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Success Factors and Best Practices for Medical Travel Facilitators: Tips for Benchmarking And Startups
Published in Frederick J. DeMicco, Ali A. Poorani, Medical Travel Brand Management, 2023
MTFs tend to specialize not just in a geographical region but also in the types of procedures they patients demand. Some are specialized exclusively in one type, such as dental surgery, others offer a variety of procedures ranging from orthopedic surgery, cardiology, oncology, gynecology, and in-vitro fertilization procedures, general surgery to plastic surgery, to name a few.
Data and Picture Interpretation Stations: Cases 1–45
Published in Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar, ENT OSCEs, 2023
Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar
Patients present with typical symptoms of sinusitis, with only a third reporting associated dental pain. A comprehensive history is required as there may be a latency of up to a year for dental surgery associated sinusitis or four years in implant-associated sinusitis. Anterior rhinoscopy may demonstrate unilateral mucopus or oedema. Oral examination may indicate the general state of the dentition and gums as well as oral-antral fistulas.
Functional Rehabilitation
Published in James Crossley, Functional Exercise and Rehabilitation, 2021
The placebo effect is a powerful illustration of how thoughts impact pain perception. It is a well documented phenomena that if a patient ‘thinks’ they will get better, they probably will. A water tablet acting as a placebo can significantly reduce pain if the patient thinks it will help. Research even illustrates how different color pills work better for different conditions. A red placebo pill is very good at relieving headache, for example. During dental surgery, patients expecting pain relief tend to experience less pain following placebo injection (Levine et al., 1978). Neuro-imaging shows that placebos act by inhibiting cortical and subcortical regions of the brain that control pain (Pollo et al., 2001).
Risk of bleeding with dental implant surgery in patients on anticoagulant or antiplatelet drugs: a systematic review and meta-analysis
Published in Acta Odontologica Scandinavica, 2023
Much research has been conducted on the bleeding risk with dental surgery in patients under OAC or AP therapy. However, most of it has been focussed on dental extraction as it is the most common minor oral surgical procedure [7,8]. Shi et al. [7] in a recent meta-analysis of 12 studies have indicated that the risk of bleeding is greater in anticoagulated patients undergoing minor oral surgery as compared to healthy controls. The majority of studies in their review were on dental extraction with just four studies focussing on dental implants. In another study, Bajkin et al. [9] have reviewed the literature on bleeding tendencies after implant placement in anticoagulated patients but no meta-analysis was conducted in their review. Despite the widespread use of OAC and AP drugs as well as dental implantation procedures in the general population, it is still not clear how these medications influence the risk of bleeding following surgical placement of a dental implant. There is a need for evidence on the risk of bleeding with AP, OAC, different types of OAC (Vitamin K antagonists [VKAs] and direct oral anticoagulants [DOACs]), and between AP vs. OAC to guide clinical practice. Thus, this study aimed to conduct a systematic literature search and pool evidence on the risk of bleeding in patients under AP and OAC therapy undergoing dental implant surgery.
Hypnosis as Sole Anesthesia for Dental Removal in a Patient with Multiple Chemical Sensitivity
Published in International Journal of Clinical and Experimental Hypnosis, 2020
Mauro Cozzolino, Giovanna Celia, Kathryn L. Rossi, Ernest L. Rossi
Dental surgery is particularly suited for hypnosis because of the high levels of anxiety and pain usually involved in the procedure. In fact, clinical hypnosis can allow dentists and patients to replace such discomfort with confidence and comfort (Rucker, 2018). Moreover, recent research shows that hypnosis is an effective pain relieving method during and after dental procedures and can also bring about physical and psychological changes such as hemodynamic alteration, an increased pain threshold, and activity changes in specific areas of the brain (Abdeshahi et al., 2013; Dilmahomed & Jovani-Sancho, 2018; Facco et al., 2013). In particular, it was found that hypnosis as a sole therapy can increase the patient’s pain threshold with special regard to low pain procedures, whereas when used as an adjunct to local anesthesia, it reduces postoperative analgesic pain, improves general discomfort, and reduces anxiety levels in patients (Dilmahomed & Jovani-Sancho, 2018).
Effects of perioperative statins on patient outcomes after noncardiac surgery: a meta-analysis
Published in Annals of Medicine, 2018
Baoxin Ma, Jingwu Sun, Shuling Diao, Bo Zheng, Hua Li
Our analysis had some limitations. First, although 12 studies were included in our meta-analysis, the total number of participants was still small. Second, various types of surgery, such as vascular, urological and dental surgery, were performed in all studies. We performed subgroup analyses based on the type of surgery, but we were unable to draw a precise conclusion about the impact of the type of surgery on postoperative outcomes because of the limited number of included studies. Another limitation was that varying doses of two different intervention drugs (atorvastatin and rosuvastatin) were employed in the studies included in our meta-analysis. Because the number of included participants was small, we could not perform subgroup analyses to assess the effects of different types and doses of statins on outcomes.