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Parenting style and oral health status  [PDF]
Seran Ng, Christina Demopoulos, Connie Mobley, Marcia Ditmyer
Open Journal of Pediatrics (OJPed) , 2013, DOI: 10.4236/ojped.2013.33033

Objective: This study examined the correlation between parenting style and oral health status. Methods: Eighty-seven children aged 2 - 14 years old were examined and their oral health status was measured by the decayed, missing, filled teeth (DMFT/dmft) index, untreated caries and caries experience. Caries experience was defined as untreated and treated teeth, either restored or filled. The parenting style of parents was measured by the Parenting Style Dimension Questionnaire (PSDQ). Demographic information recorded included race/ethnicity, level of education and child’s type of dental insurance. Results: The majority of the parents identified with the authoritative parenting style. There was no correlation between parenting styles and oral health status. Hispanic children and those whose parents had less education and low socioeconomic status (Medicaid) tended to show poorer oral health status. Conclusion: The expected relationship between parenting style and oral health status was not confirmed. Race/ethnicity, level of parents’ education and socioeconomic status may have a greater impact on oral health than parenting approaches.

A case-control study of determinants for high and low dental caries prevalence in Nevada youth
Marcia Ditmyer, Georgia Dounis, Connie Mobley, Eli Schwarz
BMC Oral Health , 2010, DOI: 10.1186/1472-6831-10-24
Abstract: Over 4000 adolescents between ages 12 and 19 (Case Group: N = 2124; Control Group: N = 2045) received oral health screenings conducted in public/private middle and high schools in Nevada in 2008/2009 academic year. Caries prevalence was computed (Untreated decay scores [D-Score] and DMFT scores) for the 30% of Nevada Youth who presented with the highest DMFT score (case group) and compared to the control group (caries-free) and to national averages. Bivariate and multivariate logistic regression was used to analyze the relationship between selected variables and caries prevalence.A majority of the sample was non-Hispanic (62%), non-smokers (80%), and had dental insurance (70%). With the exception of gender, significant differences in mean D-scores were found in seven of the eight variables. All variables produced significant differences between the case and control groups in mean DMFT Scores. With the exception of smoking status, there were significant differences in seven of the eight variables in the bivariate logistic regression. All of the independent variables remained in the multivariate logistic regression model contributing significantly to over 40% of the variation in the increased DMFT status. The strongest predictors for the high DMFT status were racial background, age, fluoridated community, and applied sealants respectively. Gender, second hand smoke, insurance status, and tobacco use were significant, but to a lesser extent.Findings from this study will aid in creating educational programs and other primary and secondary interventions to help promote oral health for Nevada youth, especially focusing on the subgroup that presents with the highest mean DMFT scores.By the year 2000, the World Health Organization (WHO) announced the global average goal for dental caries was to be no more than 3 DMFT (decayed, missing, filled teeth) at 12 years of age [1]. Although there has been a significant decline in dental caries prevalence since the early 1970s, oral
Inequalities of caries experience in Nevada youth expressed by DMFT index vs. Significant Caries Index (SiC) over time
Marcia Ditmyer, Georgia Dounis, Connie Mobley, Eli Schwarz
BMC Oral Health , 2011, DOI: 10.1186/1472-6831-11-12
Abstract: Retrospective data was analyzed from a series of sequential, standardized oral health surveys across eight years (2001/2002-2008/2009) that included over 62,000 examinations of adolescents 13-19 years of age, attending public/private Nevada schools. Mean Decayed-Missing-Filled Teeth index (DMFT) and Significant Caries Index (SiC) were subsequently computed for each academic year. Descriptive statistics were reported for analysis of comparative DMFT and SiC scores in relation to age, gender, racial background, and residence in a fluoridated/non-fluoridated community. Logistic regression analysis was used to analyze the differential impact of the variables on the probability of being in the high caries prevalence group.Comparison of students' mean DMFT to National (NHANES) data confirmed that dental caries remains a common chronic disease among Nevada youth, presenting higher prevalence rates and greater mean scores than the national averages. Downward trends were found across all demographics compared between survey years 1 and 6 with the exception of survey year 3. An upward trend began in survey year six. Over time, the younger group displayed an increasing proportion of cariesfree individuals while a decreasing proportion was found among older examinees. As expected, the mean SiC score was significantly higher than DMFT scores within each survey year across comparison groups (p < 0.001).Using both caries indices together may help to highlight oral health inequalities more accurately among different population groups within the community in order to identify the need for special preventive oral health interventions in adolescent Nevadans. At the community level, action should focus on retaining and expanding the community fluoridation program as an effective preventive measure. At the individual level the study identifies the need for more targeted efforts to reach children early with a focus on females, Hispanics and Blacks, and uninsured children.For many years,
Validation of a multifactorial risk factor model used for predicting future caries risk with nevada adolescents
Marcia M Ditmyer, Georgia Dounis, Katherine M Howard, Connie Mobley, David Cappelli
BMC Oral Health , 2011, DOI: 10.1186/1472-6831-11-18
Abstract: This study examined retrospective data from an oral health surveillance initiative that screened over 51,000 students 13-18 years of age, attending public/private schools in Nevada across six academic years (2002/2003-2007/2008). The Risk Factor Model included ten demographic variables: exposure to fluoridation in the municipal water supply, environmental smoke exposure, race, age, locale (metropolitan vs. rural), tobacco use, Body Mass Index, insurance status, sex, and sealant application. Multiple regression was used in a previous study to establish which significantly contributed to caries risk. Follow-up logistic regression ascertained the weight of contribution and odds ratios of the ten variables. Researchers in this study computed sensitivity, specificity, positive predictive value (PVP), negative predictive value (PVN), and prevalence across all six years of screening to assess the validity of the Risk Factor Model.Subjects' overall mean caries prevalence across all six years was 66%. Average sensitivity across all six years was 79%; average specificity was 81%; average PVP was 89% and average PVN was 67%.Overall, the Risk Factor Model provided a relatively constant, valid measure of caries that could be used in conjunction with a comprehensive risk assessment in population-based screenings by school nurses/nurse practitioners, health educators, and physicians to guide them in assessing potential future caries risk for use in prevention and referral practices.Although dental caries has declined significantly among school-aged children since the early 1970s, oral disease, including caries, remains a major public health challenge [1-3]. In 2004, the reported prevalence of dental caries was approximately 60% in US children ages 12 to 19, with a reported 20% in untreated tooth decay [3]. Childhood dental caries has been reported to be the most prevalent infectious disease in our nation - 5 times as common as asthma and 7 times as common as hay fever [4]. Sixty-s
The effects of the HEALTHY study intervention on middle school student dietary intakes
Anna Siega-Riz, Laurie El Ghormli, Connie Mobley, Bonnie Gillis, Diane Stadler, Jill Hartstein, Stella L Volpe, Amy Virus, Jessica Bridgman, the HEALTHY Study Group
International Journal of Behavioral Nutrition and Physical Activity , 2011, DOI: 10.1186/1479-5868-8-7
Abstract: HEALTHY was a cluster-randomized study in 42 public middle schools. Students, n = 3908, self-reported dietary intake using the Block Kids Questionnaire. General linear mixed models were used to analyze differences in dietary intake at the end of the study between intervention and control schools.The reported average daily fruit consumption was 10% higher at the end of the study in the intervention schools than in the control schools (138 g or approximately 2 servings versus 122 g, respectively, p = 0.0016). The reported water intake was approximately 2 fluid ounces higher in the intervention schools than in the control (483 g versus 429 g respectively; p = 0.008). There were no significant differences between intervention and control for mean intakes of energy, macronutrients, fiber, grains, vegetables, legumes, sweets, sweetened beverages, and higher- or lower-fat milk consumption.The HEALTHY study, a five-semester middle school-based intervention program that integrated multiple components in nutrition, physical education, behavior change, and social marketing-based communications, resulted in significant changes to student's reported fruit and water intake. Subsequent interventions need to go beyond the school environment to change diet behaviors that may affect weight status of children.NCT00458029Rates of overweight, obesity, and type 2 diabetes mellitus in youth have increased dramatically during the last three decades[1-3]. The HEALTHY study was designed to respond to these alarming trends. HEALTHY was a randomized, multicenter, middle school-based primary prevention trial designed to moderate risk factors for type 2 diabetes mellitus[4]. Modifiable risk factors measured were indicators of adiposity and glycemic dysregulation: body mass index (BMI), fasting glucose concentrations, and fasting insulin concentrations. The intervention program integrated multiple components in four areas: nutrition, physical education, behavior change, and social marketing-based
The Hole in Holistic Patient Care  [PDF]
Connie Drury, Jennifer Hunter
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.69078
Abstract: Throughout its history, the nursing profession has claimed to provide holistic patient care, which is defined as bio-psycho-socio-spiritual care. Today, however, many nurses do not feel comfortable with the “spiritual” element of care and are uncertain about their professional role in the assessment and delivery of spiritual care. Discomfort and avoidance of attending to the spiritual needs of human beings creates “a hole” in holistic patient care. Contributing factors to the “hole in holistic patient care” include: 1) blurring of boundaries in the language and definitions of “spirituality” and “religion”, 2) insufficient attention to definitions of spirituality and spiritual distress; 3) confusion and role conflict with professional identity among disciplines related to responsibility for spiritual care; 4) insufficient education and skill development for nurses and other healthcare professionals in the assessment, intervention and appropriate referral of patients experiencing spiritual distress. The purpose of this article is to explore the history of holistic nursing as it pertains to the human dimension of spirituality and conclude with practice models for spiritual assessment and spiritual care that can “fill” the hole in holistic nursing care.
Breaking Up With CONTENTdm: Why and How One Institution Took the Leap to Open Source
Heather Gilbert and Tyler Mobley
Code4Lib Journal , 2013,
Abstract: In 2011, College of Charleston found itself at a digital asset management crossroads. The Lowcountry Digital Library (LCDL), a multi-institution cooperative founded less than three years prior, was rapidly approaching its CONTENTdm license limit of 50,000 items. Understaffed and without a programmer, the College assessed their options and ultimately began construction on a Fedora Commons repository with a Blacklight discovery layer, an installation of Rutgers’ OpenWMS for Fedora ingestion and a Drupal front end as a replacement for their existing digital library. The system has been built and over 20,000 items have been migrated. The project was a success but a lot of hard lessons were learned.
A General Framework For Determining the Temporal and Evolutionary Dynamics of Religion-Based Website Popularity on the Internet  [PDF]
Michael R. Golinski, Connie Petersen
Open Journal of Statistics (OJS) , 2012, DOI: 10.4236/ojs.2012.24052
Abstract: Religion-based websites are fast becoming a major pipeline for disseminating religious information to broad populations of individuals in the United States.Both mainstream religions and fringe religions are easily accessible to a large population of internet users. The purpose of this review is to develop and examine a general framework that uses simple mathematical and statistical models to interpret and measure temporal ‘snap shots’ in the popularity of religious websites. We extend this framework to include an evolutionary model that has the potential to predict long-term shifts or changes in the popularity of religious websites over time. Ultimately, the goal of this review is to introduce a new modeling framework for research into how the internet is changing the accessibility and views of populations of individuals who follow various religions on the internet and how this may in-turn affect the distribution of religion in the ‘real world’.
Connie Susilawati
Civil Engineering Dimension , 2005,
Abstract: The opening of free market in 2003, leads into the stridently escalating business competition both in domestic and global market. The company, therefore, is trying to win the competition by obtaining ISO 9000 certification which can be applied in the construction business. The purpose of the research is to investigate the reason, the obstacles, the gap between expectation and reality of using ISO 9000, as well as the main priority to be implemented in the company. This research uses survey on contractor companies in Surabaya and Gresik which has implemented ISO 9000. The statistical results show that the main reason to implement ISO 9000 is to increase consistency and to improve its quality. Meanwhile, the main obstacle is time constraint to complete the implementation. Companies still need to increase customer satisfaction and attend on customer focus principle to increase the quality of their outcomes. Abstract in Bahasa Indonesia : Akibat terbukanya perdagangan bebas di tahun 2003, persaingan bisnis makin meningkat tajam baik di pasar domestik (nasional) maupun global (internasional). Salah satu upaya perusahaan untuk memenangkan persaingan dengan peningkatan mutu produk atau jasa adalah mendapatkan sertifikasi ISO 9000 yang dapat diterapkan juga dalam bisnis konstruksi. Adapun tujuan penelitian ini untuk mengetahui alasan, hambatan, perbedaaan antara harapan dan realita, dan prioritas utama ISO 9000 yang harus diterapkan oleh perusahaan. Penelitian ini menggunakan survei terhadap perusahaan-perusahaan kontraktor di Surabaya dan Gresik yang sudah menerapkan ISO 9000. Hasil analisa statistik menunjukkan bahwa perusahaan menerapkan ISO 9000 terutama agar mencapai konsistensi dalam pelaksanaan dan memperbaiki mutu. Sedangkan hambatan terbesar yaitu waktu yang diperlukan untuk melengkapi penerapan. Perusahaan-perusahaan kontraktor tersebut masih perlu meningkatkan kepuasan pelanggan dan menerapkan prinsip fokus pelanggan sebagai prioritas utama untuk meningkatkan mutu perusahaan.
Connie Susilawati
Civil Engineering Dimension , 2001,
Abstract: Dormitory is a very important facility which have to be provided by a university. A survey to Petra Christian University’s students has been conducted to understand the required facilities and their financial ability. Linear programming has been used to calculate number of rooms and area of each facility which could satisfy the constraints and to obtain optimum profit. Number of bedrooms, number of bathrooms, and area of each facility, such as: living room, dining room, common room, cafeteria, book shop, mini market, phone booths, sport facilities, and parking space are recommended. Since the investment is financially feasible, the dormitory could be built in the future.
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