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Reimbursement for dental implants: dispelling some popular myths.

BACKGROUND AND OVERVIEW: Dental implants are being placed with increasing regularity. Many dentists do not take advantage of insurance coverages for this treatment because they are under the impression that no aspect of implant therapy is covered. This article discusses a number of insurance benefits that may be available to dental patients but not readily apparent to treating dentists and their staff members. CONCLUSIONS AND PRACTICE IMPLICATIONS: Some dentists and patients may assume incorrectly that a dental insurance plan does not reimburse for any implant therapy when, in fact, there may be some benefit available for at least a portion of the treatment. In addition, some dentists and patients may not consider implant therapy even when it is the preferred treatment option because of the assumed lack of reimbursement. Knowing that some reimbursement is available may make the difference in the patient's accepting the best treatment for his or her condition. Furthermore, since an increasing number of patients now make some contribution toward their dental insurance plan premiums, they deserve to know their options and to receive appropriate benefits.

Current Procedural Terminology↗

Woman to Woman: Coming Together for Positive Change--using empowerment and popular education to prevent HIV in women.

HIV risk is the product of social, cultural, economic, and interpersonal forces that create sex-role definitions and expectations that can lead to gender inequalities in health. Woman to Woman: Coming Together for Positive Change is an HIV/AIDS prevention intervention that takes into account that choices and actions may be constrained by poverty, gender roles, and cultural norms. This project educates and empowers, promotes women's perspectives, reaches women "where they are," and encourages women to speak of their experience. The following study presents the evaluation of the effectiveness of an empowerment based participatory HIV prevention program over a 3-year period, implemented in both rural and urban settings in New Mexico, targeting over 300 women at-risk of HIV/AIDS. In addition, the practicalities of conducting participatory process and outcome evaluation with a small nonprofit with minimal budget will be discussed.

Adolescent↗

A case of pseudoaldosteronism due to addiction of Jintan, a mouth refresher popular among Japanese.

A 50-year-old man with hypertension showed hypokalemia, hyporesponsive low reninemia, and low levels of aldosterone in the plasma and urine. Plasma DOC and corticosterone level, adrenal scintigram, and phlebogram were within normal limits. Hypertension and hypokalemia were correctable by spironolactone. It was revealed that he had been ingesting Jintan granules in large doses, corresponding to 150-220 mg of glycyrrhizic acid per day for 10 years. Upon cessation of Jintan ingestion, blood pressure and serum potassium level were normalized after 40 days. Metabolic alkalosis, hypervolemia, hyporesponsive low reninemia, and the low levels of plasma and urine aldosterone were also improved. Thus, the present case of pseudoaldosteronism was attributed to Jintan, and raises a caution to excessive Jintan ingestion.

Captopril↗

Popular ergogenic drugs and supplements in young athletes.

Ergogenic drugs are substances that are used to enhance athletic performance. These drugs include illicit substances as well as compounds that are marketed as nutritional supplements. Many such drugs have been used widely by professional and elite athletes for several decades. However, in recent years, research indicates that younger athletes are increasingly experimenting with these drugs to improve both appearance and athletic abilities. Ergogenic drugs that are commonly used by youths today include anabolic-androgenic steroids, steroid precursors (androstenedione and dehydroepiandrosterone), growth hormone, creatine, and ephedra alkaloids. Reviewing the literature to date, it is clear that children are exposed to these substances at younger ages than in years past, with use starting as early as middle school. Anabolic steroids and creatine do offer potential gains in body mass and strength but risk adverse effects to multiple organ systems. Steroid precursors, growth hormone, and ephedra alkaloids have not been proven to enhance any athletic measures, whereas they do impart many risks to their users. To combat this drug abuse, there have been recent changes in the legal status of several substances, changes in the rules of youth athletics including drug testing of high school students, and educational initiatives designed for the young athlete. This article summarizes the current literature regarding these ergogenic substances and details their use, effects, risks, and legal standing.

Adolescent↗

[Popular knowledge and health education in nursing training].

From the point of view of including the health reform in the pedagogical projects of nursing courses, in accordance with curriculum guidelines, it contextualises the formation of a nurse for health education and the importance of bringing practice and care together, as well as includes the results of research with nurses in seven towns in rural communities in the state of Rio Grande do Sul. It is a qualitative survey with data collection by means of participatory observation, interviews, and document-based content analysis. These data were obtained in activities observed in the work of nurses in health education. It concludes that the work of nurses was full of educational actions, both collective and individual ones. On the other hand, undergraduate courses do not sufficiently prepare students to perform this role.

Brazil↗

Analysis of antidiarrhoeic effect of plants used in popular medicine.

People customarily use the extracts of plants known to have antidiarrhoeal effects without any scientific base to explain the action of the extract. For this reason, an investigation was undertaken with a view to determining the efficacy of the effects of the brute aqueous extract (BAE) of the leaves of Psidium guajava (guava), Stachytarpheta cayenensis (bastard vervain), Polygonum punctatum (water smartweed), Eugenia uniflora (Brazil or Surinam cherry) and Aster squamatus (zé-da-silva) on the intestinal transport of water in rats and on the gastrointestinal propulsion in mice. With the exception of the BAE of S. cayenensis, all other BAE's have increased the absorption of water in one or more intestinal portion in relation to the control group. All tested BAE, except that of P. punctatum, reduced the gastrointestinal propulsion in relation to that of the control group. The results indicate that the BAE of the leaves of P. guajava, S. cayenensis, P. punctatum, E. uniflora and A. squamatus have a potential antidiarrhoeic effect to be confirmed by additional investigations in animals infected with enteropathogenic agents.

Animals↗

Toxicological and toxicogenetic effects of plants used in popular medicine and in cattle food.

Toxicological and toxicogenetic effects of aqueous (tea) and hexanic fruit extract of Indigofera suffruticosa Mill. and hydroalcoholic root extract of Solanum agrarium Stendt. were evaluated in Balb C male mice intraperitoneally exposed. A hepatotoxic effect was observed just for animals treated with aqueous fruit extract of I. suffruticosa. In relation to the toxicogenetic effect, just the group treated with 12.5% of toxic dose of aqueous fruit extract of I. suffruticosa showed a statistically significant increase in the frequency of cells with chromosome aberrations (cytogenetic effect), although a slight increase was also observed for the highest dose (25% of LD50) of hydroalcoholic root extract of S. agrarium. The results obtained show that before S. agrarium is used as medicine and before the wide use of I. suffruticosa in cattle food, careful evaluation must be done.

Animal Feed↗

[Mental health and normality: popular conceptions in a northern coastal area of Bahia, Brazil].

This study focuses on signs, meanings, and practices related to mental normality and health in a northern coastal area of Bahia, Brazil. It discusses local conceptions about the non-existence or exclusive existence of mental normality, as well as points of view concerning total mental normality. It identifies the prototypes of normality, like "normal", "almost normal", and "false normal", as signs for distinguishing mentally normal persons. The article discusses the underlying values and concepts in local personal classification of mental normality and proposes a structural health device consisting of moral, scientific, religious, environmental, and social elements. It analyzes local normalization and mental health promotion actions and the local system of signs, meanings, and practices of normality. Finally, the article analyzes the primary, secondary, and tertiary levels of health. All these goals are met by comparing local conceptions with the scientific literature on medical epistemology, psychoanalysis, sociological labeling theory, and medical anthropology.

Brazil↗

[The role of elderly female consumers of allopathic tranquilizers in the popularization of the use of these medicines].

The consumption of allopathic tranquilizers (benzodiazepines) has social and cultural dimensions, not being restricted to a relation between physician and patient. Therefore, we aimed to show that the consumption of tranquilizers is particularized according to the social and cultural contexts their consumers are involved in. Using a qualitative approach with semistructured interviews, we search for conceptions about allopathic tranquilizers in 18 elderly women, psychiatric patients attended to in the Mental Health Centre of the Health Teaching Centre at the, University of São Paulo at Ribeirão Preto Medical School, (FMRP-USP), in the city of Ribeirão Preto (SP), Brazil, who were consumers of benzodiazepines for more than one year. We concluded that the consumption of tranquilizers is entangled in a network of social relations, including neighbors, relatives and friends. The interviewed women showed to have autonomy, feeling able to use, indicate, offer and lend, or not, these medicines, according to their conceptions.

Aged↗

Popular conceptions of schizophrenia in Cape Verde, Africa.

INTRODUCTION: It has been well documented that schizophrenia presents a better clinical course in developing countries. Although there are many epidemiological studies showing this association, little research has been conducted to investigate the local representation systems for schizophrenia in these countries. OBJECTIVES: This study focuses on cultural factors of schizophrenia, namely the local representation systems for the disease, as well as what is locally understood as deviant behavior and its acceptability, and mechanisms of social-cultural insertion or exclusion of patients with schizophrenia in Cape Verde, Africa. METHODS: Randomized open interviews were carried out with the relatives of patients under treatment at the mental health out patient service of the Batista de Sousa Hospital (São Vicente Island) between the years 1994 and 1995. Interviews dealt with patients' life histories and disease related to problems, strategies employed by the family to cope with such problems, and comments on the social and family burden. RESULTS: 20 interviews with close relatives of 10 patients were analyzed. The study focused on three main categories explaining schizophrenia: "tired head" (cabeça cansada), "nervous" (nervoso), and supernatural categories (like "sorcery" or "witchcraft"). The interviewees expressed their opinions, either explicitly or not, on whether their relatives truly had a disease. CONCLUSION: Characteristics of local categories for schizophrenia found in Cape Verde can be regarded as a less stigmatized way of dealing with the disease. It is reasonable to suppose that the understanding of such cultural factors could lead to better outcomes in the treatment for schizophrenia in this country, and also in others, where similar conditions can be identified.

Adolescent↗