The main role of this article is to describe dental assistants and the dental department’s role in the dental delivery system for Special health care needs (SCHN) by creating a structure to educate the dental assisti...The main role of this article is to describe dental assistants and the dental department’s role in the dental delivery system for Special health care needs (SCHN) by creating a structure to educate the dental assisting profession and project factors that have a significant impact on the dental assistant. The dental assisting management of SCHN patient’s profession including dental Assistance general responsibilities, regulation credentialing, and education. The SCHN patient’s management creates a challenge in all area of the dental department. Handling patient with a SCHN is underexplored throughout the dental staff especially when there is not enough theoretical foundation, education and training to deal with this category of patients. SCHN patients are defined as individuals who have abnormal behavioral impairments, mental conditions or/and chronic disease or abnormal laboratory results. Thus, the aim of this article is to guide all dental assistance staff in the best dental management choice for SCHN patients. All health care teams are part of patient care in most medical settings. A work environment supportive ensures positive outcomes for patient care. This article was considered as those categories of patients required more care and special way to deal with, moreover language, age, gender and education level of the patient are also considered significant parries. Not Many studies were found to support the care of SCHN patients in dentistry department. Taking experience from other area help to design a system to handle the SCHN even if it requires hiring a Dentist who is specialized in that filed.展开更多
In western Henan Province, there is a prison which incarcerates some 100 people, convicted of one crime or another. They belong to different minority ethnic groups, such as Hui （Muslim）, Uygur and Zhuang. As such th...In western Henan Province, there is a prison which incarcerates some 100 people, convicted of one crime or another. They belong to different minority ethnic groups, such as Hui （Muslim）, Uygur and Zhuang. As such they enjoy special care from the prison administration. The following are some stories about how they are treated in the prison：展开更多
Background:Prematurity is the biggest contributor to admissions in the neonatal intensive care unit(NICU).The period following hospital discharge is a vital continuum for the very low birth weight(VLBW)infant The obje...Background:Prematurity is the biggest contributor to admissions in the neonatal intensive care unit(NICU).The period following hospital discharge is a vital continuum for the very low birth weight(VLBW)infant The objective of this study was to assess the impact of a unique discharge and follow-up process on the outcomes of VLBW infants leaving the NICU.Methods:All outpatient health care usage by VLBW infants born in the study year(cases)was retrospectively tracked through 12 months of age.A cohort of healthy newborn infants were matched by birthdate to each VLBW infant(controls)and similarly tracked.Results:In this study,there were 85 cases and 85 controls.The mean gestational age at birth for the cases was 29.1±2.7 weeks with a mean birth weight of 1079±263 g.That of the controls was 38.9±13 weeks and 3202±447 g.Over 90%of both populations had Medicaid coverage.All VLBW infants received care at the Special Care Developmental Follow-Up Clinic.When compared with the controls,VLBW infants discharged from the NICU made fewer acute,unscheduled visits to the Emergency Department or Urgent Care Clinic(2.3±2.5 vs.3.7±3.5;P=0.007)despite their high-risk medical and social status.Their growth pattern showed significant"catch-up"and was similar to the matched controls at the last scheduled visit for each group.Conclusions:Outcomes including health care utilization in high-risk infants can be improved through meticulous discharge planning and follow-up measures that utilize existing hospital infrastructure to provide affordable comprehensive care.展开更多
"Millions of men and women in the world are living in a miserable abyss. They can hear sounds that others don’t, see images that others cannot, and their minds are filled with eccentric ideas. Even as they smile..."Millions of men and women in the world are living in a miserable abyss. They can hear sounds that others don’t, see images that others cannot, and their minds are filled with eccentric ideas. Even as they smile, misery is gnawing at the heart; they may sit quietly, but it feels like hundreds of horses are stampeding inside their brains. They are overwhelmed by worry and fear. In this way, the serious person becomes silly, the energetic goes dull, the cheerful turns gloomy and the honest may cheat you.In other words, they have been plunged into uncontrollable fantasies that take them far away from reality. They are the mentally ill, and they are deeply unfortunate." Professor Xia Zhenyi, a well-known Chinese psychiatrist, offered this sympathetic view of his patients. He reminds us: "Mental patients are human beings too."展开更多
文摘The main role of this article is to describe dental assistants and the dental department’s role in the dental delivery system for Special health care needs (SCHN) by creating a structure to educate the dental assisting profession and project factors that have a significant impact on the dental assistant. The dental assisting management of SCHN patient’s profession including dental Assistance general responsibilities, regulation credentialing, and education. The SCHN patient’s management creates a challenge in all area of the dental department. Handling patient with a SCHN is underexplored throughout the dental staff especially when there is not enough theoretical foundation, education and training to deal with this category of patients. SCHN patients are defined as individuals who have abnormal behavioral impairments, mental conditions or/and chronic disease or abnormal laboratory results. Thus, the aim of this article is to guide all dental assistance staff in the best dental management choice for SCHN patients. All health care teams are part of patient care in most medical settings. A work environment supportive ensures positive outcomes for patient care. This article was considered as those categories of patients required more care and special way to deal with, moreover language, age, gender and education level of the patient are also considered significant parries. Not Many studies were found to support the care of SCHN patients in dentistry department. Taking experience from other area help to design a system to handle the SCHN even if it requires hiring a Dentist who is specialized in that filed.
文摘In western Henan Province, there is a prison which incarcerates some 100 people, convicted of one crime or another. They belong to different minority ethnic groups, such as Hui （Muslim）, Uygur and Zhuang. As such they enjoy special care from the prison administration. The following are some stories about how they are treated in the prison：
文摘Background:Prematurity is the biggest contributor to admissions in the neonatal intensive care unit(NICU).The period following hospital discharge is a vital continuum for the very low birth weight(VLBW)infant The objective of this study was to assess the impact of a unique discharge and follow-up process on the outcomes of VLBW infants leaving the NICU.Methods:All outpatient health care usage by VLBW infants born in the study year(cases)was retrospectively tracked through 12 months of age.A cohort of healthy newborn infants were matched by birthdate to each VLBW infant(controls)and similarly tracked.Results:In this study,there were 85 cases and 85 controls.The mean gestational age at birth for the cases was 29.1±2.7 weeks with a mean birth weight of 1079±263 g.That of the controls was 38.9±13 weeks and 3202±447 g.Over 90%of both populations had Medicaid coverage.All VLBW infants received care at the Special Care Developmental Follow-Up Clinic.When compared with the controls,VLBW infants discharged from the NICU made fewer acute,unscheduled visits to the Emergency Department or Urgent Care Clinic(2.3±2.5 vs.3.7±3.5;P=0.007)despite their high-risk medical and social status.Their growth pattern showed significant"catch-up"and was similar to the matched controls at the last scheduled visit for each group.Conclusions:Outcomes including health care utilization in high-risk infants can be improved through meticulous discharge planning and follow-up measures that utilize existing hospital infrastructure to provide affordable comprehensive care.
文摘"Millions of men and women in the world are living in a miserable abyss. They can hear sounds that others don’t, see images that others cannot, and their minds are filled with eccentric ideas. Even as they smile, misery is gnawing at the heart; they may sit quietly, but it feels like hundreds of horses are stampeding inside their brains. They are overwhelmed by worry and fear. In this way, the serious person becomes silly, the energetic goes dull, the cheerful turns gloomy and the honest may cheat you.In other words, they have been plunged into uncontrollable fantasies that take them far away from reality. They are the mentally ill, and they are deeply unfortunate." Professor Xia Zhenyi, a well-known Chinese psychiatrist, offered this sympathetic view of his patients. He reminds us: "Mental patients are human beings too."
