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At least 145 records · Page 8Linked to original sources

Hygiene and health: the value of antiplaque agents in promoting oral health.

The improvements in human health and increased life expectancy which have come about in many societies in the past century have been due, predominantly, to improvements in hygiene--both personal and environmental. As the common oral diseases--caries and gingivitis and to some extent periodontitis--are bacterially mediated diseases, they are also amendable to control by oral hygiene. As commonly practised however, with modern diets, mechanical oral hygiene alone has limited effect on disease incidence. The supplementation of tooth brushing with chemical agents which modulate plaque metabolism and the effects of metabolites on the hard and soft tissues of the dento-gingival structures certainly has preventive and therapeutic value. This is particularly true of fluoridated dentifrices in the control of dental caries, and of dentifrices with antibacterial and anticalculus properties, such as those containing low concentrations of the phenolic compound Triclosan, in the control of gingivitis. Microbial colonisation of tooth and other body surfaces is normal and forms part of the natural defence against dangerous exogenous organisms: thus modulating or 'controlling' plaque, not eliminating it, is the purpose of oral hygiene. The goal is to maintain a microbial ecosystem consistently associated with healthy tissues.

Anti-Infective Agents, Local↗

Family planning services and Population Research Act.

The Senate Human Resources Subcommittee under the chairmanship of Senator Alan Cranston has completed its work on the Family Planning Services and Population Research Amendments of 1973 (S. 1708) and has referred the bill to the Senate Labor and Public Welfare Committee. Right-to-Life activists are zeroing in on committee members in hopes of amending the bill to prohibit federal funds for sterilization and continued research on abortifacient drugs. If such provisions were to be approved, it would prohibit men from obtaining vasectomies with federal assistance and eliminate what has become a most popular birth control method for couples who have reached their desired family size. Such a prohibition would be especially discriminatory of low income males who cannot afford to finance a vasectomy through the private health care system. Banning use of IUDs by federal family planning agencies could also interfere with valuable cancer research and the treatment of such ailments as asthma and duodenal ulcers. The Senate Labor Committee needs to be fully advised as to the dangerous implications of these provisions and of the public opposition to their enactment. Vocalize your opposition today by urging the committee to exclude such amendments from the legislation they send to the Senate. The committee members are: Chairman: Williams, New Jersy; Randolph, West Virginia; Pell, Rhode Island; Kennedy, Massachusetts; Nelson, Vermont; Mondale, Minnesota; Eagleton, Missouri; Cranston, California; Hughes, Iowa; Hathaway, Maine; Javits, New York; Dominick, Colorado; Schweiker, Pennsylvania; Taft, Ohio; Beall, Maryland; and Stafford, Vermont.

Americas↗

Child abuse and neglect prevention and treatment program--HHS. Notice of proposed rulemaking.

This rule proposes a new basic State grant requirement to implement the Child Abuse Amendments of 1984 (Pub. L. 98-457). As a condition of receiving State grants under the Child Abuse Prevention and Treatment Act, States must establish programs and/or procedures within the State's child protective service system to respond to reports of medical neglect, including reports of the withholding of medically indicated treatment for disabled infants with life-threatening conditions. Other changes in regulations required by these Amendments will be published as a separate NPRM at a later date.

Abnormalities, Multiple↗

Child abuse and neglect prevention and treatment program--HHS. Final rule.

This rule contains a new basic State grant requirement to implement the Child Abuse Amendments of 1984 (Pub. L. 98-457). As a condition of receiving State grants under the Child Abuse Prevention and Treatment Act, States must establish programs and/or procedures within the State's child protective service system to respond to reports of medical neglect, including reports of the withholding of medically indicated treatment for disabled infants with life-threatening conditions. Other changes in regulations required by these Amendments will be published as a separate NPRM at a later date.

Abnormalities, Multiple↗

Improving value measurement in cost-effectiveness analysis.

OBJECTIVE: Before cost-effectiveness analysis (CEA) can fulfill its promise as a tool to guide health care allocation decisions, the method of incorporating societal values into CEA may need to be improved. DESIGN: The study design was a declarative exposition of potential fallacies in the theoretical underpinnings of CEA. Two values held by many people-preferences for giving priority to severely ill patients and preferences to avoid discrimination against people who have limited treatment potential because of disability or chronic illness-that are not currently incorporated into CEA are discussed. CONCLUSIONS: Traditional CEA, through the measurement of quality-adjusted life years (QALYs), is constrained because of a "QALY trap." If, for example, saving the life of a person with paraplegia is equally valuable as saving the life of a person without paraplegia, then current QALY methods force us to conclude that curing paraplegia brings no benefit. Basing cost-effectiveness measurement on societal values rather than QALYs may allow us to better capture public rationing preferences, thereby escaping the QALY trap. CEA can accommodate a wider range of such societal values about fairness in its measurements by amending its methodology.

Attitude to Health↗