OBJECTIVEThe purpose of this investigation is to find out a method to evaluate dental manpower resources.

METHODSWe selected population, GDP, number of dentist and number of different oral health professionals from certain internet stations, published books and journals from 1996 to 2000 as our investigating data.

RESULTSData was collected from 100 countries. Our investigation found that the design of dental manpower index to evaluate dental manpower resources was effective and convenient.

CONCLUSIONDental manpower index is a good method to evaluate dental manpower resources.

OBJECTIVES: This cross-sectional study was performed in the Dental School of Prince of Songkla University to ascertain noise exposure of dentists, dental assistants, and laboratory technicians. A noise spectral analysis was taken to illustrate the spectra of dental devices. METHODS: A noise evaluation was performed to measure the noise level at dental clinics and one dental laboratory from May to December 2010. Noise spectral data of dental devices were taken during dental practices at the dental services clinic and at the dental laboratory. A noise dosimeter was set following the Occupational Safety and Health Administration criteria and then attached to the subjects' collar to record personal noise dose exposure during working periods. RESULTS: The peaks of the noise spectrum of dental instruments were at 1,000, 4,000, and 8,000 Hz which depended on the type of instrument. The differences in working areas and job positions had an influence on the level of noise exposure (p < 0.01). Noise measurement in the personal hearing zone found that the laboratory technicians were exposed to the highest impulsive noise levels (137.1 dBC). The dentists and dental assistants who worked at a pedodontic clinic had the highest percent noise dose (4.60 +/- 3.59%). In the working areas, the 8-hour time-weighted average of noise levels ranged between 49.7-58.1 dBA while the noisiest working area was the dental laboratory. CONCLUSION: Dental personnel are exposed to noise intensities lower than occupational exposure limits. Therefore, these dental personnel may not experience a noise-induced hearing loss.
Cross-Sectional Studies ; Dental Assistants ; Dental Clinics ; Dental Instruments ; Dentists ; Hearing ; Hearing Loss, Noise-Induced ; Humans ; Laboratories, Dental ; Laboratory Personnel ; Noise ; Occupational Exposure ; Schools, Dental ; United States Occupational Safety and Health Administration

PURPOSE: The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients. MATERIALS AND METHODS: Twenty-three patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS). RESULTS: The mean total PES/WES was 12.26 ± 4.76. The mean PES was 6.45 ± 2.78 and mean WES was 5.80 ± 2.82. There was a statistically significant difference among the different specialties for WES (P<.01) and Total PES/WES (P<.01). Prosthodontists were found to have assigned poorer ratings among the other specialties, while oral surgeons gave the higher ratings than periodontists, orthodontists, and prosthodontists. CONCLUSION: Prosthodontists seemed to be stricter when assessing aesthetic outcome among other specialties. Moreover, a clear correlation existed between dentists' and patients' esthetic perception, thereby providing rationales for involving patients in the treatment plan to achieve higher levels of patient satisfaction.
Dental Implants, Single-Tooth ; Dentists ; Humans ; Oral and Maxillofacial Surgeons ; Orthodontists ; Patient Satisfaction ; Specialization* ; Specialties, Dental ; Visual Analog Scale

Osteonecrosis of the jaw (ONJ) is a well-known pathological condition in oncology derived from the use of bisphosphonates (BPs) and denosumab. Many molecular and immunological targets have been introduced for daily use in cancer treatment in recent years; consequently, new cases of ONJ have been reported in association with these drugs, especially if administered with BPs and denosumab. When the drugs are administered alone, ONJ is rarely seen. The objective of our study was to analyze the recent literature relative to the association of ONJ with these new drugs highlighting the pathogenic, clinical and therapeutic aspects. The close collaboration between maxillofacial surgeon, oncologist, dentist, and dental hygienist remains the most important aspect for the prevention, prompt recognition, and treatment of this pathology.
Angiogenesis Modulating Agents ; Cooperative Behavior ; Denosumab ; Dental Hygienists ; Dentists ; Diphosphonates ; Humans ; Immunomodulation ; Immunotherapy ; Jaw ; Oral and Maxillofacial Surgeons ; Oral Manifestations ; Osteonecrosis ; Pathology

PURPOSE: Health care delivery systems in rural areas face numerous challenges in meeting the community's needs. There is a lack of adequate attention for this problem. This study aims to explore the challenges of the health care process in rural Iran according to health care providers' experiences. METHODS: This was a qualitative study that used the content analysis method. We selected a total of 21 health care providers based on purposive sampling. Data collection consisted of semi-structured individual interviews that were analyzed by qualitative content analysis. RESULTS: Data analysis led to the formation of one main category, the challenges of process of health care in rural society. Within this main category, we created the following subcategories: change in characteristics of the rural society, increase in complexity of the health care process, decrease in workforce efficiency, and decrease in propensity of people's care. CONCLUSION: The findings of this study indicate that the process of health care in Iranian rural society is changing rapidly with community health workers encountering new challenges. There is diminished efficiency in responding to the changing care process in Iran's rural society. Considering this change in process of care, therefore, the health care system should respond to these new challenges by establishing new health care models.
Community Health Workers ; Data Collection ; Delivery of Health Care ; Health Personnel ; Humans ; Iran ; Nursing Care ; Rural Health ; Rural Population ; Statistics as Topic

No abstract available.
Neurosurgeons

Aircraft accidents are not new occurrences. Most people considered flying to be particularly dangerous in the early days of flight, and fatal aircraft crashes were not surprising Although investigation into the mechanical causes of crashes progressed, it was not until the 1950s that value of medical investigation of aircraft crashes became apparent. The identification process is an essential elements of an adequate investigation. Accurate identification of all fatalities incurred in an aircraft accident is often the first step in determining where each person was located at the time of the disaster and what role they may have played in its cause, Separated into basic elements, the identification process involves (1) the collection of identification information about missing persons, (2) the observation of identifying features of the victims, and (3) the comparison of the two groups of information. Many investigators know about identification techniques, but they have considered them as an isolated process anti have not integrated them into the overall investigation. Typically, physicians, dentists, and other medical personnel are assigned tasks based on a preconceived disaster plan that they had no role in developing to identify the victims of aircraft crash occurred in Guam at 6 August 1997, we performed analysis the data filed from the National Transportation Safety Board (NTSB), Office of Chief Medical Examiner, Territory of Guam, U.S.A. and National Institute of Scientific Investigation, Korea (NISI). The total of passengers on boards were 254 including 23 all-crews, Among them, only 25 (22 passengers and 3 air crews) were survived. We obtained that the first identified bodies were 100 remains including hospital dead 7 cases using by conventional methods such as finger prints, medical & dental records, and so on. We also analyzed he victims' seating configuration based on boarding pass and surveyed the process from the identification & notification to releasing the body, funeral services and transportation.
Aircraft ; Coroners and Medical Examiners ; Dental Records ; Dentists ; Diptera ; Disasters ; Fingers ; Guam ; Hepatitis A Antibodies ; Humans ; Korea ; Research Personnel ; Transportation

OBJECTIVES: This study investigated the busyness of dentists and analyzed factors related to busyness in these professionals. METHODS: The subjects were 243 practicing dentists. Surveys were carried out via mail. Busyness was measured by using the Mumma scale. The data were analyzed using the Kruskal-Wallis test. RESULTS: The dentists' busyness index was 1.91. Of the participants, 40% of practicing dentists wanted more patients, 30.8% did not overwork but did not want more patients, and 27.1% overworked and did not want more patients. The busyness index was significantly related to the number of dental hygienists and dentists. However, it did not differ with respect to the number of assistant nurses. CONCLUSIONS: The busyness index should be considered when developing relevant human resource plans.
Dental Hygienists ; Dentists* ; Humans ; Postal Service

OBJECTIVES: This study was conducted to investigate the awareness of the students currently attending dental colleges/schools in Seoul regarding the scope of work done by a dental hygienist (DH) and a chair-side dental assistant (DA).METHODS: A direct questionnaire survey was conducted among 950 students who currently attend dental colleges/schools in Seoul. We were able to use a total of 458 samples for final analysis after excluding inappropriate ones. The contents of this structuralized survey included the obligation of proper name badge use for dental health care personnel, the legal work scopes of a DH and a DA in accordance with the revised execution of the ‘Legal Acts on Medical Technicians’, and the inclusion/exclusion of such contents from dental colleges/schools curricula. The results were statistically analyzed via the IBM SPSS Statistics 25.0 software.RESULTS: Many subjects were aware of the difference in scope of work performed by a DH and a DA (P < 0.001), but not their legal obligation to wear appropriate name badges in accordance with the ‘Proposal for the Establishment of the Name Badge Standards for Healthcare Practitioners'. The subjects generally showed higher comprehension of the scope of work performed by a DH (74.3%) than that performed by a DA (57.7%). Without the presence of any corresponding curriculum, accurate responses tended to increase with the students' seniority. Most students (94.4%) agreed with the need to include a class that teaches the scope of work performed by a DH and a DA in their school curricula.CONCLUSIONS: We have found that education regarding ‘Name Badge Standards for Healthcare Practitioners’ and classification of a dental assistant's scope of work is lacking in the existing curriculum. Therefore, it is necessary to establish additional curriculum.
Classification ; Comprehension ; Curriculum ; Delivery of Health Care ; Dental Assistants ; Dental Hygienists ; Education ; Humans ; Jurisprudence ; Seoul ; Students, Dental

PURPOSE: The purpose of this study was to describe the essential structure of the postmortem- examination experiences of nurse career coroners (forensic investigators), to have a profound understanding of their experiences, and ultimately to lay the foundation for nurses' entry into the field of forensic nursing. METHODS: The subjects in this study were six coroners. After an in-depth interview from January to June 2007, the collected data were analyzed by Colaizzi as qualitative research. RESULTS: Four categories emerged from seven theme clusters. The four categories were: attracted by being dubbed a stabilized public official, a sense of achievement due to having clarified false death, self-confidence after distinguishing the victim and the wrongdoer, eternal developmental potential is seen. CONCLUSION: It is expected that this study will provide useful information for nurses who are interested in becoming coroners. It will be helpful for career nurses to extend their nursing science into emerging fields like coroners and select a follow-up career.
Adult ; Attitude of Health Personnel ; Coroners and Medical Examiners/*psychology ; Family Relations ; Humans ; Interviews as Topic ; Job Satisfaction ; Nurses/*psychology ; Qualitative Research ; Social Perception