -> What Dental Assistants Do About this section Assistants prepare and ...

  4. Dental sealants

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000779.htm Dental sealants To use the sharing features on this ... case a sealant needs to be replaced. How Dental Sealants are Applied Your dentist applies sealants on ...

  5. Dental cavities

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/001055.htm Dental cavities To use the sharing features on this page, please enable JavaScript. Dental cavities are holes (or structural damage) in the ...

  6. 营养风险筛查表-2002结合实验室营养指标检测对食管癌术前患者营养状况分析%Nutrition status analysis of preoperative patients with esophageal carcinoma by Nutritional Risk Screening-2002 combined with laboratory nutrition index

    Institute of Scientific and Technical Information of China (English)

    刘春芳; 叶枫林; 顾侠; 周静静

    2015-01-01

    Objective:To screen the preoperative nutritional risk patients with esophageal carcinoma using Nutritional Risk Screening (NRS) table-2002,comprehensively analyze the nutrition status of the patients and its relative influence factors by NRS table-2002 combined with laboratory detection of nutritional indexes so as to provide evidence for effective nutrition support in clinic. Methods:The preoperative nutritional risks of 62 patients with esophageal carcinoma were investigated using NRS table-2002. The RBP,ALB,Hb and RBC were detected and analyzed. Results:The malnutritional risk in 38 patients(61. 29%) were found,the incidence of malnutritional risk in the patients more than 60 years old and patients with dysphagia were 79. 49% and 68. 63%,respectively. Logistic regression analysis showed that the age,body mass index,dysphagia or not were the related factors of preoperative nutritional risk(P0. 05). Conclusions:The malnutrition risk in the preoperative patients with esophageal carcinoma is high. Medical staff should pay much attention to the dysphasia,equal to or more than 60 years old,physical deterioration and early change of RBP and PAB patients. The timely and effective nutritional support should be provided for the patients.%目的::运用营养风险筛查表-2002对食管癌术前患者进行营养风险筛查,并结合实验室营养指标检测综合分析患者营养状况及相关影响因素,为临床营养支持提供依据。方法:对62例食管癌术前患者采用营养风险筛查表-2002进行术前营养风险调查,并结合人体营养指标血清视黄醇结合蛋白( RBP)、前白蛋白( PAB)、白蛋白、血红蛋白、红细胞计数进行检测分析。结果:38例(61.29%)患者术前具有营养不良风险,年龄≥60岁者营养不良风险发生率为79.49%;有吞咽困难者营养不良风险发生率为68.63%;logistic回归分析年龄、体质量指数和有无吞咽困难均为术前营

  7. Relationship Between Children’s Dental Needs and Dental Care Utilization: United States, 1988–1994

    Science.gov (United States)

    Vargas, Clemencia M.; Ronzio, Cynthia R.

    2002-01-01

    Objectives. This study describes the relationship between dental needs and dental care utilization among children. Methods. Data from the third National Health and Nutrition Examination Survey (1988-1994) were used to analyze dental care needs and dental care utilization. Results. Younger children with perceived needs (needs perceived by the child or responsible adult) were more likely to be episodic users of dental care than children without perceived needs. Younger children with normative needs (defined by the presence of untreated caries diagnosed by a dentist) were less likely to be regular users. Older children with perceived or normative needs were more likely to be episodic users and less likely to have had a previous-year visit than children with no needs. Conclusions. Despite their presence, dental needs do not drive dental care use among children, and children’s dental care utilization is inadequate. PMID:12406814

  8. DENTAL MATERIALS.

    Science.gov (United States)

    The study deals with the determination of characteristic physical and mechanical properties of restorative dental materials, and effect of...manipulative variables on these properties. From the study an entirely new dental gold inlay casting technic was developed, based on the principle of...controlled water added hygroscopic technic. The method has had successful dental applications and is a recognized method of dental inlay casting procedure

  9. Measuring nutritional risk in hospitals

    Directory of Open Access Journals (Sweden)

    Henrik H Rasmussen

    2010-09-01

    Full Text Available Henrik H Rasmussen1,2, Mette Holst3, Jens Kondrup41Centre for Nutrition and Bowel Disease, Department of Medical Gastroenterology, Aarhus University Hospital, Aalborg, Denmark; 2Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark; 3Centre for Nutrition and Bowel Disease, Aarhus University Hospital, Aalborg, Denmark; 4Department of Human Nutrition, Faculty of Life Sciences, University of Copenhagen, Clinical Nutrition Unit, Rigshospitalet University Hospital, Copenhagen, DenmarkAbstract: About 20%–50% of patients in hospitals are undernourished. The number varies depending on the screening tool amended and clinical setting. A large number of these patients are undernourished when admitted to the hospital, and in most of these patients, undernutrition develops further during hospital stay. The nutrition course of the patient starts by nutritional screening and is linked to the prescription of a nutrition plan and monitoring. The purpose of nutritional screening is to predict the probability of a better or worse outcome due to nutritional factors and whether nutritional treatment is likely to influence this. Most screening tools address four basic questions: recent weight loss, recent food intake, current body mass index, and disease severity. Some screening tools, moreover, include other measurements for predicting the risk of malnutrition. The usefulness of screening methods recommended is based on the aspects of predictive validity, content validity, reliability, and practicability. Various tools are recommended depending on the setting, ie, in the community, in the hospital, and among elderly in institutions. The Nutrition Risk Screening (NRS 2002 seems to be the best validated screening tool, in terms of predictive validity ie, the clinical outcome improves when patients identified to be at risk are treated. For adult patients in hospital, thus, the NRS 2002 is recommended.Keywords: nutritional risk screening

  10. Traumatic dental injuries and their association with malocclusion in the primary dentition of Irish children.

    LENUS (Irish Health Repository)

    Norton, Eimear

    2012-02-01

    This study sought to establish the prevalence of traumatic dental injuries in the primary dentition of Irish children and to investigate the relationship between dental trauma and non-nutritive sucking habits.

  11. 乌鲁木齐市某三甲医院住院患者营养风险筛查及营养支持状况分析%Nutritional risk screening and appficafion of nutritional support in hospitalized patients in tertiary hospitals of Urumqi

    Institute of Scientific and Technical Information of China (English)

    王艳萍; 热孜亚·阿不来提; 李雪莉; 王桂玲; 努尔比耶·艾海提; 迪力热巴·艾孜提吾买尔; 石雨薇

    2016-01-01

    Objective To investigate the nutritional risksand nutritional support among inpatients in tertiary hospitals in Urumuqi.Methods Using fixed-point consecutive sampling,1 200 inpatients were enrolled in the department of digestive,respiration,neurology,nephropathy,general surgery and thoracic surgery of the Second Affiliated Hospital of Xinjiang Medical University from March 2015 to August 2015.Nutritional Risk Screening 2002 (NRS2002)was performed and nutritional support was evaluated in all patients. Results 1 060 cases were screened from 1 200 of patients with NRS2002 with the applicable rate was 88.33%.The rate of nutritional risk was 31.1% in 1 060 patients occurred,and nutritional deficiencies rate was 10.2%,and obesity rate was 8.5%.The rate of nutrition insufficient was the highest in the department of nephrology,while nutrition risk rate was the highest in digestive department.The hospitalized patients with undernutrition and nutritional occupied 10.2% and 31.1% in 1 200 cases,respectively.Overall nutri-tional support rate was 33.6%,including parenteral nutrition (20.0%),enteral nutrition (7.9%),and parenteral and enteral nutrition application ratio was 2.5∶1.Conclusion A large proportion of inpatients are at nutritional risk or undernutrition in the tertiary hospitals in Urumqi.The application of nutrition support is inappropriate.Nutrition support should be enhance according to the guidelines.%目的:了解乌鲁木齐市某三甲医院住院患者营养风险发生率及营养支持的现状。方法采用连续定点抽样调查方法收集新疆医科大学第二附属医院消化科、呼吸科、神经科、肾病科、普外科、胸外科的新住院患者1200例,应用 NRS 2002方法进行营养风险筛查,并调查营养支持情况。结果1200例患者中用 NRS2002方法营养筛查出1060例,适用率为88.33%,1060例患者中营养风险发生率为31.1%,营养不足发生率为10.2%,肥胖发生率为8.5%

  12. Age- and Gender-Related Mean Hearing Threshold in a Highly-Screened Population: The Korean National Health and Nutrition Examination Survey 2010-2012.

    Directory of Open Access Journals (Sweden)

    Yun Hwi Park

    Full Text Available In evaluating hearing disability in medicolegal work, the apportionment of age- and gender-related sensorineural hearing loss should be considered as a prior factor, especially for the elderly. However, in the literature written in the English language no studies have reported on the age- and gender-related mean hearing threshold for the South Korean population.This study aimed to identify the mean hearing thresholds in the South Korean population to establish reference data and to identify the age- and gender-related characteristics.This study is based on the Korea National Health and Nutrition Examination Survey (KNHANES 2010-2012, which was conducted by the Korean government, the data of which was disclosed to the public. A total of 15,606 participants (unweighted representing 33,011,778 Koreans (weighted with normal tympanic membrane and no history of regular or occupational noise exposure were selected and analyzed in this study. The relationship between the hearing threshold level and frequency, age, and gender was investigated and analyzed in a highly-screened population by considering the sample weights of a complex survey design.A gender ratio difference was found between the unweighted and the weighted designs: male:female, 41.0%: 59.0% (unweighted, participants vs. 47.2%:52.8% (weighted, representing population. As age increased, the hearing threshold increased for all frequencies. Hearing thresholds of 3 kHz, 4 kHz, and 6 kHz showed a statistical difference between both genders for people older than 30, with the 4 kHz frequency showing the largest difference. This paper presents details about the mean hearing threshold based on age and gender.The data from KNHANES 2010-2012 showed gender differences at hearing thresholds of 3 kHz, 4 kHz, and 6 kHz in a highly-screened population. The most significant gender difference in relation to hearing threshold was observed at 4 kHz. The hearing thresholds at all of the tested frequencies

  13. Age- and Gender-Related Mean Hearing Threshold in a Highly-Screened Population: The Korean National Health and Nutrition Examination Survey 2010-2012.

    Science.gov (United States)

    Park, Yun Hwi; Shin, Seung-Ho; Byun, Sung Wan; Kim, Ju Yeon

    2016-01-01

    In evaluating hearing disability in medicolegal work, the apportionment of age- and gender-related sensorineural hearing loss should be considered as a prior factor, especially for the elderly. However, in the literature written in the English language no studies have reported on the age- and gender-related mean hearing threshold for the South Korean population. This study aimed to identify the mean hearing thresholds in the South Korean population to establish reference data and to identify the age- and gender-related characteristics. This study is based on the Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012, which was conducted by the Korean government, the data of which was disclosed to the public. A total of 15,606 participants (unweighted) representing 33,011,778 Koreans (weighted) with normal tympanic membrane and no history of regular or occupational noise exposure were selected and analyzed in this study. The relationship between the hearing threshold level and frequency, age, and gender was investigated and analyzed in a highly-screened population by considering the sample weights of a complex survey design. A gender ratio difference was found between the unweighted and the weighted designs: male:female, 41.0%: 59.0% (unweighted, participants) vs. 47.2%:52.8% (weighted, representing population). As age increased, the hearing threshold increased for all frequencies. Hearing thresholds of 3 kHz, 4 kHz, and 6 kHz showed a statistical difference between both genders for people older than 30, with the 4 kHz frequency showing the largest difference. This paper presents details about the mean hearing threshold based on age and gender. The data from KNHANES 2010-2012 showed gender differences at hearing thresholds of 3 kHz, 4 kHz, and 6 kHz in a highly-screened population. The most significant gender difference in relation to hearing threshold was observed at 4 kHz. The hearing thresholds at all of the tested frequencies worsened with

  14. 牙菌斑培养菌群宏基因组文库构建及抗生素耐药基因筛选%Screening antibiotic resistance genes of cultured dental plaque with a metagenomic approach

    Institute of Scientific and Technical Information of China (English)

    吴丹; 程功; 李晶; 朱宝利; 魏世成

    2013-01-01

    [目的]构建牙菌斑培养菌群宏基因组文库,筛选牙菌斑生物膜中细菌的抗生素耐药基因.[方法]采集20例无龋健康人的集合牙菌斑并进行厌氧培养.提取牙菌斑培养菌群宏基因组构建Fosmid文库.用卡那霉素、四环素及氨苄西林对文库进行筛选,并对筛选到的抗性Fosmid克隆进行末端测序、亚克隆构建、亚克隆测序和序列分析.[结果]构建了牙菌斑培养菌群宏基因组Fosmid文库,插入片段长度在36-48 kb间约有15 120个克隆,插入片段长度小于36 kb的约有3 360个克隆.筛选获得一个氨基糖苷类双功能修饰酶AacA-AphD基因、一个核糖体保护蛋白型四环素耐药基因tet (M)及一个C家族β-内酰胺酶基因.[结论]证实了可以通过构建宏基因组文库的方法来筛选牙菌斑培养菌群中的抗生素耐药基因.%[Objective] Fosmid library of cultured human dental plaque samples was constructed and screened for antibiotic resistance genes.[Methods] Dental plaques from 20 individuals were obtained and cultured anaerobically in vitro.Bacteria DNA was extracted and Fosmid library was constructed.Antibiotic resistant clones were selected by plating on LB agar containing one of the three antibiotics:kanamycin,tetracycline,and ampicillin.Inserts conferring resistance were sequenced and annotated.[Results] A metagenomic Fosmid library was generated,which contained approximately 18 480 clones.Three antibiotic resistance genes were obtained through functional screening,including one kanamycin resistance gene encoding bifunctional aminoglycoside modifying enzyme AacA-AphD,one tetracycline resistance gene tet (M) and one ampicillin resistance gene encoding class C beta-lactamase.[Conclusion] It turns out that it is possible to construct fosmid libraries using cultivated dental plaque samples to screen antibiotic resistance genes.

  15. Nutritional Risk Screening 2002 as a Predictor of Outcome During General Ward-Based Noninvasive Ventilation in Chronic Obstructive Pulmonary Disease with Respiratory Failure.

    Science.gov (United States)

    Cui, Jinbo; Wan, Qunfang; Wu, Xiaoling; Zeng, Yihua; Jiang, Li; Ao, Dongmei; Wang, Feng; Chen, Ting; Li, Yanli

    2015-09-18

    BACKGROUND Noninvasive ventilation (NIV) may reduce the need for intubation and mortality associated with chronic obstructive pulmonary disease (COPD) with type II respiratory failure. Early and simple predictors of NIV outcome could improve clinical management. This study aimed to assess whether nutritional risk screening 2002 (NRS2002) is a useful outcome predictor in COPD patients with type II respiratory failure treated by noninvasive positive pressure ventilation (NIPPV). MATERIAL AND METHODS This prospective observational study enrolled COPD patients with type II respiratory failure who accepted NIPPV. Patients were submitted to NRS2002 evaluation upon admission. Biochemical tests were performed the next day and blood gas analysis was carried out prior to NIPPV treatment and 4 hours thereafter. Patients were divided into NRS2002 score ≥3 and NRS2002 score <3 groups and NIV failure rates were compared between both groups. RESULTS Of the 233 patients, 71 (30.5%) were not successfully treated by NIPPV. The failure rate was significantly higher in the NRS2002 score ≥3 group (35.23%) in comparison with patients with NRS2002 score <3 (15.79%) (p<0.05). Multivariate analysis indicated that PaCO2 (OR 1.25, 95%CI 1.172-1.671, p<0.05) prior to NIPPV treatment and NRS2002 score ≥3 (OR 1.76, 95%CI 1.303-2.374, p<0.05) were independent predictive factors for NIPPV treatment failure. CONCLUSIONS NRS2002 score ≥3 and PaCO2 values at admission may predict unsuccessful NIPPV treatment of COPD patients with type II respiratory failure and help to adjust therapeutic strategies. NRS2002 is a noninvasive and simple method for predicting NIPPV treatment outcome.

  16. Nutritional risk screening and application of nutritional support among inpatients in the middle and small hospitals in Guizhou province%贵州省中小医院住院患者营养风险筛查及营养支持应用现状

    Institute of Scientific and Technical Information of China (English)

    李海洋; 孙诚谊; 胡毅; 黄钦贤; 中小医院营养风险筛查及营养支持应用调查研究协作组贵

    2010-01-01

    Objective To investigate the prevalence of the nutritional risks, undernutrition, overweight,and obesity, and the application of nutritional support in hospitalized patients in middle and small hospitals of Guizhou province. Methods Adult patients in the departments of general surgery, chest surgery, neurology, gastroenterology, respiratory medicine, and nephrology in four hospitals in Guizhou Province were consecutively enrolled from Feberary 2008 to March 2009. Nutrional Risk Screening 2002 (NRS2002) was performed on the next morning after admission and nutritional support was evaluated on the 14 day of admission or on the discharge day.The relationship between nutritional risk and nutritional support was analyzed. Nutritional risk was defined as NRS 2002 score≥3 and under-nutrition was defined as body mass index < 18.5 kg/m2. Results A total of 1668 patients were enrolled and underwent, NRS 2002 scoring. The nutritional risk was 30. 2% and the prevalence of malnutrition was 12.2%. Although 54 patients ( 11.7 % ) with NRS 2002 ≥ 3 received nutrition support, only parenteral nutrition was applied. Conclusions NRS 2002 is a feasible nutritional risk screening tool for patients in middle and small hospitals. The application of nutrition support is still at a low level, with only parenteral nutrition is applied. Evidence-based nutrition support guidelines are required to standardize the application of nutrition support.%目的 调查贵州省中小医院住院患者营养风险、营养不足、超重和肥胖发生率及营养支持的应用现状.方法 采用定点连续抽样,选择2008年2月至2009年3月贵州省4家中小医院普通外科、胸外科、神经内科、消化内科、呼吸内科、肾内科住院患者进行营养风险筛查2002(NRS 2002),于患者入院次日早晨实施,并调查患者2周内(或至出院时)的营养支持状况,分析营养风险和营养支持的关系.NRS2002≥3分为有营养风险,体重指数<18.5 kg/m2并

  17. Nutritional risk screening in elderly inpatients with hepatobiliary diseases%老年肝胆外科住院患者的动态营养风险筛查

    Institute of Scientific and Technical Information of China (English)

    门吉芳; 唐大年; 李喆; 张丹静; 朱明炜; 李磊; 奚宇虹; 韦军民

    2010-01-01

    目的 调查老年肝胆外科住院患者营养风险、营养不足发生率以及营养支持应用状况.方法 采用定点连续抽样,对156例老年肝胆外科住院患者(≥65岁)入院后第2天早晨和住院2周或出院时进行营养风险筛查2002(NRS 2002)的动态描述性研究.结果 NRS 2002的适用率为96.8%(151/156).患者总的营养风险发生率为36.9%(57/156),营养不足发生率为26.2%(41/156).住院时间大于2周的患者营养风险和营养不足发生率分别为49.6%和36.7%,住院时间小于2周的患者营养风险和营养不足发生率分别为37.3%和21.4%,两者相比差异具有统计学意义(P<0.05).存在营养风险和无营养风险患者营养支持率分别为64.1%和17.4%.其中,接受大手术患者中有营养风险和无营养风险患者的营养支持率分别为87.9%和36.8%,接受中、小手术患者中有营养风险和无营养风险患者的营养支持率分别为41.3%和9.6%.结论 NRS 2002适用于老年肝胆外科住院患者的营养风险筛查.住院时间大于2周老年肝胆外科住院患者营养风险和营养不足发生率反而有所增加.临床营养支持在肝胆外科需要更加重视住院患者的营养问题,临床上存在肠外、肠内营养的不合理应用.%Objective To investigate the nutritional risk,malnutrition rate,and nutritional support in elderly inpafients with hepatobiliary diseases.Methods Totally 156 eldedy inpatients(≥65 years)with hepatobiliary diseases were consecutively enrolled.Nutritional Risk Screening 2002(NRS 2002)was applied to screen nutritional risks on the next morning after admission and two weeks after admission or on the discharge day.Results Of 156 enrolled patients,151 patients(96.8%)completed the NRS 2002 screening.The nutrition risk and malnutrition rate were 36.9%(57/156)and 26.2%(41/156),respectively.The nutrition risk and malnutrition rate were significantly higher in patients with a hospital stay longer than 2 weeks than

  18. 3种营养筛查工具在老年压疮高危患者中的应用比较%Comparison of Application of Three Nutrition Screening Methods in Elderly Patients with High Risk of Bedsore

    Institute of Scientific and Technical Information of China (English)

    王艳; 郑国荣; 陈慧敏; 袁芳

    2011-01-01

    目的 明确微型营养评价法(mini-nutritional assessment,MNA)、微型营养评价精法(short-form mini-nu-tritional assessment,MNA-SF)和营养风险筛查方案(nutrition risk screening 2002,NRS 2002)对老年压疮高危患者进行营养风险筛查的适用性.方法 应用3种营养筛查工具对684例消化科老年压疮高危患者进行营养风险筛查,χ检验比较3种营养筛查工具评定结果及应用营养支持组间压疮发生率的差异;用Kappa值、敏感性及特异性分析比较3种营养筛查工具的评定效果.结果 MNA、MNA-SF、NRS 2002对684例老年住院患者营养风险检出率分别为74.9%、71.1%和53.5%,3种营养筛查评定结果及应用营养支持压疮发生率组间差异均有统计学意义.以传统营养评价为标准,MNA、MNA-SF、NRS 2002的灵敏性分别为92.6%、87.2%和80.1%;特异性分别为42.2%、44.5%和72.1%;Kappa值分别为0.35、0.32和0.52.以压疮发生为标准,MNA、MNA-SF和NRS2002的灵敏性分别为97.5%、94.3%和90.2%;特异性分别为30.1%、34.0%和54.5%;Kappa值分别为0.13、0.12和0.25.结论 在判别营养与压疮关系方面,3种量表灵敏性相差不显著,准确性以NRS 2002最高,适用于老年压疮高危患者营养风险筛查.%Objective To identify the applicability of mini-nutritional assessment (MNA), short-form mini-nutritional assessment (MNA-SF) and nutrition risk screening 2002 (NRS 2002) on screening nutrition risk in elderly patients with high risk of bedsore. Methods The nutrition risks of 684 elderly patients with high risk of bedsore in Department of Gastroenterology were screened by the above screening instruments. The differences of bedsore occurrences among nutrition support groups and the evaluation results by the three nutrition screening methods were tested by X2 analysis. The evaluation effects of the three methods were compared by Kappa value, sensitivity and specificity. Results The detection rates of nutrition risks of elderly

  19. South African Journal of Clinical Nutrition

    African Journals Online (AJOL)

    The South African Journal Clinical Nutrition is published by the South African ... a cross sectional survey using the Mini Nutritional Assessment (MNA) screening tool ... Poor complementary feeding practices among young children in Cameroon ...

  20. Nutritional risk screening analysis and evaluation of patients hospitalized with common medical diseases%内科常见疾病住院患者营养风险筛查分析评价

    Institute of Scientific and Technical Information of China (English)

    车千红; 赵晴; 郭佳琦

    2012-01-01

    Objective To evaluate the nutritional risk incidence and nutritional support application rate in patients hospitalized for common internal medical diseases by applying the nutrition risk screening ( NRS2002) . Methods Patients hospitalized in Shengjing Hospital Affiliated to China Medical University for seven diseases were screened for nutritional risk, and the incidence of malnutrition and nutritional support status were evaluated. Results The nutritional risk and the overall incidence of malnutrition in the seven diseases were 37. 8% and 19. 1% , respectively. The nutritional risk and the incidence of malnutrition in patients with liver cirrhosis were highest, 61. 9% and 47. 4% , respectively. The nutritional support rate in all the patients was 6.7%, and that in patients with NRS ^ 3 points was 14.5% , and the ra-tio of parenteral nutrition(PN)/enteral nutrition(EN) was 3.6: 1. Conclusion At present, there are a considerable number of medical patients with nutritional risk or malnutrition, while the nutritional support rate is low. The current situation should be actively improved for reducing complications and improving quality of patients' life.%目的 应用营养风险筛查表2002( NRS2002)评定内科常见疾病住院患者营养风险发生率,分析评价营养支持应用率.方法 对在中国医科大学附属盛京医院内科7种疾病住院患者进行营养风险筛查及营养不足发生率、营养支持情况调查.结果 7种疾病中营养风险和营养不足的总发生率分别为37.8%和19.1%.其中以肝硬化患者的营养风险和营养不足发生率均最高,分别为61.9%和47.4%;全部患者营养支持率为6.7%,其中NRS≥3分患者营养支持率为14.5%,肠外营养与肠内营养支持比为3.6:1.结论 目前内科患者存在相当数量的营养风险或营养不足,营养支持率低,应积极改善现状,以利于减少并发症及提高患者的生存质量.

  1. Clinical Progress of Nutritional Screening and Support in Elderly Inpatients%老年住院患者营养筛查及营养支持研究进展

    Institute of Scientific and Technical Information of China (English)

    董宏艳(综述); 曾源(审校)

    2015-01-01

    Elderly inpatient is a high-risk group of malnutrition.Malnutrition can lead to adverse clini-cal outcomes for elderly inpatients,such as increased morbidity,mortality,complications,lower quality of life, extended length of hospital stay,increased hospitalization expenses,etc.Clinicians need to perform conven-tional nutritional screening for elderly inpatients,and reasonable nutrition support should be given for patients with malnutrition.Here is to make a review of the research status of nutritional screening andl support for the elderly inpatients.%老年住院患者是营养不良及营养风险的高危人群。营养不良可导致老年患者不良的临床结局,如增加发病率、病死率、并发症,降低生活质量,延长住院时间,增加住院费用等。临床医师需对老年住院患者进行常规营养筛查;对于存在营养不良或有营养风险者应给予合理营养支持。该文对老年住院患者营养筛查及营养支持的国内外研究状况进行综述。

  2. 采用营养风险筛查2002对200例肝硬化住院患者营养风险的观察性研究%Observation of nutritional risks in 200 cirrhotic inpatients using Nutritional Risk Screening 2002

    Institute of Scientific and Technical Information of China (English)

    杨中菊; 胡乃中

    2012-01-01

    Objective To screen the prevalence of nutritional risk in cirrhotic inpatients by Nutritional Risk Screening 2002 (NRS 2002) and explore the relationship between nutritional risks and outcomes.Methods NRS 2002 was used to identify the nutritional risk of 200 cirrhotic inpatients between May 2010 and May 2011.The Child-Turcotte-Pugh (CTP) grade,fatality,complications,and length of stay within 6 months were followed up to explore the relationship between nutritional risks and outcomes.Results The prevalence of nutritional risk screened by NRS 2002 was 53.5% in cirrhotic patients.The prevalence of nutritional risk was 39.0%,59.4%,and 60.0% respectively in patients with CTP grade A,B,and C (P =0.029).Compared with those without nutritional risks,patients with nutritional risks had significantly higher incidences of complications and fatality (P =0.000 and 0.013) and longer hospital stay (P =0.001).Conclusion The nutritional risk increases along with the CTP grade.Patients with nutritional risks tend to have poorer outcomes.The influence of nutrition support on the outcome of patients with liver diseases needs further research.%目的 调查失代偿期肝硬化住院患者营养风险发生率,分析肝硬化营养风险与结局的关系.方法 采用营养风险筛查2002(NRS 2002)对2010年5月至2011年5月入住安徽医科大学第一附属医院消化内科的200例失代偿期肝硬化患者进行营养风险筛查,随访6个月预后,探讨肝硬化营养风险与CTP (Child-Turcotte-Pugh)分级、并发症发生率、病死率及住院天数的关系.结果 肝硬化患者的营养风险发生率为53.5%.CTPA、B、C三级的营养风险发生率分别为39.0%、59.4%、60.0%(P=0.029).有营养风险组的并发症发生率、病死率较无营养风险组明显升高(P=0.000、0.013),住院时间明显延长(P=0.001).结论 营养风险发生率在肝硬化患者中随CTP等级增加而升高.存在营养风险的患者并发症发生率、

  3. 老年慢性病患者营养风险筛查及监测分析%Analysis of Senile Patients with Chronic Disease Nutrition Risk Screening and Monitoring

    Institute of Scientific and Technical Information of China (English)

    王维业; 赖成毅

    2013-01-01

    Objective:To investigate and analyse the nutritional risk and nutritional support of different patients in geriatric. Method:Used nutritional risk screening NRS2002,three variable regression method and nutritional risk index screening methods,combined with the measured index of human body,important laboratory examination indexes of nutrition,as well as the direct searched and read the record,understood the recent body weight and dietary changes as the reference,comprehensive analysis and assessment,200 patients were investigated from July 2011 to December. Result:The rates of malnutrition and nutritional risk were 40.00%and 50.55%,the respiratory diseases and malignant tumors and gastrointestinal tract disease had higher incidence of nutritional risk. They were 55.00%,86.66%,66.66%,other diseases were the second,and the corresponding nutritional support therapy. Conclusion:Elderly patients should be performed routinely a variety of nutritional risk screening,a variety of integrated application of evaluation way,in order to improve the timeliness and scientific and rationality of clinical nutritional support.%目的:调查分析老年病科不同情况患者的营养风险及营养支持状况。方法:对2012年7-12月200例入院患者进行调查,采用营养风险筛查NRS2002、三元回归法及营养风险指数筛查方法,结合人体测量指标、重要营养实验室检查指标、以及直接查询和阅读病历记录方式了解近期体重及饮食变化等为参考依据,综合进行分析评估。结果:营养不足和营养风险发生率分别为40.00%(72/180)和50.55%(91/180),其中以呼吸道疾病、恶性肿瘤及胃肠道疾病营养风险发生率较高,分别55.00%、86.66%、66.66%,其他系统疾病次之,并进行相应的营养支持治疗。结论:在老年患者中应常规进行营养风险筛查,多种评估方式综合应用,以提高临床营养支持的合理性、及时性和科学性。

  4. Dental Hygienist.

    Science.gov (United States)

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This document, which is designed for use in developing a tech prep competency profile for the occupation of dental hygienist, lists technical competencies and competency builders for 13 units pertinent to the health technologies cluster in general and 9 units specific to the occupation of dental hygienist. The following skill areas are covered in…

  5. Comparison of the Application Effect of Malnutrition Universal Screening Tool and Nutritional Risk Screening 2002 in Hospitalized Patients with Inflammatory Bowel Disease%营养不良通用筛查工具和营养风险筛查2002在炎症性肠病住院患者中应用效果的比较

    Institute of Scientific and Technical Information of China (English)

    张允; 李惠玲; 童淑萍

    2015-01-01

    Objective To compare the application effect of Malnutrition Universal Screening Tool (MUST)and Nutritional Risk Screening 2002(NRS2002)in hospitalized patients with inflammatory bowel disease.Methods Totally 9 3 cases were selected and the patients ’nutritional risk was assessed with MUST and NRS 2002,an all data were compared.Results The screening results of the two groups showed that the consistency of the two tools was good (kappa value=0.876,P<0.01),and the disease severity and incidence of nutritional risk were positively correlated.Except TLC,body mass index,mid-arm muscle circ-umference,abdominal girth,triceps skin fold thickness,sulfmethemoglobin,albumin and pre albumin of no or low nutritional risk group were higher than the those of having nutritional risk group (all P<0.01). Conclusion The screening result of the two tools has good consistency.Traditional nutrition indicators are relatively sensitive indicators used in nutrition risk screening of hospitalized patients of inflammatory bowel disease.%目的:比较营养不良通用筛查工具(malnutrition universal screening tools,MUST)和营养风险筛查2002(nutritional risk screening 2002,NRS2002)在炎症性肠病(inflammatory bowel disease,IBD)住院患者中的应用效果.方法选择2014年1-7月常州市3所三级甲等医院收治的 IBD患者93例,分别应用 MUST和 NRS2002对其进行营养风险筛查并比较.结果MUST和 NRS2002对 IBD患者的筛查结果显示,两种方法的营养筛查结果一致性较好(Kappa=0.876,P<0.001),IBD患者的疾病严重程度与营养风险发生率呈正相关;除TLC外,无或低危营养风险组的身体质量指数、上臂肌围、腹围、肱三头肌皮褶厚度、红蛋白、白蛋白和前白蛋白均高于有或中高危营养风险组,差异均有统计学意义(均P<0.01).结论 MUST 和NRS2002对 IBD住院患者的营养风险筛查结果有良好的一致性,疾病严重程度与营养风险发生率存在相关性

  6. Longitudinal study on influence of prolonged non-nutritive sucking habits on dental caries in Japanese children from 1.5 to 3 years of age.

    Science.gov (United States)

    Yonezu, Takuro; Yakushiji, Masashi

    2008-05-01

    The purpose of the present study was to investigate the relationship between infant sucking habits and the prevalence of caries in Japanese preschool children.The study was designed as a prospective, longitudinal study starting with 592 children aged 18 months. Information on sucking habits and patterns of feeding was collected from parents in the form of a questionnaire. Children who continued breastor bottle-feeding at 18 months of age were eliminated prior to the evaluations. The children were divided into 3 groups according to their sucking habits at 18 months of age: Group 1: children with a finger-sucking habit (n=151); Group 2: children who used a pacifier (n=45) and Group 3: children with no oral habit (n=205). Clinical examinations were carried out by one of the authors.Mean dft and prevalence of caries were not statistically significant among the 3 groups at 18 months of age. However, only 10.6% of the children in Group 1 exhibited caries at 36 months of age, compared with 17.1% in Group 3 and 24.4% in Group 2. Group 1 children showed the smallest mean dft at 0.30 among the 3 groups at 36 months of age, and those in Group 2 showed 1.18; the difference was statistically significant (phabit are more likely to be free of caries by the age of 3. However, use of pacifier at 18 months of age is a potential risk factor for the development of dental caries in children.

  7. Application of Nutritional Risk Screening 2002 and nutrition support in critically ill patients in a Beijing-based hospital%重症监护患者营养风险筛查2002和营养支持实况调查

    Institute of Scientific and Technical Information of China (English)

    金三丽; 李晓光; 路潜

    2012-01-01

    Objective TO investigate the application of Nutritional Risk Screening 2002 (NRS 2002) and nutrition support in critically ill patients.Methods Totally 172 adult critically ill patients with a hospital stay equal to or above 3 days were consecutively enrolled from a Beijing-hospital from September 2011 to December 2011.Nutrition support was evaluated on a daily basis.NRS 2002,body mass index (BMI),and Acute Physiology and Chronic Health Evalnation Ⅱ (APACHE Ⅱ) were applied to assess the nutritional risks and nutrition status within 24 hours after admission.Results Among all the patients,the rates of nutrition support were 39.5% and 67.9% on the 1st and 7th day respectively.The rate of parenteral nutrition (33.6% ~ 39.5%) was higher than that of enteral nutrition (4.1% ~ 16.0%).NRS 2002,APACHE Ⅱ score,and BMI showed that 160 patients (93.0%) required nutrition support,but only 103 patients (64.4%) actually received nutrition support,among whom 92 (89.3%) were supplied with nutrition support within 3 days after admission.Conclusions The application of nutrition support in critically ill patients is insufficient in this hospital.Nutrition support is typically provided within 3 days after admission.Parenteral nutrition remains the most common type of nutrition support.%目的 调查重症监护患者营养风险筛查2002(NRS 2002)和营养支持的应用现状.方法 采用定点连续抽样方法,选取2011年9月至12月在北京市某三甲医院重症医学科(ICU)住院≥3 d的内外科成年危重患者172例,记录患者进入ICU后的营养支持应用状况,评估患者入院24 h内的营养风险状况(根据NRS 2002)、营养状况(根据体重指数,BMI)和疾病严重程度(根据急性生理和慢性健康状况评分Ⅱ,APACHEⅡ).结果 营养支持率在入ICU首日最低(39.5%),至第7日达67.9%,肠外营养(PN)应用比例(33.6%~39.5%)高于肠内营养(EN)应用比例(4.1% ~ 16.0%).NRS 2002

  8. Toddler Nutrition: MedlinePlus Health Topic

    Science.gov (United States)

    ... ClinicalTrials.gov: Toddler Nutrition (National Institutes of Health) Journal Articles References and abstracts from MEDLINE/PubMed (National Library of Medicine) Article: Impact of Prolonged Breastfeeding on Dental Caries: A Population-Based Birth... ... Also in Spanish School Meals Contacts by State (Food and Nutrition Service) ...

  9. 鼻咽癌患者同步放化疗前后营养风险筛查的比较%Nutritional Risk Screening Comparison before and after Concurrent Radiotherapy and Chemotherapy for Nasopharyngeal Carcinoma Patients

    Institute of Scientific and Technical Information of China (English)

    黎艺; 李季芳; 左文娥; 王晓霞

    2011-01-01

    目的 调查及比较鼻咽癌患者同步放化疗前后营养风险、营养不足的发生率,为鼻咽癌患者实施营养干预提供临床依据.方法 60例拟行同步放化疗的初治鼻咽癌患者,于入院后第2 d和同步放化疗后第14 d利用营养风险筛查2002(NRS2002)和主观全面评定法(SGA)进行营养筛查.比较同步放化疗前后,鼻咽癌患者营养风险、营养不足发生率等的变化.结果 鼻咽癌患者入院时营养风险及营养不足发生率分别为38.33%及31.67%,同步放化疗后14d分别为76.67%、71.67%;鼻咽癌患者同步放化疗后营养风险及营养不足发生率比同步放化疗前明显增高,差异有统计学意义(P均<0.05).结论 鼻咽癌患者同步放化疗前即有部分存在营养风险及营养不足,同步放化疗后营养风险及营养不足的发生率明显增高,应于同步放化疗前后对存在营养风险及营养不足的鼻咽癌患者进行合理的营养支持.%Objective To provide clinical basis for nutrition intervention for nasopharyngeal carcinoma(NPC)patients, the incidence rates of nutritional risk and malnutrition were investigated and compared before and after concurrent radiotherapy and chemotherapy. Methods Nutritional screening was done for 60 untreated nasopharyngeal carcinoma patients, using nutritional risk screening 2002(NRS2002) and subjective global assessment(SGA), on the 2nd day after admission and the 14th day after concurrent radiotherapy and chemotherapy. The incidence rates of nutritional risk and malnutrition were investigated and compared before and after concurrent radiotherapy and chemotherapy. Results The incidence of nutritional risk and malnutrition in nasopharyngeal carcinoma patients were 38.33% and 31.67% respectively on admission, 76. 67% and 71.67% respectively on the 14th day after concurrent radiotherapy and chemotherapy. The incidence rates of nutritional risk and malnutrition were significantly increased after

  10. Dental insurance and dental service use by U.S. women of childbearing age.

    Science.gov (United States)

    Kaylor, Mary Beth; Polivka, Barbara J; Chaudry, Rosemary; Salsberry, Pamela; Wee, Alvin G

    2011-01-01

    Oral health has a significant effect on health, and for women, poor oral health can lead to poor birth outcomes and can affect their child's health. Nursing interventions to improve the oral health of at-risk women have the potential to increase maternal and child systemic and oral health. The identification of women at a high risk for poor oral health is a necessary to develop and evaluate these interventions. This study examined the factors related to dental insurance and dental service use for women of childbearing age in the United States. A secondary analysis of the 2003-2004 National Health and Nutrition Examination Survey was completed to examine the predisposing, enabling, and need variables associated with dental insurance status and dental service use in a representative random sample of 1,071 women. The results showed that over 40% of women had no dental insurance. Women with less education, lower income, and dental need were significantly less likely to have dental insurance. Dental utilization by the uninsured was low and a racial/ethnic disparity was noted. A lack of dental insurance and dental service utilization is a significant concern. Nurses working with low-income women should educate the population about oral health and advocate for policies to increase dental insurance coverage. © 2011 Wiley Periodicals, Inc.

  11. Screening and analysis of nutrition risk in active ulcerative colitis%活动期溃疡性结肠炎的营养风险筛查及分析

    Institute of Scientific and Technical Information of China (English)

    郭晓鹤; 张彩凤; 朱艳丽; 秦咏梅; 韩宇

    2013-01-01

    目的 筛查溃疡性结肠炎(UC)患者营养风险的发生情况.方法 采用营养风险筛查2002(NRS2002)对在我院就诊的130例UC患者进行营养风险筛查.体质量指数(BMI)采用中国标准,以<18.5 kg/m2结合临床判定为营养不良,直接记录为3分.采用True-Love标准将溃疡性结肠炎(UC)分为轻型、中型和重型.结果 130例UC患者中,营养风险发生率为44.6%.营养风险发生率与疾病严重程度相关.重型UC患者营养不良(不足)发生率显著低于营养风险发生率(P=0.004).结论 活动期UC患者营养风险发生率较高,NRS2002有助于发现UC患者的营养风险.%Objective To assess the nutritional risk of patients with ulcerative colitis ( UC ) . Methods The nutritional status of 130 UC patients from our hospital were evaluated by Nutritional Risk Screening 2002 ( NRS 2002) . Using Chinese standard, a body mass index(BMI) was lowered 18.5 kg/m according to clinical material was regarded malnutrition, and the score was recorded as 3. The severity of ulcerative colitis ( UC ) was evaluated by True-Love criteria as mild, moderate , and severe. Results All 130 patients were evaluated by NRS 2002. 54 patients (44. 6% ) were judged as at the risk of malnutrition. It was also significantly correlated with the severity of disease. In patients with severe UC, the rate of real-nutrition evaluated by BMI according to clinical material was significantly lower than the rate of nutritional risk ( P=0. 004 ) . Conclusion The risk of malnutrition is high in UC patients. NRS 2002 can be used for nutritional risk screening.

  12. Dental OCT

    Science.gov (United States)

    Wilder-Smith, Petra; Otis, Linda; Zhang, Jun; Chen, Zhongping

    This chapter describes the applications of OCT for imaging in vivo dental and oral tissue. The oral cavity is a diverse environment that includes oral mucosa, gingival tissues, teeth and their supporting structures. Because OCT can image both hard and soft tissues of the oral cavity at high resolution, it offers the unique capacity to identity dental disease before destructive changes have progressed. OCT images depict clinically important anatomical features such as the location of soft tissue attachments, morphological changes in gingival tissue, tooth decay, enamel thickness and decay, as well as the structural integrity of dental restorations. OCT imaging allows for earlier intervention than is possible with current diagnostic modalities.

  13. Factors associated with use of breast cancer screening services by women aged ≥ 40 years in Korea: The Third Korea National Health and Nutrition Examination Survey 2005 (KNHANES III

    Directory of Open Access Journals (Sweden)

    Lim Hyung

    2010-04-01

    Full Text Available Abstract Background Despite evidence that breast cancer screening reduces morbidity and mortality, until recently most women have not undergone regular mammogram examinations in Korea. We aimed to identify factors associated with use of breast cancer screening services. Methods The Health Promotion Knowledge, Attitude and Practice survey (HP-KAP survey is part of the Third Korea National Health and Nutrition Examination Survey 2005 (KNHANES III, a nationwide health survey in Korea. Of 7,802 individuals who participated in the HP-KAP survey, 4,292 were female. Of these, 2,583 were women aged at least 40 years and without a history of breast cancer; these women were included in this study. Information about breast cancer screening participation was obtained from the responses to questionnaires. The overall rate of regular breast cancer screening was measured. Factors that affect participation in a breast cancer screening program were identified using multiple logistic regression analysis. Results Among women aged at least 40 years, 30.4% complied with breast screening recommendations. Age of at least 65 years (adjusted odds ratio, aOR 0.61, 95% CI: 0.42-0.88, education level (no [ref], elementary school [aOR 1.51, 95% CI: 1.06-1.47], middle/high school [aOR 1.99, 95% CI: 1.36-2.92], university/higher [aOR 2.73, 95% CI: 1.71-4.35], private health insurance (aOR 1.42, 95% CI: 1.71-4.35, attitude towards screening tests (aOR 0.18, 95% CI: 0.14-0.23, self-reported health status of 'fair' (aOR 1.26 95% CI: 1.00-1.58, and smoking (aOR 0.52, 95% CI: 0.35-0.79 were associated with the rate of regular breast cancer screening Conclusions To increase the nationwide breast cancer screening rate, more attention should be given to underrepresented groups, particularly the elderly, those with a low education level, smokers, and those with a negative attitude towards screening tests. These issues highlight the need for a new emphasis in health education

  14. Is dental practice science based?

    Science.gov (United States)

    Douglass, C W

    1994-01-01

    This paper explores the thesis that the changing medical needs of dental patients, advances in biomedical research, and the confluence of the financing of medical and dental care will result in closer linkages between the medical and dental care delivery systems during the next century. Five trends have been documented in support of this thesis: the increasing number of elderly and their retention of teeth means there is a greater need for restorative dental care than in previous generations; the elderly have chronic diseases and are taking more medications; younger patients are presenting more frequently with infectious, systemic diseases such as HIV/AIDS. New scientific discoveries are opening new possibilities for patient care, which generate even higher expectations on the part of future consumers of medical and dental services. The health and fitness trend is not a fad; new knowledge regarding diet, nutrition, and exercise is identifying systemic risk factors related to common oral pathologies. Medical and dental educators are paying increased attention to the application of basic sciences to patient care. HMOs are increasing their market share of medical care delivery and expanding their services with preventive care and total patient care, including dental services. Data are provided documenting that dentists see these trends occurring in their private practices. The paper concludes that the application of advances in science and technology to oral health will improve the quality of dentistry. However, only new, effective preventive agents will decrease the cost of care, while improved diagnostics and restorative technologies could increase dental care costs.(ABSTRACT TRUNCATED AT 250 WORDS)

  15. Dried fruit and dental health.

    Science.gov (United States)

    Sadler, Michèle Jeanne

    2016-12-01

    A comprehensive review of the literature has found that the common perceptions that dried fruits are "sticky", adhere to teeth, and are detrimental to dental health on account of their sugar content are based on weak evidence. There is a lack of good quality scientific data to support restrictive advice for dried fruit intake on the basis of dental health parameters and further research is required. A number of potentially positive attributes for dental health, such as the need to chew dried fruits which encourages salivary flow, and the presence of anti-microbial compounds and of sorbitol, also require investigation to establish the extent of their effects and whether they balance against any potentially negative attributes of dried fruit. Advice on dried fruit consumption should also take account of the nutritional benefits of dried fruit, being high in fibre, low in fat and containing useful levels of micronutrients.

  16. Dental Caries (Tooth Decay)

    Science.gov (United States)

    ... Find Data by Topic > Dental Caries (Tooth Decay) Dental Caries (Tooth Decay) Main Content Dental caries (tooth decay) remains the most prevalent chronic ... important source of information on oral health and dental care in the United States since the early ...

  17. Infant dental care (image)

    Science.gov (United States)

    ... sugar water. As the child grows, establishing proper dental hygiene will promote healthy teeth and gums which are essential to overall good health. Poor dental development, dental disease, and dental trauma can result ...

  18. Dental Hygienists

    Science.gov (United States)

    ... clinical, and classroom instruction. Areas of study include anatomy, physiology, nutrition, radiography, pathology, medical ethics, head and neck anatomy, patient management, and periodontics, which is the study ...

  19. Diet & Nutrition

    Science.gov (United States)

    ... Nutrition Share this page Facebook Twitter Email Diet & Nutrition Eating healthy to take charge of your health. Shelly Diagnosed in 2006 Diet & Nutrition Take Control of Your Weight Portion Control Low ...

  20. Kajian metode Subjective Global Assessment (SGA dan Nutrition Services Screening Assesment (NSSA sebagai status gizi awal pasien dewasa sebagai prediktor lama rawat inap dan status pulang

    Directory of Open Access Journals (Sweden)

    Agustinus I Wayan Harimawan

    2011-03-01

    Full Text Available Background: Assessment of nutrition status of newly hospitalized patients is an initial stage of nutrition intervention which will bring effects to the duration of stay and the history of patients' diseases during hospitalization. Appropriate nutrition intervention as part of  patients' care can be used as an indicator of the quality of hospital service. Objective: The study aimed to identify preliminary nutrition status of newly hospitalized adult patients using SGA method, its effects to length of stay and status of discharge and compare the capacity of SGA and NSSA indicators in predicting length of stay and status of discharge of adult patients. Method: This observational study used prospective cohort study design. It was carried out at Anuntaloko Hospital of Parigi, District of Parigi Moutong, Sulawesi Tengah from July to September 2008. Subject consisted of 162 people comprising 82 undernourished people and 80 people with good nutrition status based on assessment using SGA method. Data analysis used bivariable and multivariable, receiver operating characteristics (ROC curve and diagnostic methods using computer program. Result: The majority of newly hospitalized patients were undernourished (50.6%; preliminary status of patients assessed using SGA method could affect length of stay, relative risk (RR=3.67 but not status of discharge (RR=0.97. The capacity of SGA indicator, area under the curve (AUC=0.81 and maximum sum of sensitivity and specifcity (MSS =1.57 was better than NSSA indicator (AUC=0.76 and MSS 1.43 in predicting length of stay. The capacity of SGA indicator (AUC=0.50 and MSS=1.01 was better than NSSA indicator (AUC=0.49 and MSS=0.98 in predicting discharge status of the patient. Conclusion: SGA and NSSA indicators could be implemented in assessing preliminary nutrition status of newly hospitalized adult patients; SGA indicator had better capacity than NSSA indicator.

  1. A student operated, faculty mentored dental clinic service experience at the University of Texas Health Science Center at San Antonio for the underserved refugee community: an interprofessional approach.

    Science.gov (United States)

    Farokhi, Moshtagh R; Glass, Birgit Junfin; Gureckis, Kevin M

    2014-01-01

    As the number of refugees settling in San Antonio increases, so will their health care needs. Due to limited resources and stress, they suffer from acute and chronic diseases, reducing their potential for success in their new host country. The need for proper health education coupled with a stable holistic health care facility is essential for their future success. In 2009, nursing students began serving the San Antonio refugee population. By 2011, dental and medical students joined to create the student-run San Antonio Refugee Health Clinic (SARHC). SARHC serves the refugees by providing free health care/education while connecting them to San Antonio's primary health care system. Select dental, medical, and nursing students under the mentorship of their faculty operate the SARHC clinic. The students work in collaborative teams where select members of the refugee community and bilingual students provide translational assistance. The nursing students take vital signs and medical students perform physical exams after gathering a history of present illness. Dental students provide oral health/nutritional education and screenings inclusive of head and neck examination and oral cancer risk assessment. Thirty-two dental, 83 medical, and 118 nursing students rotated through the clinic last year, serving patients with the most common chief complaints of dental, musculoskeletal, dermatological, and gastrointestinal nature. The most common dental findings for this population have been dental caries, periodontal disease, and other dental diseases requiring urgent care. Sub-programs such as the student interpreter program, ladies' health education, and the Refugee Accompaniment Health Partnership have resulted from the SARHC initiative to meet the refugees' needs. Currently under development is a future collaboration with local San Antonio clinics such as the San Antonio Christian Dental Clinic to serve as their dental home. The use of this interprofessional model has resulted

  2. Nutritional Risk among Oklahoma Congregate Meal Participants

    Science.gov (United States)

    Quigley, Kimberly K.; Hermann, Janice R.; Warde, William D.

    2008-01-01

    Objective: To determine if there were differences by demographic variables in response rates to Nutrition Screening Initiative (NSI) Checklist statements reported by over 50% of Oklahoma Older Americans Act Nutrition Program (OAANP) congregate meal participants categorized at high nutritional risk based on cumulative NSI Checklist scores. Design:…

  3. Effect of dietary nutrition on dental fluorosis degrees in school children%膳食营养对小学生氟斑牙发病程度的影响

    Institute of Scientific and Technical Information of China (English)

    刘洪亮; 房军; 冯利红; 徐永俊; 丁雪尘; 郑和辉; 经正; 韩永成

    2009-01-01

    目的 探讨氟中毒病区小学生的膳食营养状况对其氟斑牙发病程度的影响.方法 从饮水型氟中毒历史重病区某直辖市郊区镇(以下简称郊区镇)和某自治区某旗镇(以下简称某旗镇)整群随机抽样208名8~12岁小学生作为调查对象,用离子选择电极法测定尿氟,按Dean分类法检查氟斑牙病损程度,采用三日膳食调查法和双份饭菜法分析小学生营养素摄入状况.结果 某旗镇小学生尿氟为(6.80±3.90)mg/L,明显高于郊区镇小学生[(5.20±2.75)mg/L,t=3.21,P<0.01].郊区镇小学生氟斑牙指数为1.8,某旗镇小学生氟斑牙指数为1.9,二者比较差异有统计学意义(H=10.266,P<0.01).某旗镇小学生氟斑牙临床分度数加权值≥2的人数所占比例[63.3%(57/90)]高于郊区镇小学生[48.3%(57/118),χ2=4.633,P<0.05].三日膳食调查法发现,郊区镇小学生对蛋白质、钙、维生素C等12种营养素的摄入量明显高于某旗镇小学生,而膳食纤维、维生素E、镁等5种营养素的摄入量则低于某旗镇小学生(P均<0.01).双份饭菜法发现,某旗镇小学生镁、锂、铅的日摄入最高于郊区镇小学生,而镉的日摄入量则低于郊区镇小学生(P<0.01或<0.05).郊区镇小学生膳食中氟的日摄入量[(2.24±1.18)mg/d]高于某旗镇小学生[(1.78±0.06)mg/d,t=4.21,P<0.01].结论 良好的膳食营养可以减少氟斑牙的发生或减轻其病损程度,为今后控制和消除地方性氟中毒的危害提供科学依据.%Objective To investigate the effect of dietary nutrition on dental fluorosis degrees of school children in endemic fluorosis areas. Methods Two hundred and eight children aged 8 to 12 years were chosen using cluster random sampling method from a village of municipal suburban and a town of autonomous region, both with a history of serious endemic fluorosis. Morning urinary fluoride was measured by fluoride ion electrode. The Tooth Surface Index of Dean was applied to measure

  4. Evaluation of gingival blood as a minimally invasive screening tool for diabetes mellitus among 40–59-year-old adults in dental clinics: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Indumathi K Partheeban

    2017-01-01

    Full Text Available Objective: To evaluate a quick, safe, and minimally invasive method to screen for diabetes using gingival blood with the help of self-monitoring glucometer during periodontal examination. Materials and Methods: A hospital–based, cross-sectional comparative study was conducted among 40–59-year-old diabetic and nondiabetic population who had come for their master health examination to a private tertiary care hospital (Global Hospital and Health City in Chennai. Among them, those who fulfilled the inclusion criteria were selected for the study. Thirty diabetic and thirty nondiabetic patients with moderate to severe gingivitis were enrolled and subjected to routine clinical periodontal examination. Blood samples of two sites were analyzed using a glucose self-monitoring device (Accu-Check. Patients were tested for venous fasting blood sugar (VFBS, venous postprandial blood sugar (VPPS, gingival fasting blood sugar (GFBS level, gingival postprandial blood sugar (GPPS level, peripheral fingerstick fasting blood sugar (PFBS level, and peripheral fingerstick postprandial sugar (PPPS level. Data obtained were statistically analyzed using Student's t-test, ANOVA, and Pearson's correlation test. Results: A significant positive correlation was found between GFBS and VFBS, GFBS and PFBS, GPPS and VPPS, and GPPS and PPPS (P < 0.01 in both diabetic and nondiabetic patients correlation. Using venous blood glucose level as a gold standard, the sensitivity and specificity of GFBS was 93% and 100%, respectively, whereas in GPPS, the sensitivity and specificity was 80% and 96%, respectively. Conclusion: Gingival blood glucometry can be used as a minimally invasive screening tool for diabetes mellitus in dental clinics.

  5. Nutritional risk screening and nutrition analysis of elderly inpatients of a certain community in Guangzhou%广州市某社区老年住院患者营养风险筛查和营养状况分析

    Institute of Scientific and Technical Information of China (English)

    马婉琳; 何建荣; 李浣冰

    2015-01-01

    Objective:To evaluate the nutritional status of the elderly inpatients of a certain community in Guangzhou .Methods:127 elderly hospitalized patients with chronic diseases were selected with their nutritional risk screened and nutrition status analyzed by using NRS 2002 com-bined with BMI, ALB.Results:15.0% of the patients were malnourished and 59.1% were at risk of undernourishment.There was a significant difference in the incidence of nutritional risk and malnutrition among different age groups ( P <0.01).The difference between BMI, ALB and HB of the normal nutritional group , the group at risk of undernourishment and the malnourished group was significant ( P <0.05).The difference be-tween BMI, ALB and HB of the group at risk of undernourishment and the malnourished group was significant.Conclusion:The incidence of nutri-tional deficiencies and nutritional risk of elderly patients in communities is higher .%目的:评价广州市某社区老年住院患者的营养状况。方法:采用营养风险筛查2002结合身体质量指数( body mass index, BMI)、血清白蛋白( serum albumin,ALB)对127例老年科慢性病住院患者进行营养风险筛查及营养状况分析。结果:营养风险的发生率为59.1%,营养不足的发生率为15.0%。不同年龄组间营养风险、营养不足的发生率差异具有统计学意义( P <0.01),营养正常组与营养风险组、营养不足组的BMI、ALB、血红蛋白(hemoglobin,HB)三组之间比较差异具有统计学意义( P <0.05)。营养风险组与营养不足组BMI、ALB、HB两组之间比较差异具有统计学意义( P <0.05)。结论:社区老年病人营养不足及营养风险率较高。

  6. Dental caries

    DEFF Research Database (Denmark)

    Pitts, Nigel B; Zero, Domenick T; Marsh, Phil D

    2017-01-01

    , exposed root surfaces. The balance between pathological and protective factors influences the initiation and progression of caries. This interplay between factors underpins the classification of individuals and groups into caries risk categories, allowing an increasingly tailored approach to care. Dental......Dental caries is a biofilm-mediated, sugar-driven, multifactorial, dynamic disease that results in the phasic demineralization and remineralization of dental hard tissues. Caries can occur throughout life, both in primary and permanent dentitions, and can damage the tooth crown and, in later life...... caries is an unevenly distributed, preventable disease with considerable economic and quality-of-life burdens. The daily use of fluoride toothpaste is seen as the main reason for the overall decline of caries worldwide over recent decades. This Primer aims to provide a global overview of caries...

  7. Dental Calculus Arrest of Dental Caries

    Science.gov (United States)

    Keyes, Paul H.; Rams, Thomas E.

    2016-01-01

    Background An inverse relationship between dental calculus mineralization and dental caries demineralization on teeth has been noted in some studies. Dental calculus may even form superficial layers over existing dental caries and arrest their progression, but this phenomenon has been only rarely documented and infrequently considered in the field of Cariology. To further assess the occurrence of dental calculus arrest of dental caries, this study evaluated a large number of extracted human teeth for the presence and location of dental caries, dental calculus, and dental plaque biofilms. Materials and methods A total of 1,200 teeth were preserved in 10% buffered formal saline, and viewed while moist by a single experienced examiner using a research stereomicroscope at 15-25× magnification. Representative teeth were sectioned and photographed, and their dental plaque biofilms subjected to gram-stain examination with light microscopy at 100× magnification. Results Dental calculus was observed on 1,140 (95%) of the extracted human teeth, and no dental carious lesions were found underlying dental calculus-covered surfaces on 1,139 of these teeth. However, dental calculus arrest of dental caries was found on one (0.54%) of 187 evaluated teeth that presented with unrestored proximal enamel caries. On the distal surface of a maxillary premolar tooth, dental calculus mineralization filled the outer surface cavitation of an incipient dental caries lesion. The dental calculus-covered carious lesion extended only slightly into enamel, and exhibited a brown pigmentation characteristic of inactive or arrested dental caries. In contrast, the tooth's mesial surface, without a superficial layer of dental calculus, had a large carious lesion going through enamel and deep into dentin. Conclusions These observations further document the potential protective effects of dental calculus mineralization against dental caries. PMID:27446993

  8. Factors Associated with Diabetic Retinopathy and Nephropathy Screening in Korea: The Third and Fourth Korea National Health and Nutrition Examination Survey (KNHANES III and IV)

    OpenAIRE

    Rim, Tyler Hyung Taek; Byun, Il Hwan; Kim, Han Sang; Lee, Sang Yeul; Yoon, Jin Sook

    2013-01-01

    This cross-sectional study was done to identify and determine the socio-demographic and health-related factors associated with diabetic retinopathy and nephropathy screening in Korea. Participants included 2,660 adults, aged 40 or older, with diabetes. Of the 2,660 adults, 998 (37%) and 1,226 (46.1%) had received a diabetic retinopathy and a nephropathy screening within one year, respectively. Regarding retinopathy, subjects older than 65, living in urban areas, with high educational levels, ...

  9. Comparación de dos herramientas de cribado nutricional para predecir la aparición de complicaciones en pacientes hospitalizados Comparison of two nutritional screening tools for predicting the development of complications in hospitalized patients

    Directory of Open Access Journals (Sweden)

    M.ª J. Ocón Bretón

    2012-06-01

    es elevada. El NRS 2002 es un instrumento más válido que el MNA para predecir la aparición de complicaciones hospitalarias.Background: The prevalence of malnutrition in hospitalized patients is high and has been associated with higher morbimortality. Currently no nutritional screening tool is considered the gold standard for identifying nutritional risk. The aims of this study were to evaluate the prevalence of nutritional risk in hospitalized patients using the nutritional screening tools Mini Nutritional Assessment (MNA and Nutrition Risk Screenig 2002 (NRS 2002 and to identify the ability for predicting development of complications. Methods: We evaluated 57 patients admitted within the first 48 h in different medical or surgical wards of the hospital. The patients were assessed by MNA and NRS 2002 and using anthropometric and laboratory parameters. Agreement between MNA and NRS 2002 was analyzed with the kappa index. ROC curves were used for assessing the validity of the both tools in predicting complications with determination of the area under the curve (AUC. Results: The prevalence of patients at nutritional risk was 38.6% with the NRS-2002 and 49.1% with the MNA. The agreement between two tools was moderate (κ = 0.436, p = 0.001. The incidence of complications was significantly higher in patients at nutritional risk defined by the NRS 0,002 but not according to the MNA (28.6% vs. = 2002 (40.9% vs. 5.7%; p 0.08. Sensitivity for predicting complications was 81.8% with = 10.3%, p the NRS 2002 and 72.7% with the MNA and specificity was 71.7% and 56.5% respectively. By ROC curve, both tests were valid to identify the risk of complications: NRS 2002 AUC = 0.768 (confidence interval (IC 95%: 0.637-0.869 and MNA AUC = 0.646 (IC 95%: 0.508-0.768, but the AUC was significantly higher with the NRS 2002 (p = 0.047. Conclusions: The prevalence of nutritional risk in hospitalized patients is high. NRS 2002 is a screening tool more valid than MNA to predict the

  10. 三种营养筛查工具在老年住院患者中的应用与比较%Comparison of application of 3 nutrition screening methods in elderly in-patients

    Institute of Scientific and Technical Information of China (English)

    董萍; 侯静; 闫雪娇; 刘文静; 杨子艳; 任珊珊

    2015-01-01

    Objective To identify the applicability of Traditional nutritional evaluation method,short-form mini-nutritional assessment (MNA-SF) and nutrition risk screening 2002 (NRS 2002) on screening malnutrition in elderly in-patients.Methods 100 elderly in-patients with malnutrition were screened by the above screening instruments.The evaluation effects of the 3 methods were compared by sensitivity,specificity and ROC curve.Results The detection rates of elderly in-patients with malnutrition by BMI,MNA-SF and NRS 2002 was 7%,58% and 39% respectively.Taking the human body measurement instrument as standard,the sensitivities of BMI,MNA-SF and NRS 2002 was 0.475,0.918 and 0.410respectively,the specificities was 0.615,0.103 and 0.641 respectively.3 tools series test sensitivity and specificities was 0.557 and 0.913 respectively,parallel test sensitivity and specificities was 0.929 and 0.435 respectively.Conclusions There is significant difference among the sensitivities of the 3 methods,NRS 2002 has the highest accuracy and is applicable to the screening of nutrition risks in elderly patients.Combined 3 kinds of tool can better improve the effect.%目的 明确传统营养评价方法、简易营养评价精法及营养不良筛查方案在老年住院患者中的应用.方法 应用3种营养筛查工具对老年病房100例患者进行营养筛查,用敏感性、特异性、受试者工作特征曲线和人体测量仪判定结果对3种营养筛查工具评定结果进行分析比较.结果 体质量指数、微型营养评价精法和营养不良筛查方案3种营养筛查工具对营养不良的筛出率分别为7%(7/100)、58%(58/100)、39%(39/100);以人体测量仪检测结果为标准,3种营养评价工具的灵敏度分别为0.475、0.918、0.410,特异度分别为0.615、0.103、0.641;3种工具串联试验灵敏度为0.557,特异度为0.913;并联试验灵敏度为0.929,特异度为0.435.结论 在筛查老年患者营养不良的应用中,3种营

  11. Nutritional support of the oncology patient.

    Science.gov (United States)

    Bozzetti, Federico

    2013-08-01

    This review focuses on the nutritional support of the non-surgical cancer patient. The following topics are reviewed: cancer cachexia (definition and staging, prevalence and impact on clinical outcome); nutritional screening to identify potential candidates for nutritional support; nutritional requirements in terms of macro-and micro-nutrients of the advanced cancer patient. Finally, the indications and results of nutritional support are presented with a special focus on the following issues: routes of delivering nutritional support, the use of standard or n-3 fatty acids-enriched oral nutritional supplements during radiation therapy and/or chemotherapy, tube feeding during RT (with/without chemotherapy), parenteral nutrition during chemotherapy, nutritional support during hematopoietic stem cell transplantation, (home) enteral or total and supplemental parenteral nutrition in the incurable patient. Lastly, the bioethical aspects of feeding patients with incurable disease are briefly reviewed. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  12. Application and comparison of two kinds of nutritional evaluation methods in nutritional screening in elderly patients with spontaneous intracerebral hemorrhage%两种营养评价方法在老年脑出血患者营养筛查中的应用

    Institute of Scientific and Technical Information of China (English)

    陈伟; 王朝琴; 黄宗谭; 郭大芬; 雷丹; 姚声涛

    2016-01-01

    目的 探讨营养风险筛查2002 (NRS 2002)和微型营养评定法简版(MNA-SF)在老年自发性脑出血患者中的应用效果,并评价2种工具的适用性.方法 采用NRS2002、MNA-SF对60例老年自发性脑出血患者进行营养不良风险筛查,根据评分结果判断患者有无潜在的营养风险,比较2种营养评价工具应用效果.结果 采用NRS2002评分≥3分者59例(98.3%),<3分者仅1例(1.7%).采用MNA-SF评分12~14分3例,占5.0%;8~11分7例,占11.7%;0~7分50例,占83.3%.2种营养评价方法筛查的营养不良风险发生率差异无统计学意义(x2=1.034,P=0.619).结论 老年自发性脑出血患者住院期间营养不良的风险高,NRS 2002和MNA-SF 2种方法对于老年自发性脑出血患者均适用,MNA-SF更方便、快捷、全面.%Objective To investigate the application effect of two methods,the nutritional risk screening 2002 (NRS 2002) and the mini nutritional assessment short-form (MNA-SF),on nutritional screening in elderly patients with spontaneous intracerebral hemorrhage,and to evaluate the applicability of two kinds of methods.Methods Using NRS 2002 and MNA-SF,the malnutrition risk screening was performed in 60 cases of elderly patients with cerebral hemorrhage.Based on malnutrition risk score results,the potential nutritional risks were judged,and the application effectiveness was compared between two nutritional evaluation tools.Results Among 60 cases,there were 59 (98.3%) cases with NRS-2002 score≥3,and 1 (1.7%) case with NRS-2002 score < 3.By contrast,using the MNA-SF analysis,among 60 cases there were 3 (5.0%) cases with score of 12-14,7 (11.7%) cases with score of 8-11,and 50 (83.3%) cases with score of 0-7.No statistically significant difference was found between these two methods for analyzing the malnutrition risk incidence (x2 =1.034,P =0.619).Conclusion The risk grade of malnutrition is very high in elderly patients with spontaneous intracerebral

  13. The Correlation Between Dietary Habits and Dental Hygiene Practice with Dental Caries Among School Children at Urban Area in Semarang

    Directory of Open Access Journals (Sweden)

    Omaran Ibrahim Mohammed Ali

    2016-09-01

    Full Text Available Dental caries is a major cause of tooth loss in children and young adults. Dental caries have been linked to the situation of underprivileged families, nutritional imbalance, and poor oral hygiene techniques, including lack of tooth brushing or flossing the teeth, and also have a genetic etiology. Dietary habits and dental hygiene practice can result in high caries in school children. This research aimed to reveal the correlation between dietary habits and dental hygiene practice with dental caries among school children in urban area of Semarang. The subjects of this research are the elementary student 7 – 9 years old enrolled in schools located in at urban area in Semarang in 2016 and the mother of a student who became the study sample. Data were statisically analyzed usingbivariate analysis and multivariate analysis. Based on the research result, it can be concluded that: there was no correlation between total carbohydrate intake, refined carbohydrate intake, fiber intake, dental hygiene practice with dental caries, bottle feeding and duration of bottle feeding were assosiated with dental cariest-score. Overall, def-t score in the study was very bad with high median of dental caries score and many children have dental caries t-score more than 6.How to CiteAli, O. I. M., Muis, F. & O, Oedijani. (2016. The Correlation Between Dietary Habits and Dental Hygiene Practice with Dental Caries Among School Children at Urban Area in Semarang. Biosaintifika: Journal of Biology & Biology Education, 8(2, 178-184.

  14. 山东地区部分医院住院患者营养风险筛查和营养支持应用状况%Nutritional risk screening and nutritional supports in some hospitals in Shandong Province

    Institute of Scientific and Technical Information of China (English)

    田字彬; 付慧玲; 丁红玲; 薛莉

    2010-01-01

    目的 调查山东省部分地区不同规模医院住院患者营养风险、营养不良(不足)发生率及营养支持应用状况及相关并发症发生率.方法 以山东地区部分大、中、小医院2792例新住院患者为研究对象,进行营养风险筛查2002(NRS 2002),记录患者营养支持应用情况、住院时间、感染性及非感染性并发症发生率.以NRS 2002≥3分为有营养风险,体重指数<18.5 kg/m2并结合患者临床情况判定为营养不足.结果 大、中、小医院新住院患者营养不足发生率分别为5.6%、1.6%、2.7%,差异有统计学意义(P=0.000);营养风险发生率分别为27.3%、15.4%、18.3%,差异有统计学意义(P=0.000);存在营养风险患者营养支持的应用率分别为51.5%、30.8%、20.9%,差异有统计学意义(P=0.000);营养支持以肠外营养应用最多,大、中、小医院分别为72.9%、95.1%、100%,差异有统计学意义(P=0.000).大医院483例新人院患者中无营养风险者并发症的发生率明显低于有营养风险的患者(P=0.000);在有营养风险的患者中,接受营养支持患者的感染性并发症发生率明显低于无营养支持者(P=0.043);在无营养风险的患者中,接受营养支持患者与无营养支持患者之间总并发症发生率差异无统计学意义(P>0.05).结论 采用NRS 2002对我国住院患者进行营养风险筛查是可行的,营养支持可以减少有营养风险患者并发症的发生.%Objective To investigate the prevalence of undernutrition, nutritional risks, and the application of nutrition supports in different hospitals in Shandong province, and to estimate the related complication rate.Methods Totally 2792 patients from different hospitals in Shandong were enrolled, and their nutritional risks were assessed using Nutritional Risk Screening (NRS) 2002. The application of nutritional supports, the length of hospital stay, and the incidences of infectious and non-infectious complications were

  15. The study of nutritional risk screening and clinical outcomes in elderly inpatients%老年住院患者营养风险的筛查及与临床结局关系的研究

    Institute of Scientific and Technical Information of China (English)

    宗晔; 吴咏冬; 卢迪; 赵海英

    2014-01-01

    Objective To investigate the prevalence of nutritional risk and the relationship between nutritional risk and clinical outcomes in elderly inpatients. Methods Geriatric patients 65 years and older hospitalized in seven departments of Beijing Friendship Hospital were consec-utively enrolled between March to April 2012. Nutritional Risk Screening 2002(NRS 2002)was performed after admission. The length of hospital stay and the incidence of complications were compared between patients with and without nutritional risk. Results A total of 386 patients were en-rolled,and there were 166 patients with nutritional risk,accounting for 43. 0% . The incidence rate of nutrition risk of patients was highest in Neu-rology Department among seven departments,and there were significant differences( P < 0. 05)compared with respiratory,orthopedic and cardi-ology department. The incidence rate of nutrition risk of patients was lowest in Cardiology Department,and there were significant differences( P< 0. 05)compared with other departments. The nutritional risk of the patients aged between 65 and 74 years were significantly lower than those aged between 75 and 84 years( P < 0. 05 )and those aged 85 and over( P < 0. 05 ). The incidence of total complications and infection were higher and length of hospital stay was longer in the group of patients with nutritional risk than those in the group of patients without nutritional risk ( P < 0. 05). Conclusion The elderly inpatients with nutritional risk are common,especially in Neurology Department. The rate of nutritional risk grows with the age increases. The incidence of complications is higher and length of hospital stay is longer in patients with nutritional risk than those in patients without nutritional risk.%目的:调查老年住院患者营养风险,及不同营养风险状况的临床结局。方法对2012年3月至2012年4月北京友谊医院7个科室住院,并且≥65岁患者运用营养风险筛查2002(NRS2002

  16. Dental Implants

    Science.gov (United States)

    ... tooth is lost. Surrounding each tooth is an alveolar bone that supports the tooth and when the tooth ... and poor nutrition. Rebuilding Bone When the supporting alveolar bone melts away , it’s gone for good, but through ...

  17. 广州市低保人群住院患者营养风险筛查调查分析%Nutritional risk screening in hospitalized patients entitled to basic living allowances in Guangzhou

    Institute of Scientific and Technical Information of China (English)

    陈经宝; 庞凤舜; 刘秋萍; 杨丽明; 秦有

    2014-01-01

    目的:调查广州市低保人群住院患者营养风险、营养不足发生率情况。方法采用定点连续抽样结果对2010年1月至2012年12月在广州市慈善医院外科、骨科、消化内科、神经内科、呼吸内科、心血管内科、肾内科7个专科新入院、符合NRS2002评定标准的513例住院患者进行营养筛查。结果513例低保患者中,营养不足和营养风险的发生率分别为23.78%和52.63%;7个专科中肾内科患者的营养不足发生率最高,为41.07%;而神经内科患者的营养风险发生率最高,为74.00%。结论目前广州市低保人群总的营养不足及营养风险发生率仍较高,需引起重视。%Objective To investigate the prevalence of nutritional risk and malnutrition in hospitalized pa-tients entitled to basic living allowances in Guangzhou. Methods 513 adult patients who met the Nutritional Risk Screening 2002 (NRS2002) in 7 departments (general surgery, orthopaedics, digestive medicine,neurology medicine,re-spiratory medicine,cardiovascular and nephrology departments) were enrolled from January 2010 to December 2012 by fix-point consecutive sampling. Results The overall prevalence of malnutrition was 23.78%and nutritional risk was 52.63%. Among the 7 departments, nephrology department had the highest prevalence of malnutrition as 41.07%, and neurology medicine department had the highest prevalence of nutritional risk as 74.00%. Conclusion A large propor-tion of low-income population in Guangzhou is at nutritional risk or malnutrition and it should be taken seriously.

  18. Perioperative nutritional risk screening and postoperative complications of colorectal cancer patients%结直肠癌患者的围手术期营养风险筛查与术后并发症

    Institute of Scientific and Technical Information of China (English)

    徐兰娟; 曹丽萍

    2009-01-01

    目的 动态评价结直肠癌患者的围手术期营养风险,以期指导临床合理营养支持.方法 选取新人院、未经放疗、化疗处理的结直肠癌患者144例,于术前及术后两周应用营养风险筛查2002(NRS2002)对患者进行营养风险动态评估,同时测定血红蛋白、血清白蛋白、前白蛋白水平及外周血总淋巴细胞计数,并观察术后并发症的发生率.结果 术前有22.91%(33/144)的患者存在营养风险;术前预测术后营养风险发生率为43.06%(62/144),实际测得术后营养风险发生率为54.86%(79/144),后两者的差异具有统计学意义(x2=4.016,P<0.05).术前营养风险评分≥3分的患者术后出现并发症的发生率为10.13%,评分<3分的患者术后出现并发症的发生率为1.54%,存在营养风险的患者并发症的发生率显著高于不存在营养风险的患者(X2=3.065,P<0.05).结论 结直肠癌患者的围手术期营养风险发生率高,尤以术后显著,且存在营养风险的患者易发生术后并发症.%Objective To evaluate the perioperative nutritional risk of patients with colorectal cancer. Methods Totally, the nutritional risk of 144 colorectal cancer patients who were newly admitted to our hospital and were radiotherapy-naive or chemotherapy-naive were evaluated using Nutritonal Risk Screening 2002 (NRS2002 ) before operation and two weeks after operation. Meanwhile, hemoglobin, serum levels of albumin and prealbumin, total lymphocyte count were measured and the postoperative complications were observed. Results The incidence of preoperative nutritional risk was 22. 91% (33/144). The predicted incidence of postoperative nutritional risk was 43. 06% (62/144), while the actual incidence was 54. 86% (79/144) (x2 =4. 016, P < 0.05). About 10. 13% of patients whose preoperative nutritional risk score≥3 experienced complications, while only 1. 54% of patients whose preoperative nutritional risk score < 3 had complications (x2 = 3. 065, P

  19. Relationship of nutritional status and oral health in elderly: Systematic review with meta-analysis.

    Science.gov (United States)

    Toniazzo, Mirian Paola; Amorim, Paula de Sant'Ana; Muniz, Francisco Wilker Mustafa Gomes; Weidlich, Patricia

    2017-03-28

    This systematic review aimed to compare the nutritional status and oral health in older adults individuals. Three databases (Medline-Pubmed, Scopus and EMBASE) were searched up to October 28th 2016 for studies that performed the Subjective Global Assessment (SGA) or the Mini Nutritional Assessment (MNA) and an oral examination performed by a dental professional, either dental hygienist or a dentist. Both observational and interventional studies were screened for eligibility. Meta-analyses were performed comparing the malnourished/at risk of malnutrition and the normal nutrition subjects with three oral health parameters (edentulism, use of prosthesis and mean number of present teeth). Twenty-six studies were included in the systematic review, of which 23 were cross-sectional. It was showed that well-nourished subjects had a significantly higher number of pairs of teeth/Functional Teeth Units (FTU) in comparison to individuals with risk of malnutrition or malnutrition. The meta-analyses showed no statistically significant association between edentulism and use of prosthesis, as the pooled Relative Risk were, respectively, 1.072 (95% CI 0.957-1.200, p = 0.230) and 0.874 (95% CI 0.710-1.075, p = 0.202). On the other hand, the pooled Standard Mean Difference of mean number of present teeth were -0.141 (95% CI -0.278 to -0.005, p = 0.042) in subjects with at risk of malnutrition/malnourished. FTU and mean number of teeth present were significantly associated with nutritional status. Furthermore, more longitudinal studies in this field are needed. Copyright © 2017 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  20. Dental Training Films.

    Science.gov (United States)

    Veterans Administration Medical Center, Washington, DC.

    This dental training films catalog is organized into two sections. Section I is a category listing of the films by number and title, indexed according to generalized headings; categories are as follow: anatomy, articulator systems, complete dentures, dental assisting, dental laboratory technology, dental materials, dental office emergencies,…

  1. Assessing risk screening methods of malnutrition in geriatric patients: Mini Nutritional Assessment (MNA versus Geriatric Nutritional Risk Index (GNRI Evaluación de los métodos de cribaje de riesgo nutricional en pacientes geriátricos: Mini Nutritional Assessment (MNA versus Geriatric Nutritional Risk Assessment (GNRI

    Directory of Open Access Journals (Sweden)

    P. Durán Alert

    2012-04-01

    Full Text Available Introduction: Elderly subjects are considered a vulnerable group and they have more risk of nutritional problems. The risk of malnutrition increases in hospitalized geriatric patients. Objectives: To compare the correlation between MNA and GNRI with anthropometric, biochemical and Barthel Index in hospitalized geriatric patients and to test the concordance between MNA and GNRI and between Mini Nutritional Assessment Short Form (MNA-SF and MNA. Methods: It was a cross-sectional study on a sample of 40 hospitalized geriatric patients. For determination nutritional status we used MNA and GNRI; we evaluated the correlation between this both test with biochemical and anthropometric parameters and functional questionnaires. We used Pearson´s simple correlation model, oneway ANOVA and multiple logistic regression to evaluate the relationship between MNA and GNRI. Results: According to MNA, 17 patients (42.5% were malnourished and according to GNRI, 13 patients (32.5% had high risk of nutritional complications. The concordance of MNA and GNRI was 39% and between MNA-SF and MNA was 81%. The most significant differences were detected in weight, BMI, arm and calf circumference and weight loss parameters. Barthel index was significantly different in both tests. The MNA and GRNI had significant correlations with albumin, total protein, transferring, arm and calf circumference, weight loss and BMI parameters. Conclusions: In conclusion, it would be reasonable to use GRNI in cases where MNA is not applicable, or even use GRNI as a complement to MNA in hospitalized elderly patients. There is no reason why they should be deemed incompatible, and patients could benefit from more effective nutritional intervention.Antecedentes: La población anciana esta considerada como un colectivo vulnerable a sufrir problemas nutricionales. Entre estos, los ancianos hospitalizados tienen aun un mayor riesgo a sufrir malnutrición. Objetivos: Los objetivos de este estudio

  2. Comparison of Four Kinds of Nutritional Screening Tools in Clinical Application of General Surgery Pa-tients Application%4种营养筛查工具在普外科患者中应用的比较

    Institute of Scientific and Technical Information of China (English)

    包学智; 田伟军

    2015-01-01

    目的:使用NRS2002和SGA、MNA、NRI 4种工具对普外科入院患者进行营养状态调查,比较4种工具的适用性和一致性以及每种工具所得筛查结果和临床结局的关系。方法:采用连续取样方法选取天津医科大学总医院普外科收治的125名患者为研究对象,当患者入院第2 d分别应用NRS2002和SGA、MNA、NRI进行营养筛查和评估,并比较每种工具所得筛查结果和临床结局的关系。结果:入院NRS2002、SGA及MNA适用性91.91%,NRI适用性91.18%,4种方法对患者营养风险的评价具有一致性。将BMI≤18.5或ALB≤30 g/L作为营养不良的一个标准,4种评价工具与该标准的一致性较差。NRS2002、SGA筛查结果和临床结局的关系最为密切。结论:4种营养评价工具均适用于普外科营养不足的筛查。NRS2002、SGA筛查结果和临床结局的关系最为密切。%Objective NRS2002, SGA, MNA and NRI are used to screen nutritional risk of general surgery hospitalized patients, then to compare their applicability and consistency and analyze the effect in clinical out⁃comes of NRS results with respect to each tool. Methods The 125 patients hospitalized in General Hospital of Tianjin Medical University from June to September 2014 were chosen as object of study, to screen and evalu⁃ate nutritional risk of patients by NRS 2002, SGA, MNA and NRI, respectively, on the second hospital day. Then to compare the consistency of NRS results with respect to the four tools on clinical outcomes. Results The applicabilities of hospital NRS2002, SGA, MNA and NRI were alternatively 91.91%,91.91%,91.91% and 91.18%.The evaluation of patients’NRS corresponding to different four tools was consistent. Let BMI≤18.5 or ALB≤30 g/L be one standard of malnutrition, the consistency of four evaluation tools and the standard was poor. The effects of screening results of NRS2002 and SGA on clinical outcomes were most closely related. Conclusion

  3. Aesthetic management of dental fluorosis.

    Science.gov (United States)

    Khandelwal, Vishal; Nayak, Ullal Anand; Nayak, Prathibha Anand; Ninawe, Nupur

    2013-05-22

    Significant numbers of patients visiting the paediatric dental clinics have aesthetically objectionable brown stains and desire treatment for them. Intrinsic tooth discolouration can be a significant aesthetic, and in some instances, functional, problem. Dental fluorosis, tetracycline staining, localised and chronological hypoplasia, and both amelogenesis and dentinogenesis imperfecta can all produce a cosmetically unsatisfactory dentition. The aetiology of intrinsic discolouration of enamel may sometimes be deduced from the patient's history, and one factor long associated with the problem has been a high level of fluoride intake. Optimal use of topical fluorides leads to a decrease in the caries prevalence but may show an increase in the prevalence of fluorosis staining because of metabolic alterations in the ameloblasts, causing a defective matrix formation and improper calcification. A 12-year-old male patient was screened at the dental clinic for routine dental care. He wanted us to remove and/or minimise the noticeable brown/yellow staining of his teeth. He requested the least invasive and most cost-effective treatment to change his smile. Various treatment modalities are present for the treatment of fluorosis stains. This report discusses the microabrasion technique in the patient having dental fluorosis.

  4. 青岛市某三级甲等医院老年住院病人营养风险筛查%NUTRITION RISK SCREENING OF ELDERLY INPATIENTS AT A GRADE-3-A HOSPITAL IN QINGDAO

    Institute of Scientific and Technical Information of China (English)

    曲国建; 丁连安; 李海燕; 胡松

    2012-01-01

    目的 对青岛大学医学院附属医院部分科室老年住院病人营养风险进行筛查,为病人的营养支持治疗提供临床依据.方法 2010年7月-2011年6月,对青岛大学医学院附属医院5个科室1831例老年住院病人进行连续定点抽样调查,记录病人体质量指数及血清清蛋白、血红蛋白水平,以NRS 2002进行营养风险入院筛查.结果 1831例老年住院病人,NRS 2002适用率为97.9%,营养风险发生率为46.7%,营养不足发生率为8.2%,低蛋白血症发生率为39.1%,贫血发生率为29.7%.结论 住院老年病人营养风险、低蛋白血症及贫血发生率高,NRS 2002对老年住院病人营养风险筛查适用率高;NRS 2002方法简便,易操作,有助于早期判断老年病人是否存在营养风险,利于合理营养方案的制定与实施.%Objective To investigate the nutrition risk in senior patients hospitalized in some departments of the Affiliated Hospital of Qingdao University Medical College, and provide clinical evidence for nutritional support. Methods During July 2010 to June 2011, a fixed-point sample survey was carried out in five departments where 1 831 senior patients hospitalized, their body mass index, serum albumin, hemoglobin were recorded, and the nutritional risk of these patients was assessed with NRS 2002. Results Of the 1 831 patients, the applicable rate of NRS 2002 was 97. 9%, the incidence of nutrition risk, insufficient nourishment, hypoproteinemia and anemia was 46. 7% , 8.2%, 39. 1 % , and 29. 7% , respectively. Conclusion The incidence of nutrition risk, hypoproteinemia and anemia is high in hospitalized seniors, NRS 2002 is highly suitable to them for screening the risk. The NRS 2002 is simple and easy to operate, which is conduce to judgment of whether or not the seniors are with nutrition risk at early stage, and is beneficial to formulate and implement the national nutrition proposal.

  5. Changes in complementary feeding practices and nutrition status in ...

    African Journals Online (AJOL)

    Changes in complementary feeding practices and nutrition status in returnee children aged 6-23 months in northern Uganda. ... whether nutrition education and the screening of acutely malnourished children will continue in these communities ...

  6. Diabetes: Dental Tips

    Science.gov (United States)

    ... Diabetes and Oral Health > Diabetes: Dental Tips Diabetes: Dental Tips Main Content Diabetes can cause serious problems ... FOIA Web Policies Privacy Policy National Institute of Dental and Craniofacial Research National Institutes of Health Bethesda, ...

  7. Dental Exam for Children

    Science.gov (United States)

    ... they're most treatable. When to have a dental exam Various factors might determine how frequently your ... wisdom teeth (third molars) at the appropriate age. Dental X-ray A dental X-ray (radiograph) allows ...

  8. Dental Care in Pregnancy

    Science.gov (United States)

    Share with Women Dental Care in Pregnancy Why is dental care in pregnancy important? During pregnancy, you are more likely to have problems ... There are 2 major reasons women can have dental problems during pregnancy: Pregnancy gingivitis— During pregnancy, changes ...

  9. American Dental Education Association

    Science.gov (United States)

    ... Interest Groups ADEA Governance Documents and Publications ADEA Dental Faculty Code of Conduct ADEA Bylaws ADEAGies Foundation ... Benefits for Faculty ADEA Member Benefits for Allied Dental Programs ADEA Member Benefits for Dental Schools ADEA ...

  10. Dental Issues & Down Syndrome

    Science.gov (United States)

    ... Associated Conditions » Dental Issues & Down Syndrome Dental Issues & Down Syndrome Dental care is important for everybody, but people ... is Different About the Teeth of People With Down Syndrome? Delayed Eruption The teeth of people with Down ...

  11. Estimating Demand for and Supply of Pediatric Preventive Dental Care for Children and Identifying Dental Care Shortage Areas, Georgia, 2015.

    Science.gov (United States)

    Cao, Shanshan; Gentili, Monica; Griffin, Paul M; Griffin, Susan O; Harati, Pravara; Johnson, Ben; Serban, Nicoleta; Tomar, Scott

    Demand for dental care is expected to outpace supply through 2025. The objectives of this study were to determine the extent of pediatric dental care shortages in Georgia and to develop a general method for estimation that can be applied to other states. We estimated supply and demand for pediatric preventive dental care for the 159 counties in Georgia in 2015. We compared pediatric preventive dental care shortage areas (where demand exceeded twice the supply) designated by our methods with dental health professional shortage areas designated by the Health Resources & Services Administration. We estimated caries risk from a multivariate analysis of National Health and Nutrition Examination Survey data and national census data. We estimated county-level demand based on the time needed to perform preventive dental care services and the proportion of time that dentists spend on pediatric preventive dental care services from the Medical Expenditure Panel Survey. Pediatric preventive dental care supply exceeded demand in Georgia in 75 counties: the average annual county-level pediatric preventive dental care demand was 16 866 hours, and the supply was 32 969 hours. We identified 41 counties as pediatric dental care shortage areas, 14 of which had not been designated by the Health Resources & Services Administration. Age- and service-specific information on dental care shortage areas could result in more efficient provider staffing and geographic targeting.

  12. Dental Implants.

    Science.gov (United States)

    Griggs, Jason A

    2017-10-01

    Systematic reviews of literature over the period between 2008 and 2017 are discussed regarding clinical evidence for the factors affecting survival and failure of dental implants. The factors addressed include publication bias, tooth location, insertion torque, collar design, implant-abutment connection design, implant length, implant width, bone augmentation, platform switching, surface roughness, implant coatings, and the use of ceramic materials in the implant body and abutment. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Dental Holography

    Science.gov (United States)

    Dirtoft, Ingegerd

    1983-12-01

    Ten years have passed since the first articles appeared in this new field. The qualities of the laser light together with the need of contactless 3-D measurements for different dental purposes seemed to be extremely promising, but still just a few scientists have used the method and mostly for laboratory studies. For some reason there has been a preponderance for orthodontic measurements. This seems to be a bit peculiar from holographic view compared with measurements for engineering purposes, which usually are made on metals. So naturally holography can become a clinical tool for measurements in the field of fixed bridges, removable partial dentures and implants. One of the problems is that the need for holography in dental research must be fulfilled in collaboration with physicists. Only a two-way communication during an entire experiment can balance both technical and odontological demands and thus give practical and clinical important results. The need for an easy way of handling the evaluation to get all required information is another problem and of course the holographic equipment must be converted to a box easy to handle for everyone. At last the position of dental holography today is going to be carefully examined together with an attempt to look into the hopefully exciting and not to utopic future for this research field.

  14. Dental caries.

    Science.gov (United States)

    Pitts, Nigel B; Zero, Domenick T; Marsh, Phil D; Ekstrand, Kim; Weintraub, Jane A; Ramos-Gomez, Francisco; Tagami, Junji; Twetman, Svante; Tsakos, Georgios; Ismail, Amid

    2017-05-25

    Dental caries is a biofilm-mediated, sugar-driven, multifactorial, dynamic disease that results in the phasic demineralization and remineralization of dental hard tissues. Caries can occur throughout life, both in primary and permanent dentitions, and can damage the tooth crown and, in later life, exposed root surfaces. The balance between pathological and protective factors influences the initiation and progression of caries. This interplay between factors underpins the classification of individuals and groups into caries risk categories, allowing an increasingly tailored approach to care. Dental caries is an unevenly distributed, preventable disease with considerable economic and quality-of-life burdens. The daily use of fluoride toothpaste is seen as the main reason for the overall decline of caries worldwide over recent decades. This Primer aims to provide a global overview of caries, acknowledging the historical era dominated by restoration of tooth decay by surgical means, but focuses on current, progressive and more holistic long-term, patient-centred, tooth-preserving preventive care.

  15. Nutritional Support

    Science.gov (United States)

    Nutritional support is therapy for people who cannot get enough nourishment by eating or drinking. You may ... absorb nutrients through your digestive system You receive nutritional support through a needle or catheter placed in ...

  16. Nutritional supplements

    DEFF Research Database (Denmark)

    Petersen, Gry Bjerg; Andersen, Jens Rikardt

    2015-01-01

    Background: Several studies have indicated that cancer patients have significantly altered taste sensitivity without specifying the preferences. One of the related problems is low compliance to nutritional therapy with oral nutritional supplements (ONS) in patients suffering severe weight loss...

  17. Danish dental education:

    DEFF Research Database (Denmark)

    Moore, Rod

    1985-01-01

    The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed.......The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed....

  18. Danish dental education:

    DEFF Research Database (Denmark)

    Moore, Rod

    1985-01-01

    The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed.......The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed....

  19. Prevalence and factors associated with dental anxiety among ...

    African Journals Online (AJOL)

    A Kiswahili version of the Modified Dental Anxiety Scale (MDAS) was used to ... accomplish treatment planned to a patient, pharmaceutical, such as sedation, and ..... at the late stages of disease progression (Kikwilu et al. .... King, K. & Humphris, G. (2010) Evidence to confirm the cut-off for screening dental phobia using the.

  20. Malnutrition screening by Mini-Nutritional Assessment and Short-Form Mini-Nutritional Assessment in patients with Alzheimer's disease%微型营养评定法和微型营养评定简表在老年痴呆患者营养筛查中的应用

    Institute of Scientific and Technical Information of China (English)

    张彩华; 徐奕; 朱宏霞

    2010-01-01

    Objective To evaluate the applicability of Mini-Nutritional Assessment(MNA),Short-Form Mini-Nutritional Assessment(MNA-SF)in the malnutrition screening of patients with Alzheimer's disease(AD).Methods MNA and MNA-SF were performed in 267 AD patients.The correlation between the screening results were compared.Results According to MNA,the rates of malnutrition,potential malnutrition,and normal nutritional status were 59.7%,20.9%,and 19.4%,respectively.The sensitivity was 73.4%and the specificity was 60.1%.According to MNA-SF,the rates of malnutrition and normal nutritional status were 70.4%and 29.6%.The sensitivity was 50.6%and the specificity was 92.4%.The screening results of these two tools were significantly correlated(r=0.924,P<0.01).Conclusions MNA and MNA-SF are reliable tools for evaluating the nutritional status of AD patients.While MNA-SF is more convenient and feasible,the combination of these two tools may be helpful.%目的 采用微型营养评定法(MNA)和微型营养评定简表(MNA-SF)对老年痴呆患者营养状况进行筛查,比较两者的适用性.方法 对267例老年痴呆患者应用MNA和MNA-SF进行营养筛查,测量人体学指标和实验事指标,分析两者的相关性.结果 根据MNA值评定营养不良者占59.7%,潜在营养不良者占20.9%,营养正常者占19.4%;营养不良评价敏感性73.4%,特异性60.1%.根据MNA-SF值评定营养不良者占70.4%,营养正常者占29.6%;营养不良评定敏感性50.6%,特异性92.4%.MNA法和MNA-SF法具有高度相关性(r=0.924,P<0.01).结论 老年痴呆患者营养不良的发生率高,两种方法联合评定提高了老年痴呆患者营养不良患者的检出率,是筛查老年痴呆患者营养不良的有效方法.

  1. American Dental Hygienists' Association

    Science.gov (United States)

    ... Resources Student Resources National Exam Student Advisor Resources Dental Hygiene Programs Scholarships and Grants Research Center Transforming Dental Hygiene Education Advocacy Practice Issues Direct Access Scope ...

  2. Advantages of enteral nutrition over parenteral nutrition

    OpenAIRE

    Seres, David S.; Valcarcel, Monika; Guillaume, Alexandra

    2013-01-01

    It is a strong and commonly held belief among nutrition clinicians that enteral nutrition is preferable to parenteral nutrition. We provide a narrative review of more recent studies and technical reviews comparing enteral nutrition with parenteral nutrition. Despite significant weaknesses in the existing data, current literature continues to support the use of enteral nutrition in patients requiring nutrition support, over parenteral nutrition.

  3. Dental Fear among Medical and Dental Undergraduates

    Directory of Open Access Journals (Sweden)

    H. Hakim

    2014-01-01

    Full Text Available Objective. To assess the prevalence and level of dental fear among health related undergraduates and to identify factors causing such fear using Kleinknecht’s Dental Fear Survey (DFS questionnaire. Methods. Kleinknecht’s DFS questionnaire was used to assess dental fear and anxiety among the entire enrollment of the medical and dental undergraduates’ of the University of Malaya. Results. Overall response rate was 82.2%. Dental students reported higher prevalence of dental fear (96.0% versus 90.4%. However, most of the fear encountered among dental students was in the low fear category as compared to their medical counterpart (69.2 versus 51.2%. Significantly more medical students cancelled dental appointment due to fear compared to dental students (P=0.004. “Heart beats faster” and “muscle being tensed” were the top two physiological responses experienced by the respondents. “Drill” and “anesthetic needle” were the most fear provoking objects among respondents of both faculties. Conclusion. Dental fear and anxiety are a common problem encountered among medical and dental undergraduates who represent future health care professionals. Also, high level of dental fear and anxiety leads to the avoidance of the dental services.

  4. Utilization of Dental Services in Public Health Center: Dental Attendance, Awareness and Felt Needs.

    Science.gov (United States)

    Pewa, Preksha; Garla, Bharath K; Dagli, Rushabh; Bhateja, Geetika Arora; Solanki, Jitendra

    2015-10-01

    In rural India, dental diseases occur due to many factors, which includes inadequate or improper use of fluoride and a lack of knowledge regarding oral health and oral hygiene, which prevent proper screening and dental care of oral diseases. The objective of the study was to evaluate the dental attendance, awareness and utilization of dental services in public health center. A cross-sectional study was conducted among 251 study subjects who were visiting dental outpatient department (OPD) of public health centre (PHC), Guda Bishnoi, and Jodhpur using a pretested proforma from month of July 2014 to October 2014. A pretested questionnaire was used to collect the data regarding socioeconomic status and demographic factors affecting the utilization of dental services. Pearson's Chi-square test and step-wise logistic regression were applied for the analysis. Statistically significant results were found in relation to age, educational status, socioeconomic status and gender with dental attendance, dental awareness and felt needs. p-value dental services, thereby increasing the oral health status of the population.

  5. Dental students--dental advocates.

    Science.gov (United States)

    Bensch, Brittany

    2010-01-01

    Student advocacy and involvement in the political process is built into the structure of the American Student Dental Association (ASDA), especially in its Legislative Grassroots Network and an internal communication network among students to ensure political awareness. Students are concerned with such issues as a universally accepted, non-patient-based licensure process, mid-level providers, loan availability and tax deductibility, financial support for schools, and service early in one's professional career (giving forward rather than giving back). Through collaboration with the American Dental Education Association and with many state associations, students participate in lobbying, awareness campaigns, and behind the scenes as legislative aids. Although students share the same love for the profession that animates established practitioners, they are perceived by legislators as being different. Students are involved in the legislative process because it represents their future.

  6. 不同筛查工具对老年肿瘤患者营养筛查的比较%Comparison of Different Tools for Nutritional Screening in Elderly Cancer Patients

    Institute of Scientific and Technical Information of China (English)

    张晓峰; 苏宁; 贾若苹; 李玲玲; 李凤蕾

    2014-01-01

    目的::探讨在老年肿瘤患者中合理选择营养风险筛查工具,以便及时实施营养干预,改善由于营养因素所导致的不良临床结局。方法:对130例老年肿瘤患者应用微型营养评价精法( MNA-SF)和患者主观全面评价法( PG-SGA)进行营养筛查,以白蛋白和前白蛋白为标准评定上述工具的灵敏度、特异度。结果:以白蛋白为参考标准, MNA-SF、 PG-SGA的灵敏度分别为55.7%、68.3%,特异度分别为45.1%、89.7%。以前白蛋白为参考标准, MNA-SF、 PG-SG的灵敏度分别为67.1%、75.2%,特异度分别为51.0%、93.1%。结论: PG-SGA考虑到多个影响营养的复杂问题,使评价结果更接近于肿瘤患者的实际营养状况。较之MNA-SF, PG-SGA更适用于老年肿瘤患者,值得推广。%!O!b!jec"tive !!"To probe into the rational choice of nutritional risk screening for elderly cancer patients to carry out nutritional intervention and improve bad clinical results due to nutritional factors. !M!e!tho"d ! !"We used MNA-SF and PG-SGA to assess the nutritional status of 130 elderly cancer patients, and chose albumin and prealbumin as the indicators for assessing the sensitivities and specificities of these two tools. !R!e!sul"t !!"In the detection of albumin, the sensitivities of MNA-SF and PG-SGA were 55. 7% and 68. 3% respectively, and the specificities were 45. 1% and 89. 7% respectively. In the detection of prealbumin, the sensitivities of MNA-SF and PG-SGA were 67. 1%and 75. 2% respectively, and the specificities were 51. 0% and 93. 1% respectively. !!Co!nc"lusion !!!"Considering the complex multiple nutritional problems, PG-SGA made evaluation results more closer to the actual nutritional status of patients with tumor. Compared with MNA-SF, PG-SGA was more suitable for elderly patients with tumor, which was worth promoting.

  7. Can the development of new dental caries in Danish schoolchildren be predicted from surveillance data in the School Dental Service?

    DEFF Research Database (Denmark)

    Jeppesen, Berit Anna; Foldspang, Anders

    2006-01-01

    Background:  Dental screening programmes for Danish children generally target all children, irrespective of their individual caries risk. The standard screening interval is approximately 12 months. A valid systematic screening tool based on routine information sources is however indispensable......, if more selective screening strategies should be developed to target the children at highest risk. Objective:  To estimate the precision with which Danish schoolchildren at high risk for developing dental caries within 1 year can be identified based on information from routine registers. Methods:  Based...... on data from the Danish National Board of Health's Recording System for the Danish Child Dental Services and from the Central Office of Civil Registration, 3705 schoolchildren aged 7–12 years were followed through 1994–1996. Dental health information as of 1994 and changes 1994–1995 were applied...

  8. Factors for determining dental anxiety in preschool children with severe dental caries.

    Science.gov (United States)

    Abanto, Jenny; Vidigal, Evelyn Alvarez; Carvalho, Thiago Saads; Sá, Stella Núbia Coelho de; Bönecker, Marcelo

    2017-01-16

    The aim of this study was to assess the clinical and socioeconomic indicators associated with dental anxiety in preschool children with severe dental caries. A total of 100 children between 3 and 5 years of age were selected during a dental screening procedure. The selection criteria were having at least one tooth with dental caries and a visible pulpal involvement, ulceration, fistula, and abscess (PUFA) index of ≥1 in primary teeth. Before the clinical examination or any treatment procedure was performed, we evaluated the children's dental anxiety using the Facial Image Scale (FIS). Parents completed a questionnaire on socioeconomic conditions, which included the family structure, number of siblings, parental level of education, and family income. A dentist blinded to FIS and socioeconomic data performed the clinical examination. Poisson regressions associate clinical and socioeconomic conditions with the outcome. Most of the children (53%) experienced extensive dental caries (dmf-t ≥ 6), and all children had severe caries lesions, with a PUFA index of ≥1 in 41% and that of ≥2 in 59%. The multivariate adjusted model showed that older children (4-5-year old) experienced lower dental anxiety levels compared with younger children (3-year old) (RR = 0.35; 95%CI: 0.17-0.72 and RR = 0.18; 95%CI: 0.04-0.76, respectively), and children with three or more siblings were associated with higher levels of dental anxiety (RR = 2.27; 95%CI: 1.06-4.87). Older age is associated with low dental anxiety, and more number of siblings is associated with high dental anxiety in preschool children, whereas the severity or extent of dental caries is not associated with dental anxiety.

  9. Nutrition Labeling

    DEFF Research Database (Denmark)

    Grunert, Klaus G

    2013-01-01

    because consumers will avoid products that the label shows to be nutritionally deficient, but also because food producers will try to avoid marketing products that appear, according to the label, as nutritionally problematic, for example, because of a high content of saturated fat or salt. Nutrition......Nutrition labeling refers to the provision of information on a food product’s nutritional content on the package label. It can serve both public health and commercial purposes. From a public health perspective, the aim of nutrition labeling is to provide information that can enable consumers...... to make healthier choices when choosing food products. Nutrition labeling is thus closely linked to the notion of the informed consumer, that chooses products according to their aims, on the basis of the information at their disposal. Because many consumers are assumed to be interested in making healthy...

  10. Nutrition Labeling

    DEFF Research Database (Denmark)

    Grunert, Klaus G

    2013-01-01

    because consumers will avoid products that the label shows to be nutritionally deficient, but also because food producers will try to avoid marketing products that appear, according to the label, as nutritionally problematic, for example, because of a high content of saturated fat or salt. Nutrition......Nutrition labeling refers to the provision of information on a food product’s nutritional content on the package label. It can serve both public health and commercial purposes. From a public health perspective, the aim of nutrition labeling is to provide information that can enable consumers...... to make healthier choices when choosing food products. Nutrition labeling is thus closely linked to the notion of the informed consumer, that chooses products according to their aims, on the basis of the information at their disposal. Because many consumers are assumed to be interested in making healthy...

  11. Nutritional risk screening and assessment in elderly patients aged over 80 years%80岁以上住院患者营养风险筛查与评估

    Institute of Scientific and Technical Information of China (English)

    刘海燕; 李虹; 唐海英; 李建中

    2016-01-01

    Objective To investigate the nutrition status of elderly patients aged more than 80 years by different assessment tools, and to compare the prevalence of malnutrition or nutritional risk among patients with different diseases. Methods 200 elderly patients aged over 80 years were enrolled in this study. Nutrition risk screening 2002(NRS2002), short-form mini-nutritional assessment( MNA-SF) and nutritional parameters such as body mass index( BMI) , albumin( Alb) , hemoglobin(Hb) were used to analyze the nutrition status of patients with different diseases. Consistency among the screening tools were measured by Kappa coefficient. Results Detected by NRS2002, 52. 50% of the participants were at risk of malnutrition. According to MNA-SF, the prevalence of malnutrition was 36. 50%, and 41. 00% of patients were at risk of malnutrition and 22. 50% of patients showed well nutrition. With the evaluation by BMI or Alb,the incidence of malnutrition was 10. 50%. 44. 50% of patients showed malnutrition if assessed by Hb only. Kappa testing showed that NRS2002 and MNA-SF were in moderate consistency( Kappa=0. 445) . The nutrition status assessed by BMI/Alb or Hb were poorly consistent to NRS2002(Kappa=0. 173 or 0. 264). Patients with cognitive dysfunction had higher risk of malnutrition and higher incidence rate of malnutrition than those without cognitive dysfunction. Conclusions The prevalence of malnutrition risk or malnutrition is high in patients aged more than 80 years, especially in those with cognitive dysfunction.%目的:运用多种评估方法对>80岁的高龄住院患者进行营养状况评估并进行比较,同时分析不同疾病状态的高龄患者存在营养风险或营养不良的情况。方法收集>80岁的高龄住院患者200例,采用营养风险筛查2002( NRS2002)、微型营养评价法( MNA-SF)以及传统营养状况评价指标包括体质量指数( BMI)、血清白蛋白( Alb)、血红蛋白( Hb)对其营养状况

  12. Nutritional requirements after bariatric surgery.

    Science.gov (United States)

    Bosnic, Gordana

    2014-06-01

    This article presents an overview of postoperative nutritional requirements and goals following bariatric surgery. It summarizes current diet progression and nutrient intake guidelines geared toward optimizing weight loss and maintaining adequate nutritional status, nutrient absorption, as well as hydration. The article further emphasizes the importance of postoperative follow-up with a bariatric multidisciplinary team for appropriate postoperative care, diet management, and nutrient deficiency screenings. Copyright © 2014 Elsevier Inc. All rights reserved.

  13. Nutritional consequences and nutrition therapy in Crohn's disease.

    Science.gov (United States)

    Hébuterne, X; Filippi, J; Al-Jaouni, R; Schneider, S

    2009-06-01

    75% of hospital patients with Crohn's disease (CD) suffer from malnutrition and one third of CD patients have a body mass index below 20. Inflammatory bowel diseases (IBD) patients have many vitamin and nutrient deficiencies which can lead to important consequences such as hyperhomocysteinemia which is associated with a higher risk of thromboembolic disease. Nutritional deficiencies in IBD patients are the result of insufficient intake, malabsorption and protein-losing enteropathy as well as the metabolic distubances directly induced by the chronic disease and its treatments, in particular corticosteroids. Screening for nutritional deficiencies in chronic disease patients is warranted. Managing the deficiencies involves simple nutritional guidelines, vitamin supplements, and nutritional support in the worst cases, in particular in children in order to limit the impact of IBD on growth. In active CD, enteral nutrition is the first line therapy in children and should be used as sole therapy in adults mainly when treatment with corticosteroids is not feasible.

  14. Dental erozyon

    NARCIS (Netherlands)

    Özen, B.; Yönel, N.; Çetiner, S.

    2015-01-01

    Dental erozyon, plak içermeyen diş yüzeyleri üzerinde içsel ve dışsal asitlerin veya şelatların etkileriyle oluşan kimyasal bir aşınmadır. İçsel ve/veya dışsal kaynaklar nedensel faktörler olarak tanımlanırken tükürük ve pelikıl gibi biyolojik faktörler, yeme ve içme alışkanlıkları ve ağız hijyeni

  15. Analysis on the relationship of nutrition risk screen and nutrition marker in blood of hospitalized children in department of pediatrics%儿内科住院患者营养风险筛查与血液营养指标的关系

    Institute of Scientific and Technical Information of China (English)

    车千红; 徐静; 孙灿

    2014-01-01

    Objective:To investigate the incidence rate of malnutrition and the high nutrition risk in hospitalized children in department of pediatrics , and to explore the correlation between the incidence of high nutrition risk and nutrition markers in blood .Methods:STAMP score was adopted to screen the nutrition risk of 668 children aged 0-14 hospitalized in Shengjing Hospital affiliated to Chinese Medicine University , the rate of malnutrition and nutrition markers in blood were compared among different system diseases , the possible effective factors on high nutrition risk were analysed .Results:Significant differences were found in the incidence rate of malnutrition and high nutrition risk, serum PA, Scr among different system diseases ( P<0.05 or P<0.01) .The total malnutrition incidence rate and high nutrition risk were 19.5% and 28.1% respectively, and both were found the highest in the digestive system disease .The abnormal markers in blood were distributed in all system diseases and the declines in Scr and PA were most common (96.6%and 81.4%, respectively).The high rate of nutrition risk was negtively correlated with PA, Scr while was positively with CRP .Conclusion:Moderate and high degrees of nutrition risk are found in the hospitalized children in department of pediatrics and the rate is especially high in the respiratory and digestive system diseases .PA and Scr may be more accurate and more sensitive nutrition markers .The nutrition status of the patients should be thought highly , and this would be benefit to prognosis .%目的:调查儿内科住院患者的营养不良及高营养风险发生率,探讨高营养风险发生率与血液营养指标的相关性。方法:应用STAMP评分对中国医科大学附属盛京医院儿内科收治的668例0~14岁住院患者进行营养风险筛查,比较不同系统疾病间营养不良发生率、血液营养指标,分析高营养风险的可能影响因素。结果:各系统疾病间营养不良发

  16. First dental visit of a child

    Directory of Open Access Journals (Sweden)

    Meera R

    2008-10-01

    Full Text Available Objectives: The aim of the study was to assess the common chief complaints of the Indian children and the average age group at which they report for in their first dental visit. Materials and Methods: A retrospective study was carried out using the case records of 716 children who reported to the postgraduate section of Department of Pediatric dentistry, Meenakshi Ammal Dental College, Chennai, in 2007. The age groups of the children were divided into three categories 0-3 years, 3-6 years and 6-12 years. The various chief complaints were categorised as follows, Orientation to prevention, Routine visit, Deposits / Discoloration, Habits, Unerupted / Missing or Extra Tooth, Pain, Dental caries, Malocclusion, Trauma, others. The average age group and most common complaint at the first dental visit was assessed. A prospective study was done in January 2008, were 215 children were screened. The assessment was made as explained above. Results: Retrospective study Maximum number of children who reported for their first dental visit was between 6-12 years (59.08%. Most common chief complaint for the visit was pain (42.04%. Second common complaint being dental caries (28.49%. Prospective study Maximum number of children who reported for their first dental visit was between 6-12 years (69.77%. Most common chief complaint was dental caries (34.88%. Second common complaint being pain (27.91%. Conclusion: Children report for the first dental visit most commonly only after 6 years and for complaints like pain and dental caries. Orientation to prevention is not considered and preventive dentistry is yet to reach the common population in India.

  17. Dental Care for Medicaid and CHIP Enrollees

    Science.gov (United States)

    ... Close Home > Medicaid > Benefits > Dental Care Dental Care Dental Care Dental Care for Medicaid and CHIP Enrollees Dental health ... services and opportunities and challenges to obtaining care. Dental Benefits for Children in Medicaid Medicaid covers dental ...

  18. Usefulness of the Waist Circumference-to-Height Ratio in Screening for Obesity and Metabolic Syndrome among Korean Children and Adolescents: Korea National Health and Nutrition Examination Survey, 2010–2014

    Science.gov (United States)

    Choi, Dong-Hyun; Hur, Yang-Im; Kang, Jae-Heon; Kim, Kyoungwoo; Cho, Young Gyu; Hong, Soo-Min; Cho, Eun Byul

    2017-01-01

    The aims of this study were to assess the diagnostic value of the weight-to-height ratio (WHtR) for the detection of obesity and metabolic syndrome (MS) in Korean children and adolescents, and to determine the advantages of WHtR as a population-based screening tool in comparison with other obesity indicators, such as body mass index (BMI) and waist circumference (WC). We performed a cross-sectional analysis of data from 3057 children and adolescents (1625 boys, 1332 girls) aged 10–19 years who were included in the fifth Korean National Health and Nutrition Examination Survey (KNHANES, 2010–2012) up to the second year of the sixth KNHANES (2013–2014). Receiver operation characteristic (ROC) curves were generated to determine the optimal cutoff value and accuracy of WHtR for predicting individual obesity indicators or more than two non-WC components of MS. The area under the ROC curve (AUC) is a measure of the diagnostic power of a test. A perfect test will have an AUC of 1.0, and an AUC equal to 0.5 means that the test performs no better than chance. The optimal WHtR cutoff for the evaluation of general obesity and central obesity was 0.50 in boys and 0.47–0.48 in girls, and the AUC was 0.9. Regarding the assessment of each MS risk factor, the optimal WHtR cutoff was 0.43–0.50 in boys and 0.43–0.49 in girls, and these cutoffs were statistically significant only for the detection of high triglyceride and low High-density lipoprotein (HDL) cholesterol levels. When a pairwise comparison of the AUCs was conducted between WHtR and BMI/WC percentiles to quantify the differences in power for MS screening, the WHtR AUC values (boys, 0.691; girls, 0.684) were higher than those of other indices; however, these differences were not statistically significant (boys, p = 0.467; girls, p = 0.51). The WHtR cutoff value was 0.44 (sensitivity, 67.7%; specificity, 64.6%) for boys and 0.43 (sensitivity, 66.4%; specificity, 66.9%) for girls. There was no significant

  19. Usefulness of the Waist Circumference-to-Height Ratio in Screening for Obesity and Metabolic Syndrome among Korean Children and Adolescents: Korea National Health and Nutrition Examination Survey, 2010-2014.

    Science.gov (United States)

    Choi, Dong-Hyun; Hur, Yang-Im; Kang, Jae-Heon; Kim, Kyoungwoo; Cho, Young Gyu; Hong, Soo-Min; Cho, Eun Byul

    2017-03-10

    The aims of this study were to assess the diagnostic value of the weight-to-height ratio (WHtR) for the detection of obesity and metabolic syndrome (MS) in Korean children and adolescents, and to determine the advantages of WHtR as a population-based screening tool in comparison with other obesity indicators, such as body mass index (BMI) and waist circumference (WC). We performed a cross-sectional analysis of data from 3057 children and adolescents (1625 boys, 1332 girls) aged 10-19 years who were included in the fifth Korean National Health and Nutrition Examination Survey (KNHANES, 2010-2012) up to the second year of the sixth KNHANES (2013-2014). Receiver operation characteristic (ROC) curves were generated to determine the optimal cutoff value and accuracy of WHtR for predicting individual obesity indicators or more than two non-WC components of MS. The area under the ROC curve (AUC) is a measure of the diagnostic power of a test. A perfect test will have an AUC of 1.0, and an AUC equal to 0.5 means that the test performs no better than chance. The optimal WHtR cutoff for the evaluation of general obesity and central obesity was 0.50 in boys and 0.47-0.48 in girls, and the AUC was 0.9. Regarding the assessment of each MS risk factor, the optimal WHtR cutoff was 0.43-0.50 in boys and 0.43-0.49 in girls, and these cutoffs were statistically significant only for the detection of high triglyceride and low High-density lipoprotein (HDL) cholesterol levels. When a pairwise comparison of the AUCs was conducted between WHtR and BMI/WC percentiles to quantify the differences in power for MS screening, the WHtR AUC values (boys, 0.691; girls, 0.684) were higher than those of other indices; however, these differences were not statistically significant (boys, p = 0.467; girls, p = 0.51). The WHtR cutoff value was 0.44 (sensitivity, 67.7%; specificity, 64.6%) for boys and 0.43 (sensitivity, 66.4%; specificity, 66.9%) for girls. There was no significant difference between

  20. Child Indicators: Dental Health.

    Science.gov (United States)

    Lewit, Eugene M.; Kerrebrock, Nancy

    1998-01-01

    Reviews measures of dental health in children and the evidence on child dental health. Although children's dental health has improved over the past two decades, many poor children do not receive necessary dental health services, and reasons for this failure are summarized. (SLD)

  1. Weaker dental enamel explains dental decay.

    Science.gov (United States)

    Vieira, Alexandre R; Gibson, Carolyn W; Deeley, Kathleen; Xue, Hui; Li, Yong

    2015-01-01

    Dental caries continues to be the most prevalent bacteria-mediated non-contagious disease of humankind. Dental professionals assert the disease can be explained by poor oral hygiene and a diet rich in sugars but this does not account for caries free individuals exposed to the same risk factors. In order to test the hypothesis that amount of amelogenin during enamel development can influence caries susceptibility, we generated multiple strains of mice with varying levels of available amelogenin during dental development. Mechanical tests showed that dental enamel developed with less amelogenin is "weaker" while the dental enamel of animals over-expressing amelogenin appears to be more resistant to acid dissolution.

  2. Moving research knowledge into dental hygiene practice.

    Science.gov (United States)

    Cobban, Sandra J; Edgington, Eunice M; Clovis, Joanne B

    2008-01-01

    Dental hygiene, as an emerging profession, needs to increase the number of intervention studies that identify improvements in oral health outcomes for clients. Historically, dental hygiene studies have typically been atheoretical, but the use of theoretical frameworks to guide these studies will increase their meaningfulness. Rogers' theory of diffusion of innovations has been used to study research utilization across many disciplines, and may offer insights to the study of research use in dental hygiene. Research use is an important component of evidence-based practice (EBP), and diffusion of research knowledge is an important process in implementing EBP. The purpose of this paper is to use diffusion of innovations theory to examine knowledge movement in dental hygiene, specifically through the example of the preventive practice of oral cancer screening by dental hygienists, considered as an innovation. Diffusion is considered to be the process by which an innovation moves through communication channels over time among a social network. We suggest diffusion theory holds promise for the study of knowledge movement in dental hygiene, but there are limitations including access to and understanding research studies as innovations. Nevertheless, using a theoretical framework such as Rogers' diffusion of innovations will strengthen the quality of intervention research in dental hygiene, and subsequently, health outcomes for clients.

  3. Nutrition in the hospitalized patient.

    Science.gov (United States)

    Kirkland, Lisa L; Kashiwagi, Deanne T; Brantley, Susan; Scheurer, Danielle; Varkey, Prathibha

    2013-01-01

    Almost 50% of patients are malnourished on admission; many others develop malnutrition during admission. Malnutrition contributes to hospital morbidity, mortality, costs, and readmissions. The Joint Commission requires malnutrition risk screening on admission. If screening identifies malnutrition risk, a nutrition assessment is required to create a nutrition care plan. The plan should be initiated early in the hospital course, as even patients with normal nutrition become malnourished quickly when acutely ill. While the Harris-Benedict equation is the most commonly used method to estimate calories, its accuracy may not be optimal in all patients. Calculating the caloric needs of acutely ill obese patients is particularly problematic. In general, a patient's caloric intake should be slightly less than calculated needs to avoid the metabolic risks of overfeeding. However, most patients do not receive their goal calories or receive parenteral nutrition due to erroneous practices of awaiting return of bowel sounds or holding feeding for gastric residual volumes. Patients with inadequate intake over time may develop potentially fatal refeeding syndrome. The hospitalist must be able to recognize the risk factors for malnutrition, patients at risk of refeeding syndrome, and the optimal route for nutrition support. Finally, education of patients and their caregivers about nutrition support must begin before discharge, and include coordination of care with outpatient facilities. As with all other aspects of discharge, it is the hospitalist's role to assure smooth transition of the nutrition care plan to an outpatient setting.

  4. NutritioNal aNd oral health status of aN elderly populatioN iN Nairobi

    African Journals Online (AJOL)

    2008-08-08

    Aug 8, 2008 ... Objective: to determine the nutrition and oral health status of elderly persons in Nairobi, Kenya. ... Conclusions: under-nutrition, obesity and dental problems are issues ..... have been the treatment of choice in these individuals.

  5. Malnutrition screening in acutely unwell elderly inpatients.

    Science.gov (United States)

    Sharma, Yogesh; Miller, Michelle; Shahi, Rashmi; Hakendorf, Paul; Horwood, Chris; Thompson, Campbell

    2016-10-13

    The rate of malnutrition among hospitalised elderly patients in Australia is 42.3%. Malnutrition is known to lead to significant adverse outcomes for the patients and increase hospital costs through increased use of resources. This study assessed nutrition screening adequacy and investigated factors associated with missed opportunity to diagnose malnutrition. A prospective cross-sectional study involving 205 general medical patients aged ≥60 years admitted acutely in a tertiary hospital over a period of 1 year. Patients who were not given initial nutritional screening were noted and all patients underwent nutritional assessment. The researchers assessed demographic data and performed univariate analysis of factors responsible for missed nutritional screening. Only 99 patients (49.5%) were screened for malnutrition and 100 (50.3%) missed initial nutritional screening (data incomplete for 6 patients). Of those screened, more were malnourished (n=64; 61.5%) than those not screened (n=40; 38.5%), pmalnutrition; these include apparently adequate nutritional status, lower staff to patient ratios and outlier ward locations. Ensuring consistent nutrition screening with appropriate therapeutic interventions for patients and educational interventions for staff could pay dividends not only in terms of improved patient health but also in terms of hospital reimbursement.

  6. Curricular Guidelines for Dental Auxiliary Radiology.

    Science.gov (United States)

    Journal of Dental Education, 1981

    1981-01-01

    AADS curricular guidelines suggest objectives for these areas of dental auxiliary radiology: physical principles of X-radiation in dentistry, related radiobiological concepts, principles of radiologic health, radiographic technique, x-ray films and intensifying screens, factors contributing to film quality, darkroom, and normal variations in…

  7. Curricular Guidelines for Dental Auxiliary Radiology.

    Science.gov (United States)

    Journal of Dental Education, 1981

    1981-01-01

    AADS curricular guidelines suggest objectives for these areas of dental auxiliary radiology: physical principles of X-radiation in dentistry, related radiobiological concepts, principles of radiologic health, radiographic technique, x-ray films and intensifying screens, factors contributing to film quality, darkroom, and normal variations in…

  8. The relationship between dental status, food selection, nutrient intake, nutritional status, and body mass index in older people A relação entre estado dentário, seleção alimentar, ingestão de nutrientes, estado nutricional e índice de massa corporal em idosos

    Directory of Open Access Journals (Sweden)

    Wagner Marcenes

    2003-06-01

    Full Text Available This paper reviewed the findings from a national survey in Great Britain which assessed whether dental status affected older people's food selection, nutrient intake, and nutritional status. The survey analyzed national random samples of free-living and institution subjects for dental examination, interview, and four-day food diary as well as blood and urine tests In the free-living sample, intakes of non-starch polysaccharides, protein, calcium, non-heme iron, niacin, and vitamin C were significantly lower in edentulous as compared to dentate subjects. People with 21 or more teeth consumed more of most nutrients, particularly non-starch polysaccharides. This relationship in intake was not apparent in the hematological analysis. Plasma ascorbate and retinol were the only analytes significantly associated with dental status. Having 21 or more teeth increased the likelihood of having an acceptable body mass index (BMI. Thus, maintaining a natural and functional dentition defined as having more than twenty teeth into old age plays an important role in having a healthy diet rich in fruits and vegetables, a satisfactory nutritional status, and an acceptable BMI.Este artigo objetivou revisar os achados do levantamento epidemiológico conduzido no Reino Unido, cuja finalidade foi avaliar a relação entre saúde bucal, ingestão de nutrientes e estado nutricional. Uma amostra representativa dos idosos institucionalizados e não-institucionalizados foi examinada em relação à saúde bucal. Além disso, amostras de sangue e urina foram coletadas e entrevistou-se os idosos, ocasião em que se completou um diário alimentar de quatro dias. Na amostra de idosos não-institucionalizados, o consumo de polissacarídeos não-amido (fibras, proteína, cálcio, ferro nao-hemoglobina, niacina e vitamina C foi significantemente menor em edêntulos do que em não-edêntulos. Idosos com a presença de 21 dentes ou mais consumiram mais nutrientes, principalmente

  9. Knowledge, attitudes and practices in the provision of nutritional care.

    LENUS (Irish Health Repository)

    Fletcher, Antoinette

    2012-02-01

    The nutritional care of patients is one of the primary responsibilities of all registered nurses (Persenius et al, 2008). A poor nutritional status can lead to malnutrition, which can have serious consequences for an individual\\'s quality of life (Field and Smith, 2008). This paper commences with an introduction to the concept of nutrition, provides an overview of nutritional guidelines and nutritional screening tools which identify those at risk of malnutrition. It reviews the literature on nurses\\' knowledge, attitudes and practices in the provision of nutritional care and debates challenges and opportunities encountered to help nurses ensure adequate patient nutrition.

  10. Dental erozyon

    NARCIS (Netherlands)

    Özen, B.; Yönel, N.; Çetiner, S.

    2015-01-01

    Dental erozyon, plak içermeyen diş yüzeyleri üzerinde içsel ve dışsal asitlerin veya şelatların etkileriyle oluşan kimyasal bir aşınmadır. İçsel ve/veya dışsal kaynaklar nedensel faktörler olarak tanımlanırken tükürük ve pelikıl gibi biyolojik faktörler, yeme ve içme alışkanlıkları ve ağız hijyeni g

  11. A Dental Education Perspective on Dental Health Policy.

    Science.gov (United States)

    Morris, Alvin L.

    1985-01-01

    Two issues related to dental health policy are examined: the contribution of dental education to the process by which dental health policy is established, and the nature of dental education's response to established policies. (MLW)

  12. [Community Nutrition].

    Science.gov (United States)

    Aranceta, Javier

    2004-06-01

    In the last 20 years, Public Health Nutrition focused mainly on the qualitative aspects which may influence the onset of chronic diseases, quality of life, physical and mental performance and life expectancy. This applied knowledge organised as part of preventive and health promotion programs led to the development of Community Nutrition. The aim of Community Nutrition actions is to adequate lifestyles related to food consumption patterns in order to improve the quality of life and contribute to health promotion of the population in the community where programs and services are delivered. Key functions to develop in a Community Nutrition Unit consist in the identification and assessment of nutrition problems in the community as well as the design, implementation and evaluation of intervention programs by means of appropriate strategies. These should aim at different populations groups and settings, such as work places, schools, high risk groups or the general public. Nowadays, Community Nutrition work efforts should focus on three main aspects: nutrition education in schools and in the community; food safety and food security and the development and reinforcement of food preparation skills across all age groups. Social catering services, either in schools, the work place or at the community level, need to ensure adequate nutritional supply, provide foods contributing to healthy eating practices as well as to enhance culinary traditions and social learning. Food safety and food security have become a top priority in Public Health. The concepts referes to the availability of food safe and adequate as well as in sufficient amount in order to satisfy nutrition requirements of all individuals in the community. Social changes along new scientific developments will introduce new demands in Community Nutrition work and individual dietary counselling will become a key strategy. In order to face new challenges, community nutrition pactitioners require a high quality

  13. COMMUNITY DENTAL HEALTH SURVEY TRAINING TO DENTAL HEALTH PERSONNEL

    OpenAIRE

    Sandra Fikawati; Ita Yulita

    2015-01-01

    Dentist and dental nurse as dental health personnel in community health center are spearheads in community dental health service. The effectiveness and efficacy of community dental health service needs updated adequate dental health knowledge and skill. One effort to assure the fulfillment of those needs is by providing community dental health survey training. This training aims at improving the skill and capability of dental health personnel to conduct dental health survey. The training cons...

  14. 欧洲营养风险筛查2002在老年非重症骨科住院患者营养风险筛查中的应用%Application of Nutritional Risk Screening 2002 in elderly orthopedics inpatients without severe diseases

    Institute of Scientific and Technical Information of China (English)

    孙娟; 曹芸; 冯晓慧; 葛声

    2011-01-01

    目的 探讨欧洲营养风险筛查2002(NRS2002)在老年非重症骨科住院患者中的应用效果.方法 利用NRS2002、主观全面营养评价法(SGA)、身体组成评价法(BCA)对63例老年非重症骨科住院患者进行营养风险筛查,以微型营养评价法(MNA)作为标准,考察各种评价方法的营养风险筛查结果、灵敏度、特异度和Kappa值,并绘制受试者工作特征曲线(R0C曲线),计算ROC曲线下面积.结果 NRS2002、BCA和SGA营养风险筛查的灵敏度分别为26.09%、86.96%和43.45%.NRS2002、SGA和BCA的Kappa值分别为0.309、0.494和0.554,ROC曲线下面积分别为0.630、0.717和0.776.结论 NRS2002用于老年非重症骨科住院患者营养风险筛查的灵敏度较低,与MNA的一致性不够理想.%Objective To investigate the application of Nutritional Risk Screening 2002 ( NRS2002) in elderly orthopedics inpatients without severe diseases. Methods Nutritional risk screening was performed in 63 elderly orthopedics inpatients without severe diseases by NRS2002, Subjective Globe Assessment (SGA) and Body Composition Assessment ( BCA) . With Mini Nutrition Assessment (MNA) as criteria, the nutritional risk screening result, sensitivity, specificity and Kappa value of each evaluation method were assessed, and receiver operating characteristic curves ( ROC) were drafted for calculation of areas under the curves. Results The sensitivity of NSR2002, BCA and SGA in nutrition risk screening was 26.09%, 86.96% and 43.45% respectively. Kappa values of NRS2002, SGA and BCA were 0. 309, 0.494 and 0. 554 respectively, and areas under the ROC were 0. 630, 0. 717 and 0. 776 respectively. Conclusion The sensitivity of NSR2002 in nutrition risk screening in elderly orthopedics inpatients without severe diseases is relatively lower, and is not well consistent with MNA.

  15. The use of biochemical and immunological parameters in nutritional screening and assessment Utilidad de los parámetros bioquímicos e inmunológicos en la evaluación y cribado nutricional

    Directory of Open Access Journals (Sweden)

    A. González Madroño

    2011-06-01

    Full Text Available Objective: To evaluate the relationship between serum albumin, total cholesterol and total lymphocyte count with two nutritional assessment methods, to verify if their use is justified in nutritional screening tools. Methods: 101 patients admitted to medical/surgical wards underwent the SGA and the Full Nutritional Assessment (FNA. Blood test which included serum albumin, total cholesterol and total lymphocyte count (TLC, were made. Percentage of weight loss and BMI were calculated. An Anova test was done to measure the differences in the mean levels of the three parameters for the nutritional status evaluated by SGA and FNA. The probability of a patient being malnourished in the four ranges established for each parameter was calculated, as well as the relationship between the ranges and the percentage of weight loss and BMI. Sensitivity and specificity were calculated and the corresponding ROC curves, using SGA as gold standard. Results: Prevalence of undernutrition is 43.6% and 44.6% for SGA and FNA respectively. Mean levels of the three parameters decrease as the undernutrition degree increases (p Objetivo: evaluar la relación entre albúmina sérica, colesterol total y linfocitos totales y dos métodos de evaluación nutricional, para verificar si su uso en las herramientas de cribado nutricional está justificado. Métodos: a 101 pacientes de servicios médicos y quirúrgicos se les realizó el SGA y la Valoración del Estado nutricional Completa (VEN. Se les realizaron análisis de albúmina sérica, colesterol total y linfocitos totales. Se calculó el porcentaje de pérdida de peso y el IMC. Las diferencias entre los niveles medios de los tres parámetros en los distintos niveles nutricionales evaluados por SGA y VEN se hizo mediante el test de ANOVA. Se calculó la probabilidad de estar desnutrido en los cuatros rangos establecidos para cada parámetro, así como la relaciones entre esos rangos y el porcentaje de pérdida de peso y el

  16. Sports Nutrition.

    Science.gov (United States)

    Missouri State Dept. of Health, Jefferson City.

    This guide deals with various aspects of sports and nutrition. Twelve chapters are included: (1) "Sports and Nutrition"; (2) "Eat to Compete"; (3) "Fit Folks Need Fit Food"; (4) "The Food Guide Pyramid"; (5) "Fat Finder's Guide"; (6) "Pre- and Post-Event Meals"; (7) "Tips for the…

  17. Nutritional epigenetics

    Science.gov (United States)

    This chapter is intended to provide a timely overview of the current state of research at the intersection of nutrition and epigenetics. I begin by describing epigenetics and molecular mechanisms of eigenetic regulation, then highlight four classes of nutritional exposures currently being investiga...

  18. Sanjad-Sakati Syndrome Dental Management: A Case Report

    Directory of Open Access Journals (Sweden)

    Hisham Y. El Batawi

    2013-01-01

    Full Text Available Sanjad-Sakati syndrome (SSS is a rare genetic disorder with autosomal recessive pattern of inheritance characterized by hypoparathyroidism, sever growth failure, mental retardation, susceptibility to chest infection, and dentofacial anomalies. A child with SSS was referred to the dental departmentseeking dental help for sever dental caries which was attributed to his dietary habits and quality of dental tissues. Full restorative rehabilitation was done under general anesthesia. Two years later, the child presented with recurrent caries affecting uncrowned teeth. High carries recurrence rate was blamed for the nutritional habits endorsed by the parents. Only steel crowned teeth survived such hostile oral environment which suggested shifting of treatment strategy towards full coverage restorations instead of classical cavity preparations and fillings during a second attempt for dental treatment under general anesthesia and for the dental treatment of two cousins of the same child. The author recommends effective health education for parents including the nature of their child’s genetic disorder, nutritional needs, and dental health education to improve the life style of such children.

  19. Nutrition During Pregnancy and Screening for Diabetes for the Prediction of Gestational Diabetes Mellitus%孕期营养及糖尿病筛查对妊娠期糖尿病发病的预测

    Institute of Scientific and Technical Information of China (English)

    李静; 赵丽

    2015-01-01

    Objective To analyze and discuss the effect of nutrition during pregnancy and screening for diabetes on predicting the incidence of gestational diabetes mellitus(GDM). Methods An analysis was conducted on the status of pregnancy and childbirth in 500 cases with GDM admitted in our hospital from 2011 to 2013. Results The screening for diabetes showed that, 25%of the total 500 pregnant women, 125 cases, had positive result, and they were given oral glucose tolerance test, and among them, 20 cases were diagnosed with GDM confirmedly, accounting for 4%, 30 cases were diagnosed with impaired glucose tolerance confirmedly, accounting for 6%. The analysis of the outcome of 30 pregnant women with impaired glucose tolerance found that there were 9 cases(30%) with natural childbirth, 20 cases(66.7%) with caesarean section, 1 case(3.3%) with perineal side cut;7 cases with neonatal hypoglycemia, 4 cases with pregnancy induced hypertension, 5 cases with postpartum hemorrhage, 2 premature babies, 2 cases of neonatal asphyxia, and 6 cases of fetal distress. Conclusion Screening for diabetes can accurately diagnose gestational diabetes mellitus, and timely discover and treatment can reduce the incidence of postpartum complications of GDM. Scientific pregnancy nutrition guidance is of great significance in dieting healthily, controlling BMI and reducing the incidence of GDM.%目的:分析并探讨孕期营养及糖尿病筛查对妊娠期糖尿病发病的预测情况。方法选取2011年—2013年收治于该院的500例妊娠期糖尿病患者,并分析其孕期和分娩期情况。结果对500例孕妇行糖筛查发现,其中125例孕妇显示阳性,所占比率为25%,该125例孕妇再次行口服糖耐量检测,其中有20例孕妇确诊为妊娠期糖尿病,所占比例为4%,其中30例孕妇确诊为糖耐量受损,所占比例为6%。30例糖耐量受损孕妇进行妊娠结局分析发现,自然分娩9例,占30%,剖腹产20例,占66.7%

  20. Fifty years of Brazilian Dental Materials Group: scientific contributions of dental materials field evaluated by systematic review

    Directory of Open Access Journals (Sweden)

    Wellington Luiz de Oliveira ROSA

    Full Text Available ABSTRACT Objective A systematic review was conducted to analyze Brazilian scientific and technological production related to the dental materials field over the past 50 years. Material and Methods This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (Prisma statement. Searches were performed until December 2014 in six databases: MedLine (PubMed, Scopus, LILACS, IBECS, BBO, and the Cochrane Library. Additionally, the Brazilian patent database (INPI - Instituto Nacional de Propriedade Industrial was screened in order to get an overview of Brazilian technological development in the dental materials field. Two reviewers independently analyzed the documents. Only studies and patents related to dental materials were included in this review. Data regarding the material category, dental specialty, number of documents and patents, filiation countries, and the number of citations were tabulated and analyzed in Microsoft Office Excel (Microsoft Corporation, Redmond, Washington, United States. Results A total of 115,806 studies and 53 patents were related to dental materials and were included in this review. Brazil had 8% affiliation in studies related to dental materials, and the majority of the papers published were related to dental implants (1,137 papers, synthetic resins (681 papers, dental cements (440 papers, dental alloys (392 papers and dental adhesives (361 papers. The Brazilian technological development with patented dental materials was smaller than the scientific production. The most patented type of material was dental alloys (11 patents, followed by dental implants (8 patents and composite resins (7 patents. Conclusions Dental materials science has had a substantial number of records, demonstrating an important presence in scientific and technological development of dentistry. In addition, it is important to approximate the relationship between academia and industry to expand the technological development

  1. Fifty years of Brazilian Dental Materials Group: scientific contributions of dental materials field evaluated by systematic review

    Science.gov (United States)

    ROSA, Wellington Luiz de Oliveira; SILVA, Tiago Machado; LIMA, Giana da Silveira; SILVA, Adriana Fernandes; PIVA, Evandro

    2016-01-01

    ABSTRACT Objective A systematic review was conducted to analyze Brazilian scientific and technological production related to the dental materials field over the past 50 years. Material and Methods This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (Prisma) statement. Searches were performed until December 2014 in six databases: MedLine (PubMed), Scopus, LILACS, IBECS, BBO, and the Cochrane Library. Additionally, the Brazilian patent database (INPI - Instituto Nacional de Propriedade Industrial) was screened in order to get an overview of Brazilian technological development in the dental materials field. Two reviewers independently analyzed the documents. Only studies and patents related to dental materials were included in this review. Data regarding the material category, dental specialty, number of documents and patents, filiation countries, and the number of citations were tabulated and analyzed in Microsoft Office Excel (Microsoft Corporation, Redmond, Washington, United States). Results A total of 115,806 studies and 53 patents were related to dental materials and were included in this review. Brazil had 8% affiliation in studies related to dental materials, and the majority of the papers published were related to dental implants (1,137 papers), synthetic resins (681 papers), dental cements (440 papers), dental alloys (392 papers) and dental adhesives (361 papers). The Brazilian technological development with patented dental materials was smaller than the scientific production. The most patented type of material was dental alloys (11 patents), followed by dental implants (8 patents) and composite resins (7 patents). Conclusions Dental materials science has had a substantial number of records, demonstrating an important presence in scientific and technological development of dentistry. In addition, it is important to approximate the relationship between academia and industry to expand the technological development in

  2. Sports nutrition

    Directory of Open Access Journals (Sweden)

    Tomanić Milena

    2016-01-01

    Full Text Available Due to higher energy consumption, physically active people have higher nutritional requirements. In addition to other important factors for sports, such as good health and physical predisposition, adequate nutrition is a fundamental component. Sports nutrition must be well planned and individually adapted based on physical characteristics, tendencies towards gaining or losing weight, frequency, duration and intensity of training sessions. Studies have shown that a well-balanced ratio of macro and micronutrients, with the support of supplements and adequate hydration, can significantly improve athletic performance and plays a key role in achieving better results. An optimally designed nutritional program, with realistic and achievable goals, which complements a well-planned training program, is the basis for success in sports. Only when nutritional requirements are met, deficits can be prevented and performance in sport pushed to the limit.

  3. Nutritional risk screening in critically ill children using Screening Tool for the Assessment of Malnutrition in Pediatrics%儿科营养不良筛查工具在危重症儿童营养风险筛查中的应用

    Institute of Scientific and Technical Information of China (English)

    李菁菁; 赵醴; 洪莉; 李璧如; 钱娟; 任宏; 胡肖伟; 张建; 王莹

    2014-01-01

    Objective To evaluate the incidences of nutritional risk and malnutrition of critically ill children using Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP),and to investigate the correlation between nutritional risk and clinical outcomes.Methods Altogether 506 children admitted to pediatric intensive care unit (PICU) of Shanghai Children's Medical Center from February to November 2013 were enrolled.The patients were divided into 3 groups based on STAMP scores,namely low risk group (score 0-1),medium risk group (score 2-3),and high risk group (score 4-9).Nutritional status was determined using Z-scores based on the World Health Organization child growth standards.Clinical outcomes were recorded and analyzed,including nosocomial infection,mechanical ventilation,number of dysfunction organs,incidence of multiple organ dysfunction syndrome (MODS),PICU stay,hospital stay,hospital fee,and 28-day mortality after discharge from PICU.Results According to STAMP scores,79 children (15.6%) were at low nutritional risk,167 (33.0%) at medium nutritional risk,and 260 (51.4%) at high nutritional risk.Upon admission,253 children (50.0%) were malnourished,including 225 (44.5%) with undernutrition and 28 (5.5%) with overweight.The prevalence of underweight,stunting,and wasting was 31.0% (157/506),29.4% (149/506),and 14.4% (73/506),respectively.Children at high nutritional risk had higher incidence of mechanical ventilation,more organ dysfunction,higher incidence of MODS,longer length of PICU stay and length of hospital stay,higher hospital fee,and higher 28-day mortality than those at medium risk [45.8% vs.31.7%,P=0.004; 1 (1,2) vs.1 (0,2),P=0.000; 45.8% vs.26.3%,P=0.000; 8 (3,15) days vs.5 (2,9) days,P=0.000; 17 (9,29) days vs.12 (6,21) days,P=0.001; 3.81 (1.67,8.53) ×104 yuan vs.2.09 (1.13,4.85) ×l04 yuan,P=0.000; 26.9% vs.18.6%,P=0.047] and those at low risk [45.8% vs.22.8%,P=0.000; 1 (1,2) vs.1 (0,1),P=0.000;45.8

  4. 营养风险筛查工具 NRS-2002评估食管癌放疗患者营养状况的价值%Value of nutritional risk screening-2002 in evaluating nutritional status of patients with esophageal cancer undergoing radiotherapy

    Institute of Scientific and Technical Information of China (English)

    喻冰琪; 王升晔; 陈建祥; 陈媛媛; 王谨; 谢淑萍; 徐裕金; 唐华容; 马红莲; 胡晓; 孔月; 郑远达

    2016-01-01

    Objective To apply Nutritional Risk Screening-2002(NRS-2002) to perform primary screening for nutritional risk in patients with esophageal cancer who undergo radiotherapy, and assess their nutritional status, and to investigate the value of NRS-2002 in such patients.Methods A total of 97 patients who were diagnosed with esophageal cancer and underwent radiotherapy in Zhejiang Cancer Hospital from January 2010 to April 2014 were analyzed retrospectively.The Kaplan-Meier method was applied to analyze the difference in survival, and the chi-square test and the Pearson correlation analysis were applied to analyze the correlation between NRS-2002 score and blood parameters.Results Of all patients, 26.8%had nutritional risk before radiotherapy, which gradually increased with the progress of radiotherapy.The 1-year overall survival rates of the patients with NRS-2002scores of ≤3 and ≥4 on admission were 91.1%and 61.9%, respectively (P=0.010).As for the patients with the highest NRS-2002 scores of ≤2 and ≥3 during treatment, the 1-year overall survival rates were 94.2% and 77.5%, respectively (P=0.012).As for the patients with the lowest NRS-2002 scores of ≤3 and ≥4 during treatment, the 1-year overall survival rates were 91.3% and 54.5%, respectively ( P=0.018).The NRS-2002 score was correlated with prealbumin on admission and at week 1 of radiotherapy (P=0.000 and 0.002), and the NRS-2002 score was correlated with albumin at week 3 of radiotherapy (P=0.036).The multivariate analysis showed that the TNM stage of esophageal cancer and the highest NRS-2002 score during treatment were the independent prognostic factors in esophageal cancer (P=0.001 and 0.005).Conclusions The patients with esophageal cancer undergoing radiotherapy have high nutritional risk, and NRS-2002 score is the independent prognostic factor in these patients and can be used as a tool for primary screening for nutritional risk.%目的:用营养风险筛查工具 NRS-2002评价食管癌

  5. Nutritional considerations for the palliative care patient.

    Science.gov (United States)

    Shaw, Clare; Eldridge, Lucy

    2015-01-01

    Many palliative care patients experience nutritional problems as their conditions progress. This includes those with progressive neurological conditions, chronic obstructive pulmonary disease (COPD) as well as advanced cancer. Nutritional issues not only impact patients physically but also psychologically and can also have an effect on those caring for them. It is important that patients are screened appropriately and that one identifies what symptoms are potentially affecting their intake. Decisions should always be patient-centred. Nutritional interventions range from food modification and nutritional supplements, to more intense methods such as enteral or parenteral nutrition, and these may have ethical and legal considerations. This article explores the nutritional issues faced by palliative patients, the ethical issues supporting decision-making and the methods of nutritional support available.

  6. Nutrition and Diet

    Science.gov (United States)

    ... Thai HbH:Vietnamese Relevant links Living with Thalassemia NUTRITIONNutrition and Diet ▶ Diet for the Non-transfused ... Nutrition with Connie Schroepfer, MS, RD: Dec 2016 Nutrition and Diet Nutritional deficiencies are common in thalassemia, ...

  7. Dental Encounter System (DES)

    Data.gov (United States)

    Department of Veterans Affairs — Dental Encounter System (DES) is an automated health care application designed to capture critical data about the operations of VA Dental Services. Information on...

  8. Dental education in Malaysia.

    Science.gov (United States)

    Komabayashi, Takashi; Razak, Abdul Aziz Abdul; Bird, William F

    2007-12-01

    There was only one dental school in Malaysia until 1997 but five new schools have been established since 1998. This review provides information about dental education in Malaysia including; the history of dental education, the current dental school system and curriculum, and dental licensure. There are four public and two private dental schools in Malaysia. High school graduates are required to take the nationwide matriculation entrance examination or the Higher School Certificate (HSC) to apply for a dental degree programme. A five-year dental programme leads to the BDS or the DDS degree. National or state examinations are not required to practise dentistry. Currently, there are approximately 2,500 dentists, with a ratio of 1 dentist for every 10,000 people.

  9. Dental Care in Scleroderma

    Science.gov (United States)

    Dental Care in Scleroderma People living with scleroderma face unique challenges while trying to maintain their oral ... They are more likely to be affected by dental conditions such as small mouth, dry mouth, jaw ...

  10. Dental care - child

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002213.htm Dental care - child To use the sharing features on ... and rinsing daily. It also includes having routine dental exams, and getting necessary treatments such as fluoride, ...

  11. AUTHORITARIANISM AND DENTAL CARIES.

    Science.gov (United States)

    in particular. If so, dental decay among nonauthoritarians might well progress further than among authoritarians. To determine whether or not there...is any relationship between dental decay and authoritarianism is the purpose of the present study. (Author)

  12. Dental Effluent Guidelines

    Science.gov (United States)

    Overview and documents for Dental Office Category regulation (40 CFR Part 441); comprising pretreatment standards for discharges of dental amalgam pollutants, including mercury, into publicly owned treatment works (POTWs).

  13. Dental Sealants Prevent Cavities

    Science.gov (United States)

    ... MMWR RSS VitalSigns RSS Error processing SSI file Dental Sealants Prevent Cavities Effective protection for children Language: ... more use of sealants and reimbursement of services. Dental care providers can Apply sealants to children at ...

  14. Smile dental journal

    National Research Council Canada - National Science Library

    "Smile dental journal is quarterly issued, peer-reviewed open access journal. Subject coverage is dentistry, dealing with all specialties of dentistry, its management, besides dental health related subjects...

  15. 75 FR 33169 - Dental Devices: Classification of Dental Amalgam, Reclassification of Dental Mercury, Designation...

    Science.gov (United States)

    2010-06-11

    ...-AG21 Dental Devices: Classification of Dental Amalgam, Reclassification of Dental Mercury, Designation of Special Controls for Dental Amalgam, Mercury, and Amalgam Alloy; Technical Amendment AGENCY: Food... classified dental amalgam as a class II device, reclassified dental mercury from class I to class II, and...

  16. Dental fluorosis: exposure, prevention and management.

    Science.gov (United States)

    Abanto Alvarez, Jenny; Rezende, Karla Mayra P C; Marocho, Susana María Salazar; Alves, Fabiana B T; Celiberti, Paula; Ciamponi, Ana Lidia

    2009-02-01

    Dental fluorosis is a developmental disturbance of dental enamel, caused by successive exposures to high concentrations of fluoride during tooth development, leading to enamel with lower mineral content and increased porosity. The severity of dental fluorosis depends on when and for how long the overexposure to fluoride occurs, the individual response, weight, degree of physical activity, nutritional factors and bone growth. The risk period for esthetic changes in permanent teeth is between 20 and 30 months of age. The recommended level for daily fluoride intake is 0.05 - 0.07 mg F/Kg/day, which is considered of great help in preventing dental caries, acting in remineralization. A daily intake above this safe level leads to an increased risk of dental fluorosis. Currently recommended procedures for diagnosis of fluorosis should discriminate between symmetrical and asymmetrical and/or discrete patterns of opaque defects. Fluorosis can be prevented by having an adequate knowledge of the fluoride sources, knowing how to manage this issue and therefore, avoid overexposure.

  17. The application of nutritional risk and developmental dysplasia screening tool in hospitalized newborns%营养风险及发育不良筛查工具在住院新生儿营养风险筛查中的应用

    Institute of Scientific and Technical Information of China (English)

    李衡; 孙娟; 王正新; 祝启花; 董梅花; 解红文

    2016-01-01

    目的:选择合适的营养风险筛查工具对新生儿进行营养风险评估。方法使用营养风险及发育不良筛查工具STRONGkid对98例住院新生儿进行营养风险筛查,并通过 Fenton 2013生长曲线图从身长、体质量及头围等方面进行对比监测,评估新生儿的营养状况。结果总的营养风险检出率为67.3%(66/98),早产新生儿营养高风险的发生率较足月新生儿高( P<0.05);总的营养不良检出率为52.0%(51/98),早产新生儿出营养不良的概率高于足月新生儿( P<0.05)。营养风险检出率越高,则营养不良检出率也越高。结论营养风险及发育不良筛查工具STRONGkid的筛查结果可以为早期存在营养不良风险的新生儿进行营养干预提供参考。%Objective To select the appropriate nutritional risk screening tool to evaluation the neonatal nutrition risk .Methods Using the nutritional risk screening tool STRONGkid on 98 cases of hospitalized infants ,and assessed the nutritional status of ne‐onates by using 2013 Fenton growth curve ,and body length ,weight and head circumference measurement .Results The total nutri‐tional risk of the 98 cases of hospitalized infants was 67 .3% (66/98) ,the incidence of premature neonates were higher than the full‐term newborns(P<0 .05);the total malnutrition rate was 52% (51/98) ,the risk of premature newborns were higher than the full‐term newborns(P<0 .05) .The higher the rate of nutritional risk was ,the higher the detection rate of malnutrition was .Conclusion The results of nutritional risk and developmental dysplasia screening tool STRONGkid could provide reference in the early inter‐vention of malnutrition for newborns who had high nutritional risk .

  18. Problems of nutritional assessment in the community.

    Science.gov (United States)

    Edington, J

    1999-02-01

    The present paper explores the problems associated with assessment of nutritional status in the community and reviews the literature related to this subject. The first problem is one of terminology, since a logical first step before assessment is screening, which identifies characteristics known to be associated with dietary or nutritional problems. Its purpose is to differentiate individuals who are at high nutritional risk or have poor nutritional status. There are certain factors which should alert the primary health care team to the fact that nutritional intake may be reduced and that risk of malnutrition is increased. These include disease condition, functional disabilities, inadequate or inappropriate food intake, poor dentition or difficulty swallowing, polypharmacy, alcoholism, depression, poor social circumstances or recent discharge from hospital. Patients suffering from these factors need to be identified so that screening becomes a routine part of their medical treatment. At-risk groups include the elderly, the chronically ill, those with cancer and neurological disorders, post-surgical patients and children with developmental disabilities. In the community, practice and community nurses see the majority of at-risk patients and should carry out screening. A number of screening tools have been developed for community use. Most are aimed at the elderly population, but there are others designed to assess nutritional risk in children with developmental disabilities and the general population. These are reviewed and problems of content and validity identified. Some problems associated with nutritional assessment are also reviewed.

  19. Dental Practice Management

    OpenAIRE

    Gheorghe Raftu

    2016-01-01

    the population. Private dental practices in Romania require personnel specialized in dental management. Success in dentistry depends, on the one hand, on the management of clinical aspects, and equallyon the efficient management of the dental practice. Patient satisfaction is influenced by factors related to the communication between the physicianand the patient, technical competence and by the environment provided by dental practice. The realization of the paper followed a review...

  20. Diet & Nutrition

    Science.gov (United States)

    ... Giving d Employer Matching Gifts d Gifts of Stock or Securities d Giving Circles Golden Circle Circle ... health. Shelly Diagnosed in 2006 Diet & Nutrition Take Control of Your Weight Portion Control Low Carb Omega- ...

  1. Parenteral nutrition

    National Research Council Canada - National Science Library

    Inayet, N; Neild, P

    2015-01-01

    Over the last 50 years, parenteral nutrition has been recognised as an invaluable and potentially lifesaving tool in the physician's arsenal in the management of patients with intestinal failure or inaccessibility...

  2. Stress Among Dental Students

    NARCIS (Netherlands)

    A.M. Alzahem (Abdullah)

    2015-01-01

    markdownabstractAbstract Dental students are facing many stressors in dental education, causing many negative outcomes. The most common are the exams and the clinical requirements. We suggest exposing the dental students to patient care as early as possible in their curriculum. This can help to bal

  3. [Dental records and responsibility

    NARCIS (Netherlands)

    Brands, W.G.

    2006-01-01

    Dental records are more than a small part of the bookkeeping. In most dental practises, keeping records is the task of a dental assistant. In civil court, the dentist is in most countries liable for the mistakes of his employees. In disciplinary court however there may be doubt whether the dentist i

  4. Stress Among Dental Students

    NARCIS (Netherlands)

    A.M. Alzahem (Abdullah)

    2015-01-01

    markdownabstractAbstract Dental students are facing many stressors in dental education, causing many negative outcomes. The most common are the exams and the clinical requirements. We suggest exposing the dental students to patient care as early as possible in their curriculum. This can help to bal

  5. Dental Assistant, Advanced. Revision

    Science.gov (United States)

    1989-02-01

    a jaw fracture, leukemia, dental caries, and periodontal disease. Dental diabetes mellitus , rheumatic fever, allergies, car- disease can be prevented...Dentistry ........................ 4-1 5. Oral Surgery, Endodontics, and Periodontics ................ 5-1 6. Prosthodontics...Diagnosis Periodontics Medical clinics may have branch clinics subor- Operative Dentistry Preventive Dentistry dinate to them. Although dental

  6. Future Recommendations for School Dental Health Program in India

    Directory of Open Access Journals (Sweden)

    Thorakkal SHAMIM

    2015-10-01

    Full Text Available Dental Surgeons working in public sector have an important role to play in school dental health pro-gram to reinstitute the oral and dental health of growing population of India. Even though the oral health policy was drafted in India in 1995, it was not implemented till this date (1. It is im-portant to enhance the knowledge about good oral health in teachers and parents by caring out workshops and seminars on oral and dental health by dental Surgeons working in public health sector. Dental surgeons working in public health sector should carry out oral screening to improve the future of oral health care in India (2. Mobile den-tal unit is an effective method to render oral and dental health-care in the public sector and it should be implemented in school set up in multi-ple situations such as educating school children regarding oral and dental health, screening of school children for various oral diseases, school and community dental health program(3.In an interventional study conducted among rural school children in Nalgonda district to assess the oral health promotion, it was interfered that the School teachers may be utilized as good medium for oral health promotion among school children in India and other developing countries(4.The following recommendations should be incor-porated in school health program in India. The government should incorporate dental surgeons in school health programs to give lecture on oral health, oral hygiene, plaque control, oral and den-tal diseases, oral cancer or smokeless tobacco use and hazards counseling and topical fluoride appli-cation. The government should incorporate oral and dental health related topic in School curric-ulum. Compulsory fitness regarding oral and den-tal health should be made mandatory for class promotion. Dental Surgeons play an important role in recognizing child abuse in school set up (5. Dentists should evaluate child abuse cases and child abuse cases will present clinically as

  7. Screening the Raspberry Varieties in High Altitude and Studying on Nutrition Composition of Raspberry%高海拔地区树莓品种筛选及营养成分研究

    Institute of Scientific and Technical Information of China (English)

    杨正松; 和加卫; 和志娇; 李燕; 毕海林; 黄杏娥

    2013-01-01

    In order to select the suitable high altitude cultivated varieties of raspberry, the author screened four raspberry varieties at high altitude and analyzed the nutrition composition of raspberry. The results showed that the soluble solid content, reducing sugar, total sugar and other nutrients of the same variety gradually increased with altitude from high to low. But the content of vitamin C decreased gradually. The higher the temperature, the higher the total sugar content it had. The content of soluble solids and reducing sugar of 'Chilcotin' blackberry was highest, and the taste was best in the four species. It was suitable for planting in high altitude area. The Fall Gold fruit period was long and taste was moderate. But it was easily broken and not easily transported. It was suitable for processing and growing around in the environs of the city.%为了筛选适合高海拔地区栽培的树莓品种,在高海拔地区对4个树莓品种进行筛选及营养成分的比较分析.结果表明,同一品种不同海拔,海拔由高到低,可溶性固形物、还原糖、总糖等营养成分逐渐升高,维生素C含量逐渐降低,气温越高含总糖量越高.4个品种中,‘奇里考特’的可溶性固形物含量最高,还原糖最高,口感最好,适合在高海拔地区推广种植.而‘秋金’的果期长,口感适中,但易破碎,不宜运输,适宜加工,适宜在城市周围适宜种植.

  8. Nutritional anemias.

    Science.gov (United States)

    Oski, F A

    1979-10-01

    The role of the metals, iron and copper, and the vitamins E, folic acid, and B12 in the genesis of nutritional anemias in infancy have been reviewed. All are preventable. The precise requirements for each of these trace elements and vitamins in the small premature infant remain to be defined. The nonhematologic consequences of these nutritional deficiencies require further study. Anemia may prove to be the least important manifestation of the deficiency states.

  9. Space Nutrition

    Science.gov (United States)

    Smith, Scott M.

    2009-01-01

    Optimal nutrition will be critical for crew members who embark on space exploration missions. Nutritional assessment provides an opportunity to ensure that crewmembers begin their missions in optimal nutritional status, to document changes during a mission and, if necessary, to provide intervention to maintain that status throughout the mission, and to assesses changes after landing in order to facilitate the return to their normal status as soon as possible after landing. We report here the findings from our nutritional assessment of astronauts who participated in the International Space Station (ISS) missions, along with flight and ground-based research findings. We also present ongoing and planned nutrition research activities. These studies provide evidence that bone loss, compromised vitamin status, and oxidative damage are the critical nutritional concerns for space travelers. Other nutrient issues exist, including concerns about the stability of nutrients in the food system, which are exposed to longterm storage and radiation during flight. Defining nutrient requirements, and being able to provide and maintain those nutrients on exploration missions, will be critical for maintaining crew member health.

  10. 老年食管癌放疗患者营养筛查现状及饮食干预对策%The nutrition screening status and dietary intervention strategies in eIderIy esophageaI cancer patients with radiotherapy

    Institute of Scientific and Technical Information of China (English)

    刘莹; 郝晓慧; 王玉华

    2014-01-01

    目的:探讨利用微型营养评定表( MNA)筛选老年食管癌放疗患者营养状况并进行早期营养干预,评价其临床实用性及有效性。方法:采用MNA问卷对132例老年食管癌放疗患者进行测评,根据筛查结果将患者分为营养良好组、营养风险组及营养不良组,对存在营养风险及营养不良者进行针对性地营养干预,分别在放疗开始2、4周进行评估。结果:三组在不同入院时间营养状况、各测量指标比较差异均有统计学意义(P﹤0.01、P﹤0.05);经干预后,营养风险组和营养不良组入院2、4周MNA评分较入院时明显提高( P﹤0.05)。结论:采用MNA评估老年食管癌放疗患者的营养状况,并采取有针对性的饮食干预,可明显改善患者的营养状况。%Objective:To explore and utilize the Mini Nutritional Assessment( MNA)scale to screen the nutritional status of elderly e-sophageal cancer patients with radiotherapy and implement early nutritional intervention,and to evaluate its clinical usefulness and effec-tiveness. Methods:MNA questionnaire was used to screen 132 elderly esophageal cancer patients with radiotherapy and the patients were divided into good nutrition group,nutritional risk group and malnutrition group according to the screening results. The patients with nutri-tional risk and malnutrition were given targeted nutritional intervention,the nutritional stuts of the patients was evaluated respectively in 2 and 4 weeks after radiotherapy. Results:The differences in the comparison of nutritional status of the patients and other indicators in the different admission time among the three groups were statistically significant(P﹤0. 01,P﹤0. 05);the MNA scores in the nutritional risk group and malnutrition group were significantly increased in 2 and 4 weeks after intervention compared with those on admission( P ﹤0. 05). Conclusion:MNA and targeted dietary intervention can significantly

  11. Oral health screening of elderly people attending a community care centre.

    Science.gov (United States)

    Diu, S; Gelbier, S

    1989-08-01

    A socio-dental survey was carried out to determine the level of dental disease and treatment requirement among elderly people attending a Community Care Centre. A screening programme involving 293 elderly people demonstrated a normative need of 82% and a felt need of 53%. Seventy-six per cent would have benefited from dental care. Many individuals who both needed and wanted dental care were not receiving it because they were discouraged from doing so predominantly because of poor mobility. It is recommended, therefore, that dentists be included in multi-disciplinary teams caring for elderly people so that they can be screened and given the opportunity to obtain dental care.

  12. Tweezer dexterity aptitude of dental students.

    Science.gov (United States)

    Lundergan, William P; Soderstrom, Elizabeth J; Chambers, David W

    2007-08-01

    The rationale for using the Perceptual Ability Test (PAT) as a component in admissions decisions for dental schools is that candidates vary in an underlying aptitude that is predictive of degree of success in technique course performance and perhaps in clinical performance. There have been periodic attempts to identify tests that more directly measure manual dexterity aptitude that would supplement the predictive power of admissions decisions. Previous research has demonstrated that a commercially available "speeded" tweezer dexterity test (Johnson O'Connor Test #32022) is not associated with performance in dental school or dental practice. Our research investigated both Test #32022 and Test #18 that measure both speed and accuracy as potential predictors of dental school performance in technical and clinical courses. This article reports the results of a longitudinal, comparative study of tweezer dexterity scores for students at the University of the Pacific School of Dentistry during their first and last quarters in school. The goals of the study were to 1) evaluate the correlation between beginning students' scores on two different types of tweezer dexterity tests; 2) compare dental students' scores to normative data for the general population; 3) determine the effect of a dental curriculum on students' performance on Test #18; and 4) evaluate the two tests as potential dental school admission screening instruments in comparison to the PAT. Fifty first-quarter students were tested from a class of 134. Forty-nine of these students were retested on Test #18 during their final quarter. The predictor value of the initial scores for the two dexterity tests was assessed for seven outcome measures reflecting student technique performance. Analysis showed a significant correlation (r=0.318, ptests. The difference between the norm mean (41.58) and the dental student mean for Test #18 (40.42) was not significant (p>0.05). The correlation between the first and final

  13. The effect of xylitol on dental caries and oral flora

    Directory of Open Access Journals (Sweden)

    Nayak PA

    2014-11-01

    Full Text Available Prathibha Anand Nayak,1 Ullal Anand Nayak,2 Vishal Khandelwal3 1Department of Periodontics, NIMS Dental College and Hospital, Jaipur, Rajasthan, India; 2Department of Pedodontics and Preventive Dentistry, NIMS Dental College and Hospital, Jaipur, Rajasthan, India; 3Department of Pedodontics and Preventive Dentistry, Index Dental College and Hospital, Indore, Madhya Pradesh, India Abstract: Dental caries, the most chronic disease affecting mankind, has been in the limelight with regard to its prevention and treatment. Professional clinical management of caries has been very successful in cases of different severities of disease manifestations. However, tertiary management of this disease has been gaining attention, with numerous methods and agents emerging on a daily basis. Higher intake of nutritive sweeteners can result in higher energy intake and lower diet quality and thereby predispose an individual to conditions like obesity, cardiovascular disorders, and type 2 diabetes mellitus. Non-nutritive sweeteners have gained popularity as they are sweeter and are required in substantially lesser quantities. Xylitol, a five-carbon sugar polyol, has been found to be promising in reducing dental caries disease and also reversing the process of early caries. This paper throws light on the role and effects of various forms of xylitol on dental caries and oral hygiene status of an individual. Keywords: xylitol, caries preventive effect, oral flora 

  14. Preliminary development and evaluation of online tobacco and alcohol modules for dental students.

    Science.gov (United States)

    Miller, Peter M; Heideman, Paul W; Ravenel, Michele C; Spangler, John G; Mauldin, Mary P; Hill, Elizabeth G; Onicescu, Georgiana

    2011-06-01

    Tobacco use and heavy alcohol consumption are major risk factors for the development of oral and pharyngeal cancer (OPC). Detection and modification of these risks by dentists are keys in preventing OPC. While dentists are encouraged to screen patients for tobacco and alcohol use and educate them about the oral health risks they pose, dental students receive little formalized training in this area. This pilot project was designed to develop and evaluate two online training modules for dental students: one on tobacco and oral health risk factors, and one on methods of alcohol screening. Results indicated that online tobacco/alcohol education for dental students is feasible. The modules resulted in meaningful improvement in dental students' knowledge of tobacco and alcohol use as well as alcohol screening methods. The alcohol module resulted in statistically significant increases in intention to screen patients for alcohol use and in comfort level in performing alcohol screening.

  15. Sleep medicine content in dental hygiene education.

    Science.gov (United States)

    Minichbauer, Brittany C; Sheats, Rose D; Wilder, Rebecca S; Phillips, Ceib L; Essick, Gregory K

    2015-05-01

    According to the National Research Council, 70 million Americans chronically suffer from approximately 60 medically recognized sleep disorders. With most clinicians unaware of these disorders, many individuals remain undiagnosed. To effectively address this issue, health care professionals must work collaboratively to educate, identify, and treat patients with sleep disorders. However, medical and dental clinicians do not receive adequate education in sleep medicine. On the frontline regarding prevention and counseling, dental hygienists play an important role in patient education, screening, and management of sleep disorders. The aim of this study was to assess the amount of sleep medicine content in U.S. dental hygiene programs. An electronic survey was emailed to all 334 accredited U.S. dental hygiene programs. The 18-question survey assessed the sleep medicine content presented during the 2012-13 academic year. A total of 35.3% (n=118) of the programs responded. The mean number of hours devoted to sleep medicine in their curricula was 1.55 hours (SD=1.37). Although 69% (n=79) of the responding programs reported spending time on sleep bruxism (mean=1.38 hours, SD=0.85), only 28% (n=32) reported spending time on other topics such as snoring and obstructive sleep apnea (mean=1.39 hours, SD=0.72). These results suggest that sleep medicine is included in the majority of U.S. dental hygiene programs, but the content is limited and focused on sleep bruxism. This level of training is inadequate to prepare dental hygienists for their potential role in patient education, screening, and management of sleep-related breathing disorders.

  16. Anodized dental implant surface

    Directory of Open Access Journals (Sweden)

    Sunil Kumar Mishra

    2017-01-01

    Full Text Available Purpose: Anodized implants with moderately rough surface were introduced around 2000. Whether these implants enhanced biologic effect to improve the environment for better osseointegration was unclear. The purpose of this article was to review the literature available on anodized surface in terms of their clinical success rate and bone response in patients till now. Materials and Methods: A broad electronic search of MEDLINE and PubMed databases was performed. A focus was made on peer-reviewed dental journals. Only articles related to anodized implants were included. Both animal and human studies were included. Results: The initial search of articles resulted in 581 articles on anodized implants. The initial screening of titles and abstracts resulted in 112 full-text papers; 40 animal studies, 16 studies on cell adhesion and bacterial adhesion onto anodized surfaced implants, and 47 human studies were included. Nine studies, which do not fulfill the inclusion criteria, were excluded. Conclusions: The long-term studies on anodized surface implants do favor the surface, but in most of the studies, anodized surface is compared with that of machined surface, but not with other surfaces commercially available. Anodized surface in terms of clinical success rate in cases of compromised bone and immediately extracted sockets has shown favorable success.

  17. Anodized dental implant surface.

    Science.gov (United States)

    Mishra, Sunil Kumar; Kumar, Muktadar Anand; Chowdhary, Ramesh

    2017-01-01

    Anodized implants with moderately rough surface were introduced around 2000. Whether these implants enhanced biologic effect to improve the environment for better osseointegration was unclear. The purpose of this article was to review the literature available on anodized surface in terms of their clinical success rate and bone response in patients till now. A broad electronic search of MEDLINE and PubMed databases was performed. A focus was made on peer-reviewed dental journals. Only articles related to anodized implants were included. Both animal and human studies were included. The initial search of articles resulted in 581 articles on anodized implants. The initial screening of titles and abstracts resulted in 112 full-text papers; 40 animal studies, 16 studies on cell adhesion and bacterial adhesion onto anodized surfaced implants, and 47 human studies were included. Nine studies, which do not fulfill the inclusion criteria, were excluded. The long-term studies on anodized surface implants do favor the surface, but in most of the studies, anodized surface is compared with that of machined surface, but not with other surfaces commercially available. Anodized surface in terms of clinical success rate in cases of compromised bone and immediately extracted sockets has shown favorable success.

  18. Obesity and dental caries in paediatric patients. A cross-sectional study.

    Science.gov (United States)

    Costacurta, M; Di Renzo, L; Bianchi, A; Fabiocchi, F; De Lorenzo, A; Docimo, R

    2011-06-01

    The aim of the present cross-sectional study was to evaluate the relationship between childhood obesity and dental caries, in paediatric subjects, through the use of two methods of diagnosis of overweight-obesity: Body Mass Index (BMI), and Dual energy X-ray Absorptiometry (DXA). A total of 107 healthy patients, aged between 6 and 12 years (53.3% females, 46.7% males) were included in the study. Each patient underwent a nutritional examination and dental check-up. The nutritional examination was performed at the Department of Neuroscience, Human Nutrition Unit, University of Rome Tor Vergata and consisted of anthropometric measurements, BMI calculation, DXA exam, body fat mass (FM) assessment. Dental examinations were performed by a trained dentist of the Paediatric Dentistry Unit of PTV Hospital, University of Rome Tor Vergata. Dental caries was assessed using visual-tactile method and X-rays (bite-wing and panoramic radiography); the dmft/DMFT index was calculated. The subjects were classified as underweight, normal weight, pre-obese, obese, according to different criteria: a) age- and sex-specific BMI according to the Cacciari growth charts and cut-offs, b) body fat mass percentage (FM%) according to the WHO cut-offs, c) body fat mass percentage (FM%) according to the McCarthy growth charts and cut-offs. The statistical analysis was performed with the SPSS software (version 11.01; SPSS Inc., Chicago, IL, USA). The dmft/DMFT index was checked for normality using the Kolmogorov-Smirnov test. Independence of the dmft/DMFT distribution from sex and age was checked by using the Mann Whitney and Kruskal Wallis tests. Differences in the dmft/DMFT values between groups, according to BMI and FM% classifications, were tested using the Mann Whitney test. The minimal level of significance of the differences was fixed at p- value ≤ 0.05 for all procedures. The comparison between BMI and DXA data shows statistically significant differences between BMI-%FM (WHO cut

  19. Dental caries vaccine

    Directory of Open Access Journals (Sweden)

    Shivakumar K

    2009-01-01

    Full Text Available Dental caries is one of the most common diseases in humans. In modern times, it has reached epidemic proportions. Dental caries is an infectious microbiologic disease of the teeth that results in localized dissolution and destruction of the calcified tissue. Dental caries is a mulitifactorial disease, which is caused by host, agent, and environmental factors. The time factor is important for the development and progression of dental caries. A wide group of microorganisms are identified from carious lesions of which S. mutans , Lactobacillus acidophilus , and Actinomyces viscosus are the main pathogenic species involved in the initiation and development of dental caries. In India, surveys done on school children showed caries prevalence of approximately 58%. Surveys among the U.S. population showed an incidence of 45.3% in children and 93.8% in adults with either past or present coronal caries. Huge amounts of money and time are spent in treating dental caries. Hence, the prevention and control of dental caries is the main aim of public health, eventually the ultimate objective of public health is the elimination of the disease itself. Recently, dental caries vaccines have been developed for the prevention of dental caries. These dental caries vaccines are still in the early stages.

  20. Nutritional Therapy.

    Science.gov (United States)

    Schwartz, Julie

    2016-03-01

    This article provides the reader with steps needed to accurately assess patient nutrition behaviors that contribute to weight gain, inability to lose weight, or inability to sustain weight loss. Evidence-based approaches in nutrition therapy that can create the daily energy deficit needed to produce 1/2 to 2 pounds of weight loss per week, and the strategies to create the energy deficit, are presented. To optimize health, long-term weight loss maintenance is needed. The benefits of using a multidisciplinary team approach in treating obesity are highlighted.

  1. Dental hygiene in Slovakia.

    Science.gov (United States)

    Luciak-Donsberger, C; Krizanová, M

    2004-08-01

    This article reports on the development of the dental hygiene profession in Slovakia from a global perspective. The aim is to inform about current developments and to examine, how access to qualified dental hygiene care might be improved and how professional challenges might be met. For an international study on dental hygiene, secondary source data were obtained from members of the House of Delegates of the International Federation of Dental Hygienists (IFDH) or by fax and e-mail from experts involved in the national professional and educational organization of dental hygiene in non-IFDH member countries, such as Slovakia. Responses were followed-up by interviews, e-mail correspondence, visits to international universities, and a review of supporting studies and reference literature. Results show that the introduction of dental hygiene in Slovakia in 1992 was inspired by the delivery of preventive care in Switzerland. Initiating local dentists and dental hygienists strive to attain a high educational level, equitable to that of countries in which dental hygiene has an established tradition of high quality care. Low access to qualified dental hygiene care may be a result of insufficient funding for preventive services, social and cultural lack of awareness of the benefits of preventive care, and of limitations inherent in the legal constraints preventing unsupervised dental hygiene practice. These may be a result of gender politics affecting a female-dominated profession and of a perception that dental hygiene is auxiliary to dental care. International comparison show that of all Eastern European countries, the dental hygiene profession appears most advanced in Slovakia. This is expressed in high evidence-based academic goals, in extensive work with international consultants from the Netherlands and Switzerland, in annual congresses of high professional quality, and in the establishment of a profession, which has not been introduced in all Western EU countries.

  2. Dentists' dietary perception and practice patterns in a dental practice-based research network.

    Directory of Open Access Journals (Sweden)

    Yoko Yokoyama

    Full Text Available Dental caries are largely preventable, and epidemiological evidence for a relationship between diet and oral health is abundant. To date, however, dentists' perceptions about the role of diet and dentists' practice patterns regarding diet counseling have not been clarified.THE PURPOSES OF THIS STUDY WERE TO: (1 examine discordance between dentists' perception of the importance of diet in caries treatment planning and their actual provision of diet counseling to patients, and (2 identify dentists' characteristics associated with their provision of diet counseling.The study used a cross-sectional study design consisting of a questionnaire survey in Japan.The study queried dentists working in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan (JDPBRN, which aims to allow dentists to investigate research questions and share experiences and expertise (n = 282.Dentists were asked about their perceptions on the importance of diet and their practice patterns regarding diet counseling, as well as patient, practice, and dentist background data.The majority of participants (n = 116, 63% recognized that diet is "more important" to oral health. However, among participants who think diet is "more important" (n = 116, only 48% (n = 56 provide diet counseling to more than 20% of their patients. Multiple logistic regression analysis suggested that several variables were associated with providing diet counseling; dentist gender, practice busyness, percentage of patients interested in caries prevention, caries risk assessment, and percentage of patients who receive blood pressure screening.Some discordance exists between dentists' perception of the importance of diet in caries treatment planning and their actual practice pattern regarding diet counseling to patients. Reducing this discordance may require additional dentist education, including nutritional and systemic disease concepts; patient

  3. Medical Issues: Nutrition

    Science.gov (United States)

    ... support & care > living with sma > medical issues > nutrition Nutrition Good nutrition is essential to health and growth. ... must make decisions based on their own needs. Nutrition Considerations Since we are still waiting for clinical ...

  4. Evaluation of oral and dental health of 6-12 year-old students in Kermanshah city

    OpenAIRE

    Mohammad Reza Nokhostin; Akram Siahkamari; Alireza Akbarzadeh Bagheban

    2013-01-01

    Background: Oral and dental health are among the most important aspects of individual health. Thus, it is necessary to determine community’s oral health status. Various epidemiological studies are required at different levels to assess the efficacy of preventive, oral and dental health control programs in a society. Complications such as nutritional adverse effects, periodontal diseases and adverse psychological effects of dental caries and etc. could be prevented by in-time diagnosis a...

  5. Position of the American Dietetic Association, American Society for Nutrition, and Society for Nutrition Education: Food and nutrition programs for community-residing older adults.

    Science.gov (United States)

    Kamp, Barbara J; Wellman, Nancy S; Russell, Carlene

    2010-03-01

    Given the federal cost-containment policy to rebalance long-term care away from nursing homes to home- and community-based services, it is the position of the American Dietetic Association, the American Society for Nutrition, and the Society for Nutrition Education that all older adults should have access to food and nutrition programs that ensure the availability of safe, adequate food to promote optimal nutritional status. Appropriate food and nutrition programs include adequately funded food assistance and meal programs, nutrition education, screening, assessment, counseling, therapy, monitoring, evaluation, and outcomes documentation to ensure more healthful aging. The growing number of older adults, the health care focus on prevention, and the global economic situation accentuate the fundamental need for these programs. Yet far too often food and nutrition programs are disregarded or taken for granted. Growing older generally increases nutritional risk. Illnesses and chronic diseases; physical, cognitive, and social challenges; racial, ethnic, and linguistic differences; and low socioeconomic status can further complicate a situation. The beneficial effects of nutrition for health promotion, risk reduction, and disease management need emphasis. Although many older adults are enjoying longer and more healthful lives in their own homes, others, especially those with health disparities and poor nutritional status, would benefit from greater access to food and nutrition programs and services. Food and nutrition practitioners can play a major role in promoting universal access and integrating food and nutrition programs and nutrition services into home- and community-based services.

  6. Risk factors for severe dental anxiety among medical students.

    Science.gov (United States)

    Janković, Slobodan M; Aleksić, Dragana; Bahtijari, Zulfer; Jelić, Anica; Klacar, Jelena; Kovacević, Aleksandra; Mijailović, Natasa; Milovanović, Olivera; Petrović, Aleksandra; Radovanović, Ana; Sovrlić, Miroslav; Zecević, Dejana Ruzić

    2014-01-01

    Severe dental anxiety (SDA) is the most severe form of dental anxiety, thus the aim of this study was to determine the factors associated with SDA in students of health-related disciplines. In this case-control study the cases were students with severe dental anxiety. The study was conducted at the Faculty of Medical Sciences, University of Kragujevac, Serbia. The participants were undergraduate students attending lectures during spring semester 2010/2011 (n = 1,812). A random sample of 800 students was assessed for the association between various risk factors and the severe dental anxiety. The main outcome measures were the data on demographics, dental anxiety, habits concerning oral hygiene, nutrition, general anxiety and (co)morbidity which were collected from the study participants by semi-structured questionnaire. Less frequent visits to the dentist (OR adjusted = 7.02 [2.65; 18.60]) and visiting the dentist only when there is a dental problem (OR adjusted = 8.08 [1.28; 50.93]) were associated with severe dental anxiety. The same was true for improper oral hygiene (OR adjusted = 4.25 [1.16; 15.60]). Factors as changing toothbrush more frequently (OR adjusted = 0.33 [0.14; 0.76]) and having chronic disease (OR adjusted = 0.01 [0.00; 0.09]) were inversely associated with severe dental anxiety. The level of education of students was not associated with severe dental anxiety. Inappropriate oral hygiene, less frequent changes of a toothbrush and less frequent visits to the dentist are important risk factors for severe dental anxiety.

  7. Risk factors for severe dental anxiety among medical students

    Directory of Open Access Journals (Sweden)

    Janković Slobodan M.

    2014-01-01

    Full Text Available Background/Aim. Severe dental anxiety (SDA is the most severe form of dental anxiety, thus the aim of this study was to determine the factors associated with SDA in students of health-related disciplines. Methods. In this case-control study the cases were students with severe dental anxiety. The study was conducted at the Faculty of Medical Sciences, University of Kragujevac, Serbia. The participants were undergraduate students attending lectures during spring semester 2010/2011 (n = 1,812. A random sample of 800 students was assessed for the association between various risk factors and the severe dental anxiety. The main outcome measures were the data on demographics, dental anxiety, habits concerning oral hygiene, nutrition, general anxiety and (comorbidity which were collected from the study participants by semi-structured questionnaire. Results. Less frequent visits to the dentist (OR adjusted = 7.02 [2.65; 18.60] and visiting the dentist only when there is a dental problem (OR adjusted = 8.08 [1.28; 50.93] were associated with severe dental anxiety. The same was true for improper oral hygiene (OR adjusted = 4.25 [1.16; 15.60]. Factors as changing toothbrush more frequently (OR adjusted = 0.33 [0.14; 0.76] and having chronic disease (OR adjusted = 0.01 [0.00; 0.09] were inversely associated with severe dental anxiety. The level of education of students was not associated with severe dental anxiety. Conclusion. Inappropriate oral hygiene, less frequent changes of a toothbrush and less frequent visits to the dentist are important risk factors for severe dental anxiety. [Projekat Ministarstva nauke Republike Srbije, br. 175007

  8. Vision Screening

    Science.gov (United States)

    ... of Prematurity Strabismus Stye (defined) Vision Screening Vision Screening Recommendations Loading... Most Common Searches Adult Strabismus Amblyopia Cataract Conjunctivitis Corneal Abrasions Dilating Eye ...

  9. EAMJ Jan. Dental 10.indd

    African Journals Online (AJOL)

    2010-01-01

    Jan 1, 2010 ... the prevalence of dental caries and gingivitis among. 12-year-old children .... chemical, bacterial and mechanical irritation from dental plaque and ..... We thank the School of Dental Sciences and Colgate. Palmolive for part ...

  10. Disparities in children's oral health and access to dental care.

    Science.gov (United States)

    Mouradian, W E; Wehr, E; Crall, J J

    Dental caries can be prevented by a combination of community, professional, and individual measures including water fluoridation, professionally applied topical fluorides and dental sealants, and use of fluoride toothpastes. Yet, tooth decay is the most common chronic disease of childhood. Dental care is the most prevalent unmet health need in US children with wide disparities existing in oral health and access to care. Only 1 in 5 children covered by Medicaid received preventive oral care for which they are eligible. Children from low income and minority families have poorer oral health outcomes, fewer dental visits, and fewer protective sealants. Water fluoridation is the most effective measure in preventing caries, but only 62% of water supplies are fluoridated, and lack of fluoridation may disproportionately affect poor and minority children. Childhood oral disease has significant medical and financial consequences that may not be appreciated because of the separation of medicine and dentistry. The infectious nature of dental caries, its early onset, and the potential of early interventions require an emphasis on preventive oral care in primary pediatric care to complement existing dental services. However, many pediatricians lack critical knowledge to promote oral health. We recommend financial incentives for prioritizing Medicaid Early and Periodic Screening, Diagnostic, and Treatment dental services; managed care accountability; integration of medical and dental professional training, clinical care, and research; and national leadership. JAMA. 2000;284:2625-2631.

  11. Pediatric obesity-related curricular content and training in dental schools and dental hygiene programs: systematic review and recommendations.

    Science.gov (United States)

    Divaris, Kimon; Bhaskar, Vaishnavi; McGraw, Kathleen A

    2017-06-01

    The authors conducted a systematic review to determine: a) What dental schools and dental hygiene programs are doing to promote knowledge and skills related to addressing childhood obesity and to reduce consumption of sugar-sweetened beverages (SSBs) and b) What else these schools and programs could do to better equip future oral health professionals to address childhood obesity and reduce consumption of SSBs. The authors searched PubMed, Scopus, Education Full Text (EBSCOHost), and ERIC (EBSCOHost) to identify peer-reviewed publications reporting on obesity or dietetic-related curricula in dental and dental hygiene education within the last 20 years. Three studies met inclusion and exclusion criteria. Outcomes of the identified studies were abstracted and summarized independently by two investigators. The first study describes a 2009 survey of pediatric dentistry residents. Approximately, half had received formal training yet they lacked essential knowledge or skills for managing children who were obese. The second study describes nutrition-related coursework offered in the second year of a predoctoral dental school curriculum in Saudi Arabia, and the third study reports on the development of an "oral health rotation" dietetic internship in a pediatric dentistry clinic, in the context of interprofessional education (IPE). Evidence of dental schools' and dental hygiene programs' efforts to address obesity and SSB consumption in children in their curricula is scant, while Commission on Dental Accreditation standards make sporadic mentions of diet and nutrition. Opportunities exist to leverage existing resources and innovative, experiential approaches, including IPE, to formally, and effectively address this important issue in predoctoral oral health education. © 2017 American Association of Public Health Dentistry.

  12. Biocompatibility of dental alloys

    Energy Technology Data Exchange (ETDEWEB)

    Braemer, W. [Heraeus Kulzer GmbH and Co. KG, Hanau (Germany)

    2001-10-01

    Modern dental alloys have been used for 50 years to produce prosthetic dental restorations. Generally, the crowns and frames of a prosthesis are prepared in dental alloys, and then veneered by feldspar ceramics or composites. In use, the alloys are exposed to the corrosive influence of saliva and bacteria. Metallic dental materials can be classified as precious and non-precious alloys. Precious alloys consist of gold, platinum, and small amounts of non-precious components such as copper, tin, or zinc. The non-precious alloys are based on either nickel or cobalt, alloyed with chrome, molybdenum, manganese, etc. Titanium is used as Grade 2 quality for dental purposes. As well as the dental casting alloys, high purity electroplated gold (99.8 wt.-%) is used in dental technology. This review discusses the corrosion behavior of metallic dental materials with saliva in ''in vitro'' tests and the influence of alloy components on bacteria (Lactobacillus casei and Streptococcus mutans). The test results show that alloys with high gold content, cobalt-based alloys, titanium, and electroplated gold are suitable for use as dental materials. (orig.)

  13. Dental erosion, summary.

    Science.gov (United States)

    ten Cate, J M; Imfeld, T

    1996-04-01

    Although reports on dental erosion have always appeared in the dental literature, there is currently a growing interest among researchers and clinicians. Potential risk factors for dental erosion are changed lifestyle and eating patterns, with increased consumption of acidic foods and beverages. Various gastrointestinal and eating disorders expose the dentition to frequent contacts with very acidic gastric content, which may lead to erosion. Whether these factors indeed lead, on a population scale, to a higher prevalence and incidence of erosion is yet to be established. This article summarizes the different aspects of the prevalence, pathology, etiology, assessment, prevention and treatment of dental erosion, and concludes with recommendations for future research.

  14. Acute dental pain II

    DEFF Research Database (Denmark)

    Jonasson, Peter; Kirkevang, Lise-Lotte; Rosen, Annika

    2016-01-01

    Acute dental pain most often occurs in relation to inflammatory conditions in the dental pulp or in the periradicular tissues surrounding a tooth, but it is not always easy to reach a diagnose and determine what treatment to perform. The anamnesis and the clinical examination provide valuable...... dental pain, they expect that the dentist starts treatment at once and that the treatment should provide pain relief. In this situation many patients are fragile, anxious and nervous. If the dentist is able to manage emergency treatment of acute dental pain this will build confidence and trust between...

  15. Dental Implant Systems

    Science.gov (United States)

    Oshida, Yoshiki; Tuna, Elif B.; Aktören, Oya; Gençay, Koray

    2010-01-01

    Among various dental materials and their successful applications, a dental implant is a good example of the integrated system of science and technology involved in multiple disciplines including surface chemistry and physics, biomechanics, from macro-scale to nano-scale manufacturing technologies and surface engineering. As many other dental materials and devices, there are crucial requirements taken upon on dental implants systems, since surface of dental implants is directly in contact with vital hard/soft tissue and is subjected to chemical as well as mechanical bio-environments. Such requirements should, at least, include biological compatibility, mechanical compatibility, and morphological compatibility to surrounding vital tissues. In this review, based on carefully selected about 500 published articles, these requirements plus MRI compatibility are firstly reviewed, followed by surface texturing methods in details. Normally dental implants are placed to lost tooth/teeth location(s) in adult patients whose skeleton and bony growth have already completed. However, there are some controversial issues for placing dental implants in growing patients. This point has been, in most of dental articles, overlooked. This review, therefore, throws a deliberate sight on this point. Concluding this review, we are proposing a novel implant system that integrates materials science and up-dated surface technology to improve dental implant systems exhibiting bio- and mechano-functionalities. PMID:20480036

  16. Dental Implant Systems

    Directory of Open Access Journals (Sweden)

    Yoshiki Oshida

    2010-04-01

    Full Text Available Among various dental materials and their successful applications, a dental implant is a good example of the integrated system of science and technology involved in multiple disciplines including surface chemistry and physics, biomechanics, from macro-scale to nano-scale manufacturing technologies and surface engineering. As many other dental materials and devices, there are crucial requirements taken upon on dental implants systems, since surface of dental implants is directly in contact with vital hard/soft tissue and is subjected to chemical as well as mechanical bio-environments. Such requirements should, at least, include biological compatibility, mechanical compatibility, and morphological compatibility to surrounding vital tissues. In this review, based on carefully selected about 500 published articles, these requirements plus MRI compatibility are firstly reviewed, followed by surface texturing methods in details. Normally dental implants are placed to lost tooth/teeth location(s in adult patients whose skeleton and bony growth have already completed. However, there are some controversial issues for placing dental implants in growing patients. This point has been, in most of dental articles, overlooked. This review, therefore, throws a deliberate sight on this point. Concluding this review, we are proposing a novel implant system that integrates materials science and up-dated surface technology to improve dental implant systems exhibiting bio- and mechano-functionalities.

  17. Etiology and pathogenesis of dental erosion.

    Science.gov (United States)

    Kanzow, Philipp; Wegehaupt, Florian J; Attin, Thomas; Wiegand, Annette

    2016-04-01

    The condition of dental erosion is defined as acid-related loss of tooth structure which does not involve microorganisms. Depending on the origin of the acid, extrinsic (usually caused by acids in food) and intrinsic (caused by endogenous acid) erosion can be distinguished. The presence and severity of erosive defects depend on various parameters such as nutrition, saliva, general diseases, and mechanical stress by abrasion and attrition. As an example, dietary habits which involve frequent intake of acidic food and beverages, occupational acid exposure, as well as certain drugs or diseases that affect saliva flow rate are accompanied by an increased risk of erosive dental hard tissue defects. By a thorough clinical examination and an accurate anamnesis, various erosion-related risk factors can be identified and strategies to reduce or eliminate these factors be identified.

  18. Nutritional risk screening in pulmonary tuberculosis patients complicated with pulmonary infection%应用NRS2002方法对肺结核合并肺部感染患者的营养风险筛查和分析

    Institute of Scientific and Technical Information of China (English)

    卢春丽; 谭守勇; 江涛; 许蕴怡

    2014-01-01

    目的:研究肺结核合并肺部感染患者的营养风险、营养不足发生率,并与单纯肺结核患者进行比较。方法采用NRS2002营养风险筛查方法,随机选择2012年4月~10月新入院肺结核患者200例,在入院2天内和住院2周时进行营养风险筛查初查和复查,并按是否合并肺部感染,分为研究组(90例)和对照组(110例),比较两组营养不足、营养风险的发生率,进行统计分析。营养不足判定标准为体重指数BMI0.05。结论肺结核合并肺部感染住院患者的营养风险和营养不足发生率较高,应推广和使用NRS2002营养风险筛查方法,作为临床实施营养支持的参考依据。%Objective To study the incidence of malnutrition and nutrition risk in pulmonary tuberculosis patients complicated with pulmonary infection. Methods Totally 200 adult tuberculosis patients were enrolled in this study. All patients were divided into two groups according to pulmonary infection. The nutrition risks were screened in two days after admission and then two weeks later by Nutrition Risk Screening 2002 (NRS2002). Body mass index (BMI) lower than 18. 5 kg/m2 and serum albumin (sALB) lower than 30g/L were regarded as undernutrition. Re-sults 82% patients were judged at the risk of malnutrition and 43. 5% patients with malnutrition. The incidence of nutrition risk in the research group (88. 9%) was higher than that in the control group (76. 4%) (P0. 05). Conclusion Tuberculosis patients complicated with pulmonary infection have high nutritional risk or undernutrition. NRS2002 should be promoted in the nutrition assessment.

  19. Poor nutritional habits are predictors of poor outcome in very old hospitalized patients

    National Research Council Canada - National Science Library

    Kagansky, Nadya; Berner, Yitshal; Koren-Morag, Nira; Perelman, Luiza; Knobler, Hilla; Levy, Shmuel

    2005-01-01

    Malnutrition is prevalent in elderly populations. Recommended methods of nutritional screening are often too complicated and time-consuming for routine application in frail, very old, hospitalized patients...

  20. Nutritional screening in clinical patients at a University Hospital in Northeastern Brazil Evaluación nutricional en pacientes clínicos en un hospital universitario en el noreste de Brasil

    OpenAIRE

    D. Lisboa da Silva; P. Alves Santos; P. Coelho Cabral; M.ª Goretti Pessoa de Araujo Burgos

    2012-01-01

    Objectives: According to the Brazilian Hospital Nutritional Assessment Inquiry, malnutrition in hospitals reaches 48.1% in Brazil, with this figure reaching as high as 63.9% in the northern and northeastern regions of the country. Despite its high prevalence, hospital malnutrition is not well identified by the majority of professionals on healthcare teams. The aim of the present study was to identify nutritional risk in patients hospitalized for clinical conditions. Method: This study was con...

  1. Which screening method is appropriate for older cancer patients at risk for malnutrition?

    Science.gov (United States)

    Isenring, Elizabeth; Elia, Marinos

    2015-04-01

    The risk for malnutrition increases with age and presence of cancer, and it is particularly common in older cancer patients. A range of simple and validated nutrition screening tools can be used to identify malnutrition risk in cancer patients (e.g., Malnutrition Screening Tool, Mini Nutritional Assessment Short Form Revised, Nutrition Risk Screening, and the Malnutrition Universal Screening Tool). Unintentional weight loss and current body mass index are common components of screening tools. Patients with cancer should be screened at diagnosis, on admission to hospitals or care homes, and during follow-up at outpatient or general practitioner clinics, at regular intervals depending on clinical status. Nutritional assessment is a comprehensive assessment of dietary intake, anthropometrics, and physical examination often conducted by dietitians or geriatricians after simple screening has identified at-risk patients. The result of nutritional screening, assessment and the associated care plans should be documented, and communicated, within and between care settings for best patient outcomes.

  2. [Nutritional status and nutritional rehabilitation of elderly people living in long-term care institutions].

    Science.gov (United States)

    Lelovics, Zsuzsanna

    2009-11-01

    We review our studies on the most important factors related to feeding and nutrition in long-term care institutions, as well as we present the nutritional status of elderly people living in social homes, and, based on our results, we make recommendations concerning nutritional rehabilitation. We aimed to assess the following: nutritional status of people older than sixty years (elderly) living in long-term care institutions; changes in the body mass index of elderly living in long-term care institutions; changes in the nutritional status of elderly living in long-term care institutions during the last half decade; relations and correlations between acute and chronic diseases and nutritional status; the sip feed provision for elderly living in long-term care institutions; relationship between the discovered potential influencing factors and nutritional status screened by Malnutrition Universal Screening Tool (MUST). We screened the nutritional status of altogether 4774 (men: 28.9-30.9%, women: 69.1-71.19%; mean age: 77.8+/-8.9 years) elderly long-term care residents who volunteered to participate. In 2004 and 2006 the MUST and our questionnaire, in 2008 the nutritionDay questionnaire was used. Risk of malnutrition is high (26.8-77.0%) in elderly residents of social homes. Assessment of nutritional status is done four times a year or even more rarely in 29.5% of the residents. Nutritional status is multifactorial; it is influenced by immobility, fever, etc. Loss of appetite and swallowing difficulties are 2.5-fold, limited mobility, dementia and missing teeth are almost two-fold (1.6-1.7) more frequent in the group of high risk elderly than in the elderly living in social homes. Neurological diseases are in a significant correlation with nutritional status. Incidence of neurological diseases increased significantly in the last years. Nutritional rehabilitation does not end with screening the nutritional status, moreover, it begins with that. Individual diet has to

  3. Assessment of Nutritional Status among Preparatory School Girls in Talkha City

    Directory of Open Access Journals (Sweden)

    Abd El-Rahman, S. I. & Aly Hassan S. A. & EL-Bastawesy S.I

    2013-07-01

    Full Text Available Background: Adolescence is the period of transition from childhood to adulthood, and it occupies a crucial position in the human life. Nutrition for adolescents is important in which there was found changes in growth and hormones, activity, and food intake. The objective of the work: was to assess the nutritional status of preparatory school girls in Talkha city. Patients and methods: a descriptive cross- sectional study on a group of 500 students from the second and third year of the preparatory school girls at Talkha City in Dakahlia governorate , the tools used : 1- A self-administered questionnaire for assessing socio-demographic characteristics of students, anthropometric measurements included weight and height, nutritional health problems, assessing dietary knowledge, and eating habits.2 - An observational checklist to observe signs of malnutrition for the students. Results: majority of students, girls aged from 13- 14 years old and their mothers were house wife (69.6% &77.3% , Only less than half studied sample has correct knowledge about the balanced diet, the components of healthy diet, and the effect of healthy balanced diet on individual’s health (34.6 %&20%&78.4% respectively. Majority of students prefer eating food during watching TV., eating spices and salty food, and eating much candies (76.2% &74.6%& 73.6% respectively. The most common health problems were headache, GIT problems and dental decay respectively. Conclusion: only one quarter of the studied sample had correct and complete answers about balanced diet. The present study recommended that, health education for nutrition and healthy balanced diet should be integrated in the curriculum of preparatory school girls. Nurses and medical staff must play a significant role in screening, teaching, and guiding of adolescents about healthy balanced diet.

  4. Comparison of two nutrition assessment tools in surgical elderly inpatients in Northern China

    OpenAIRE

    Zhou, JunDe; Wang, Miao; Wang, Haikuan; Chi, Qiang

    2015-01-01

    Background & Objective Nutrition assessment enables early identification of malnourished patients and those at risk of malnutrition. To determine the prevalence of malnutrition, to analyze the correlation between short-form Mini Nutritional Assessment (MNA-SF) and Nutritional Risk Screening 2002 (NRS2002) with classical nutritional markers among elderly hospitalized patients in surgery departments, with a view to improving nutrition advice for these patients. Methods A total of 142 elderly pa...

  5. Education About Dental Hygienists' Roles in Public Dental Prevention Programs: Dental and Dental Hygiene Students' and Faculty Members' and Dental Hygienists' Perspectives.

    Science.gov (United States)

    Pervez, Anushey; Kinney, Janet S; Gwozdek, Anne; Farrell, Christine M; Inglehart, Marita R

    2016-09-01

    In 2005, Public Act No. 161 (PA 161) was passed in Michigan, allowing dental hygienists to practice in approved public dental prevention programs to provide services for underserved populations while utilizing a collaborative agreement with a supervising dentist. The aims of this study were to assess how well dental and dental hygiene students and faculty members and practicing dental hygienists have been educated about PA 161, what attitudes and knowledge about the act they have, and how interested they are in additional education about it. University of Michigan dental and dental hygiene students and faculty members, students in other Michigan dental hygiene programs, and dental hygienists in the state were surveyed. Respondents (response rate) were 160 dental students (50%), 63 dental hygiene students (82%), 30 dental faculty members (26%), and 12 dental hygiene faculty members (52%) at the University of Michigan; 143 dental hygiene students in other programs (20%); and 95 members of the Michigan Dental Hygienists' Association (10%). The results showed that the dental students were less educated about PA 161 than the dental hygiene students, and the dental faculty members were less informed than the dental hygiene faculty members and dental hygienists. Responding dental hygiene faculty members and dental hygienists had more positive attitudes about PA 161 than did the students and dental faculty members. Most of the dental hygiene faculty members and dental hygienists knew a person providing services in a PA 161 program. Most dental hygiene students, faculty members, and dental hygienists wanted more education about PA 161. Overall, the better educated about the program the respondents were, the more positive their attitudes, and the more interested they were in learning more.

  6. Nutrition risk factors among home delivered and congregate meal participants: need for enhancement of nutrition education and counseling among home delivered meal participants.

    Science.gov (United States)

    Wunderlich, S; Bai, Y; Piemonte, J

    2011-11-01

    The short-term impact of nutrition education and counseling intervention on nutrition risk factors among home delivered (HDM) and congregate (CGM) meal participants using Nutrition Survey Risk Screening was studied. A two-year intervention was conducted with 355 participants (n=259 CGM, n=96 HDM). Various nutrition behaviors that affect the nutrition risk score were compared. Congregate and home delivered meal locations in a northern county of New Jersey. CGM and HDM participants in a northern county of New Jersey age 60 and older. CGM participants received regular topical nutrition education and counseling in a classroom format with cooking demo, discussion, and handouts. The HDM participants only received the printed material (same handouts) and counseling by telephone. Demographics, medical condition, risk factors data were collected. All participants completed the 12 items checklist Nutrition Survey Risk Screening. Nutritional behaviors assessed include number of meals eaten per day, servings of fruits and vegetables and nutrition risk score. A score of 6 or more points was defined as persons at high risk nutritionally. The impact of the intervention was evaluated using ANOVA/chi-square on Nutrition Survey Risk Screening. Nutrition education and counseling intervention improved nutrition risk scores; 5.76 to 5.32 (p=0.14) in CGM, 8.1 to 6.1 (peffective nutrition education and counseling.

  7. Nutritional supplements

    DEFF Research Database (Denmark)

    Petersen, Gry Bjerg; Andersen, Jens Rikardt

    2015-01-01

    , metal, gritty, consistence and ability to drink 150 ml (one glass), and the patients arranged the drinks in order of preference. Results: The sensory qualities differed significantly concerning sweet (p...Background: Several studies have indicated that cancer patients have significantly altered taste sensitivity without specifying the preferences. One of the related problems is low compliance to nutritional therapy with oral nutritional supplements (ONS) in patients suffering severe weight loss....... Objective: We wanted to investigate taste preferences and sensoric characteristics among three usually used ONS in patients with malignant haematological disease during cytotoxic treatment. Design: Tested drinks were: Protin® (protein-enriched-milk, ARLA), Nutridrink® (NUTRICIA) and hospital-produced drink...

  8. Screening for Malnutrition in Older People.

    Science.gov (United States)

    Guyonnet, Sophie; Rolland, Yves

    2015-08-01

    Malnutrition risk increases with age and level of care. Despite significant medical advances, malnutrition remains a significant and highly prevalent public health problem of developed countries. Earlier identification and appropriate nutrition support may help to reverse or halt the malnutrition trajectory and the negative outcomes associated with poor nutritional status. A nutrition screening process is recommended to help detect people with protein-energy malnutrition (PEM) or at malnutrition risk. Evidence supports that oral nutritional supplements and dietary counseling can increase dietary intake and improve quality of life in elderly with PEM or at malnutrition risk. This article examines nutritional screening and assessment tools designated for older adults. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Cultivating nutrition

    OpenAIRE

    Levin, Carol E; Long, Jennifer; Simler, Kenneth R.; Johnson-Welch, Charlotte

    2003-01-01

    "Over the past decade, donor-funded policies and programs designed to address undernutrition in the Global South have shifted away from agriculture-based strategies toward nutrient supplementation and food fortification programs. Given the potential benefits resulting from agriculture-based nutrition interventions, this study uses Q methodology to explore the views of a range of stakeholders from both developed and developing countries on the value of—and constraints related to—gender-sensiti...

  10. Nutritional Biochemistry

    Science.gov (United States)

    Smith, Scott M.

    2010-01-01

    This slide presentation reviews some of the effects that space flight has on humans nutritional biochemistry. Particular attention is devoted to the study of protein breakdown, inflammation, hypercatabolism, omega 3 fatty acids, vitamin D, calcium, urine, folate and nutrient stability of certain vitamins, the fluid shift and renal stone risk, acidosis, iron/hematology, and the effects on bone of dietary protein, potassium. inflammation, and omega-3 fatty acids

  11. Is There a Relationship between Nutrition, Facial Development, and Crowding of the Teeth?

    Science.gov (United States)

    Tyszkowski, Monika

    2016-01-01

    Nutrition plays an important role, especially key vitamins D3 and K2 which are necessary for proper dentofacial development and food consistency influence on crowding and dental arches narrowing. Changes in our dentition and facial appearance are caused by changing our diet from primitive hunter gatherer to a more modern industrialized agriculture. Nutrition and its impact on epigeneticaly- mediated mechanisms continuously shape our phenotype which impacts overall health and can reverse the path for overall health and facial bone development. Orthodontics and nutrition both play a role in following nature's path to reestablishing facial balance and dental arches proportions to accommodate all 32 teeth.

  12. Nutrition and aging: assessment and treatment of compromised nutritional status in frail elderly patients.

    Science.gov (United States)

    Wells, Jennie L; Dumbrell, Andrea C

    2006-01-01

    Nutrition is an important determinant of health in persons over the age of 65. Malnutrition in the elderly is often underdiagnosed. Careful nutritional assessment is necessary for both the successful diagnosis and development of comprehensive treatment plans for malnutrition in this population. The purpose of this article is to provide clinicians with an educational overview of this essential but often underecognized aspect of geriatric assessment. This article will review some common issues in nutrition for the elderly in both hospital and community settings. The complexity and impact of multiple comorbidities on the successful nutritional assessment of elderly patients is highlighted by using case scenarios to discuss nutritional issues common to elderly patients and nutritional assessment tools. Three case studies provide some context for an overview of these issues, which include the physiology of aging, weight loss, protein undernutrition, impaired cognition, malnutrition during hospitalization, screening procedures, and general dietary recommendations for patients 65 years of age and older.

  13. Dental fraud: an introduction.

    Science.gov (United States)

    Anderson, Max H

    2003-01-01

    A manager of a dental benefits program defines fraud and abuse in the dental context. Such practices may cost as much as four billion dollars annually and have a damaging effect on the trust the profession places in the profession and on the way dentists relate to each other.

  14. Dental Charting. Student's Manual.

    Science.gov (United States)

    Weaver, Trudy Karlene; Apfel, Maura

    This manual is part of a series dealing with skills and information needed by students in dental assisting. The individualized student materials are suitable for classroom, laboratory, or cooperative training programs. This student manual contains four units covering the following topics: dental anatomical terminology; tooth numbering systems;…

  15. [Dental practice and AIDS].

    Science.gov (United States)

    Rojanawatsirivej, S

    1991-01-01

    In Thailand nowadays AIDS is not completely under control. This is evident from reports which show an increasing number of HIV-positive patients. Since an unknown number of HIV-infected persons who are either undiagnosed or asymptomatic come to get dental service, fears of getting infected with HIV have been developed among dental professionals. This article summarizes a number of past studies and reports on HIV transmission in dental work and discusses the possibility of AIDS infection and dental occupational risk. It also urges dental professionals to take effective safety precaution against the infection. This is for their own and their patients' well-being and hopefully for Thailand's success in controlling AIDS.

  16. What is dental ecology?

    Science.gov (United States)

    Cuozzo, Frank P; Sauther, Michelle L

    2012-06-01

    Teeth have long been used as indicators of primate ecology. Early work focused on the links between dental morphology, diet, and behavior, with more recent years emphasizing dental wear, microstructure, development, and biogeochemistry, to understand primate ecology. Our study of Lemur catta at the Beza Mahafaly Special Reserve, Madagascar, has revealed an unusual pattern of severe tooth wear and frequent tooth loss, primarily the result of consuming a fallback food for which these primates are not dentally adapted. Interpreting these data was only possible by combining our areas of expertise (dental anatomy [FC] and primate ecology [MS]). By integrating theoretical, methodological, and applied aspects of both areas of research, we adopted the term "dental ecology"-defined as the broad study of how teeth respond to the environment. Specifically, we view dental ecology as an interpretive framework using teeth as a vehicle for understanding an organism's ecology, which builds upon earlier work, but creates a new synthesis of anatomy and ecology that is only possible with detailed knowledge of living primates. This framework includes (1) identifying patterns of dental pathology and tooth use-wear, within the context of feeding ecology, behavior, habitat variation, and anthropogenic change, (2) assessing ways in which dental development and biogeochemical signals can reflect habitat, environmental change and/or stress, and (3) how dental microstructure and macro-morphology are adapted to, and reflect feeding ecology. Here we define dental ecology, provide a short summary of the development of this perspective, and place our new work into this context. Copyright © 2012 Wiley Periodicals, Inc.

  17. Detection of Common Dental Diseases by Dental Hygiene-Therapists

    OpenAIRE

    Macey, Richard John

    2016-01-01

    Thesis submitted to the University of Manchester by Richard Macey for the Degree of Doctor of Philosophy entitled “Detection of Common Dental Diseases by Dental Hygiene-Therapists”, February 2016.Many adult patients that attend NHS dental practices on a regular basis are asymptomatic and do not need any further treatment other than a routine dental examination (“check-up”). As the oral health of the adult population is predicted to improve further, using the General Dental Practitioner to und...

  18. Health Instruction Packages: Permanent Teeth, Dental Deposits, and Dental Instruments. Dientes Permanentes, Depositos Dentales y Instrumentos Dentales.

    Science.gov (United States)

    Lind, Patricia; Germano, Catherine

    These five learning modules use text interspersed with illustrations and reinforcement exercises to instruct dental aide and dental hygiene students about jaw bones and gums, dental deposits, and dental instruments. The first four modules were prepared by Patricia Lind in both Spanish and English. "The Gum and Bone of Permanent Teeth"…

  19. 75 FR 16511 - Pentron Clinical Technologies, a Wholly-Owned Subsidiary of Kerr Dental/Sybron Dental...

    Science.gov (United States)

    2010-04-01

    ... such as dental prosthetics, dental composites, dental impressions, dental adhesives, and other dental... prosthetics, dental composites, dental impressions, dental adhesives, and other dental materials to Mexicali... Dental/Sybron Dental Specialities, Formally Known as Customedix Corporation, Including On-Site Leased...

  20. Pneumoconiosis and respiratory problems in dental laboratory technicians: Analysis of 893 dental technicians

    Directory of Open Access Journals (Sweden)

    Dilek Ergün

    2014-10-01

    Full Text Available Objectives: To explore the rate of pneumoconiosis in dental technicians (DTP and to evaluate the risk factors. Material and Methods: Data of 893 dental technicians, who were admitted to our hospital in the period January 2007–May 2012, from 170 dental laboratories were retrospectively examined. Demographic data, respiratory symptoms, smoking status, work duration, working fields, exposure to sandblasting, physical examination findings, chest radiographs, pulmonary function tests and high-resolution computed tomography results were evaluated. Results: Dental technicians’ pneumoconiosis rate was 10.1% among 893 cases. The disease was more common among males and in those exposed to sandblasting who had 77-fold higher risk of DTP. The highest profusion subcategory was 3/+ (according to the International Labour Organization (ILO 2011 standards and the large opacity rate was 13.3%. Conclusions: To the best of our knowledge, it was the largest DTP case series (N = 893/90 in the literature in English. Health screenings should be performed regularly for the early diagnosis of pneumoconiosis, which is an important occupational disease for dental technicians.

  1. Zirconia as a Dental Biomaterial

    Directory of Open Access Journals (Sweden)

    Alvaro Della Bona

    2015-08-01

    Full Text Available Ceramics are very important in the science of dental biomaterials. Among all dental ceramics, zirconia is in evidence as a dental biomaterial and it is the material of choice in contemporary restorative dentistry. Zirconia has been applied as structural material for dental bridges, crowns, inserts, and implants, mostly because of its biocompatibility, high fracture toughness, and radiopacity. However, the clinical success of restorative dentistry has to consider the adhesion to different substrates, which has offered a great challenge to dental zirconia research and development. This study characterizes zirconia as a dental biomaterial, presenting the current consensus and challenges to its dental applications.

  2. Genetic factors affecting dental caries risk.

    Science.gov (United States)

    Opal, S; Garg, S; Jain, J; Walia, I

    2015-03-01

    This article reviews the literature on genetic aspects of dental caries and provides a framework for the rapidly changing disease model of caries. The scope is genetic aspects of various dental factors affecting dental caries. The PubMed database was searched for articles with keywords 'caries', 'genetics', 'taste', 'diet' and 'twins'. This was followed by extensive handsearching using reference lists from relevant articles. The post-genomic era will present many opportunities for improvement in oral health care but will also present a multitude of challenges. We can conclude from the literature that genes have a role to play in dental caries; however, both environmental and genetic factors have been implicated in the aetiology of caries. Additional studies will have to be conducted to replicate the findings in a different population. Identification of genetic risk factors will help screen and identify susceptible patients to better understand the contribution of genes in caries aetiopathogenesis. Information derived from these diverse studies will provide new tools to target individuals and/or populations for a more efficient and effective implementation of newer preventive measures and diagnostic and novel therapeutic approaches in the management of this disease.

  3. Depression Screening

    Science.gov (United States)

    ... Centers Diseases + Condition Centers Mental Health Medical Library Depression Screening (PHQ-9) - Instructions The following questions are ... this tool, there is also text-only version . Depression Screening - Manual Instructions The following questions are a ...

  4. Oral health considerations in anorexia and bulimia nervosa. 2. Multidisciplinary management and personalized dental care.

    Science.gov (United States)

    Bassiouny, Mohamed A; Tweddale, Elizabeth

    2017-01-01

    This article outlines a comprehensive, multidisciplinary strategy for treatment of patients with anorexia and bulimia nervosa. In this approach, primary medical intervention and emergency dental care are followed by the staging of treatment phases that integrate medical care, psychotherapy, nutritional counseling, and dental management, which may encompass various treatment options for repair of damaged dentition. Emphasis is placed on prevention of further tissue damage during all phases of management and following completion of the treatment course.

  5. Cancer Screening

    Directory of Open Access Journals (Sweden)

    Krishna Prasad

    2004-10-01

    Full Text Available Cancer screening is a means to detect cancer early with the goal of decreasing morbidity and mortality. At present, there is a reasonable consensus regarding screening for breast, cervical and colorectal cances and the role of screening is under trial in case of cancers of the lung,  ovaries and prostate. On the other hand, good screening tests are not available for some of the commonest cancers in India like the oral, pharyngeal, esophageal and stomach cancers.

  6. Cancer Screening

    OpenAIRE

    Krishna Prasad

    2004-01-01

    Cancer screening is a means to detect cancer early with the goal of decreasing morbidity and mortality. At present, there is a reasonable consensus regarding screening for breast, cervical and colorectal cances and the role of screening is under trial in case of cancers of the lung,  ovaries and prostate. On the other hand, good screening tests are not available for some of the commonest cancers in India like the oral, pharyngeal, esophageal and stomach cancers.

  7. Utilization of Radiographs for a State Dental Hygiene Board Examination.

    Science.gov (United States)

    Potter, Brad G.; And Others

    1993-01-01

    A study documented the number of x-rays acquired during screening and subsequent treatment of patients for a state dental hygiene licensing examination for 109 candidates. Results indicate that patient exposure guidelines attempt to minimize radiographic exposure but that some exposures should be reevaluated for need and effect on patients. (MSE)

  8. Nutrition Advice and Recipes

    Science.gov (United States)

    ... Sign-Up Home Patient Information Nutrition Advice & Recipes Nutrition Advice & Recipes This is a very important section ... information on all aspects of daily life, including nutrition, medical treatments, pain management, and practical tips. For ...

  9. Nutrition for Lung Cancer

    Science.gov (United States)

    ... How Do I Stay Healthy Share this page: Nutrition for Lung Cancer Key Points There is no ... lung cancer symptoms, making them worse or better. Nutrition Goals Each person's nutritional needs during lung cancer ...

  10. Equine dental advances.

    Science.gov (United States)

    Greene, S K

    2001-08-01

    The reintroduction and development of safe motorized instruments, the increased availability of continuing education, and the understanding and implementation of appropriate procedures allow practitioners to provide better dental care. Veterinarians realize that sedation, analgesia, a full-mouth speculum, and proper instrumentation are necessary to provide these services. Continued instrument design, future research, and new treatment and prophylactic protocols should have a positive impact on the future of equine dental health. New and rediscovered procedures for equilibrating equine occlusion are allowing horses to masticate more efficiently, carry a bit more comfortably, and experience improved performance. The horse, the horse owner, and the veterinary profession all benefit from providing complete equine dental care.

  11. Dental pulp stem cells

    DEFF Research Database (Denmark)

    Ashri, N. Y.; Ajlan, S. A.; Aldahmash, Abdullah M.

    2015-01-01

    Inflammatory periodontal disease is a major cause of loss of tooth-supporting structures. Novel approaches for regeneration of periodontal apparatus is an area of intensive research. Periodontal tissue engineering implies the use of appropriate regenerative cells, delivered through a suitable...... scaffold, and guided through signaling molecules. Dental pulp stem cells have been used in an increasing number of studies in dental tissue engineering. Those cells show mesenchymal (stromal) stem cell-like properties including self-renewal and multilineage differentiation potentials, aside from...... an updated review on dental pulp stem cells and their applications in periodontal regeneration, in combination with different scaffolds and growth factors....

  12. Optimization of dental implantation

    Science.gov (United States)

    Dol, Aleksandr V.; Ivanov, Dmitriy V.

    2017-02-01

    Modern dentistry can not exist without dental implantation. This work is devoted to study of the "bone-implant" system and to optimization of dental prostheses installation. Modern non-invasive methods such as MRI an 3D-scanning as well as numerical calculations and 3D-prototyping allow to optimize all of stages of dental prosthetics. An integrated approach to the planning of implant surgery can significantly reduce the risk of complications in the first few days after treatment, and throughout the period of operation of the prosthesis.

  13. Feline dental disease.

    Science.gov (United States)

    Frost, P; Williams, C A

    1986-09-01

    Periodontal disease and chronic gingivitis/stomatitis are the most common feline dental diseases. With routine dental care and increased emphasis on home oral hygiene, these diseases can be controlled. Cats can be seen with a number of other dental disorders, and improved treatment methods such as restorations of early subgingival resorptive lesions, endodontic therapy, and orthodontic therapy can be performed successfully. More study and research are necessary about the gingivitis/stomatitis syndrome and subgingival resorptive lesions so that improved prevention and treatment recommendations can be made.

  14. Geriatric nutrition.

    Science.gov (United States)

    Markham, R W; Hodgkins, E M

    1989-01-01

    In recent decades, veterinary medicine has become more successful in prolonging the healthy, useful lives of pets. As a result, the practitioner spends a greater part of each practice day caring for the geriatric animal, both healthy and unhealthy. Because of their longevity, older pets are typically regular family members, with owners who seek the finest health care possible for their pets. The practice of geriatric medicine most properly should begin not when the dog or cat reaches some specific "golden" age, but rather when the wiggly, robust puppy or kitten receives its first examination. Like all parts of a sound preventive program, geriatric nutrition best follows from a well-considered juvenile and adult nutrition program. Furthermore, once it becomes senior, the "well" geriatric is as much a candidate for a diet designed especially to accommodate old age changes as is his unhealthy contemporary. In fact, evidence suggests that appropriate dietary management of the healthy, but often subclinical, patient may help postpone the signs of dysfunction and increase quality and length of life. A knowledge of the most significant nutrients and the impact of each on aging systems is now, and will become increasingly more, important to the progressive, skillful veterinarian.

  15. Nutritional risk, malnutrition and nutritional support among hospitalized patients in orthopedics/spinal surgery of a Hohhot teaching hospital.

    Science.gov (United States)

    Wang, Nannan; Dong, Yalin; Huo, Ting; Shao, Yanqing; Xing, Wenhua; Li, Shuwen

    2016-01-01

    The evolution of nutritional status (the prevalence of nutritional risk, malnutrition, overweight and obesity) and the nutritional support of the hospitalized patients from admission to discharge or over a two-week period in orthopedics/ spinal surgery of a teaching hospital in Hohhot were investigated. 432 patients from two wards of the orthopedics/spinal surgery from Jan to Dec 2013, the traditional spinal surgery and the minimally invasive spinal surgery, were selected and detected in this study. The Nutritional Risk Score 2002 (NRS 2002) was used to determine the patients' nutritional status within 48 h after admission and during their hospitalization. The overall prevalence of nutritional risk, malnutrition, overweight and obesity at admission was 11.6%, 12.7%, 35.9% and 7.41%, respectively. Overall, there were 88.0% of the patients who were at nutritional risk received nutritional support, while 14.1% of non-risk patients received a redundant nutritional support. The overall prevalence of nutritional risk changed from 11.6% at admission to 19.4% upon discharge (pmalnutrition changed from 12.7% to 20.6% (prisk screening tool for patients in spinal surgery of orthopedics department. Patients' prevalence of nutritional risk and malnutrition increased significantly in spinal surgery of this hospital. Some inappropriate uses of nutritional support were observed in orthopedics/spinal surgery, and nutritional support guidelines or protocols should be promoted by a professional committee.

  16. Screening of Visually Impaired Children for Health Problems

    Directory of Open Access Journals (Sweden)

    Dilay Açıl, MSN

    2015-12-01

    Conclusions: These findings showed the important role of school health nurses in performing health screenings directed at visually impaired children who constitute a special group for school health services. Health screening for height, weight, dental health, hearing, and scoliosis is suggested for visually impaired children.

  17. Hospital malnutrition: a 33-hospital screening study.

    Science.gov (United States)

    Kamath, S K; Lawler, M; Smith, A E; Kalat, T; Olson, R

    1986-02-01

    A collaborative study involving nutrition screening of 3,047 patients (excluding 125 pregnant women) at admission to 33 hospitals in and around the greater Chicago area was carried out to identify patients at nutritional risk. Information on sex, age, admitting diagnosis, serum albumin, hemoglobin, total lymphocyte count, and height and weight was collected from the medical chart within 48 hours of admission. Nutrition screening could not be completed for a larger number of patients (60%) because data at admission were not available. Of the remaining 40% of patients, more than 50% had below normal values for one or more of the variables studied: serum albumin, hemoglobin, and total lymphocyte count. A large number of the patients (40%) also were considered at nutritional risk as judged by the criteria of weight/height (measured only). Early nutrition intervention for high-risk patients cannot be implemented, nor can the efficacy of nutrition services be evaluated, unless nutrition screening is carried out on patients at admission.

  18. Lead - nutritional considerations

    Science.gov (United States)

    Lead poisoning - nutritional considerations; Toxic metal - nutritional considerations ... Markowitz M. Lead poisoning. In: Kliegman RM, Behrman RE, Jenson HB, ... Emergency Medicine: Concepts and Clinical Practice . 8th ed. ...

  19. [Health information on nutrition in newspaper articles].

    Science.gov (United States)

    Shinada, Kayoko; Ariake, Motoko; Abe, Satoshi; Kawaguchi, Yoko

    2002-09-01

    The purpose of this study was to review health information on nutrition in Japanese newspaper articles. The Nikkei Database was used to select articles published in five major newspapers: Asahi, Sankei, Nikkei, Mainichi and Yomiuri. All these dailies have nationwide circulation. The search period was for 7 years, from January 1993 to December 1999. The keywords "diet," "health," and "nutrition" were used. Consequently, 182 articles were selected and analyzed by determining content and coverage. The articles were published to be targeted for the general population: 123 (67.6%), schoolchildren: 21 (11.5%), and elderly: 18 (9.9%). The main source of the newspaper articles on diet was health professionals, such as nutritionists and medical doctors. As diet related health problems, the lifestyle-related diseases, obesity, hypertension, and mental health were introduced in the newspapers. Few articles commented on the relationship between oral health and diet, and dental professionals were not much involved in providing health information on diet. The newspaper is a major source for the general public to obtain health information. It is clear that oral diseases and functional disorder influence daily eating habits. It was suggested that dental professionals should provide such information to the general public, using many occasions, such as conducting health guidance at dental clinics, health education at health centers or schools, and also through mass media.

  20. Double screening

    Energy Technology Data Exchange (ETDEWEB)

    Gratia, Pierre [Department of Physics, University of Chicago,South Ellis Avenue, Chicago, IL 60637 (United States); Hu, Wayne [Department of Astronomy and Astrophysics, University of Chicago,South Ellis Avenue, Chicago, IL 60637 (United States); Enrico Fermi Institute and Kavli Institute for Cosmological Physics, University of Chicago,South Ellis Avenue, Chicago, IL 60637 (United States); Joyce, Austin [Enrico Fermi Institute and Kavli Institute for Cosmological Physics, University of Chicago,South Ellis Avenue, Chicago, IL 60637 (United States); Ribeiro, Raquel H. [School of Physics and Astronomy, Queen Mary University of London,Mile End Road, London, E1 4NS (United Kingdom)

    2016-06-15

    Attempts to modify gravity in the infrared typically require a screening mechanism to ensure consistency with local tests of gravity. These screening mechanisms fit into three broad classes; we investigate theories which are capable of exhibiting more than one type of screening. Specifically, we focus on a simple model which exhibits both Vainshtein and kinetic screening. We point out that due to the two characteristic length scales in the problem, the type of screening that dominates depends on the mass of the sourcing object, allowing for different phenomenology at different scales. We consider embedding this double screening phenomenology in a broader cosmological scenario and show that the simplest examples that exhibit double screening are radiatively stable.

  1. Xilitol and dental caries.

    NARCIS (Netherlands)

    Smits, Marten Titus

    1987-01-01

    Dental caries is a widespread multifactoral disease. The main sympthons are minaral loss from tooth enemal and dentine, eventually leading to total destruction of the teeth, pain, impairment of mastication and problems with facial esthetics. ... Zie: Summary

  2. Xilitol and dental caries.

    NARCIS (Netherlands)

    Smits, Marten Titus

    1987-01-01

    Dental caries is a widespread multifactoral disease. The main sympthons are minaral loss from tooth enemal and dentine, eventually leading to total destruction of the teeth, pain, impairment of mastication and problems with facial esthetics. ... Zie: Summary

  3. General evaluation of hard dental tissue and risk factors of dental caries in young people

    Directory of Open Access Journals (Sweden)

    Антоніна Михайлівна Політун

    2016-04-01

    Full Text Available The prognostication of caries in youth is important for determination and prescription of individual prophylactic arrangements and its further influence on mineralization of the hard dental tissues.Aim of the work: the study of the prevalence and intensity of caries among the young people and determination of possible connection with the risk factor of caries development for further choice of the reasonable prophylactic arrangement.Materials and methods of research: epidemiological, clinical, statistic ones.Results of research: The article describes results of the comprehensive dental examination of 135 persons18-25 years old. There was determined the high prevalence of caries (96,3±0,74 % with considerable intensity (8,87±0,39. The main etiological factors among youth are: poor nutrition with prevalence of carbohydrate (74,81±0,56 %, lack of oral hygiene (59,27±0,73 %, quantitative and qualitative composition of oral fluid, presence of somatic diseases (40±0,30 %, bad habits (31,85±0,24 %, neglect of the sport (48,88±0,36 %, chronic emotional stress (38,51±0,29 %, due to the increased workload and related stress factors.Conclusions: the high prevalence (96,3±0,74 % and intensity of carious process (8,87±0,39 is caused by the unsatisfactory state of oral cavity, (1,91±0,06, under the influence of general factors (somatic diseases, stress, poor nutrition the reactivity of protective mechanisms is lowered and the risk of dental morbidity of youth increases. So, it proves the necessity of elaboration and introduction of the active arrangements of primary prophylaxis directed on the raise of caries resistance of the hard dental tissues in young people

  4. Syllabus of Dental Materials

    Science.gov (United States)

    1984-07-01

    York: Plenum Pub Co, 1975:635. V ".. PROPERTIES OF DENTAL MATERIALS--WOOLSEY 11 14. Ringle RD, Webber RL, Anusavice KJ, Fairhurst CW. Thermal... Anusavice et al (8) have demonstrated in silver-palladium metals, the presence of surface nodules created by internal oxidation of tin during the...683-689. 7. Ringle RD, Webber RL, Anusavice KJ, Fairhurst CW. Thermal expansion contraction behavior of dental porcelain-alloy systems. J Dent Res

  5. Nutritional Metabolomics

    DEFF Research Database (Denmark)

    Gürdeniz, Gözde

    and alignment algorithms, such that each has pros and cons. Thus, the use of more than one software tool and/or the use of several parameter settings during data preprocessing are likely to decrease the risk of failing to detect features (potential marker candidates) in untargeted metabolomics. On the other...... handling, this thesis also deals with biological interpretation of postprandial metabolism and trans fatty acid (TFA) intake. Two nutritional issues were objects of investigation: 1) metabolic states as a function of time since the last meal and 2) markers related to intakes of cis- and trans-fat. Plasma...... to TFA intake (16 weeks) and its depletion (12 weeks) were examined in order to identify metabolic patterns affected by this potentially toxic fat using a parallel intervention study. In addition, the impact of cis- vs. trans-fat intake on a glucose challenge was investigated (PAPER II). The postprandial...

  6. Colon cancer screening

    Science.gov (United States)

    Screening for colon cancer; Colonoscopy - screening; Sigmoidoscopy - screening; Virtual colonoscopy - screening; Fecal immunochemical test; Stool DNA test; sDNA test; Colorectal cancer - screening; Rectal ...

  7. Saliva and dental erosion

    Science.gov (United States)

    BUZALAF, Marília Afonso Rabelo; HANNAS, Angélicas Reis; KATO, Melissa Thiemi

    2012-01-01

    Dental erosion is a multifactorial condition. The consideration of chemical, biological and behavioral factors is fundamental for its prevention and therapy. Among the biological factors, saliva is one of the most important parameters in the protection against erosive wear. Objective This review discusses the role of salivary factors on the development of dental erosion. Material and Methods A search was undertaken on MEDLINE website for papers from 1969 to 2010. The keywords used in the research were "saliva", "acquired pellicle", "salivary flow", "salivary buffering capacity" and "dental erosion". Inclusion of studies, data extraction and quality assessment were undertaken independently and in duplicate by two members of the review team. Disagreements were solved by discussion and consensus or by a third party. Results Several characteristics and properties of saliva play an important role in dental erosion. Salivary clearance gradually eliminates the acids through swallowing and saliva presents buffering capacity causing neutralization and buffering of dietary acids. Salivary flow allows dilution of the acids. In addition, saliva is supersaturated with respect to tooth mineral, providing calcium, phosphate and fluoride necessary for remineralization after an erosive challenge. Furthermore, many proteins present in saliva and acquired pellicle play an important role in dental erosion. Conclusions Saliva is the most important biological factor affecting the progression of dental erosion. Knowledge of its components and properties involved in this protective role can drive the development of preventive measures targeting to enhance its known beneficial effects. PMID:23138733

  8. Saliva and dental erosion

    Directory of Open Access Journals (Sweden)

    Marília Afonso Rabelo Buzalaf

    2012-10-01

    Full Text Available Dental erosion is a multifactorial condition. The consideration of chemical, biological and behavioral factors is fundamental for its prevention and therapy. Among the biological factors, saliva is one of the most important parameters in the protection against erosive wear. Objective: This review discusses the role of salivary factors on the development of dental erosion. Material and Methods: A search was undertaken on MeDLINe website for papers from 1969 to 2010. The keywords used in the research were "saliva", "acquired pellicle", "salivary flow", "salivary buffering capacity" and "dental erosion". Inclusion of studies, data extraction and quality assessment were undertaken independently and in duplicate by two members of the review team. Disagreements were solved by discussion and consensus or by a third party. Results: Several characteristics and properties of saliva play an important role in dental erosion. Salivary clearance gradually eliminates the acids through swallowing and saliva presents buffering capacity causing neutralization and buffering of dietary acids. Salivary flow allows dilution of the acids. In addition, saliva is supersaturated with respect to tooth mineral, providing calcium, phosphate and fluoride necessary for remineralization after an erosive challenge. Furthermore, many proteins present in saliva and acquired pellicle play an important role in dental erosion. Conclusions: Saliva is the most important biological factor affecting the progression of dental erosion. Knowledge of its components and properties involved in this protective role can drive the development of preventive measures targeting to enhance its known beneficial effects.

  9. Evaluation methods on the nutritional status of stroke patients.

    Science.gov (United States)

    Wang, J; Luo, B; Xie, Y; Hu, H-Y; Feng, L; Li, Z-N

    2014-01-01

    This study was designed to assess the effect of particular tools on the nutritional status of patients with stroke risk factors; to analyze these risk factors; to construct an assessment table; and to enable nurses to conduct fast and accurate assessment of the nutritional status of patients with stroke. Various nutritional assessment tools were employed to assess the nutritional status of stroke patients [(Nutritional Risk Screening 2002, NRS2002); (mini nutritional assessment, MNA), (subjective global assessment SGA), (malnutrition universal screening, MUST); (body composition, BCA)]. The leading disease-related factors of cerebral apoplexy were observed in patients with malnutrition. And a statistical analysis was conducted. The significant risk factors of cerebral apoplexy in malnourished patients older than 70 years were swallowing dysfunctions, disturbance of consciousness and reliance or half-reliance on feeding practices. The significant risk factors of malnutrition in patients with cerebral apoplexy were the decline in upper limb muscle strength, decline in the performance of various activities, loss of appetite and gastrointestinal symptoms. Disorders that affect the nutritional status of stroke patients can be used as evaluation tools, as described in the evaluation table. The clinical relevance of this study includes the following: to enable the clinical nursing staff to easily assess the patient's nutritional status in a timely manner; to improve compliance with nutritional evaluation; to provide clinical nutrition support to patients with stroke; and to provide a scientific basis for the improvement of the clinical outcomes of patients with cerebral apoplexy.

  10. Dental patients' use of the Internet.

    LENUS (Irish Health Repository)

    2009-12-19

    To determine the use of the Internet by patients attending a range of dental clinics to search for information regarding dental procedures, and also to investigate their interest in online dental consultations and \\'dental tourism\\'.

  11. Nutritive and Anti-nutritive Evaluation of Cnidoscolus aurifolia Leaves

    Directory of Open Access Journals (Sweden)

    Uwemedimo Emmanuel Udo

    2016-09-01

    Full Text Available The leaves of Cnidoscolus aurifolia were analysed for their chemical, antinutrients, proximate and mineral element compositions using standard procedures. Phytochemical screening revealed the presence of alkaloids, saponins, flavonoids, terpenes and tannins while anthraquinones, glycosides and phlobatannins were absent. Proximate analysis indicated high protein content (59.45 ± 0.07% with crude fibre and fat also present in appreciable quantities. Mineral elements determination showed the presence of calcium, iron, magnesium, potassium and zinc. Antinutrient analysis of the leaf extract of C. aurifolia indicated low levels of phytic acid and hydrocyanide well below the lethal doses. An unusually high oxalate level of 404.80 ± 0.11 mg/100 g (dry weight was also obtained although still below toxic level. These results support the ethnomedicinal and nutritional uses of this plant and suggest that the consumption of leaves of C. aurifolia is not harmful nutritively.

  12. Nutritional Aspects of Dysphagia Management.

    Science.gov (United States)

    Gallegos, C; Brito-de la Fuente, E; Clavé, P; Costa, A; Assegehegn, G

    This chapter describes the nutritional aspects of dysphagia management by starting with the definition of these two conditions (dysphagia and malnutrition) that share three main clinical characteristics: (a) their prevalence is very high, (b) they can lead to severe complications, and (c) they are frequently underrecognized and neglected conditions. From an anatomical standpoint, dysphagia can result from oropharyngeal and/or esophageal causes; from a pathophysiological perspective, dysphagia can be caused by organic or structural diseases (either benign or malignant) or diseases causing impaired physiology (mainly motility and/or perception disorders). This chapter gathers up-to-date information on the screening and diagnosis of oropharyngeal dysphagia, the consequences of dysphagia (aspiration pneumonia, malnutrition, and dehydration), and on the nutritional management of dysphagic patients. Concerning this last topic, this chapter reviews the rheological aspects of swallowing and dysphagia (including shear and elongational flows) and its influence on the characteristics of the enteral nutrition for dysphagia management (solid/semisolid foods and thickened liquids; ready-to-use oral nutritional supplements and thickening powders), with special focus on the real characteristics of the bolus after mixing with human saliva. © 2017 Elsevier Inc. All rights reserved.

  13. [Nutritional therapy in diabetes mellitus].

    Science.gov (United States)

    Toeller, M

    1993-03-01

    Most aspects of the nutritional therapy of diabetes mellitus apply equally to IDDM and NIDDM patients and are also appropriate for people with high risk of cardiovascular diseases. A restriction of energy, a reduction of saturated fatty acids as well as of alcoholic drinks and simple sugars are the most important measures. This modification of nutritional intake together with increased fibre consumption is not only appropriate to avoid hyperglycaemia in diabetic patients but has also its benefits in patients presenting with the metabolic syndrome (possible reduction of hyperinsulinaemia, hypertension and hyperlipoproteinaemia). Diabetic patients should have regular screening for microalbuminuria. At first signs of an early stage of nephropathy patients should be advised to restrict their protein intake. About 50% of daily energy intake should be derived from carbohydrates and fat intake should be no more than 35% of total energy (saturated fatty acids less than 10% of energy). Carbohydrate exchange units are usually not necessary in NIDDM patients. In addition diabetes specialty foods are not an essential part of the nutritional therapy. The success of the nutritional therapy in diabetic patients is substantially dependent upon qualified counselling and education of the patients by the physician (as far as possible with the assistance of a dietitian).

  14. Dental students' ability to detect and diagnose oral mucosal lesions.

    Science.gov (United States)

    Ali, Mohammad A; Joseph, Bobby K; Sundaram, Devipriya B

    2015-02-01

    The aim of this study was to assess the ability of dental students in the screening clinic of the Kuwait University Dental Center to detect and diagnose oral mucosal lesions. Clinical examinations performed by dental students between January 2009 and February 2011 were included. All their findings regarding the oral mucosal lesions and dental carious lesions detected were recorded, after which the patients were re-examined by faculty examiners. The students rated their own ability to detect mucosal and carious lesions before each examination. Among the 341 patients screened, 375 oral mucosal lesions were found by the faculty examiners. Of those, the students detected 178 (47.5%). Out of the 375 lesions, including the ones they failed to detect, the students diagnosed 272 (72.5%) correctly. The students were more likely (p≤0.01) to correctly diagnose a mucosal lesion when they themselves had detected it (n=169/178) than when they failed to detect it and had it subsequently pointed out by the faculty examiners (n=103/197). The students were more competent in detecting carious lesions (p≤0.001) than in detecting mucosal lesions. A significantly higher proportion of students who felt confident in detecting mucosal lesions were actually more competent in detecting the lesions than those who were not confident (p≤0.001). Further educational strategies are needed to motivate Kuwait University dental students to develop the knowledge, skills, and judgment necessary to integrate a complete intraoral examination into their routine practice.

  15. Diagnostic Methods for Dental Caries Used by Private Dental ...

    African Journals Online (AJOL)

    2017-03-06

    Mar 6, 2017 ... types of diagnostic tools and methods used by private dental practitioners in. Ankara for .... and treatment approaches, and patient records. ..... detection aids. ... approximal and occlusal dental caries in a low risk population.

  16. Nutritional status and cognitive impairment in elderly.

    Science.gov (United States)

    Daradkeh, Ghazi; Essa, Musthafa M; Al-Adawi, S Samir; Koshy, Roopa P; Al-Asmi, Abdullah; Waly, Mostafa I

    2014-10-01

    The elderly population is increasing worldwide and it has been suggested that senior citizens will continue to constitute the bulk of the population in many countries. Nutritional status of senior citizens are adversely affected by their frailty, chronic condition and declining cognitive functioning. Conversely, malnourished elderly further deteriorate their frailty, chronic disease and cognitive functioning. The aim of this review article is to recognize the importance of nutritional assessment of elderly population particularly those with cognitive impairment. First part is to highlight characteristic cognitive impairment among senior citizens and the second one highlight t he background in which malnutrition is a factor that leads to increased risk of morbidity and mortality in the elderly. This review also highlight salgorithms for safeguarding nutritional status among senior citizen and focuses on importance of nutritional screening, assessment and early intervention for safeguarding further deterioration of elderly who are likely to prone to cognitive impairment.

  17. Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)

    Science.gov (United States)

    Caccialanza, Riccardo; Pedrazzoli, Paolo; Cereda, Emanuele; Gavazzi, Cecilia; Pinto, Carmine; Paccagnella, Agostino; Beretta, Giordano Domenico; Nardi, Mariateresa; Laviano, Alessandro; Zagonel, Vittorina

    2016-01-01

    Malnutrition is a frequent problem in cancer patients, which leads to prolonged hospitalization, a higher degree of treatment-related toxicity, reduced response to cancer treatment, impaired quality of life and a worse overall prognosis. The attitude towards this issue varies considerably and many malnourished patients receive inadequate nutritional support. We reviewed available data present in the literature, together with the guidelines issued by scientific societies and health authorities, on the nutritional management of patients with cancer, in order to make suitable and concise practical recommendations for appropriate nutritional support in this patient population. Evidence from the literature suggests that nutritional screening should be performed using validated tools (the Nutritional Risk Screening 2002 [NRS 2002], the Malnutrition Universal Screening Tool [MUST], the Malnutrition Screening Tool [MST] and the Mini Nutritional Assessment [MNA]), both at diagnosis and at regular time points during the course of disease according to tumor type, stage and treatment. Patients at nutritional risk should be promptly referred for comprehensive nutritional assessment and support to clinical nutrition services or medical personnel with documented skills in clinical nutrition, specifically for cancer patients. Nutritional intervention should be actively managed and targeted for each patient; it should comprise personalized dietary counseling and/or artificial nutrition according to spontaneous food intake, tolerance and effectiveness. Nutritional support may be integrated into palliative care programs. “Alternative hypocaloric anti-cancer diets” (e.g. macrobiotic or vegan diets) should not be recommended as they may worsen nutritional status. Well-designed clinical trials are needed to further our knowledge of the nutritional support required in different care settings for cancer patients. PMID:26819635

  18. Position of the Academy of Nutrition and Dietetics: oral health and nutrition.

    Science.gov (United States)

    Touger-Decker, Riva; Mobley, Connie

    2013-05-01

    It is the position of the Academy of Nutrition and Dietetics that nutrition is an integral component of oral health. The Academy supports integration of oral health with nutrition services, education, and research. Collaboration between dietetics practitioners and oral health care professionals is recommended for oral health promotion and disease prevention and intervention. Scientific and epidemiological data suggest a lifelong synergy between diet, nutrition, and integrity of the oral cavity in health and disease. Oral health and nutrition have a multifaceted relationship. Oral infectious diseases, as well as acute, chronic, and systemic diseases with oral manifestations, impact an individual's functional ability to eat and their nutrition status. Likewise, nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases. As knowledge of the link between oral and nutrition health increases, dietetics practitioners and oral health care professionals must learn to provide screening, education, and referrals as part of comprehensive client/patient care. The provision of medical nutrition therapy, including oral and overall health, is incorporated into the Standards of Practice for registered dietitians and dietetic technicians, registered. Inclusion of didactic and clinical practice concepts that illustrate the role of nutrition in oral health is essential in education programs for both professional groups. Collaborative endeavors between dietetics, dentistry, medicine, and allied health professionals in research, education, and delineation of practice roles are needed to ensure comprehensive health care. The multifaceted interactions between diet, nutrition, and oral health in practice, education, and research in both dietetics and dentistry merit continued, detailed delineation. Copyright © 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  19. Medical nutrition therapy planning

    Directory of Open Access Journals (Sweden)

    Torović Ljilja

    2010-01-01

    Full Text Available Introduction. Diet has vital, preventive and therapeutic functions. Medical nutrition therapy is a part of the Standardized Nutrition Care Process integrated in health care systems. Material and methods. An overview of the Nutrition Care Process model and the application of nutrition guidelines based on literature, reports, documents and programmes of international health, food and physical activity authorities was done. Results. The Nutrition Care Process model requires registered dieticians, standardized terminology as well as nutrition diagnosis categorization. It consists of four distinct, but interrelated and connected steps: (a nutrition assessment, (b nutrition diagnosis, (c nutrition intervention, and (d nutrition monitoring and evaluation. An individual approach is essential for successful medical nutrition therapy. Nutrition guidelines facilitate the process of understanding and application of medical nutrition therapy. Conclusion. The Nutrition Care process provides dietetic professionals information on high-quality client nutrition care. The success of medical nutrition therapy rests not only upon the advice of the dietician, but also upon the client’s compliance.

  20. History of dental hygiene research.

    Science.gov (United States)

    Bowen, Denise M

    2013-01-01

    Dental hygiene is defined as the science and practice of the recognition, treatment and prevention of oral diseases. The history of dental hygiene research is considered in the context of the development of the discipline and an emerging infrastructure. Research-related events supporting the growth and maturation of the profession are considered from the early years to the most recent. The benefits of preventive oral health services provided by dental hygienists have been supported by research, and the practice of dental hygiene has expanded as a result of research findings since its inception 100 years ago. Dental hygienists' engagement in research, however, did not begin until the 1960s as research associates or administrators, primarily with dental researchers as primary investigators. The Journal of Dental Hygiene (JDH) has provided information for dental hygiene practice since 1927, and has been the primary venue for dissemination of dental hygiene research since 1945. Graduate education in dental hygiene at the master's degree level and the work of early dental hygiene researchers led to the first conference on dental hygiene research in 1982. Over 30 years later, dental hygiene has established a meta-paradigm and defined conceptual models, built an initial infrastructure to support research endeavors and contributed much to the development of dental hygiene as a unique discipline. A doctoral degree in the discipline, continued theory-based research, initiatives to foster collaborations between dental hygiene and other researchers and enhanced capabilities to attract funding to support large scale studies are goals that must be attained through the efforts of future researchers to address the needs for additional development in the discipline of dental hygiene. Dental hygiene research supports the growing discipline and its value to society.

  1. DENTAL HOT-COLD SENSITIVITY AND TRAUMATIC DENTAL INJURIES

    OpenAIRE

    Traebert, Jefferson; Martins,Luiz Gustavo Teixeira; Traebert, Eliane Silva de Azevedo; Bortoluzzi, Marcelo Carlos

    2014-01-01

    AIM: Although several studies have indicated negative impacts of traumatic dental injuries on children’s quality of life, virtually none of them have explored the possible association between them and the occurrence and dental hot-cold sensitivity. The aim of this study was to study the possible association of hot-cold dental sensitivity and history of traumatic dental injuries. MATERIAL AND METHODS: A cross-sectional study involving a representative sample of 11- to 14-year-old schoolchildre...

  2. How is the patient’s nutrition after a stroke?

    Science.gov (United States)

    Ballesteros Pomar, María D; Palazuelo Amez, Laura

    2017-05-08

    Neurological conditions usually cause altered levels of consciousness or swallowing mechanisms which make artificial nutritional support necessary. International guidelines recommend nutritional screening to detect malnutrition in patients with neurological diseases. Dysphagia is a common problem after a stroke, however, it is a treatable pathology, and swallowing rehabilitation allows for improving patients’ nutritional status. Awareness of this problem is required among healthcare professionals both for its diagnosis and for the implementation of nutritional intervention measures. Patients should be tested for dysphagia within the first 24 hours of the stroke onset; this swallowing assessment as well as malnutrition screening should never be delayed by more than 72 hours. The present study addresses diagnostic and therapeutic approaches, the indications of the different nutritional treatments available and the transition to oral feeding in patients who have had a stroke episode.

  3. A method for implementation of nutritional therapy in hospitals

    DEFF Research Database (Denmark)

    Rasmussen, Henrik Højgaard; Kondrup, Jens; Staun, Michael;

    2006-01-01

    Background & aims: Many barriers make implementation of nutritional therapy difficult in hospitals. In this study we investigated whether, a targeted plan made by the staff in different departments could improve nutritional treatment within selected quality goals based on the ESPEN screening...... guidelines. Methods: The project was carried out as a continuous quality improvement project. Four different specialities participated in the study with a nutrition team of both doctors, nurses, and a dietician, and included the following methods: (1) Premeasurement: assessment of quality goals prior...... to study including the use of screening of nutritional risk (NRS-2002), whether a nutrition plan was made, and monitoring was documented in the records. (2) Intervention: multidisciplinary meeting for the ward staff using a PC-based meeting system for detecting barriers in the department concerning...

  4. A method for implementation of nutritional therapy in hospitals

    DEFF Research Database (Denmark)

    Rasmussen, Henrik Højgaard; Kondrup, Jens; Staun, Michael

    2006-01-01

    guidelines. Methods: The project was carried out as a continuous quality improvement project. Four different specialities participated in the study with a nutrition team of both doctors, nurses, and a dietician, and included the following methods: (1) Premeasurement: assessment of quality goals prior......Background & aims: Many barriers make implementation of nutritional therapy difficult in hospitals. In this study we investigated whether, a targeted plan made by the staff in different departments could improve nutritional treatment within selected quality goals based on the ESPEN screening...... to study including the use of screening of nutritional risk (NRS-2002), whether a nutrition plan was made, and monitoring was documented in the records. (2) Intervention: multidisciplinary meeting for the ward staff using a PC-based meeting system for detecting barriers in the department concerning...

  5. Bulimia and Anorexia Nervosa in Dental and Dental Hygiene Curricula.

    Science.gov (United States)

    Gross, Karen B. W.; And Others

    1990-01-01

    Dentists and dental hygienists are in a unique position to identify an eating disorder patient from observed oral manifestations and to refer the patient for psychological therapy. The inclusion of information on general and oral complications of bulimia and anorexia nervosa in dental and dental hygiene curriculum was examined. (MLW)

  6. Bulimia and Anorexia Nervosa in Dental and Dental Hygiene Curricula.

    Science.gov (United States)

    Gross, Karen B. W.; And Others

    1990-01-01

    Dentists and dental hygienists are in a unique position to identify an eating disorder patient from observed oral manifestations and to refer the patient for psychological therapy. The inclusion of information on general and oral complications of bulimia and anorexia nervosa in dental and dental hygiene curriculum was examined. (MLW)

  7. Panoramic Dental X-Ray

    Science.gov (United States)

    ... Physician Resources Professions Site Index A-Z Panoramic Dental X-ray Panoramic dental x-ray uses a ... Your e-mail address: Personal message (optional): Bees: Wax: Notice: RadiologyInfo respects your privacy. Information entered here ...

  8. Dental modification in the past

    DEFF Research Database (Denmark)

    Bennike, Pia; Alexandersen, Verner

    2003-01-01

    Skeleton remains from Denmark, Greenland, Faeroe Islands, dental care, drillling in the past, tooth extraction......Skeleton remains from Denmark, Greenland, Faeroe Islands, dental care, drillling in the past, tooth extraction...

  9. Medical and Dental Patient Issues

    Science.gov (United States)

    ... A RadiationAnswers.org Ask the Experts Medical and Dental Patient Issues What's My Risk? The risks of ... developed by our topic editors for this category: Dental-Patient Issues Medical CT Reference Books and Articles ...

  10. Dental plaque identification at home

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/003426.htm Dental plaque identification at home To use the sharing ... that collects around and between teeth. The home dental plaque identification test shows where plaque builds up. ...

  11. Dental Health: The Basic Facts

    Science.gov (United States)

    Dental Health THE BASIC FACTS MULTIPLE SCLEROSIS Kim, diagnosed in 1986 People with a chronic disease may neglect their general health and wellness, research shows. Dental care is no exception. A tendency to focus ...

  12. Dental Care - Medicaid and Chip

    Data.gov (United States)

    U.S. Department of Health & Human Services — Dental health is an important part of peoples overall health. States are required to provide dental benefits to children covered by Medicaid and the Childrens Health...

  13. 77 FR 4469 - Dental Conditions

    Science.gov (United States)

    2012-01-30

    ... purposes. This amendment clarifies that principles governing determinations by VA's Veterans Benefits Administration (VBA) for service connection of dental conditions for the purpose of establishing eligibility for dental treatment by VA's Veterans Health Administration (VHA), apply only when VHA requests...

  14. A short nutritional intervention in a cohort of hematological inpatients improves energy and protein intake and stabilizes nutritional status.

    Science.gov (United States)

    Villar-Taibo, Rocío; Calleja-Fernández, Alicia; Vidal-Casariego, Alfonso; Pintor-de-la-Maza, Begoña; Álvarez-Del-Campo, Cecilia; Arias-García, Rosa; Cano-Rodríguez, Isidoro; Ballesteros-Pomar, María D

    2016-11-29

    Oncohematological diseases are associated with an important prevalence of malnutrition. Our aim is to determine if early recognition and treatment of malnourished hematological inpatients can improve their oral intake, nutritional status and reduce the length of hospital stay. Prospective 2-year study conducted in a cohort of hematology inpatients. Malnutrition Screening Tool (MST) was carried out on the first day of admission. Patients with a positive screening were recruited to have a complete nutritional evaluation and intervention, following usual clinical practice. Nutritional evaluation was repeated after one week. Six hundred and seventeen hematological patients were screened (37.8% with positive screening). After one week, median diet intake increased from 80% to 90% (p requirements (41.6 vs.% 63.3%, p = 0.009) and nutritional parameters remained stable. A trend to a lower stay (3.5 to 4.5 days less) was detected in the groups of patients who covered their needs. The implementation of early malnutrition screening and short nutritional interventions improved energy and protein intake, increasing the percentage of patients who meet their requirements and avoiding deterioration of nutritional status.

  15. DENTAL PULP TISSUE ENGINEERING

    Science.gov (United States)

    Demarco, FF; Conde, MCM; Cavalcanti, B; Casagrande, L; Sakai, V; Nör, JE

    2013-01-01

    Dental pulp is a highly specialized mesenchymal tissue, which have a restrict regeneration capacity due to anatomical arrangement and post-mitotic nature of odontoblastic cells. Entire pulp amputation followed by pulp-space disinfection and filling with an artificial material cause loss of a significant amount of dentin leaving as life-lasting sequelae a non-vital and weakened tooth. However, regenerative endodontics is an emerging field of modern tissue engineering that demonstrated promising results using stem cells associated with scaffolds and responsive molecules. Thereby, this article will review the most recent endeavors to regenerate pulp tissue based on tissue engineering principles and providing insightful information to readers about the different aspects enrolled in tissue engineering. Here, we speculate that the search for the ideal combination of cells, scaffolds, and morphogenic factors for dental pulp tissue engineering may be extended over future years and result in significant advances in other areas of dental and craniofacial research. The finds collected in our review showed that we are now at a stage in which engineering a complex tissue, such as the dental pulp, is no longer an unachievable and the next decade will certainly be an exciting time for dental and craniofacial research. PMID:21519641

  16. Degradability of dental ceramics.

    Science.gov (United States)

    Anusavice, K J

    1992-09-01

    The degradation of dental ceramics generally occurs because of mechanical forces or chemical attack. The possible physiological side-effects of ceramics are their tendency to abrade opposing dental structures, the emission of radiation from radioactive components, the roughening of their surfaces by chemical attack with a corresponding increase in plaque retention, and the release of potentially unsafe concentrations of elements as a result of abrasion and dissolution. The chemical durability of dental ceramics is excellent. With the exception of the excessive exposure to acidulated fluoride, ammonium bifluoride, or hydrofluoric acid, there is little risk of surface degradation of virtually all current dental ceramics. Extensive exposure to acidulated fluoride is a possible problem for individuals with head and/or neck cancer who have received large doses of radiation. Such fluoride treatment is necessary to minimize tooth demineralization when saliva flow rates have been reduced because of radiation exposure to salivary glands. Porcelain surface stains are also lost occasionally when abraded by prophylaxis pastes and/or acidulated fluoride. In each case, the solutes are usually not ingested. Further research that uses standardized testing procedures is needed on the chemical durability of dental ceramics. Accelerated durability tests are desirable to minimize the time required for such measurements. The influence of chemical durability on surface roughness and the subsequent effect of roughness on wear of the ceramic restorations as well as of opposing structures should also be explored on a standardized basis.

  17. A Study on the Dietary Intake and the Nutritional Status among the Pancreatic Cancer Surgical Patients

    OpenAIRE

    Kang, Jimin; Park, Joon Seong; Yoon, Dong Sup; Kim, Woo Jeong; Chung, Hae-Yun; Lee, Song Mi; Chang, Namsoo

    2016-01-01

    The adequate dietary intake is important to maintain the nutritional status of the patients after pancreatic cancer surgery. This prospective study was designed to investigate the dietary intake and the nutritional status of the patients who had pancreatic cancer surgery. Thirty-one patients (15 men, 16 women) were enrolled and measured body weight, body mass index (BMI), nutritional risk index (NRI), and Malnutrition Universal Screening Tool (MUST). Actual oral intake with nutritional impact...

  18. Osteoporosis screening and risk management

    OpenAIRE

    Wilkins, Consuelo H.

    2007-01-01

    Consuelo H WilkinsDepartment of Medicine, Division of Geriatrics and Nutritional Science, Washington University School of Medicine, St. Louis, MO, USAAbstract: Osteoporosis is common among older adults and results in costly osteoporotic fractures. Screening for this metabolic bone disorder is warranted in most older adults and clinicians must be diligent in identifying persons at risk. The evaluation should include an assessment of risk factors for falls, a bone density test, and consideratio...

  19. Cribado nutricional en pacientes inmovilizados del Servicio de Atención Domiciliaria de una zona básica de salud del área de Salud de Gran Canaria Nutritional screening of immobilized Home Care Service patients in a district Health Centre corresponding to the Health Area of Gran Canary

    Directory of Open Access Journals (Sweden)

    Estrella Perdomo Pérez

    2012-09-01

    Full Text Available La desnutrición es un problema grave y conlleva importantes consecuencias sociosanitarias y económicas. En pacientes inmovilizados, las úlceras por presión son una de las complicaciones más frecuentes, constituyendo una epidemia silente evitable en el mayor número de casos, donde la valoración o cribado nutricional juega un papel primordial en su prevención. La prevalencia de desnutrición cercana al 50%, observada en una muestra de 62 pacientes de un centro de salud, subrayan la necesidad de su diagnóstico precoz para poner en marcha medidas preventivas y terapéuticas que mejoren la calidad de vida de los pacientes, disminuyendo la aparición de patologías asociadas y la institucionalización/hospitalización.Undernourishment is a serious problem with important social, sanitary and economical consequences. Concerning immobilised patients, ulcers caused by pressure are the most frequent and they represent a silent epidemic which in most cases is not necessarily unavoidable because a correct nutrition screening plays a decisive role in preventing it. The alarming lack of nutrition, 50%, in a survey of 62 patients who were observed in out-patient clinics (Centros de Salud underline the necessity of an early diagnosis so as to activate prevention and therapeutical measures to improve the patients' well-being, thereby reducing possible associated pathologies and subsequential hospitalization.

  20. Zirconia as a Dental Biomaterial

    OpenAIRE

    Alvaro Della Bona; Oscar E. Pecho; Rodrigo Alessandretti

    2015-01-01

    Ceramics are very important in the science of dental biomaterials. Among all dental ceramics, zirconia is in evidence as a dental biomaterial and it is the material of choice in contemporary restorative dentistry. Zirconia has been applied as structural material for dental bridges, crowns, inserts, and implants, mostly because of its biocompatibility, high fracture toughness, and radiopacity. However, the clinical success of restorative dentistry has to consider the adhesion to different subs...

  1. Zirconia as a Dental Biomaterial

    OpenAIRE

    Alvaro Della Bona; Pecho, Oscar E.; Rodrigo Alessandretti

    2015-01-01

    Ceramics are very important in the science of dental biomaterials. Among all dental ceramics, zirconia is in evidence as a dental biomaterial and it is the material of choice in contemporary restorative dentistry. Zirconia has been applied as structural material for dental bridges, crowns, inserts, and implants, mostly because of its biocompatibility, high fracture toughness, and radiopacity. However, the clinical success of restorative dentistry has to consider the adhesion to different subs...

  2. Screening CO

    NARCIS (Netherlands)

    Ramírez, A.; Hagedoorn, S.; Kramers, L.; Wildenborg, T.; Hendriks, C.

    2010-01-01

    This paper describes the development and application of a methodology to screen and rank Dutch reservoirs suitable for long-term large scale CO2 storage. The screening focuses on off- and on-shore individual aquifers, gas and oil fields. In total 176 storage reservoirs have been taken int

  3. Dental ethics and emotional intelligence.

    Science.gov (United States)

    Rosenblum, Alvin B; Wolf, Steve

    2014-01-01

    Dental ethics is often taught, viewed, and conducted as an intell enterprise, uninformed by other noncognitive factors. Emotional intelligence (EQ) is defined distinguished from the cognitive intelligence measured by Intelligence Quotient (IQ). This essay recommends more inclusion of emotional, noncognitive input to the ethical decision process in dental education and dental practice.

  4. Dental Hygiene Realpolitik Affecting Education.

    Science.gov (United States)

    Bader, James D.

    1991-01-01

    Current conditions in dental hygiene influencing professional education are discussed. Workplace/practice issues include dental hygiene care as a component of dental practice, content, effects, and quality of care, hygienist supply and demand, and job satisfaction. Professional issues include the knowledge base, definitions of practice, and…

  5. Panoramic Dental X-Ray

    Science.gov (United States)

    ... Physician Resources Professions Site Index A-Z Panoramic Dental X-ray Panoramic dental x-ray uses a very small dose of ... x-ray , is a two-dimensional (2-D) dental x-ray examination that captures the entire mouth ...

  6. Dental operatory design and equipment.

    Science.gov (United States)

    Floyd, M

    1993-08-01

    Improving and expanding the dental services of a practice can involve purchasing new equipment and even modifying or expanding the physical plant. Operatory design is important to the efficiency with which dental procedures can be performed. Equipment purchases to outfit the dental operatory should be made based on the specific needs and functions of a practice.

  7. Development of integrated support software for clinical nutrition

    Directory of Open Access Journals (Sweden)

    Pedro Siquier Homar

    2015-09-01

    Full Text Available Objectives: to develop an integrated computer software application for specialized nutritional support, integrated in the electronic clinical record, which detects automatically and early those undernourished patients or at risk of developing undernourishment, determining points of opportunity for improvement and evaluation of the results. Methods: the quality standards published by the Nutrition Work Group of the Spanish Society of Hospital Pharmacy (SEFH and the recommendations by the Pharmacy Group of the Spanish Society of Parenteral and Enteral Nutrition (SENPE have been taken into account. According to these quality standards, the nutritional support has to include the following healthcare stages or sub-processes: nutritional screening, nutritional assessment, plan for nutritional care, prescription, preparation and administration. Results: this software allows to conduct, in an automated way, a specific nutritional assessment for those patients with nutritional risk, implementing, if necessary, a nutritional treatment plan, conducting follow-up and traceability of outcomes derived from the implementation of improvement actions, and quantifying to what extent our practice is close to the established standard. Conclusions: this software allows to standardize the specialized nutritional support from a multidisciplinary point of view, introducing the concept of quality control per processes, and including patient as the main customer

  8. [Development of integrated support software for clinical nutrition].

    Science.gov (United States)

    Siquier Homar, Pedro; Pinteño Blanco, Manel; Calleja Hernández, Miguel Ángel; Fernández Cortés, Francisco; Martínez Sotelo, Jesús

    2015-09-01

    to develop an integrated computer software application for specialized nutritional support, integrated in the electronic clinical record, which detects automatically and early those undernourished patients or at risk of developing undernourishment, determining points of opportunity for improvement and evaluation of the results. the quality standards published by the Nutrition Work Group of the Spanish Society of Hospital Pharmacy (SEFH) and the recommendations by the Pharmacy Group of the Spanish Society of Parenteral and Enteral Nutrition (SENPE) have been taken into account. According to these quality standards, the nutritional support has to include the following healthcare stages or sub-processes: nutritional screening, nutritional assessment, plan for nutritional care, prescription, preparation and administration. this software allows to conduct, in an automated way, a specific nutritional assessment for those patients with nutritional risk, implementing, if necessary, a nutritional treatment plan, conducting follow-up and traceability of outcomes derived from the implementation of improvement actions, and quantifying to what extent our practice is close to the established standard. this software allows to standardize the specialized nutritional support from a multidisciplinary point of view, introducing the concept of quality control per processes, and including patient as the main customer. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  9. Dental amalgam: An update

    Directory of Open Access Journals (Sweden)

    Bharti Ramesh

    2010-01-01

    Full Text Available Dental amalgam has served as an excellent and versatile restorative material for many years, despite periods of controversy. The authors review its history, summarize the evidence with regard to its performance and offer predictions for the future of this material. The PubMed database was used initially; the reference list for dental amalgam featured 8641 articles and 13 publications dealing with recent advances in dental amalgam. A forward search was undertaken on selected articles and using some author names. For the present, amalgam should remain the material of choice for economic direct restoration of posterior teeth. When esthetic concerns are paramount, tooth-colored materials, placed meticulously, can provide an acceptable alternative. All alternative restorative materials and procedures, however, have certain limitations.

  10. Stereoscopy in Dental Education

    DEFF Research Database (Denmark)

    Murakami, Shumei; Verdonschot, Rinus G; Kreiborg, Sven

    2017-01-01

    The aim of this study was to investigate whether stereoscopy can play a meaningful role in dental education. The study used an anaglyph technique in which two images were presented separately to the left and right eyes (using red/cyan filters), which, combined in the brain, give enhanced depth...... perception. A positional judgment task was performed to assess whether the use of stereoscopy would enhance depth perception among dental students at Osaka University in Japan. Subsequently, the optimum angle was evaluated to obtain maximum ability to discriminate among complex anatomical structures. Finally...... practice, they did recognize its merits for education. These results suggest that using stereoscopic images in dental education can be quite valuable as stereoscopy greatly helped these students' understanding of the spatial relationships in complex anatomical structures....

  11. Dental implants: A review.

    Science.gov (United States)

    Guillaume, B

    2016-12-01

    A high number of patients have one or more missing tooth and it is estimated that one in four American subjects over the age of 74 have lost all their natural teeth. Many options exist to replace missing teeth but dental implants have become one of the most used biomaterial to replace one (or more) missing tooth over the last decades. Contemporary dental implants made with titanium have been proven safe and effective in large series of patients. This review considers the main historical facts concerned with dental implants and present the different critical factors that will ensure a good osseo-integration that will ensure a stable prosthesis anchorage. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  12. Dental Implant Complications.

    Science.gov (United States)

    Liaw, Kevin; Delfini, Ronald H; Abrahams, James J

    2015-10-01

    Dental implants have increased in the last few decades thus increasing the number of complications. Since many of these complications are easily diagnosed on postsurgical images, it is important for radiologists to be familiar with them and to be able to recognize and diagnose them. Radiologists should also have a basic understanding of their treatment. In a pictorial fashion, this article will present the basic complications of dental implants which we have divided into three general categories: biomechanical overload, infection or inflammation, and other causes. Examples of implant fracture, loosening, infection, inflammation from subgingival cement, failure of bone and soft tissue preservation, injury to surround structures, and other complications will be discussed as well as their common imaging appearances and treatment. Lastly, we will review pertinent dental anatomy and important structures that are vital for radiologists to evaluate in postoperative oral cavity imaging.

  13. Dental Trauma Guide

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Lauridsen, Eva; Gerds, Thomas Alexander

    2012-01-01

    Diagnosis and treatment for traumatic dental injuries are very complex owing to the multiple trauma entities represented by six luxation types and nine fracture types affecting both the primary and the permanent dentition. When it is further considered that fracture and luxation injuries are often...... combined, the result is that more than 100 trauma scenarios exist, when the two dentitions are combined. Each of these trauma scenarios has a specific treatment demand and prospect for healing. With such a complexity in diagnosis and treatment, it is obvious that even experienced practitioners may have...... problems in selecting proper treatment for some of these trauma types. To remedy this situation, an Internet-based knowledge base consisting of 4000 dental trauma cases with long-term follow up is now available to the public and the professions on the Internet using the address http://www.DentalTrauma...

  14. Dental formulations for the prevention of dental erosion

    DEFF Research Database (Denmark)

    2010-01-01

    The invention relates to a therapeutic method for preventing and/or inhibiting dental erosion in a mammalian subject, and the provision of a dental care product for performing the method. The dental care product of the invention comprises a starch-degrading enzyme of E. C. 3.2.1.1, wherein said...... product comprises less than 1 wt.% ionic surfactant, and preferably is substantially free of endoprotease and/or lipase. The properties of the dental care product serve to prevent and/or inhibit dental erosion in a subject that typically results from repeated exposure of the patient's tooth surfaces...

  15. Dental formulations for the prevention of dental erosion

    DEFF Research Database (Denmark)

    2010-01-01

    The invention relates to a therapeutic method for preventing and/or inhibiting dental erosion in a mammalian subject, and the provision of a dental care product for performing the method. The dental care product of the invention comprises a starch-degrading enzyme of E. C. 3.2.1.1, wherein said...... product comprises less than 1 wt.% ionic surfactant, and preferably is substantially free of endoprotease and/or lipase. The properties of the dental care product serve to prevent and/or inhibit dental erosion in a subject that typically results from repeated exposure of the patient's tooth surfaces...

  16. 应用前白蛋白检测营养风险筛查2002、主观全面评定和微小营养评定的灵敏度和特异度:探索性、前瞻性、多中心临床研究%The use of prealbumin as index to compare sensitivities and specificities of Nutritional Risk Screening 2002,Subjective Global Assessment, Mini Nutritional Assessment: a prospective multicenter clinical studies

    Institute of Scientific and Technical Information of China (English)

    丁丽丽; 朱明炜; 孙殿水; 付卫江; 徐涛; 程博; 蒋朱明

    2011-01-01

    Objective To explore sensitivities and specificities of Nutritional Risk Screening 2002 ( NRS 2002),Subjective Global Assessment (SGA),and Mini Nutritional Assessment (MNA) in the detection of blood prealbumin level.Methods Total 126 patients were consecutively enrolled from the oncology departments of three hospitals from November,2010 to March,2011.Nutritional screenings or assessments were performed on the next morning of hospital admission by nutritionists and medical oncologists using NRS 2002,SGA,and MNA.Prealbumin ( < 180 g/L) was used as the reference standard of malnutrition (undernutrition) for assessing the sensitivities/specificities of these tools.Results All 126 patients completed nutritional screening or assessment using the above three tools.The prevalence of malnutrition (undernutrition) determined by NRS 2002,SGA and MNA was 67.0%,46.2%,and 64.8%,respectively.With prealbumin in relation to clinical outcome as the reference standard,the sensitivities ofNRS 2002,SGA,and MNA were 78.2%,58.2% and 89.1%,and the specificities were 50.0%,72.2%,and 27.8%,respectively.Conclusions Among these three tolls,NRS 2002 detects the nutrition risks,whereas SGA and MNA detect malnutrition.Since prealbumin is not an appropriate reference standard,it can not be used for the comparison among the three tools.Nevertheless,NRS 2002 reflects the clinical outcomes,and therefore is suitable for inpatients.%目的 探索应用前白蛋白水平为参考标准检测营养风险筛查2002( NRS 2002)、主观全面评定(SGA)及微小营养评定(MNA)的灵敏度和特异度.方法 自2010年11月至2011年3月,在3个医院的肿瘤科住院患者中采用连续定点抽样方法,将符合入选条件的126例食管癌患者纳入本研究.于入院次日分别采用NRS 2002、SGA及MNA工具由经过培训的营养师、肿瘤内科医师进行营养筛查或评定.以前白蛋白低于180 g/L为营养不良(不足)的参考标准,分析上述3种工具

  17. Epilepsy in dental practice.

    Science.gov (United States)

    Fitzpatrick, J J; McArdle, N S; Wilson, M H; Stassen, L F A

    2008-01-01

    Epilepsy is a neurological condition characterised by seizure activity. It has an approximate incidence of 1%. General dental practitioners will encounter these patients in practice. This article discusses the types of epilepsy, the medical management and considerations in dental management of epileptic patients. General recommendations are made, based on current evidence, with respect to prescribing of medications. The management of an epileptic seizure is discussed. Status epilepticus is a rare but serious complication of epileptic seizures. An easy-to-follow algorithm is provided to assist the practitioner in managing seizures.

  18. [Hardening of dental instruments].

    Science.gov (United States)

    Gerasev, G P

    1981-01-01

    The possibility of prolonging the service life of stomatological instruments by the local hardening of their working parts is discussed. Such hardening should be achieved by using hard and wear-resistant materials. The examples of hardening dental elevators and hard-alloy dental drills are given. New trends in the local hardening of instruments are the treatment of their working parts with laser beams, the application of coating on their surface by the gas-detonation method. The results of research work and trials are presented.

  19. Nutritional risk screening for preoperative patients with different parts of colorectal cancer%不同部位的大肠癌患者术前营养风险筛查

    Institute of Scientific and Technical Information of China (English)

    李卡; 何凌霄; 习鹭; 黄明君; 汪晓东

    2010-01-01

    Objective To investigate the impact of nutritional risk of preoperative patients with different parts of colorectal cancer. Methods 385 cases of surgical patients diagnosed with colorectal cancer were selected in the retrospective study in April 2008 to March 2009, Gastrointestinal Surgery Center of West China Hospital in Sichuan University. Patients were divided into the right colon cancer group, the left colon cancer group, the rectal cancer group, using internationally recognized NRS- 2002 Scale and serum nutrition indicators to assess their preoperative nutrition. Results NRS-2002 score in the right colon cancer group showed higher than the left colon and rectal cancer group, but no statistical difference between the latter two rates; serum concentrations of HGB, TP, ALB, A/G were lower in the right colon cancer group than the other two groups, but the concentrations of ALT, AST, Ca2+, PO43-showed no statistical difference among three groups. Conclusions The proximal colon (right colon cancer) were more susceptible to the risk of preoperative malnutrition, the patients with different parts of colorectal cancer should be given to the corresponding preoperative nutritional assessment and nutritional support.%目的 探讨大肠癌患者不同患病部位对其术前营养风险评分的影响.方法 回顾研究了2008年4月至2009年3月四川大学华西医院胃肠外科中心确诊并施行手术的385例大肠癌患者,分为右半结肠癌组、左半结肠癌组、直肠癌组,采用国际认可的NRS-2002营养风险筛查量表和血清学营养指标进行术前营养评估.结果 右半结肠癌组NRS-2002评分分布与左半结肠癌和直肠癌组比较差异显著,但后两者评分分布比较无显著差异;右半结肠癌HGB、TP、ALB血清浓度及A/G显著低于另2组,但ALT、AST、Ca2+、PO43-浓度比较3组均无显著差异.结论 近端结肠癌(右半结肠癌)患者更易发生术前营养不良风险,应针对不同部位的患者

  20. Observation on the effect of NRS2002 in screening preoperative nutritional risk in patients with pancreatic cancer%NRS2002在胰腺癌患者术前营养风险筛查中的应用效果观察

    Institute of Scientific and Technical Information of China (English)

    陈亚文

    2012-01-01

    Objective:To investigate the effect of NRS2002 in screening preoperative nutritional risk in patients with pancreatic cancer. Methods: NRS2002 was used to screen nutritional risk for 74 pancreatic cancer patients before surgery. The serum albumin and prealbumin were used as the standards to evaluate its sensitivity and specificity. The operation complications and the average hospitalization days of the patients with malnutrition were observed and compared with those of the patients without nutritional risk. Results: The sensitivity and specificity of NRS2002 was 58. 3% and 86% respectively when prealbumin was taken as the standard and it was 66. 7% and 93. 6% respectively when serum albumin was taken as the standard. The overall incidence of postoperative complications were higher in the patients whose NRS scores were more than 3 points than those of whose NRS scores less than 3 points. The incidence of abdominal infection complication increased significantly, and the average hospitalization days were relatively longer in the patients whose NRS score≥3 points ( P < 0. 05 ). Conclusion:NRS2002 was a convenient tool for screening preoperative nutritional risk in patients with pancreatic cancer owing to its higher sensitivity and specificity.%目的:探讨营养风险筛查(NRS2002)在胰腺癌患者术前营养风险筛查中的应用效果.方法:应用NRS2002对74例胰腺癌手术患者进行营养风险筛查,并以血清白蛋白和前白蛋白作为标准,评价其敏感性和特异性.观察NRS2002筛查出营养不良患者的手术并发症发生率及平均住院天数,与无营养不良风险的患者进行比较.结果:以前白蛋白为标准,NRS2002的敏感性为58.3%,特异性为86.0%;以白蛋白为标准,NRS2002的敏感性为66.7%,特异性为93.6%;NRS评分≥3分术后并发症的总发生率高于NRS评分<3分者,其中腹腔感染并发症发生率显著增高,并且平均住院时间较NRS评分<3 分者长(P<0.05).结论:应用NRS2002对

  1. Nutrition and genetic susceptibility to common diseases.

    Science.gov (United States)

    Motulsky, A G

    1992-06-01

    Genetic factors play a role in chronic disease and conditions such as coronary heart disease, hypertension, and obesity. Individual responses to nutritional factors involved in such conditions vary depending upon a person's genetic make-up. The role of individual genes is best understood for the hyperlipidemias that predispose to coronary heart disease. Until more and better information on gene-nutritional interactions is available, general population-wide recommendations regarding a prudent diet appear reasonable. At the same time, high risk screening for certain conditions such as the hyperlipidemias is appropriate.

  2. Alaska Dental Health Aide Program

    Directory of Open Access Journals (Sweden)

    Sarah Shoffstall-Cone

    2013-08-01

    Full Text Available Background. In 1999, An Oral Health Survey of American Indian and Alaska Native (AI/AN Dental Patients found that 79% of 2- to 5-year-olds had a history of tooth decay. The Alaska Native Tribal Health Consortium in collaboration with Alaska’s Tribal Health Organizations (THO developed a new and diverse dental workforce model to address AI/AN oral health disparities. Objectives. This paper describes the workforce model and some experience to date of the Dental Health Aide (DHA Initiative that was introduced under the federally sanctioned Community Health Aide Program in Alaska. These new dental team members work with THO dentists and hygienists to provide education, prevention and basic restorative services in a culturally appropriate manner. Results. The DHA Initiative introduced 4 new dental provider types to Alaska: the Primary Dental Health Aide, the Expanded Function Dental Health Aide, the Dental Health Aide Hygienist and the Dental Health Aide Therapist. The scope of practice between the 4 different DHA providers varies vastly along with the required training and education requirements. DHAs are certified, not licensed, providers. Recertification occurs every 2 years and requires the completion of 24 hours of continuing education and continual competency evaluation. Conclusions. Dental Health Aides provide evidence-based prevention programs and dental care that improve access to oral health care and help address well-documented oral health disparities.

  3. Nutritional support in patients with systemic sclerosis.

    Science.gov (United States)

    Ortiz-Santamaria, Vera; Puig, Celia; Soldevillla, Cristina; Barata, Anna; Cuquet, Jordi; Recasens, Asunción

    2014-01-01

    Systemic sclerosis (SSc) is a chronic multisystem autoimmune disease which involves the gastrointestinal tract in about 90% of cases. It may contribute to nutritional deterioration. To assess whether the application of a nutritional support protocol to these patients could improve their nutritional status and quality of life. Single center prospective study, performed on an outpatient basis, in a county hospital. The Malnutrition Universal Screening Tool (MUST) was used to screen risk for malnutrition. Health questionnaire SF-36 and the Hospital Anxiety and Depression Scale were used to assess quality of life and psychopathology respectively. Weight, height, energy and protein requirements, macronutrient intake and nutritional biochemical parameters were evaluated. Nutritional intervention was performed in patients at risk for malnutrition. Of the 72 patients, 12.5% were at risk for malnutrition. Iron deficiency anemia (18.35%) and vitamin D deficiency (54%) were the most frequently observed nutritional deficits. The questionnaires on psychopathology and quality of life showed a high prevalence of anxiety and depression, and lower level poor quality of life in the physical and mental component. No significant improvements were observed in the weight, food intake, nutritional biochemical parameters, psychopathology and quality of life follow-up. Dietary intervention was able to maintain body weight and food intake. Iron deficiency anemia and vitamin D deficiency improved with iron and vitamine D supplements. No deterioration was observed in psychological assessment or quality of life. Studies with larger numbers of patients are needed to assess the efficacy of this intervention. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  4. Drugs that promote dental caries.

    Science.gov (United States)

    2015-02-01

    Dental caries result from erosion of tooth enamel or cementum by acidic substances produced by bacteria found in dental plaque. Caries can lead to pulp necrosis and tooth loss. Risk factors include certain dietary habits, poor oral hygiene, and dry mouth. Diabetes and Sjogren's syndrome can also promote dental caries. Psychotropic substances such as cocaine, methamphetamine, heroin and cannabis can promote dental caries. Many medicinal drugs facilitate the formation of dental caries, through various mechanisms; they include formulations with a high sugar content; drugs that cause dry mouth (especially antimuscarinics); drugs that lower the buccal pH (inhaled powders, etc.); and drugs that cause demineralisation (tetracyclines, etc.). In practice, patients (and parents) should be informed that some drugs can increase the risk of dental caries. They should be encouraged to adapt and reinforce dental hygiene, and advised to visit a dentist regularly.

  5. Quadruple screen test

    Science.gov (United States)

    Quad screen; Multiple marker screening; AFP plus; Triple screen test; AFP maternal; MSAFP; 4-marker screen; Down syndrome - quadruple; Trisomy 21 - quadruple; Turner syndrome - quadruple; Spina bifida - ...

  6. Toxicology screen

    Science.gov (United States)

    Toxicology screening is most often done using a blood or urine sample. However, it may be done soon after the person swallowed the medication, using stomach contents taken through gastric lavage (stomach pumping) or after vomiting.

  7. Hypertension screening

    Science.gov (United States)

    Foulke, J. M.

    1975-01-01

    An attempt was made to measure the response to an announcement of hypertension screening at the Goddard Space Center, to compare the results to those of previous statistics. Education and patient awareness of the problem were stressed.

  8. Hypertension screening

    Science.gov (United States)

    Foulke, J. M.

    1975-01-01

    An attempt was made to measure the response to an announcement of hypertension screening at the Goddard Space Center, to compare the results to those of previous statistics. Education and patient awareness of the problem were stressed.

  9. Dental Optical Coherence Tomography

    Directory of Open Access Journals (Sweden)

    Kun-Feng Lin

    2013-07-01

    Full Text Available This review paper describes the applications of dental optical coherence tomography (OCT in oral tissue images, caries, periodontal disease and oral cancer. The background of OCT, including basic theory, system setup, light sources, spatial resolution and system limitations, is provided. The comparisons between OCT and other clinical oral diagnostic methods are also discussed.

  10. Advances in dental materials.

    Science.gov (United States)

    Fleming, Garry J P

    2014-05-01

    The dental market is replete with new resorative materials marketed on the basis of novel technological advances in materials chemistry, bonding capability or reduced operator time and/or technique sensitivity. This paper aims to consider advances in current materials, with an emphasis on their role in supporting contemporary clinical practice.

  11. FATIGUE OF DENTAL CERAMICS

    Science.gov (United States)

    Zhang, Yu; Sailer, Irena; Lawn, Brian R

    2013-01-01

    Objectives Clinical data on survival rates reveal that all-ceramic dental prostheses are susceptible to fracture from repetitive occlusal loading. The objective of this review is to examine the underlying mechanisms of fatigue in current and future dental ceramics. Data/sources The nature of various fatigue modes is elucidated using fracture test data on ceramic layer specimens from the dental and biomechanics literature. Conclusions Failure modes can change over a lifetime, depending on restoration geometry, loading conditions and material properties. Modes that operate in single-cycle loading may be dominated by alternative modes in multi-cycle loading. While post-mortem examination of failed prostheses can determine the sources of certain fractures, the evolution of these fractures en route to failure remains poorly understood. Whereas it is commonly held that loss of load-bearing capacity of dental ceramics in repetitive loading is attributable to chemically-assisted 'slow crack growth' in the presence of water, we demonstrate the existence of more deleterious fatigue mechanisms, mechanical rather than chemical in nature. Neglecting to account for mechanical fatigue can lead to gross overestimates in predicted survival rates. Clinical significance Strategies for prolonging the clinical lifetimes of ceramic restorations are proposed based on a crack-containment philosophy. PMID:24135295

  12. Central Dental Evacuation Systems.

    Science.gov (United States)

    1982-05-01

    20 High-Vacuum Oral Evacuation System (HIVAC) for Oral Surgery, Periodontics, and Endodontics Treatment Rooms..................... 20...handpiece. Inlets to this system are required throughout the dental facility for all disciplines of patient treatment where coolant and irrigation liquids...System (HIVAC) for Oral Surgery, Periodontics, and Endodontics Treatment Rooms The HIVAC system is designed to build and sustain high vacuum pressures

  13. Dental fluorosis in cattle

    Energy Technology Data Exchange (ETDEWEB)

    Narozny, J.

    1965-01-01

    Dental fluorosis in cattle was used as an indicator of toxic effects produced by fluorine emissions from an aluminium factory. Data are presented on the effects of a ten-year exposure to fluorides on cattle teeth. Emissions from the factory were observed in two directions from the factory, and extended as far as 16 km from the source.

  14. Kondensasi Pada Dental Amalgam

    OpenAIRE

    Batubara, Runi Syahriani

    2011-01-01

    Amalgam merupakan campuran dari dua atau beberapa logam (alloy) yang salah satunya adalah merkuri. Kata amalgam juga didefenisikan untuk menggambarkan kombinasi atau campuran dari beberapa bahan seperti merkuri, perak, timah, tembaga, dan lainnya. Dental amalgam sendiri adalah kombinasi alloy dengan merkuri melalui suatu proses yang disebut amalgamasi. Pemanipulasian amalgam meliputi triturasi, kondensasi, carving, dan polishing. Kondensasi merupakan penekanan amalgam setelah triturasi p...

  15. Dental Hygiene Student Attrition.

    Science.gov (United States)

    Young, Lynda J.; Fellows, Avis L.

    1981-01-01

    A study to determine differences between graduating and withdrawing students in the University of Minnesota Dental Hygiene program is discussed. The identification of differences may prove useful in the selection process for future classes through identification of students likely to complete their education. (MLW)

  16. Fatigue of dental ceramics.

    Science.gov (United States)

    Zhang, Yu; Sailer, Irena; Lawn, Brian R

    2013-12-01

    Clinical data on survival rates reveal that all-ceramic dental prostheses are susceptible to fracture from repetitive occlusal loading. The objective of this review is to examine the underlying mechanisms of fatigue in current and future dental ceramics. The nature of various fatigue modes is elucidated using fracture test data on ceramic layer specimens from the dental and biomechanics literature. Failure modes can change over a lifetime, depending on restoration geometry, loading conditions and material properties. Modes that operate in single-cycle loading may be dominated by alternative modes in multi-cycle loading. While post-mortem examination of failed prostheses can determine the sources of certain fractures, the evolution of these fractures en route to failure remains poorly understood. Whereas it is commonly held that loss of load-bearing capacity of dental ceramics in repetitive loading is attributable to chemically assisted 'slow crack growth' in the presence of water, we demonstrate the existence of more deleterious fatigue mechanisms, mechanical rather than chemical in nature. Neglecting to account for mechanical fatigue can lead to gross overestimates in predicted survival rates. Strategies for prolonging the clinical lifetimes of ceramic restorations are proposed based on a crack-containment philosophy. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. Dental Practice Management

    Directory of Open Access Journals (Sweden)

    Gheorghe Raftu

    2016-01-01

    The realization of the paper followed a review of specialty literature, through which the mainaspects of dental office management have been analyzed, rendering the management solutionsavailable to all of those interested from an economic, deontological point of view, as well asmethods of managing human resources in order to obtain the best feedback possible from patients.

  18. Mouth and dental disorders

    NARCIS (Netherlands)

    de Baat, C.; van der Waal, I.; Jackson, S.H.D.; Jansen, P.A.F.; Mangoni, A.A.

    2009-01-01

    Summary This chapter contains sections titled: • Introduction • Periodontal disease • Dental caries • Odontogenic infections • Alveolar osteitis • Xerostomia and hyposalivation • Candidiasis • Angular cheilitis • Denture stomatitis • Burning mouth syndrome • Recurrent aphthous stomatitis • Recurrent

  19. Dental anxiety and salivary cortisol levels before urgent dental care.

    Science.gov (United States)

    Kanegane, Kazue; Penha, Sibele S; Munhoz, Carolina D; Rocha, Rodney G

    2009-12-01

    Dental anxiety is still prevalent, despite advances in treatment, and affects the utilization of health care services. The purpose of this cross-sectional study was to determine if patients with different degrees of dental anxiety and pain undergoing emergency dental care have different stress reactions as measured by salivary cortisol. Seventy three patients completed the modified dental anxiety scale (MDAS), and described any previous dental traumatic experience. Their socio-demographic characteristics were also recorded. They also rated pain intensity on a 100 mm visual analogue scale (VAS). A saliva sample was collected before the procedure, and analyzed by enzyme immunoassay. Thirty patients were dentally anxious and forty one complained of pain. In this sample, dental anxiety was not related to gender, age, educational level and family income; however, a previous traumatic event was related to dental anxiety. There was no association between salivary cortisol concentrations and gender or dental anxiety. Patients with pain showed higher cortisol levels. When gathering patient information, the dentist should note patients' negative dental experiences in order to provide more effective, less traumatic treatment.

  20. Nutrition for Children with Cancer

    Science.gov (United States)

    ... Children and Cancer When Your Child Has Cancer Nutrition for Children with Cancer Nutrition is an important part of the health of ... help you ensure your child is getting the nutrition he or she needs. Why good nutrition is ...