eCommons at Roseman University
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A Systematic Review of Persisting Tissue Health Challenges Amid Insulin Delivery System Advancements: Continuous Subcutaneous Insulin Infusion (CSII) and Lipohypertrophy in Diabetic Patients
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Effect of multiple application of chlorhexidine chips in peri-implantitis treatment: A systematic review
Full text linkThe Impact of Electronic Cigarette Vapor and Cigarette Smoke on Oral Squamous Cell Carcinoma Invasion and Inflammation
Full text linkA Comparative Analysis of Antimicrobial properties of silver nanoparticles and selenium nanoparticles coated orthodontic mini-implants
Full text linkComparing the Efficacy of OMT for Somatic Dysfunction Versus the Spencer Technique Targeting the Glenohumeral Joint in Improving Shoulder ROM
Full text linkDiagnostic accuracy of artificial intelligence models in detecting dental caries in photographs: A systematic review
Full text linkThis systematic review examined the diagnostic accuracy of artificial intelligence models in detecting caries in intraoral photographs
Acute Care for Elders Unit Implementation at Banner Health: A Quality Improvement Analysis
Full text linkThere is an increasing need to optimize hospital care for older adults as Age Friendly Health Systems (AFHS) become increasingly popular. Geriatric patients may often be subject to extended hospital stays, which can result in functional decline, increases in hospital-acquired injury, infections, and neurocognitive deterioration. Early acute inpatient rehabilitation (IRF) is known to improve functional optimization of older adults as compared to therapy in a skilled nursing facility (SNF). In this study we demonstrate the effect of a structured program based on the 4Ms of AFHS in our newly established Acute Care for Elders (ACE) unit, a first in Arizona.
The data has shown that reducing LOS by identifying the right patients for acute rehab early on can improve level of function and lower costs. As the only ACE unit in Arizona, this unit is positioned to be a prime evidence-based model for implementation of ACE units in other hospitals to improve the quality of care statewide and beyond
Extrinsic stains in primary teeth: insights and interdiction
Full text linkBackground: The appearance of stains on primary teeth is a common concern that often leads patients to seek dental care. The increasing emphasis on aesthetics has fueled the proliferation of toothpastes and products with exaggerated claims of achieving bright white teeth. This article examines the causes of extrinsic stains in primary dentition and presents evidence-based strategies to address them effectively.Methods: Extrinsic stains are categorized based on their source, causative factors, and visual characteristics. Factors such as diet, environmental exposure, inadequate oral hygiene, and the use of specific medications or antiseptics contribute to the formation of these stains.Results: Black stains, often persistent and non-removable through brushing, are predominantly linked to bacteria like Prevotella melaninogenica, Actinomyces israelii, and Actinomyces naeslundii. These microbes produce hydrogen sulfide, which reacts with salivary iron to create ferric sulfide, resulting in discoloration. Brown stains arise from tannins found in dietary sources, while green stains are commonly caused by copper-containing mouthwashes. Effective treatment for extrinsic staining includes professional cleaning, polishing, and the use of whitening toothpaste with oxidizing agents like peroxide. Toothpaste formulations containing enzymatic agents, such as fungal proteolytic enzymes, or other compounds like papain, alumina, and sodium citrate, have demonstrated success in reducing external stains.Conclusion: External bleaching is not suitable for primary teeth due to safety concerns. Dental professionals must educate caregivers on the causes of stains and emphasize preventive measures such as dietary adjustments, proper oral hygiene practices, and routine dental visits to minimize recurrence
The Multifaceted Impact of the COVID-19 Pandemic on Perceptions of Overall Health
Full text linkThe World Health Organization (WHO) defines health as a “state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” Previous studies have indicated both mental health and overall physical health can decline due to heightened sedentary behavior. This project investigates these concepts further by analyzing individual’s perceptions of their overall physical and mental health during the pandemic using Qualtrics and R. Participants aged 18 and older (n \u3e 200) provided pre- and post-quarantine data with subgroup comparisons by gender, ethnicity, socioeconomic status, age, residence, and coping mechanisms. Initial results revealed a significant decline in perceived overall health during the COVID-19 pandemic. Physical and mental health declined for 39% of participants. Of the participants who reported a slightly worsened mental health, 83% reported a decrease in social engagement. Of the participants that reported poor mental health at the end of quarantine, 80% reported that they experienced loss and grief as well as loneliness during the quarantine. Among those who reported their physical health worsened over the course of the pandemic, 58% reported a poor diet. In conclusion, this study provides valuable insights into the health impacts of COVID-19, which can guide future patient care and inform policies for potential quarantines. For example, addressing the decline in physical health and poor dietary habits could involve implementing grocery delivery services to ensure access to nutritious foods for all individuals. These measures may help mitigate the adverse effects observed in our study and during public health emergencies