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Biomedical subjects

A Mersel

Publications and source records attributed to A Mersel.

At least 19 recordsLinked to original sources

A comparative study of the attitude of dental students towards the elderly.

The aim of this study was to assess the attitudes of dental students towards the elderly in the two dental schools in Israel. The study population comprised 180 dental students currently enrolled in the two dental schools in Israel. The response rate was 59% and 92% for the students in Tel Aviv and Hebrew University respectively. The self-administered questionnaire measured attitudes using the Rosencranz and McNevin Aging Semantic Differential Scales. Students' attitudes were observed to be more or less neutral. No differences of significance were observed between the students of the two schools. Social contact with and experience in treating the elderly did not seem to change students' attitudes and their desire to work with elderly patients in the future. Further development of the curriculum should be implemented in order to try to change students' attitudes towards the elderly from neutral to positive for the benefit of the provider and society.

Aged

Dental behavioral aspects of a non-institutionalized elderly population.

Various studies have shown an increase in utilization of dental services among the elderly in the last three decades. This study aimed at evaluating utilization rate of non-institutionalized geriatric population in Jerusalem and determining reasons for non-utilization. To eliminate the factor of accessibility of services, a Jerusalem neighborhood with a dental geriatric clinic was selected and all residents were notified. A second letter requesting cooperation with a dentist who would be visiting their homes was sent, and was followed by a phone call. According to a list provided by the municipality, 175 homes were visited; only 87 were examined, 21.7% refused; 4.6% were disqualified for health problems, 13.7% died and 10.3% moved. Testing included: a clinical dental examination, an interview regarding number of visits at a dental clinic and reasons for non-utilization of services. Results indicated that 42.4% had visited a dentist during the last year and 37.6% had not seen a dentist for more than 5 years. Of those who had not seen a dentist for more than a year, 62.7% indicated having no problems, 9.8% indicated a financial barrier, 7.8% indicated no services available, 5.9% were too busy and only 3.9% indicated fear as the reason for non-utilization. Though the sample was relatively small, accessibility and availability of dental services have proven to be factors which increase utilization.

Aged

[5-year treatment results of urethral stenosis using internal urethrotomy in adults].

The authors reviewed the records of 69 patients with a mean age of 51 years treated for single (81%) or multiple (19%) urethral strictures, in whom the first operation to be performed was endoscopic internal urethrotomy with a follow-up of at least 5 years. The mean follow-up was 71 months. The actuarial rate of good results was 27.2 +/- 11% at 5 years. The success rate of repeated internal urethrotomy was satisfactory, but was not evaluated with the same follow-up (62.5% after the first repeat urethrotomy with a mean follow-up of 13 months).

Adolescent

Oral health status and dental needs in a geriatric institutionalized population in Paris.

One hundred and forty-two residents of a geriatric hospital in France were given an oral exam and interviewed by questionnaire regarding their backgrounds, physical health and oral hygiene habits. The residents suffered from many systemic diseases and drug intake was relatively high. Over fifty percent reported mouth dryness, especially at waking. Twenty-three percent stated that they never brushed their teeth and the demand for dental services was low. Edentulousness was similar to those rates reported in Israel and the U.S. The majority of prostheses were rated by examiners as unacceptable and there were significant amounts of root and cervical caries in spite of the relatively high level of oral health care provided by the staff.

Aged

Oral soft tissue status in an elderly institutionalized population.

A total of 1,037 oral soft tissue lesions (3.98 lesions per patient) was found in 260 elderly people of American/European and of Asian/African extraction residing in a home for senior citizens in Jerusalem. There was a strong association between wearing of dentures or usage of bare mucosa for masticatory purposes and the presence of specific lesions at typical locations. A significant difference was found between the two ethnic groups with respect both to pattern of tooth loss and utilization of rehabilitative means. The distribution of the oral soft tissue lesions among the participants in the study seemed to be linked to their cultural background.

Aged

[Rebasing].

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Denture Rebasing

Dental status and dental needs of an elderly population in Israel.

Dental status and dental needs of a geriatric population were evaluated among 304 elderly people living in old age homes and in their own homes in Jerusalem, Israel. A total of 181 people (59.5%) were edentulous in both jaws and an additional 3% were edentulous in one jaw. Almost all dentures (95%) were considered to be unsatisfactory. In all, 1809 h were found to be necessary for treating cavities and prosthetic needs of this population and an additional 214 h for periodontal treatment which did not include surgery. In conclusion the dental status of this population was poor and dental needs were high. Since dental treatment is so expensive it is believed that this population would receive almost no treatment but for the future emphasis should be put into primary and secondary prevention from very young ages so that needs of this population as they get older would dramatically decrease as compared to the need of this study population.

Aged