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Ability to estimate oral health status and treatment need in elderly receiving home nursing--a comparison between a dental hygienist and a dentist.

https://arctichealth.org/en/permalink/ahliterature62818
Source
Swed Dent J. 2000;24(3):105-16
Publication Type
Article
Date
2000
Author
T. Nederfors
G. Paulsson
R. Isaksson
B. Fridlund
Author Affiliation
Oral Health Centre, Central Hospital, Halmstad, Sweden.
Source
Swed Dent J. 2000;24(3):105-16
Date
2000
Language
English
Publication Type
Article
Keywords
Aged
Comparative Study
Dental Care for Aged - methods - statistics & numerical data
Dental Hygienists - statistics & numerical data
Dentists - statistics & numerical data
Diagnosis, Oral - methods - statistics & numerical data
Health Services Needs and Demand - statistics & numerical data
Home Care Services - statistics & numerical data
Humans
Observer Variation
Oral Health
Research Support, Non-U.S. Gov't
Statistics, nonparametric
Sweden
Abstract
The aim of this study was to compare the estimation ability of a dental hygienist to that of a dentist when, independently, recording the oral health status and treatment need in a population of elderly, receiving home nursing. Seventy-three persons, enrolled in a home nursing long-time care programme, were recruited. For the oral examination a newly developed protocol with comparatively blunt measurement variables was used. The oral examination protocol was tested for construct validity and for internal consistency reliability. Statistical analyses were performed using Wilcoxon matched pairs signed rank sum test for testing differences, while inter-examiner agreement was estimated by calculating the kappa-values. Comparing the two examiners, good agreement was demonstrated for all mucosal recordings, colour, form, wounds, blisters, mucosal index, and for the palatal but not the lingual mucosa. For the latter, the dental hygienist recorded significantly more changes. The dental hygienist also recorded significantly higher plaque index values. Also regarding treatment intention and treatment need, the dental hygienist's estimation was somewhat higher. In conclusion, when comparing the dental hygienist's and the dentist's ability to estimate oral health status, treatment intention, and treatment need, some differences were observed, the dental hygienist tending to register "on the safe side", calling attention to the importance of inter-examiner calibration. However, for practical purpose the inter-examiner agreement was acceptable, constituting a promising basis for future out-reach activities.
PubMed ID
11061208 View in PubMed
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Correlations between clinical variables and gene-expression profiles in carotid plaque instability.

https://arctichealth.org/en/permalink/ahliterature133101
Source
Eur J Vasc Endovasc Surg. 2011 Dec;42(6):722-30
Publication Type
Article
Date
Dec-2011
Author
A. Razuvaev
J. Ekstrand
L. Folkersen
H. Agardh
D. Markus
J. Swedenborg
G K Hansson
A. Gabrielsen
G. Paulsson-Berne
J. Roy
U. Hedin
Author Affiliation
Center for Molecular Medicine and Division of Vascular Surgery, Department of Molecular Medicine and Surgery, Karolinska University Hospital Solna and Karolinska Institutet, Stockholm, Sweden. Anton.Razuvaev@ki.se
Source
Eur J Vasc Endovasc Surg. 2011 Dec;42(6):722-30
Date
Dec-2011
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Antigens, CD - genetics
Antigens, Differentiation, Myelomonocytic - genetics
Carotid Stenosis - genetics - surgery
Collagen - genetics
Databases, Genetic
Elastin - genetics
Endarterectomy, Carotid
Female
Gene Expression Profiling
Humans
Intracranial Embolism - genetics
Male
Matrix Metalloproteinase 7 - genetics
Matrix Metalloproteinase 9 - genetics
Middle Aged
Oligonucleotide Array Sequence Analysis
Phenotype
RANK Ligand - genetics
Statistics as Topic
Sweden
Up-Regulation - genetics
Wound Healing - genetics
Abstract
Strokes, a major cause of disability, are often caused by embolism from unstable carotid plaques. The aim of this study was to validate a biobank of human carotid endarterectomies as a platform for further exploration of pathways for plaque instability. For this purpose, we investigated the relationship between clinical parameters of plaque instability and expression of genes previously shown to be associated with either plaque instability or healing processes in the vessel wall.
A database of clinical information and gene-expression microarray data from 106 carotid endarterectomies were used.
Expression of matrix metalloproteinase (MMP)-9 and MMP-7 was 100-fold higher in plaques than in normal artery. In general, genes associated with inflammation (such as RANKL and CD68) were overexpressed in symptomatic compared with asymptomatic plaques. Plaques obtained from patients undergoing surgery within 2 weeks after an embolic event showed up-regulation of genes involved in healing reactions in the vessel wall (including elastin and collagen). Statin treatment, as well as echodense lesions, were associated with a more stable phenotype.
Here, we demonstrate that gene-expression profiles reflect clinical parameters. Our results suggest that microarray technology and clinical variables can be used for the future identification of central molecular pathways in plaque instability.
Notes
Comment In: Eur J Vasc Endovasc Surg. 2011 Dec;42(6):73121958654
PubMed ID
21741279 View in PubMed
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Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly. Part II: Clinical aspects.

https://arctichealth.org/en/permalink/ahliterature62814
Source
Spec Care Dentist. 2000 May-Jun;20(3):109-13
Publication Type
Article
Author
R. Isaksson
G. Paulsson
B. Fridlund
T. Nederfors
Author Affiliation
rita.isaksson@lthalland.se
Source
Spec Care Dentist. 2000 May-Jun;20(3):109-13
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Attitude of Health Personnel
Dental Care for Aged
Dental Plaque Index
Education, Nursing
Female
Health Education, Dental
Health services needs and demand
Health status
Homes for the Aged - manpower
Humans
Intervention Studies
Long-Term Care
Male
Mass Screening
Middle Aged
Mouth Mucosa - anatomy & histology
Nursing Staff
Oral Health
Oral Hygiene
Outcome Assessment (Health Care)
Research Support, Non-U.S. Gov't
Statistics, nonparametric
Stomatitis - classification
Sweden
Abstract
In Sweden, efforts are being made to create strategies for evaluating realistic dental treatment needs among the elderly, who are retaining more natural teeth. These strategies focus on the importance of maintaining adequate oral hygiene. Elderly in long-term-care facilities often depend on nursing personnel for carrying out daily oral hygiene procedures. Therefore, the nursing personnel's knowledge about and attitudes toward oral health make oral health education for health care professionals an important concern. The purpose of this study was to evaluate the clinical oral health outcome in residents after their caregivers had undergone a one-session, four-hour oral health education program. The study consisted of an intervention with a pre- and a post-test and was carried out in three municipalities in the southwestern part of Sweden. A newly developed oral health screening protocol was carried out for 170 subjects living in long-term-care facilities both before and 3-4 months after nursing personnel had attended an oral health education program. Following the intervention, a statistically significant improvement was recorded for changes in oral mucosal color, a modified plaque index which measured oral hygiene status, and a mucosal index which recorded mucosal inflammation. This study indicated that a limited, one-session, four-hour oral health education, offered to caregivers within long-term-care facilities, had a positive impact on the oral health status of residents.
PubMed ID
11203883 View in PubMed
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Recall of an oral health education programme by nursing personnel in special housing facilities for the elderly.

https://arctichealth.org/en/permalink/ahliterature62805
Source
Gerodontology. 2001 Jul;18(1):7-14
Publication Type
Article
Date
Jul-2001
Author
G. Paulsson
B. Söderfeldt
B. Fridlund
T. Nederfors
Author Affiliation
Centre for Health Promotion Research, Halmstad University, Halmstad, Sweden. gun.paulsson@halmstad.mail.telia.com
Source
Gerodontology. 2001 Jul;18(1):7-14
Date
Jul-2001
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Attitude to Health
Caregivers - education
Clinical Competence
Comparative Study
Cross-Sectional Studies
Education, Nursing
Follow-Up Studies
Health Education, Dental
Homes for the Aged
Humans
Mental Recall
Nurses
Nurses' Aides - education
Nursing Staff - education
Oral Hygiene
Questionnaires
Self Concept
Statistics, nonparametric
Sweden
Abstract
OBJECTIVES: To investigate the recall of oral health knowledge and confidence by nursing personnel in special housing facilities for the elderly, three years after an education programme. DESIGN: A cross sectional design using a questionnaire. SAMPLE: All nursing personnel, a total of 2,901 subjects, in five municipalities in south-western Sweden; of whom 950 had attended the programme. The response rate was 67% (1930 subjects). INTERVENTION: An oral health education programme consisting of four one-hour lessons. RESULTS: The oral health education programme still had an effect on the participants' attitudes towards oral health three years later. When comparing the trained group (OHEP+) which attended the programme with those who did not have training (OHEP-), the perceived ability, opportunity and the knowledge of oral health were significantly better in the former group, p
PubMed ID
11813391 View in PubMed
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