EMS provides life-saving healthcare to patients outside of hospitals. It is delivered by EMRs, EMTs, and paramedics responding to 911 calls. The goals are to provide on-scene intervention quickly and transport patients rapidly to emergency departments. Door County EMS was established in 1970 and was the first rural paramedic program in Wisconsin. It operates ambulances staffed by EMTs, AEMTs, and paramedics out of stations in Sister Bay, Sturgeon Bay, Brussels, and Washington Island.
This document provides a summary of changes made to the Massachusetts Statewide EMS Protocols. Key changes include:
1. Allowing paramedics to access PICC lines for medication administration in critical patients with no other vascular access.
2. Requiring infusion pumps to meet minimum standards and capabilities when being used to administer medications like norepinephrine.
3. Expanding the scope of practice for some providers to administer epinephrine intramuscularly for conditions like anaphylaxis and bronchospasm.
4. Adding ketamine to the options for treating severely agitated patients for paramedics.
5. Updating glucose and vasopressor dosing amounts in some protocols
ONLINE FUZZY-LOGIC KNOWLEDGE WAREHOUSING AND MINING MODEL FOR THE DIAGNOSIS A...ijcsity
This document presents a model for an online fuzzy-logic knowledge warehousing and mining system for diagnosing and treating HIV/AIDS. The system would store patient data and medical knowledge about HIV/AIDS. It uses fuzzy logic and data mining to predict HIV/AIDS status, monitor patient health over time, and determine recommended treatment plans. The system was tested on real patient data from a hospital in Nigeria. It aims to provide an efficient way to diagnose, treat, and monitor people living with HIV/AIDS.
EMS provides life-saving healthcare to patients outside of hospitals. It is delivered by EMRs, EMTs, and paramedics responding to 911 calls. The goals are to provide on-scene intervention quickly and transport patients rapidly to emergency departments. Door County EMS was established in 1970 and was the first rural paramedic program in Wisconsin. It operates ambulances staffed by EMTs, AEMTs, and paramedics out of stations in Sister Bay, Sturgeon Bay, Brussels, and Washington Island.
This document provides a summary of changes made to the Massachusetts Statewide EMS Protocols. Key changes include:
1. Allowing paramedics to access PICC lines for medication administration in critical patients with no other vascular access.
2. Requiring infusion pumps to meet minimum standards and capabilities when being used to administer medications like norepinephrine.
3. Expanding the scope of practice for some providers to administer epinephrine intramuscularly for conditions like anaphylaxis and bronchospasm.
4. Adding ketamine to the options for treating severely agitated patients for paramedics.
5. Updating glucose and vasopressor dosing amounts in some protocols
ONLINE FUZZY-LOGIC KNOWLEDGE WAREHOUSING AND MINING MODEL FOR THE DIAGNOSIS A...ijcsity
This document presents a model for an online fuzzy-logic knowledge warehousing and mining system for diagnosing and treating HIV/AIDS. The system would store patient data and medical knowledge about HIV/AIDS. It uses fuzzy logic and data mining to predict HIV/AIDS status, monitor patient health over time, and determine recommended treatment plans. The system was tested on real patient data from a hospital in Nigeria. It aims to provide an efficient way to diagnose, treat, and monitor people living with HIV/AIDS.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against developing mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
More than a Bridge: Measuring the Impact of transitional programming at CSU christinevodicka
This document summarizes the Viking Academic Boot Camp (VABC) program at Cleveland State University. It provides an overview of the program, including details about the population it serves, funding sources, outcomes data, and lessons learned. Key points include:
- VABC is a 7-week summer transitional program for 169 students to prepare them for college-level coursework in math and English.
- Participants have on average a 2.13 high school GPA and 22 ACT math score. The program aims to help non-traditional students succeed.
- Outcomes data shows VABC students pass their first college math course at a higher rate (34%) compared to non-VABC students (12%).
-
Education from a (relatively) mature perspectivekathyscott25
This document discusses education from the perspective of an older student. It is written by Kathy Scott, who provides her email and Twitter handle for contact. In a few short sentences, the document establishes the viewpoint and credentials of the author on the topic of education from relative maturity.
Unidad 2 Introducción al diseño de los lenguajes de programacionLilia Velasco
El documento discute los principios de diseño de lenguajes de programación. Menciona que un lenguaje de modelado es necesario para capturar la semántica del modelo al que se ajusta el lenguaje de programación. También discute factores como la portabilidad, verificabilidad, integridad y facilidad de uso que deben considerarse al diseñar un lenguaje.
Stephanie Degiorgio has a design portfolio that showcases her work. Her website stephanie-degiorgio.com contains more information and examples from her portfolio. The document provides a brief introduction to Stephanie's design work and directs the reader to her website for further details and a full portfolio.
The document discusses the results of a study on the effects of a new drug on memory and cognitive function in older adults. The double-blind study involved 100 participants aged 65-80 who were given either the drug or a placebo daily for 6 months. Researchers found that those who received the drug performed significantly better on memory and problem-solving tests at the end of the study compared to those who received the placebo.
This document reviews the clinical application and performance of pit and fissure sealants. It finds that placement of resin-based sealants on children's and adolescents' permanent molars is effective for caries reduction, with reductions ranging from 58.6% to 86% over 1 to 4 years. Sealants are also effective in reducing caries when reapplied and remain retained on primary molars at rates of 70.6% to 96.3% over 1 to 2.8 years. The use of sealants is associated with reductions in subsequent restorative dental services.
La Unión Europea ha acordado un embargo petrolero contra Rusia en respuesta a la invasión de Ucrania. El embargo prohibirá las importaciones marítimas de petróleo ruso a la UE y pondrá fin a las entregas a través de oleoductos dentro de seis meses. Esta medida forma parte de un sexto paquete de sanciones de la UE destinadas a aumentar la presión económica sobre el gobierno de Putin.
This document discusses how LGBT youth narratives are portrayed on the TV show Glee. It examines how the show engages with queer temporality through its time slot and use of mobile music. Specifically, it looks at the character development of Kurt and how his storyline does not follow typical coming out narratives. It also analyzes the songs "Prom Queen" and "Teenage Dream" and how their lyrics relate to queer experiences. The document argues television is well-suited to exploring queer temporality through its inherent focus on unfolding stories and scheduling.
This document discusses how to use social media in a business's marketing mix. It covers why social media should be part of the marketing mix due to its large user bases. It also discusses the pros and cons of using social media, including building relationships but also requiring dedicated time. The document outlines developing goals for different social networks like Facebook, Twitter, and LinkedIn. It also discusses integrating social media marketing across different channels and measuring performance through various metrics. The overall document provides guidance on developing an effective social media strategy and action plan to meet business objectives.
Design and development of asterisk based computer services accessing framewor...ijcsity
This document presents a framework designed using Asterisk to provide computer access to visually impaired users via telephone. The framework takes DTMF input from the user's phone as commands and provides output via text-to-speech. It allows customization by being built on the open-source Asterisk platform. The system maintains a client-server model where a computer with Asterisk acts as the server and a Bluetooth-connected phone is the client. When a call is received, an interactive voice response menu is provided using text-to-speech to allow the user to select and execute programs on the server computer remotely via phone commands.
This study investigated the relationships between dental caries, dental fluorosis, and varying fluoride concentrations in drinking water using data from the 1986-87 National Survey of US School children ages 4-22. The results showed that as water fluoride levels increased, dental caries decreased but dental fluorosis increased, and as water fluoride levels decreased, dental caries increased but dental fluorosis decreased. Based on these relationships, the study suggests that a water fluoride level of 0.7 ppm F is most appropriate for public policy on water fluoridation.
This study examined the effects of applying a 40% chlorhexidine varnish on dental plaque. 40 volunteers participated in a clinical trial where their plaque levels, gingival bleeding, and bacterial colony counts were measured after applying the varnish or not applying anything. The results showed that applying the chlorhexidine varnish significantly decreased plaque levels and gingival bleeding in volunteers with poor oral hygiene. It also reduced the frequency of high bacterial colony counts. The varnish was most effective at reducing plaque for patients with high baseline plaque levels. Regular application of chlorhexidine varnish can be an effective way to reduce caries risk for patients with poor oral hygiene.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against developing mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
More than a Bridge: Measuring the Impact of transitional programming at CSU christinevodicka
This document summarizes the Viking Academic Boot Camp (VABC) program at Cleveland State University. It provides an overview of the program, including details about the population it serves, funding sources, outcomes data, and lessons learned. Key points include:
- VABC is a 7-week summer transitional program for 169 students to prepare them for college-level coursework in math and English.
- Participants have on average a 2.13 high school GPA and 22 ACT math score. The program aims to help non-traditional students succeed.
- Outcomes data shows VABC students pass their first college math course at a higher rate (34%) compared to non-VABC students (12%).
-
Education from a (relatively) mature perspectivekathyscott25
This document discusses education from the perspective of an older student. It is written by Kathy Scott, who provides her email and Twitter handle for contact. In a few short sentences, the document establishes the viewpoint and credentials of the author on the topic of education from relative maturity.
Unidad 2 Introducción al diseño de los lenguajes de programacionLilia Velasco
El documento discute los principios de diseño de lenguajes de programación. Menciona que un lenguaje de modelado es necesario para capturar la semántica del modelo al que se ajusta el lenguaje de programación. También discute factores como la portabilidad, verificabilidad, integridad y facilidad de uso que deben considerarse al diseñar un lenguaje.
Stephanie Degiorgio has a design portfolio that showcases her work. Her website stephanie-degiorgio.com contains more information and examples from her portfolio. The document provides a brief introduction to Stephanie's design work and directs the reader to her website for further details and a full portfolio.
The document discusses the results of a study on the effects of a new drug on memory and cognitive function in older adults. The double-blind study involved 100 participants aged 65-80 who were given either the drug or a placebo daily for 6 months. Researchers found that those who received the drug performed significantly better on memory and problem-solving tests at the end of the study compared to those who received the placebo.
This document reviews the clinical application and performance of pit and fissure sealants. It finds that placement of resin-based sealants on children's and adolescents' permanent molars is effective for caries reduction, with reductions ranging from 58.6% to 86% over 1 to 4 years. Sealants are also effective in reducing caries when reapplied and remain retained on primary molars at rates of 70.6% to 96.3% over 1 to 2.8 years. The use of sealants is associated with reductions in subsequent restorative dental services.
La Unión Europea ha acordado un embargo petrolero contra Rusia en respuesta a la invasión de Ucrania. El embargo prohibirá las importaciones marítimas de petróleo ruso a la UE y pondrá fin a las entregas a través de oleoductos dentro de seis meses. Esta medida forma parte de un sexto paquete de sanciones de la UE destinadas a aumentar la presión económica sobre el gobierno de Putin.
This document discusses how LGBT youth narratives are portrayed on the TV show Glee. It examines how the show engages with queer temporality through its time slot and use of mobile music. Specifically, it looks at the character development of Kurt and how his storyline does not follow typical coming out narratives. It also analyzes the songs "Prom Queen" and "Teenage Dream" and how their lyrics relate to queer experiences. The document argues television is well-suited to exploring queer temporality through its inherent focus on unfolding stories and scheduling.
This document discusses how to use social media in a business's marketing mix. It covers why social media should be part of the marketing mix due to its large user bases. It also discusses the pros and cons of using social media, including building relationships but also requiring dedicated time. The document outlines developing goals for different social networks like Facebook, Twitter, and LinkedIn. It also discusses integrating social media marketing across different channels and measuring performance through various metrics. The overall document provides guidance on developing an effective social media strategy and action plan to meet business objectives.
Design and development of asterisk based computer services accessing framewor...ijcsity
This document presents a framework designed using Asterisk to provide computer access to visually impaired users via telephone. The framework takes DTMF input from the user's phone as commands and provides output via text-to-speech. It allows customization by being built on the open-source Asterisk platform. The system maintains a client-server model where a computer with Asterisk acts as the server and a Bluetooth-connected phone is the client. When a call is received, an interactive voice response menu is provided using text-to-speech to allow the user to select and execute programs on the server computer remotely via phone commands.
This study investigated the relationships between dental caries, dental fluorosis, and varying fluoride concentrations in drinking water using data from the 1986-87 National Survey of US School children ages 4-22. The results showed that as water fluoride levels increased, dental caries decreased but dental fluorosis increased, and as water fluoride levels decreased, dental caries increased but dental fluorosis decreased. Based on these relationships, the study suggests that a water fluoride level of 0.7 ppm F is most appropriate for public policy on water fluoridation.
This study examined the effects of applying a 40% chlorhexidine varnish on dental plaque. 40 volunteers participated in a clinical trial where their plaque levels, gingival bleeding, and bacterial colony counts were measured after applying the varnish or not applying anything. The results showed that applying the chlorhexidine varnish significantly decreased plaque levels and gingival bleeding in volunteers with poor oral hygiene. It also reduced the frequency of high bacterial colony counts. The varnish was most effective at reducing plaque for patients with high baseline plaque levels. Regular application of chlorhexidine varnish can be an effective way to reduce caries risk for patients with poor oral hygiene.
This study evaluated the effect of a mouthrinse containing 0.05% chlorhexidine and 0.05% fluoride on plaque regrowth over 4 days. 30 subjects were randomly assigned to either the test product or placebo group. Both groups showed no significant difference in plaque or bleeding scores after the treatment period. While higher chlorhexidine concentrations have demonstrated plaque inhibition, this low-concentration formula was not more effective than the placebo at reducing early plaque. Further medium-to-long term studies are needed to fully evaluate the potential benefits of this mouthwash formulation.
This document discusses the oral health of psychiatric patients. It notes that psychiatric patients are likely to report dental problems and lack preventive dental care due to the unavailability of dental personnel and lack of full-time dental facilities in hospitals. The document presents results from a study using a 18 question instrument to assess nurses' knowledge of patients' oral health, which had an 89.5% response rate. It concludes that training nurses on oral care delivery and attaching dentists to hospitals is important for comprehensively caring for the oral health of psychiatric patients.
Autistic children have a wide range of medical and behavioral symptoms that make dental care difficult. Many studies have found little difference in caries rates between autistic and normal children, necessitating an assessment of saliva's protective role. The study evaluated the oral health, salivary pH, and total antioxidant levels of autistic children compared to their siblings. It found that dental caries rates were similar, but autistic children had significantly lower salivary antioxidant levels than their siblings, likely due to increased stress and oxidative stress associated with autism. Oral hygiene was also poorer in autistic children.
Multi-function toothpastes provide several benefits for oral health beyond just cleaning teeth. They can [1] interact with tooth structure chemically, reduce demineralization, interfere with bacterial adhesion, and provide antibacterial action. Toothpastes also [2] prevent supragingival calculus formation, promote remineralization, and reduce dentinal hypersensitivity. Fluoridated toothpastes are effective at preventing caries when used daily and are now included in over 90% of toothpastes worldwide. Toothpastes also help chemotherapeutically prevent bacterial biofilms and gingivitis, control calculus formation, whiten teeth, and reduce breath malodour. For maximum effectiveness,
This document discusses the use of dental sealants in adults as an underutilized preventive measure. It notes that while fluoride has been effective on smooth surfaces, sealants provide additional protection for pits and fissures which are more vulnerable to caries. Studies show sealants reduce caries by 52-82% over time. The document advocates expanding sealant use to adults, especially those at high risk, both to protect erupting teeth and improve longevity of restorations by sealing margins. Regular evaluation and repair of sealants is recommended to maintain their protective benefits over many years.
The document introduces the International Caries Detection and Assessment System (ICDAS), which aims to standardize caries detection and assessment. ICDAS integrates multiple criteria systems into a single standard. It measures caries at the detection stage based on location, anatomy, and restoration status. At the assessment stage, it evaluates caries stage, activity, and severity. Studies show ICDAS has high validity in correlating visual caries codes to histological findings and good-to-excellent reliability even when used by inexperienced examiners. However, validated definitions of caries activity are still lacking within ICDAS.
This article discusses caries risk assessment and management for prosthodontic patients. It outlines factors that increase or decrease caries risk and recommends a preventive treatment plan involving patient education, fluoride therapy, chlorhexidine, xylitol, and amorphous calcium phosphate to reduce caries risk. The goal is to involve patients in disease control and favor remineralization over demineralization for more successful long-term prosthodontic outcomes.
This document discusses a study comparing the effectiveness of ultrasonic scaling with mini-inserts versus manual curettes for nonsurgical periodontal treatment. In the study, 10 teeth were treated using ultrasonic supragingival scaling followed by subgingival surface planing with either manual curettes or ultrasonic inserts. Scanning electron microscope observations found that moderate lateral pressure produced smoother surfaces with less smear layer and damage compared to high lateral pressure, regardless of the instrumentation used. The study concludes that ultrasonic scaling with mini-inserts can be as effective as manual curettes when used with moderate lateral pressure.
This document discusses a study that assessed how socioeconomic position, dental behaviors, and social determinants relate to oral health-related quality of life (OHRQoL). The study found that as income, dental visits, self-care, personal control, and social support increased, negative impacts on OHRQoL decreased. Specifically, higher stress levels were associated with worse dental self-care and greater negative impacts on quality of life. The conclusions indicate that social inequalities mirror differences in oral health outcomes, and a broader understanding of social determinants can help inform oral health promotion strategies.
This document discusses the relationship between oral health and quality of life. It presents a literature review on articles published between 1990 and 2004 analyzing this relationship. The review found that temporomandibular disorders and tooth loss in diabetes patients were highly associated with reduced health-related quality of life, while dissatisfaction with teeth and dry mouth also contributed to lower quality of life. However, edentulism, periodontal disease, and dental caries were not correlated with health-related quality of life. The discussion notes a lack of suitable instruments for measuring oral health has made research on this relationship difficult.
Clinical parameters such as plaque, gingival redness, bleeding on probing, and suppuration improved after nonsurgical periodontal therapy involving scaling and root planing under local anesthesia. Microbiological testing found that the most common periodontal pathogens, including P. gingivalis, T. denticola, and B. forsythus, decreased significantly 3 months after treatment and were maintained at lower levels through the 12-month assessment. Attachment level gains were achieved 3 months post-treatment and remained stable over the year-long study.
1. 5조 서누리
The anti-caries efficacy of calcium
carbonate-based fluoride toothpastes
R J M Lynch Bebington, UK J M ten Cate Amsterdam, The Netherlands
2. Aim
To summarise clinical support for the anti-caries
efficacy of fluoride toothpastes containing
Na2FPO3(SMFP)
to discuss the possible means by which the abrasive
particles in calcium carbonate-based SMFP
toothpastes might complement and/or enhance
fluoride efficacy.
3. calcium carbonate
In 1850s, calcium carbonate가 치약의 마모제로써 처
음 널리 사용됨
이후, 치아우식예방물질로 치약에 불소가 사용됨
처음에 불소는 sodium fluoride의 형태로 치약에 첨가
되었고, 이러한 시도는 성공하지 못함
-> 후에 sodium fluoride와 calcium carbonat 마모제가
compatible하지 않았기 때문이라는 것이 밝혀짐
5. Plaque-acid neutralisation and buffering
calcium carbonate는 치약의 마모제로 존재하여 치태
에 저류되었을 때, 치태의 산을 중화시키는 능력을 가
짐
중성 pH에서 비교적 불용성이지만, pH가 낮아짐에
따라 용해성이 증가
-> 가장 필요할 때 효과가 증가
calcium carbonate-based toothpastes의 장기사용은
치태의 pH를 증가시키는 효과가 있음
6. Plaque calcium
치태 내에 축적된 calcium carbonate는 Calcium의 저장소
로 기능하여 산에 의한 작용이 있을 때 calcium을 방출
-> 치태 내 calcium 농도 증가
치태 내 calcium 농도와 caries 는 반비례 관계)
치태 내 calcium과 fluoride 농도는 비례
=> 치태 내 calcium은 그 자체로 뿐만 아니라 fluoride 농
도를 증가시킴으로써 caries를 감소
7. Conclusions
Fluoride delivered from calcium carbonate-based
SMFP toothpastes 는 caries를 감소시키는 효과적인
수단이다.
calcium carbonate 는 구강 내의 calcium 농도를 증가
시키고, 치태 내 산을 중화시키는 부가적인 기능을 가
지고 있다.