18 research outputs found

    How I Treat Chronic Inflammatory Demyelinating Polyneuropathy Podcast

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     The above podcast represents the opinions of the author. For a full list of declarations, including funding and author disclosure statements, and copyright information, please see the full text online. </p

    WITHDRAWN: Scrupulous recongnisation of biologically important acids by Fluorescent “turn off-on” mechanism of thaicalix reduced silver nanoparticles

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    This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy

    Mandibular Nerve and Lingual Nerve Injuries and Their Management Based on Aetiology, Time of Repair and Method of Intervention: A Systematic Review

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    Introduction: The purpose of this study was to scientifically review to determine the incidence, prevention protocols and recovery rate and reach a desirable protocol for the management of inferior alveolar nerve (IAN) injury and lingual nerve (LN) injury using the comprehensive overview of literature during various maxillofacial surgical procedures. Materials and Methods: Literature was selected through a search of PubMed, Cochrane Library and Google Scholar electronic databases. Articles from January 2010 to March 2023 were searched. All language articles with a minimum of 6-month patient follow-up and injury analysis by a patient’s reporting, radiographic and neurosensory testing were selected. Results: In total, 52 literature sources were reviewed, and 21 of the most relevant articles that are suitable to the criteria were selected. The impact of lower third molar removal (especially impacted) on the LN injury and IAN injury was clearly seen. Conclusions: Based on the study, it was clear that most injuries were occurring during removal of mandibular third molar. Thus, cone-beam computed tomography-based pre-operative analysis is a must in such cases. The results were significantly better in the early treatment group compared to the late group. Direct nerve repair without tension gives the best surgical outcome than other methods. Autogenous nerve graft was superior amongst other grafts which were used. Further studies were required to open a new paradigm for nerve repairs

    Patient and dentist perspectives on collecting patient reported outcomes after painful dental procedures in the National Dental PBRN

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    SUPPLEMENTARY MATERIAL 1: Provider and patient semi-structured interview questionsDATA AVAILABILITY : The datasets generated and/or analyzed during the current study are not publicly available as they consist of transcripts that convey the thoughts and opinions of the providers and patients that were interviewed. Informed consent was obtained for using these data as part of the specific study only and not for wider sharing or distribution. Fully deidentified data are however available from the corresponding author upon reasonable request.BACKGROUND : Dental Patient Reported Outcomes (PROs) relate to a dental patient’s subjective experience of their oral health. How practitioners and patients value PROs influences their successful use in practice. METHODS : Semi-structured interviews were conducted with 22 practitioners and 32 patients who provided feedback on using a mobile health (mHealth) platform to collect the pain experience after dental procedures. A themes analysis was conducted to identify implementation barriers and facilitators. RESULTS : Five themes were uncovered: (1) Sense of Better Care. (2) Tailored Follow-up based on the dental procedure and patient’s pain experience. (3) Effective Messaging and Alerts. (4) Usable Digital Platform. (5) Routine mHealth Integration. CONCLUSION : Frequent automated and preferably tailored follow-up messages using an mHealth platform provided a positive care experience for patients, while providers felt it saved them time and effort. Patients thought that the mHealth questionnaires were well-developed and of appropriate length. The mHealth platform itself was perceived as user-friendly by users, and most would like to continue using it. PRACTICAL IMPLICATIONS : Patients are prepared to use mobile phones to report their pain experience after dental procedures. Practitioners will be able to close the post-operative communication gap with their patients, with little interruption of their workflow.The National Institutes of Health through a grant from the National Institute of Dental and Craniofacial Research with additional infrastructure and study-specific funding from NIDCR.https://bmcoralhealth.biomedcentral.comhj2024Dental Management SciencesSDG-03:Good heatlh and well-bein

    Evaluating The Impact of An Mhealth Platform For Managing Acute Postoperative Dental Pain: Randomized Controlled Trial

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    BACKGROUND: Postoperative dental pain is pervasive and can affect a patient\u27s quality of life. Adopting a patient-centric approach to pain management involves having contemporaneous information about the patient\u27s experience of pain and using it to personalize care. OBJECTIVE: In this study, we evaluated the use of a mobile health (mHealth) platform to collect pain-related patient-reported outcomes over 7 days after the patients underwent pain-inducing dental procedures; we then relayed the information to the dentist and determined its impact on the patient\u27s pain experience. METHODS: The study used a cluster-randomized experimental study design with an intervention arm where patients were prompted to complete a series of questions relating to their pain experience after receiving automated text notifications on their smartphone on days 1, 3, 5, and 7, with the resulting information fed back to dentists, and a control arm where patients received usual care. Providers were randomized, and patients subsequently assumed the enrollment status of their providers. Providers or their staff identified eligible patients and invited them to participate in the study. Provider interviews and surveys were conducted to evaluate acceptance of the mHealth platform. RESULTS: A total of 42 providers and 1525 patients participated. For the primary outcome (pain intensity on a 1 to 10 scale, with 10 being the most painful), intervention group patients reported an average pain intensity of 4.8 (SD 2.6), while those in the control group reported an average pain intensity of 4.7 (SD 2.8). These differences were not significant. There were also no significant differences in secondary outcomes, including pain interference with activity or sleep, patient satisfaction with pain management, or opioid prescribing. Patient surveys revealed reluctance to use the app was mostly due to technological challenges, data privacy concerns, and a preference for phone calls over texting. Providers had high satisfaction with the app and suggested integrating additional features, such as an in-system camera for patients to upload pictures and videos of the procedural site, and integration with the electronic health record system. CONCLUSIONS: While the mHealth platform did not have a significant impact on acute postoperative pain experience, patients and providers indicated improvement in patient-provider communication, patient-provider relationship, postoperative complication management, and ability to manage pain medication prescribing. Expanded collaboration between mHealth developers and frontline health care providers can facilitate the applicability of these platforms, further help improve its integration with the normal clinic workflow, and assist in moving toward a more patient-centric approach to pain management
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