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Biomedical subjects

M Glick

Publications and source records attributed to M Glick.

At least 37 records · Page 2Linked to original sources

Medical considerations for dental care of patients with alcohol-related liver disease.

More than 7 percent of all adults in the United States have met diagnostic criteria for alcohol abuse and alcohol dependence. Many of these people and even occasional users of alcohol may exhibit medical complexities, particularly liver disease, that can adversely affect provision of routine dental care. This article highlights some of the important clinical topics associated with alcoholic liver disease as it relates to dental care and provides guidelines on treatment of affected people.

Adult↗

The hypertensive dental patient.

The dental team plays an integral role in safeguarding the general health of patients. Dental health care workers should be able to recognize risk factors associated with hypertension and counsel patients in an effort to reduce those that are present. In addition, dental professionals should recognize how these risk factors and associated hypertension affect the provision of dental care. This article reviews recent findings and therapies for hypertension, evaluates historically accepted but unsupported anecdotal information on the dental management of hypertensive patients and proposes guidelines for the dental management of these patients.

Adult↗

Dentistry in the operating room.

Some special patients are unable to tolerate dental care in outpatient dental offices. Providing dental care under general anesthesia in an operating room setting involves various medical, dental, and hospital issues and procedures that differ from outpatient care. This article reviews pertinent information for the dental management of patients who require general anesthesia.

Anesthesia, Dental↗

Dental considerations for the patient with renal disease receiving hemodialysis.

An increasing number of Americans are living with end-stage renal disease. This disease has many implications for dentistry, in terms of oral manifestations and management of afflicted patients. The authors present pertinent information to help dentists treat patients who exhibit the oral and systemic manifestations of renal disease, from the onset of renal impairment through hemodialysis.

Antibiotic Prophylaxis↗

Dental considerations in asplenic patients.

The spleen plays an important role in the body's defense mechanism against microbial infections. However, trauma or diseases sometimes make removal of this important organ necessary, which predisposes patients to certain infections. This increased risk of infection and the underlying reason for the organ's removal both may affect the provision of dental care. This article reviews the structure and function of the spleen, conditions that may require its removal or cause its dysfunction, and provides considerations for dentists who care for asplenic patients.

Bacteremia↗

Dental management of patients with diabetes mellitus.

It is estimated that a total of 16 million Americans are suffering fro m diabetes mellitus (DM). Dental health-care providers are involved in screening for this disease, as well as treating numerous patients with DM. As do all medically complex patients, individuals with DM pose a challenge for dental providers. This article describes the pathogenesis and physiology of DM and recommends guidelines for dental care.

Dental Care for Chronically Ill↗

The role of the dentist in the era of AIDS.

Dental care providers are constantly redefining their role in response to new medical challenges. The AIDS era has invoked stimulating discussions on several issues providers need to address as participants in the healthcare dilemmas surrounding this disease. This article considers six major issues on which dental workers can have a major impact regarding the future of this epidemic.

Acquired Immunodeficiency Syndrome↗

A review of oral fungal infections and appropriate therapy.

Dental health care providers must recognize oral fungal pathogens that often are markers for early signs of immune deterioration. After accurate identification, appropriate therapy can be initiated. Predisposing factors for development of oral fungal infections, identification of oral fungal infections, treatment options and their relative costs are reviewed.

Antifungal Agents↗

Developmental differences in the symptomatology of psychiatric inpatients with and without mild mental retardation.

The symptomatology of psychiatric inpatients with mild mental retardation was compared with that of a matched sample of inpatients without mental retardation. An integration of the developmental position on mental retardation with the developmental approach to adult psychopathology generated the hypotheses that, compared to patients without mental retardation, patients with mild mental retardation would display (a) more symptoms indicative of turning against others and fewer symptoms indicative of turning against the self, (b) more symptoms involving expression in action rather than thought, and (c) psychotic symptom pictures that more frequently involve hallucinations without delusions and infrequently involve delusions alone. All hypotheses were confirmed.

Adult↗

An outcome evaluation of a food bank program.

Nonprofit organizations such as the Food Bank of Delaware rely heavily on contributions as they strive to create a hunger-free society. To demonstrate to donors and the public at large the positive difference made by the Food Bank of Delaware, we developed an outcome evaluation method that would measure success in terms other than the amount of food distributed. A detailed list of foods available for 1 month was evaluated item by item in terms of the US Department of Agriculture's Food Guide Pyramid. From this list, we calculated the number of people who could potentially be provided with the minimum recommended number of servings per day for each food group. The highest amount of food distributed was from the Bread, Cereal, Rice, and Pasta Group; food items from this group could potentially meet recommended servings for more than 6,000 persons a day. The food bank distributed the least amount of food from the Milk, Yogurt, and Cheese Group. Food bank programs can use outcome evaluations to demonstrate to contributors and product providers the potential impact of the program and the qualitative and quantitative use of their donations. Results also identify areas for nutrition education and improved menu planning for the provider organizations who distribute these foods.

Delaware↗

Oral manifestations associated with HIV-related disease as markers for immune suppression and AIDS.

BACKGROUND: Oral lesions are common findings in HIV-related disease, but little is known about their significance in predicting immune suppression among a representative group of HIV-infected persons. METHODS: Oral examinations were performed on 454 patients who came to an outpatient dental clinic for dental care. CD4+ cell counts were obtained within 2 months of the examination. RESULTS: In persons with a specific lesion and a CD4+ cell count below 200 cells/mm3 the corresponding mean CD4+ cell counts and predictive values were 149.5 cells/mm3 and 69.9% for candidiasis, 143.3 cells/mm3 and 70.1% for oral hairy leukoplakia, 126.0 cells/mm3 and 69.4% for xerostomia, 51.8 cells/mm3 and 95.1% for necrotizing ulcerative periodontitis, 98.7 cells/mm3 and 87.0% for long-standing herpes simplex virus infections, 66.6 cells/mm3 and 93.6% for Kaposi's sarcoma, and 33.7 cells/mm3 and 100% for major aphthous ulcers. The mean CD4+ cell count declined with increased numbers of different concurrent lesions. CONCLUSION: The presence of specific oral manifestations and the number of different concurrent intraoral lesions among HIV-infected persons are associated with severe immune suppression and AIDS. Oral examinations are an essential component for early recognition of disease progression and comprehensive evaluation of HIV-infected patients.

Acquired Immunodeficiency Syndrome↗

Major aphthous ulcers in patients with HIV disease.

Major aphthous ulcers are associated with a high degree of morbidity in patients infected with human immunodeficiency virus. A large representative cohort infected with human immunodeficiency virus was examined to evaluate the prevalence of major aphthous ulcers, demographic data of patients with major aphthous ulcers, and the usage of major aphthous ulcers as a marker for immune deterioration. The effects of tobacco smoking and the use of specific antibiotics, trimethoprim/sulfamethoxazole or dapsone, on the development of major aphthous ulcers was also investigated. In a population of 767 persons infected with human immunodeficiency virus, major aphthous ulcers were found at a prevalence rate of 3.1% (24 patients). This type of lesion did not show any predilection for human immunodeficiency virus transmission category, ethnic group, or gender. Persons who received trimethoprim/sulfamethoxazole or dapsone or had a history of tobacco smoking showed a decreased prevalence of major aphthous ulcers. All patients (100%) with major aphthous ulcers had CD4+ cell counts below 100 cells/mm3, but only 50% had a previous acquired immunodeficiency syndrome defining illness. Major aphthous ulcers in persons infected with human immunodeficiency virus are suggestive of severe immune suppression and may serve as a marker for human immunodeficiency virus disease progression.

Adult↗

Dental complications after treating patients with AIDS.

Post-procedural complications were assessed for 331 patients with AIDS after a wide range of outpatient dental procedures. Only patients with a CD4+ cell count < or = 200 cells/mm3 were included. Patients' charts were reviewed retrospectively by the treating dentist. The overall complication rate was 0.9 percent.

Acquired Immunodeficiency Syndrome↗