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Search Results: 1 - 10 of 4221 matches for " Denise Faulks "
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Conscious Sedation Procedures Using Intravenous Midazolam for Dental Care in Patients with Different Cognitive Profiles: A Prospective Study of Effectiveness and Safety
Valérie Collado, Denise Faulks, Emmanuel Nicolas, Martine Hennequin
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0071240
Abstract: The use of midazolam for dental care in patients with intellectual disability is poorly documented. This study aimed to evaluate the effectiveness and safety of conscious sedation procedures using intravenous midazolam in adults and children with intellectual disability (ID) compared to dentally anxious patients (DA). Ninety-eight patients with ID and 44 patients with DA programmed for intravenous midazolam participated in the study over 187 and 133 sessions, respectively. Evaluation criteria were success of dental treatment, cooperation level (modified Venham scale), and occurrence of adverse effects. The mean intravenous dose administered was 8.8±4.9 mg and 9.8±4.1 mg in ID and DA sessions respectively (t-test, NS). 50% N2O/O2 was administered during cannulation in 51% of ID sessions and 61% of DA sessions (NS, Fisher exact test). Oral or rectal midazolam premedication was administered for cannulation in 31% of ID sessions and 3% of DA sessions (p<0,001, Fisher exact test). Dental treatment was successful in 9 out of 10 sessions for both groups. Minor adverse effects occurred in 16.6% and 6.8% of ID and DA sessions respectively (p = 0.01, Fisher exact test). Patients with ID were more often very disturbed during cannulation (25.4% ID vs. 3.9% DA sessions) and were less often relaxed after induction (58.9% ID vs. 90.3% DA) and during dental treatment (39.5% ID vs. 59.7% DA) (p<0.001, Fisher exact test) than patients with DA. When midazolam sedation was repeated, cooperation improved for both groups. Conscious sedation procedures using intravenous midazolam, with or without premedication and/or inhalation sedation (50% N2O/O2), were shown to be safe and effective in patients with intellectual disability when administered by dentists.
A national cross-sectional survey of dental anxiety in the French adult population
Emmanuel Nicolas, Valérie Collado, Denise Faulks, Brigitte Bullier, Martine Hennequin
BMC Oral Health , 2007, DOI: 10.1186/1472-6831-7-12
Abstract: A convenience sample of 2725 adults (mean age = 47 years, SD16, minimum = 16, maximum = 101 years), representative of the French population with regard to age and urban distribution, completed a French version of the Corah Dental Anxiety scale (DAS) and a questionnaire relating to their dental appointments.Moderate dental anxiety (14≥DAS≥13) was revealed for 172 persons (6.2%), while 195 (7.3%) had severe dental anxiety (DAS≥15), giving an overall prevalence of dental anxiety of 13.5%. Prevalence was lower proportionally with age (P < 0.001) and was higher in French overseas territories and in the countryside (P < 0.01). Farmers and low skilled workers were significantly more anxious than executives and shopkeepers (P < 0.001). Anxiety was associated with avoidance of care (p < 0.001) and lack of regular dental appointments (p < 0.001).Dental anxiety in France appears to concern a similar proportion of the population as in other industrialised European, Australasian or North American countries. Recommendations for prevention and management of dental anxiety are made with reference to dental education and health care services in France.Dental anxiety partially limits, or completely prevents, utilisation of oral health care services [1,2]. It increases the prevalence of dental disease [2,3]. Anxious persons present more damaged or missing teeth and less restored teeth [4]. Regular and conventional care is bypassed by dentally anxious persons, who rely on self-care, use of emergency services, and occasionally use of traditional or parallel remedies to relieve pain. The oral health and quality of life of this population are affected [5]. When professional care is provided, it is often given under general anaesthesia without consideration for the aetiological factors behind dental fear. Ideally, the management of patients with dental anxiety requires psycho-behavioural and sedation procedures [6,7] as alternatives to general anaesthesia. Such techniques have been shown t
Using the International Classification of Functioning, Disability and Health (ICF) to Describe Children Referred to Special Care or Paediatric Dental Services
Denise Faulks, Johanna Norderyd, Gustavo Molina, Caoimhin Macgiolla Phadraig, Gabriela Scagnet, Caroline Eschevins, Martine Hennequin
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0061993
Abstract: Children in dentistry are traditionally described in terms of medical diagnosis and prevalence of oral disease. This approach gives little information regarding a child’s capacity to maintain oral health or regarding the social determinants of oral health. The biopsychosocial approach, embodied in the International Classification of Functioning, Disability and Health - Child and Youth version (ICF-CY) (WHO), provides a wider picture of a child’s real-life experience, but practical tools for the application of this model are lacking. This article describes the preliminary empirical study necessary for development of such a tool - an ICF-CY Core Set for Oral Health. An ICF-CY questionnaire was used to identify the medical, functional, social and environmental context of 218 children and adolescents referred to special care or paediatric dental services in France, Sweden, Argentina and Ireland (mean age 8 years ±3.6yrs). International Classification of Disease (ICD-10) diagnoses included disorders of the nervous system (26.1%), Down syndrome (22.0%), mental retardation (17.0%), autistic disorders (16.1%), and dental anxiety alone (11.0%). The most frequently impaired items in the ICF Body functions domain were ‘Intellectual functions’, ‘High-level cognitive functions’, and ‘Attention functions’. In the Activities and Participation domain, participation restriction was frequently reported for 25 items including ‘Handling stress’, ‘Caring for body parts’, ‘Looking after one’s health’ and ‘Speaking’. In the Environment domain, facilitating items included ‘Support of friends’, ‘Attitude of friends’ and ‘Support of immediate family’. One item was reported as an environmental barrier – ‘Societal attitudes’. The ICF-CY can be used to highlight common profiles of functioning, activities, participation and environment shared by children in relation to oral health, despite widely differing medical, social and geographical contexts. The results of this empirical study might be used to develop an ICF-CY Core Set for Oral Health - a holistic but practical tool for clinical and epidemiological use.
Evaluation of safe and effective administration of nitrous oxide after a postgraduate training course
Valérie Collado, Emmanuel Nicolas, Denise Faulks, Corinne Tardieu, Marie-Cécile Manière, Dominique Droz, Peter Onody, Martine Hennequin
BMC Pharmacology and Toxicology , 2008, DOI: 10.1186/1472-6904-8-3
Abstract: 45 practitioners were trained between 2002 and 2004. They carried out 826 sessions of inhalation sedation in 662 patients. The clinical competency of this group was compared with an expert group.There was no difference between trainees and experts in ability to complete the planned dental treatment under sedation (89.6% vs 93.2%). Trainees were less successful than experts for patients with intellectual disability (87.4% vs 94.2%, p < 0.01). For both groups, the degree of cooperation improved between initial induction and each perioperative step (Wilcoxon test, p < 0.01). However, for trainees, Venham behaviour scores varied with the type of patient (Kruskal Wallis test, p < 0.001). No major adverse effects were recorded. Trainees reported more minor adverse effects than experts (13% vs. 5.3% respectively, Fisher exact test, p < 0.001)The trainee practitioners provided effective and safe inhalation sedation. This challenges the current French restriction of the 50% nitrous oxide in oxygen premix to the hospital setting. Further emphasis is required on the teaching of behaviour management skills for patients with intellectual disability.In September 2002, four French dental faculties (Clermont-Ferrand, Marseille, Nancy and Strasbourg) set up the first one-year collaborative training course in conscious sedation for dental care. The course objectives were the acquisition of the knowledge, skills and attitudes necessary for the practice of all techniques of conscious sedation relevant to dentistry. This course was evaluated over the first two years in order to validate a minimum training requirement for dentists to ensure safe and effective conscious sedation. Reservations expressed by non-dental professionals, including anaesthetists, could then be addressed [1]. Harmonisation of practices and dental training between European countries could also be improved, as conscious sedation techniques (in particular inhalation and intravenous sedation) have been declared to be
Premating Reproductive Barriers between Hybridising Cricket Species Differing in Their Degree of Polyandry
Thor Veen,Joseph Faulks,Rolando Rodríguez-Mu?oz,Tom Tregenza
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0019531
Abstract: Understanding speciation hinges on understanding how reproductive barriers arise between incompletely isolated populations. Despite their crucial role in speciation, prezygotic barriers are relatively poorly understood and hard to predict. We use two closely related cricket species, Gryllus bimaculatus and G. campestris, to experimentally investigate premating barriers during three sequential mate choice steps. Furthermore, we experimentally show a significant difference in polyandry levels between the two species and subsequently test the hypothesis that females of the more polyandrous species, G. bimaculatus, will be less discriminating against heterospecific males and hence hybridise more readily. During close-range mating behaviour experiments, males showed relatively weak species discrimination but females discriminated very strongly. In line with our predictions, this discrimination is asymmetric, with the more polyandrous G. bimaculatus mating heterospecifically and G. campestris females never mating heterospecifically. Our study shows clear differences in the strength of reproductive isolation during the mate choice process depending on sex and species, which may have important consequences for the evolution of reproductive barriers.
The U.S.-Israeli Strategic Alliance: How the United States Is Contributing to a “Disappearing” Palestine  [PDF]
Denise De Garmo
Open Journal of Political Science (OJPS) , 2016, DOI: 10.4236/ojps.2016.61004
Abstract: This paper examines the implications of the U.S.-Israeli strategic alliance on the proposed “two state solution”. This alliance has its roots in common values and mutuality of national interests, interests that have produced intelligence sharing, technology transfer, and military assistance between the U.S. and Israel. These exchanges have led to extensive U.S. support of Israel’s militarization in the Jordan Valley. It is also this strategic alliance that serves to support the continued annexation of the West Bank while diminishing future attempts at reaching a proposed “two state solution”.
Editorial Revista Número 10
Denise Maurano,Denise Maurano
Psicanálise e Barroco em Revista , 2007,
Abstract: Editorial
Sex Education in the Eyes of Brazilian Public School Teachers  [PDF]
Denise Regina Quaresma da Silva
Creative Education (CE) , 2014, DOI: 10.4236/ce.2014.515160
Abstract:

This article presents the results of a research about the implementation of sex education in the public schools of Novo Hamburgo, Rio Grande do Sul, Brazil. Quantitative and qualitative methods were used and semi-structured interviews were conducted with 124 teachers from 56 public schools. The Discourse of the Collective Subject method was applied to analyse the interviews. The results show that sex education is not a crosscutting theme in schools, and that it is mostly dominated by the biomedical discourse. This means that non-heterosexual practices and identities are neglected and that representations of gender and sexuality that reproduce and legitimate gender disparity are accentuated.

Microbiota and Mycotoxins in Trilinear Hybrid Maize Produced in Natural Environments at Central Region in Mexico  [PDF]
Pe?a Betancourt, Silvia Denise
Advances in Microbiology (AiM) , 2016, DOI: 10.4236/aim.2016.69066
Abstract: Mycotoxigenic fungi and mycotoxins in 3 inbred lines (hybrids resistant to corn ear rot) were identified in twenty samples. The maize (Zea mays) accessions were collected in five plots of two municipalities in High Valley, state of Hidalgo. The fungal population was determined with a microbiological dilution method used two culture media (PDA and ELA), for the detection of mycotoxins with thin layer chromatography with visual inspection in UV light and a direct competitive enzyme-linked immunosorbent (ELISA). The results showed high moisture content in all hybrids evaluated on an average of 38.3% and a 1.8 × 103 UFC/g fungus, values within the permitted limits by the Mexican legislation; however the most prevalent fungi were Fusarium sp. (76%), Alternaria sp. (14%), Penicillium sp. (4%) and Aspergillus sp. (5%), and the species Aspergillus nidulas, Aspergillus flavus, Fusarium verticillioides, Fusarium poae, and Penicillium ochraceum. The aflatoxin concentration was observed in a range from 2 to 13 ng/g and 370 to 660 ng/g to fumonisins. It is concluded that trilinear corn hybrids have a variety of pathogenic potential fungi. The two genetic hybrids showed levels of aflatoxins and fumonisin safe for human consumption, contrary to one hybrid, with a content not suitable for human consumption. A better understanding of genetic hybrids corn will improve predictive mycotoxin contamination.
Waist Circumference and Abdominal Obesity among Older Adults: Patterns, Prevalence and Trends
Denise Howel
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0048528
Abstract: Objectives To describe the patterns and trends in waist circumference and abdominal obesity for those aged 70–89 contrasting the standard and new age-related cut-points, and to investigate how they vary with time, age and educational level. Methods The subjects were 7129 men and 9244 women aged 70–89 years who participated in the Health Survey for England during 1993–2010. The outcome measures were the percentiles of waist circumference and standard and new indicators of abdominal obesity based on waist circumference. Binomial and quantile regression were used to investigate the relationship with key explanatory variables. Results The distribution of waist circumference among community-dwelling older adults in England has shifted upwards since 1993 (an increase in median of 4.5 cm in men and 5.1 cm in women). The prevalence of abdominal obesity has increased, while those in the low-risk group have decreased. Abdominal obesity was higher in those aged 70–79 compared to 80–89, and in those who left education earlier. The prevalence of abdominal obesity varies considerably with new and standard cut-points, which makes it impractical to use the new ones on a population that includes subjects across the adult age range. Conclusions Obesity is increasing among the elderly, but more work is needed on devising age-appropriate indicators of high risk based on waist circumference.
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