The effect of 6 months or longer duration of chronic obstructive respiratory disease medication on the oral health parameters of adults

The objectives of this study were to study the effect of COPD medication of 6 months or more duration on oral health parameters of adult patients. A cross‐sectional study was conducted to assess and compare the decayed, missing, and filled teeth (DMFT), oral hygiene index‐simplified (OHI‐S), periodontal disease index (PDI) scores, and presence of candida (colony‐forming units [CFU]) among adult patients aged 20–45 years who had a history of 6 months or longer duration usage of chronic respiratory disease medications, with controls. A total of 170 participants each were taken in both the groups. Oral health parameters like DMFT scores (p ≤ 0.002), OHI‐S (p ≤ 0.001), calculus scores (p ≤ 0.001), plaque scores (p ≤ 0.001), and CFU/ml of candida species (p ≤ 0.001) were higher among cases than controls. DMFT scores and candida presence were significantly higher among those whose treatment duration was greater than 5 years as compared to those with lesser duration. Gingival‐periodontal component scores of PDI were lower among cases than controls (p ≤ 0.001). Our findings suggest the need for regular oral health maintenance for those under COPD treatment and for greater research into the possible protective role of inhaled corticosteroids in limiting periodontal disease among patients.     

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??Dentin hypersensitivity is a kind of common symptom??and it is also a hard nut to crack in clinics because of the complexity of its pathogenesis and the diversity of its clinical manifestation. Besides??the effect of treatment??especially the long-term curative effect??is not ideal??so this article intended to make a summary about its pathogenesis??principle of treatment and therapeutic methods used in recent years.     

乳房肿块的鉴别诊断４０３０例分析

乳房肿块是外科常见病征,很多疾病可出现乳房肿块,我们自１９９３－０１／２０００－０６共诊治乳房肿块４０３０例,现将鉴别诊断体会报告如下。     

肾性高血压误诊５７例分析

我们对１９９９－０１／１９９９－１２我科所收治的５７例在院内或院外均误诊为原性高血压的肾性高血压患得进行了分析,现将结果报告如下。     

感染性心内膜炎误诊研究

目的 :总结感染性心内膜炎 (IE)的临床资料 ,分析误诊情况。方法 :回顾性分析北京协和医院近 10 a收治的 IE6 9例。结果 :误诊 6 3例 ,误诊率为 91.3%。常见误诊病种为上感。先天性主动脉瓣二叶瓣畸形、二尖瓣脱垂及瓣膜退行性变的漏诊为导致 IE误诊的常见原因。UCG在诊断的确立中有举足轻重的地位。导致误诊的最重要原因是对 IE的认识不足。常见误诊治疗为不正规应用抗生素和糖皮质激素。治愈 38例 (5 5 .1% ) ,需手术 2 1例 (30 .4% ) ,死亡 10例(14.5 % )。结论 :IE为误诊率很高的疾病 ,误诊原因有多方面。需提高认识 ,早发现、早治疗 ,最终提高 IE的诊治水平。     

Nurse Practitioner Communication and Treatment Adherence in Hypertensive Patients

In hypertensive patients, treatment adherence is improved with patient-centered communication (PTC), leading to better outcomes. Many barriers to PTC should be overcome, including patient background characteristics, provider time constraints, and provider discomfort. Using patient-centered education increases patient awareness of choices and builds a partnership between the provider and patient. Nurse practitioners should adhere to PTC by discussing the disease of hypertension, treatment, and self-monitoring. Overcoming communication barriers will lead to better patient understanding, trust, satisfaction, improved treatment plans, greater adherence, and improved blood pressure.