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Laughter Can Be (Chinese) Food for the SoulBy David G. Jones
Who can bone a chicken in under 20 seconds, create a 14-course Chinese banquet before
your eyes, and tell you all there is to know about Chinese and Asian cuisine? Yan can.
Technology DayMost dental practices today depend on the computer to make each day more productive. Computers are put to work on tasks ranging from electronic billing, to practice and accounts management, to scheduling. But that may be just the tip of the iceberg, technologically speaking. To help dentists and their staffs understand how to get much more out of their computer systems, ADA is sponsoring a special Technology Day on Oct. 23 as a pre-session registered clinic program the day before the ADA Annual Session gets under way in San Francisco. The all-day program, "Taking the Byte Out of Technology," will offer dental practitioners and office staff a chance to get a more in-depth view of the use of the computer in a dental practice. "The computer is changing the way we deal with our patients," says Lawrence Emmott, DDS, a private practitioner in Phoenix, Ariz. He is one of two dozen dentists, consultants, and experts who will explain how to maximize office management, insurance interface, clinical applications, information exchange, and marketing efforts by exploiting the capabilities of a computer. Emmott proposes using the computer in the treatment room, a step he says, "will ultimately enhance patient communication and education, save you time and paperwork, and vastly reduce the errors." Computers in treatment rooms can give patients a detailed look at treatment that has been proposed, using digital photos and X-rays. Computers can also be used to send digital images to other dentists for consults, and to document insurance claims. They can also be used to market a dental practice through an Internet site on the World Wide Web. The Tech Day registered clinic will take place from 8:30 a.m.-4:30 p.m. at the Moscone Center Esplanade Ballroom. Attendees must arrange for their own transportation to the convention center since shuttle service begins at 11:30 a.m. Advance registration is recommended because attendance is limited. Tickets are $225 for dentists and $150 for staff. For additional information, call (800) 232-1432 or (312) 440-2658, or e-mail annualsession@ada.org. Strolling in the Garden of Technology The 1998 ADA Annual Session in San Francisco will feature a Technology Day, which will offer a full day of informative sessions and exhibits about emerging technology for dentists. Following are a few "Technology Quick Tips" that dentists can use now: * Treatment Room Computers: The single most significant way a dentist can improve the use of technology in the office is to put computers in the treatment rooms. Although that may seem excessive, the computers provide tremendous opportunities for record keeping; faster, more accurate communications; recording of practice data; digital radiography; and much more. * Imaging Systems: Dentists who have a CCD (digital) X-ray imaging system might try using the "reverse contrast" or "reverse grayscale" mode in such instances as examining the PDL for thickening with a suspected early periapical infection, or with evaluation of the furca area in lower molars that has periodontal involvement. Studies show that this image processing tool is more revealing clinically. * Electronic Notes: Electronic notes will stand up to legal scrutiny in court, regardless of what the general belief might be. Although it's possible a record can be changed, there are many ways to detect alterations to computerized records, including location on the hard disk. * Technology Budget: A dental office would plan to invest at least 7 percent of the gross income annually in technology training, software upgrades, technical support, additional hardware and replacement hardware to protect the initial investment. * Screen Saver: Never leave data relating to one patient on a treatment room monitor for another patient to see. Use a screen saver to inform the patient about new procedures such as whitening or implants. * Handle emergencies away from the office: Software programs are available that provide home PC or laptop access to an office computer system via modem from other computers with the same software. Access to records provides the patient's history. * CD-ROMs: Many sources of information are now available via CD-ROM, including drug references, patient education systems, fee surveys, letter files, OSHA manuals, new software and much more.
Internet Provides Sources for Domestic Violence InformationDomestic violence is a universal health care problem, affecting millions of individuals worldwide, as reported in the Journal of the American Medical Association. In the United States alone, approximately 2 million women per year report abuse episodes. Because of the social stigma of domestic violence, lack of family and community support, risks of escalated violence, and an uncertain future after intervention, episodes are often not reported. Despite the widespread nature of the problem domestic violence resources, and access to them, vary widely among cities and towns. Although not a substitute for direct interventions, the Internet presents opportunities to direct health professionals and their patients to useful resources that could contribute to improved management of this pressing problem. Following are some useful web sites for medical and community-oriented sites that health care professionals may either reference or recommend to a patient:
Have No Fear
The average dentist has to deal with the psychology of fear and patient anxiety just to stay in
business, reports AGD Impact, the magazine of the Academy of General Dentistry.
Turbo TeaTea, be it green, black or oolong, comes from the leaves of a single plant, Camellia sinensis. That evergreen contains some of the most powerful antioxidants known, which is why many scientists now believe tea -- especially green tea with its potent dose of the plant chemicals -- might help stave off cancer.Human bodies continuously produce oxidants, rogue molecules that, having lost an electron, are extremely unstable and chemically reactive. To become stable, oxidants steal electrons from other molecules in the cell. In the process, they damage critical cell proteins and genetic material. To protect itself, the body makes antioxidants, which scavenge and sequester the oxidants. Usually the system is in balance," notes Enrique Cadenas, PhD, USC professor of molecular pharmacology and toxicology. But, when the scales get out of whack, the body is thrown into a state of oxidative stress. "That can lead to mutations and start the process of carcinogenesis, or other disease processes," Cadenas says. The body's ability to produce antioxidants diminishes with age. Scientists think that oxidation plays a role in many aging-related diseases, including cancer, atherosclerosis, cataracts, emphysema and Alzheimer's disease. Green tea's most active compounds are a trio of antioxidants called catechins that have been shown to be 100 times more powerful than vitamin C at protecting proteins and DNA from oxidative damage. They are 25 times more powerful than vitamin E, and leagues in front of resveratrol, the antioxidant found in grapes and wine. While black and oolong tea contain the same kind of antioxidants, black tea contains only 40 percent of green tea's dose, with oolong falling somewhere in the middle. In research studies, the catechins have been shown to halt tumor cell growth as well as to protect healthy cells from damage. Other research has suggested that green tea can protect against changes that can lead to artery disease. Before scientists can recommend drinking green tea, however, more research needs to be done examining green tea's chemopreventive value for humans, something that is still not conclusive. "Just because something is an antioxidant doesn't mean it will protect against disease," Cadenas says.
Reprinted with permission by USC Health magazine.Genetic Programming Could be Smoking FactorGenetic factors may determine the degree to which cigarette smokers become addicted to nicotine, suggests Dr. Ernest Noble, Pike Professor of Alcohol Studies at UCLA, in an editorial published in the Journal of the National Cancer Institute. Noble explains that people whose genetic makeups contain A1 and B1 alleles (variants) of DRD2, the dopamine receptor gene, may be predisposed to start and continue smoking. These less common forms of DRD2 are linked to the brain's pleasure response system. As a result, Noble says, these individuals may prove "less willing or able to give up their smoking habit than those without this genetic variant." Noble and colleagues previously had demonstrated that individuals who have the A1 allele of the DRD2 gene have fewer than normal dopamine receptors, which provide the basis for the brain's pleasure and reward system. These people appear to have a more biologically based and severe craving for pleasure-inducing substances, including alcohol and nicotine. These substances may help compensate for their reduced ability to feel normal pleasures in life by stimulating their existing dopamine receptors. Noble notes that smoking rates in this country declined dramatically between 1965 and 1990. Despite increasing public pressure, however, the rate of American people who smoke has leveled off at 25 percent. This percentage of the population could represent individuals who have both a genetic predisposition to smoke and a resistance to environmental influences that might induce others to quit. Buckle Up -- At the Grocery Store Falls from shopping carts are the leading cause of head injuries among young children. In 1995, more than 22,000 children age 5 and younger were taken to the emergency room after falling from the seat or basket of a shopping cart, according to the American Academy of Pediatric Dentistry. Half of the injuries suffered were classified as severe, including concussions, broken bones, and broken or chipped teeth. It's important for dentists to remind patients who have children to use the safety straps and seat restraints on shopping carts. If a store does not have safety straps, they should be requested from the store manager. In some states, manufacturers are required to equip all new carts with safety straps.
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