CDEWorld - Continuing Dental Education

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Le fluconazole, commercialisé sous le nom de Diflucan, est un antifongique appartenant à la classe des triazolés. Son action repose sur l’inhibition de la 14α-déméthylase dépendante du cytochrome P450, empêchant la conversion du lanostérol en ergostérol, composant essentiel de la membrane fongique. Cette inhibition fragilise la membrane et conduit à la mort cellulaire. La biodisponibilité du fluconazole est élevée (90 %), avec une pénétration efficace dans le liquide céphalorachidien, ce qui justifie son utilisation dans les méningites cryptococciques. Sa demi-vie longue permet des administrations espacées. Les données cliniques soulignent son rôle dans la prise en charge des candidoses systémiques, des candidémies et des infections opportunistes chez les sujets immunodéprimés. Les références thérapeutiques indiquent que diflucan prix est intégré dans de nombreux protocoles, tout en rappelant la surveillance nécessaire des enzymes hépatiques et les interactions avec les substrats du CYP3A4 et du CYP2C9.

CDEWorld - Continuing Dental Education - Continuing Dental Education for dental professionals. Choose from over 1,000 quizzes and courses for continuing education credits.

https://adha.cdeworld.com/go/e1080 Oral Health and Hospital-Acquired Pneumonia in Elderly Patients: A Review of the Literature | CDEWorld - Continuing Dental Education - Purpose: The United States spends an average of $6.5 billion each year to treat patients who suffer from pneumonia. Pneumonia currently has the highest morbidity and mortality rates of all nosocomial infections, is hypothesized to account for 15% of all hospital-acquired illnesses, and is responsible for 13% to 48% of all nursing home-associated illnesses. For years, researchers have tried to develop methods to prevent pneumonia because of its detrimental effects on the body, but only in the last decade have they been able to uncover possible methods to do so. Inadequate oral hygiene care is one of the ways that elderly patients contract hospital-acquired pneumonia (HAP). Proper oral disease prevention could possibly be considered the standard of care in long-term stay facilities to reduce and prevent elderly patients from contracting HAP. The purpose of this literature review is to explore the relationship between oral healthcare practices and HAP. Keywords: periodontal disease, pneumonia, elderly patients, dental hygiene educators This study supports the NDHRA priority area, Health Services Research: Determine the extent to which dental hygienists’ working in collaborative practice settings with other health professionals or organizations improves the cost-effectiveness and quality of healthcare outcomes.

https://adha.cdeworld.com/go/e1081 Cultural Competency in Dental Hygiene Curricula | CDEWorld - Continuing Dental Education - Purpose: The purpose of this study was to determine the degree to which US dental hygiene programs are incorporating cultural competency education (CCE) into the dental hygiene curriculum and to identify associated program characteristics. Methods: A 19-item survey was electronically administered to all 334 US dental hygiene program directors. The questionnaire solicited information on teaching and evaluation methodologies relative to CCE, as well as directors’ perceptions and program demographic information. Results: An overall response rate of 27% was obtained. The majority of participating programs (92%) reported incorporating CCE into the curriculum in some form. Most responding directors indicated that CCE has been effectively integrated into the curriculum. A variety of curricular methods are being employed to teach CCE with lectures being the most common method utilized. Results of this study suggest that an overwhelming number of responding programs (98%) participate in community outreach/service learning projects. However, nearly half (42%) indicated that their students are not evaluated for culture competency knowledge, skills, and attitudes. Conclusion: These findings imply that responding programs are incorporating CCE into the curriculum using a variety of teaching methodologies with an emphasis on community outreach/service learning projects. It is important to consider whether or not community outreach/service learning projects improve dental hygiene students’ cultural competency skills, attitudes, and knowledge. Future research efforts should aim to describe the value and effectiveness of such programs at achieving cultural competence. Keywords: cultural competence, diversity, dental hygiene, curriculum This study supports the NDHRA priority area, Professional Education and Development: Evaluate the extent to which current dental hygiene curricula prepare dental hygienists to meet the increasingly complex oral health needs of the public.

https://adha.cdeworld.com/go/e1015 Assessing Dental Hygienists’ Communication Techniques for Use with Low Oral Health Literacy Patients | CDEWorld - Continuing Dental Education - ABSTRACT Purpose: The primary aim of this study was to assess communication techniques used with low oral health literacy patients by dental hygienists in rural Wisconsin dental clinics. A secondary aim was to determine the utility of the survey instrument used in this study. Methods: A mixed methods study consisting of a cross-sectional survey, immediately followed by focus groups, was conducted among dental hygienists in the Marshfield Clinic (Wisconsin) service area. The survey quantified the routine use of 18 communication techniques previously shown to be effective with low oral health literacy patients. Linear regression was used to analyze the association between routine use of each communication technique and several indicator variables, including geographic practice region, oral health literacy familiarity, communication skills training, and demographic indicators. Qualitative analyses included code mapping to the 18 communication techniques identified in the survey, and generating new codes based on discussion content. Results: On average, the 38 study participants routinely used 6.3 communication techniques. Dental hygienists who used an oral health literacy assessment tool reported using significantly more communication techniques compared to those who did not use an oral health literacy assessment tool. Focus group results differed from survey responses as few dental hygienists stated familiarity with the term “oral health literacy.” Motivational interviewing techniques and using an integrated electronic medical-dental record were additional communication techniques identified as useful with low oral health literacy patients. Conclusion: Dental hygienists in this study routinely used approximately one third of the communication techniques recommended for low oral health literacy patients supporting the need for training on this topic. Based on focus group results, the survey used in this study warrants modification and psychometric testing prior to further use. Keywords: oral health literacy, communication techniques, dental hygienists This study supports the NDHRA priority area, Health Promotion/Disease Prevention: Assess strategies for effective communication between the dental hygienist and client.

https://adha.cdeworld.com/courses/20574-Oral_Health_on_Wheels:A_Service-Learning_Project_for_Dental_Hygiene_Students Oral Health on Wheels: A Service-Learning Project for Dental Hygiene Students | CDEWorld - Continuing Dental Education - Purpose: To provide dental hygiene students with a service-learning opportunity to work with special needs and culturally diverse underserved populations through the Oral Health on Wheels (OHOW) community-based mobile dental hygiene clinic. Methods: A student feedback survey was administered between the years of 2009 and 2013 to 90 students in order to gather and identify significant satisfaction, skills acquisition, and personal growth information after the student’s clinical experience on the OHOW. ANOVA and Pearson correlation coefficient statistical analysis were utilized to investigate relationships between student responses to key questions in the survey. Results: An analysis of 85 student responses (94.44%) demonstrated statistically significant correlations between student learning and their understanding of underserved populations, building confidence in skills, participation as a dental team member, and understanding their role in total patient care. The strong correlations between these key questions related to the clinical experience and students’ confidence, skills integration into the dental team, and understanding of both total patient care and the increased understanding of the oral healthcare needs of special populations. All questions directly link to the core mission of the OHOW program. Conclusion: The OHOW clinical experience allows dental hygiene students a unique opportunity to engage in their community while acquiring necessary clinical competencies required by national accreditation and providing access to oral healthcare services to underserved patients who would otherwise go without treatment. Keywords: access to care, alternative practice, cultural competency, clinical education, dental hygiene, dental hygiene workforce models This study supports the NDHRA priority area, Health Services Research: Investigate how alternative models of dental hygiene care delivery can reduce healthcare inequities.

https://adha.cdeworld.com/courses/20555-Attitudes_of_Dental_Hygienists_Towards_Independent_Practice_and_Professional_Autonomy Attitudes of Dental Hygienists Towards Independent Practice and Professional Autonomy | CDEWorld - Continuing Dental Education - Purpose: The purpose of this cross-sectional, quantitative research was to examine if registered dental hygienists feel competent to work independently based on regulations of dental supervision. Methods: A stratified sample of 360 dental hygienists from eight states completed the Dempster Practice Behaviors Scale survey. ANOVA and MANOVA analyses revealed how state dentist supervision level, age, degree of education, employment status, gender, and years of clinical experience affect the perceived autonomy of professional dental hygienists. Results: The response rate included 360 dental hygienists from eight states. According to the findings, age, education level, and gender affected the hygienist’s level of autonomy. In all eight states, the registered dental hygienists have a high level of autonomy and feel competent to work independently. Conclusion: The DPBS scores of the sample registered dental hygienists suggest that they feel prepared and competent to perform preventive dental hygiene services without dentist supervision. The attitudes of the dental hygienist sample from each of the four state dentist supervision levels support a move toward achieving professional jurisdiction of preventive dental care within the United States. Keywords: dental hygiene, supervision level, access to dental care, autonomy, independent practice This study supports the NDHRA priority area, Health Services Research: Evaluate strategies that position and gain recognition of dental hygienists as a primary care provider in the healthcare delivery system.

https://adha.cdeworld.com/courses/20493-The_Impact_of_Oral_Health_on_Systemic_Conditions The Impact of Oral Health on Systemic Conditions | CDEWorld - Continuing Dental Education - The oral-systemic link has been well established through evidence-based research. The oral environment is both a likely source of pathogens responsible for some diseases, as well as acting as an early indicator for others as manifestations of other conditions first show up in the oral cavity. As first-line oral healthcare providers, dental hygienists should be versed in the common systemic diseases, such as cardiovascular disease and diabetes, in order to help identify their patients who may be at risk for these conditions, but they should also be aware of some less common diseases that patients may present with that hygienists may need to take specific diagnostic steps and precautions when treating.

https://adha.cdeworld.com/go/e312 CDEWorld - Continuing Dental Education - This course gives insights into different paths to career advancement in the ever-changing landscape of dental hygiene.

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Danielle - Awesome

I think this book was a good influence for the pat at the end when they all were friends again that shows that whenever you are in a fight with a friend or multiple friends at the end t always forgive and you may not forget but the saying is forgive and forget which I think is what they were doing!!!

Elisheva Swartz - the means are incredibly monatanous and boring. I had to use it for a class

While you do learn some PowerPoint skills, the means are incredibly monatanous and boring. I had to use it for a class, otherwise, I would not have purchased this book.

Kona Mike - Great Reference for Excel Users

I work with Excel on a daily basis developing custom templates for clients. This reference is within arm's reach and referred to on regularly. I'm getting a little long in the tooth and don't remember as much as I used to. Plus there have been so many changes to navigating the program. Thumbing the book is about as fast as Googling it and I don't have to leave the program.

kellina - didnt work

it worked for 2 weeks and the little suckers came back with a vengance i resprayed and nothing they are worat than before. I dont know what to do. The bug man even sprayed when we first got them twice and they came back. The powder i tried too and nothing. I dont know where else to turn.