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Biomedical subjects

S Wotman

Publications and source records attributed to S Wotman.

At least 19 recordsLinked to original sources
PubMed1991

Dental public health: new opportunities--new responsibilities.

Major changes affecting oral health in the United States have provided new leadership challenges for public health dentistry. Two new roles for dental public health are proposed: leadership in the incorporation of expanded public health skills into the education of every clinical dentist; and a broadening of the specialty in a manner similar to that of preventive medicine, involving the creation of subspecialties in public health dentistry, occupational environmental dentistry, and management policy dentistry. The current status of community dentistry departments in dental schools and programs of public health education for dental personnel in schools of public health are reviewed. Content is suggested for the incorporation of expanded public health skills into the education of every clinical dentist.

Community Dentistry↗
PubMed1989

Dentistry and health policy.

Views expressed from several quarters of the health care system suggest that a reexamination of health policy concerning how health care is organized is likely in the next few years. The last time that a reorganization of health care occurred in the United States, dentistry was not included in a major component (Medicare). A review of the profession's stand at that time, and changes in demography of the elderly population since then, suggests that the position of the profession arrived at in the 1960's needs to be reexamined. The time to discuss what the position of dentistry should be in a new policy debate is now. Alternative approaches responding to economic considerations in the oral health care of the elderly are presented to stimulate discussion about the role of dentistry in health advocacy, both for the elderly and the population at large.

Aged↗
PubMed1989

Dental education 1989: how are we adapting to change?

Multiple pressures on the nation's dental schools have come in the form of a declining applicant pool, new university expectations of scholarship, and a changed professional environment for the dentist. The declining applicant pool led to a first-step response: declining enrollments. Schools are now moving to a new phase in which they must cope with severe fiscal pressures simultaneously with developing new programs to equip the dentist for the changed professional environment. Factors in the new environment for dentistry are discussed, including changing demography and distribution of disease, new technology, and the changed marketplace. Fiscal survival options are reviewed, as are emerging differences between public and private schools. The recent experience of five schools seeking to adapt to fiscal and environmental pressures is described, and six criteria are suggested as useful in measuring the success of these (and other) schools. Crucial issues are discussed from the perspective of the dental school and the university. The value of the dental school as a major resource for the university is stressed, as is the important role of university administrators in providing the necessary conditions for schools that must change.

Education, Dental↗
PubMed1982

Pressures on the dental care system in the United States.

A number of significant pressures are creating tensions in the dental profession and the dental care delivery system. These pressures may be categorized in five major areas: 1) regulation and deregulation pressures involve changes in the state dental practice acts, court decisions concerning antitrust and advertising, and the inclusion of consumers on State professional regulatory boards; 2) cost of services includes factors involving the out-of-pocket cost of dental care and the growth of dental insurance; 3) dentist-related factors include the increased number of dentists and the indebtedness of dental graduates; 4) the pressures of changes in the American populations include the decline in population growth and the increase in proportion of elderly people; 5) changes in the distribution of dental care are based on new epidemiologic data concerning dental caries and progress in the prevention of periodontal disease. Many of these pressures are inducing competition in the dental care system. It is clear that the dental care system is in the process of change as it responds to these complex pressures.

Dental Caries↗
PubMed1981

The financial aspects of graduate dental education.

This paper is one of a series of ten discussion papers being developed by the American Association of Dental Schools in an effort to elucidate the major issues in graduate dental education. The purposes of this paper are to discuss financial aspects of graduate education and to present specific recommendations for future action. As far as is possible, this paper will present a detailed picture of the past, present, and future costs of, and funding for, graduate dental education. It will compare the financial aspects of graduate dental education with those of predoctoral dental education. Further, it will attempt to analyze the major environmental factors affecting the fiscal survival of graduate programs in dentistry. The implications of the analysis of these factors for the future of graduate dental education in its various forms will be discussed and strategies will be proposed to maximize opportunity and minimize risk as conditions change.

Costs and Cost Analysis↗
PubMed1976

The salivary secretions in health and disease.

The potential usefulness of analysis of the salivary secretions in diagnosis and prognosis is beginning to be explored in depth. The preliminary work already undertaken indicates that modern methods applied to this secretion may provide information that is different from that obtained in other body fluids. Saliva is collected at the point of its manufacture and, therefore, is unaffected by collection or storage in the body. It is the product both of protein synthesis within the glands and of most of the known water and electrolyte exchange mechanisms. Salivary composition is affected by both autonomic and hormonal stimuli. As the specific influence of each of these factors is better understood, studies of this fluid will provide important clues to the understanding of disease and the evaluation of therapy. There are few places in the body where it is possible directly, utilizing a non-invasive technique, to examine the product of a large number of important biological processes. It is obvious that careful handling of collection and analytic techniques are essential if these secretions are to be utilized. Future investigations in clinical situations should take full advantage of the strong base of knowledge of the physiology of these glands. Development of this field depends on careful clinical investigations designed to make full use of our current knowledge.

Amylases↗