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Biomedical subjects

A M Kelman

Publications and source records attributed to A M Kelman.

4 recordsLinked to original sources
PubMed1996

Fluoridation--the Israel experience.

In the early 1970s the dental health of Israeli children was poor. As the dental services were insufficient to cope with the high disease rate the only realistic way of improving dental health was by prevention. The central element of this strategy was water fluoridation. The first water fluoridation plant was opened in 1981 in Jerusalem. Now all three main population centres, namely Jerusalem, Tel Aviv and Haifa are all fluoridated and 42 per cent of the population of Israel receive the benefits of fluoridated water. Epidemiological studies have shown that 5- and 12-year-old children living in fluoridated areas have considerably less dental caries than those receiving unfluoridated water. Plans are being made to introduce new schemes and it is hoped that 82 per cent of the community will receive fluoridated water by the year 2000. A survey of dental fluorosis has indicated the presence of some mild fluorosis, the levels being higher in those areas with the highest mean daily temperatures. A small reduction in the fluoride levels of such areas may be considered.

Child↗
PubMed1994

Planning oral health care for the elderly in Israel for the years 2000 and 2025.

The methodology and conclusions of this workshop are reported here because the problems requiring solution are not unique to Israel. They will increasingly have wide geographical and political application. The population of Israel since its establishment in 1948 has increased about sixfold. The numbers of the elderly (65+) have increased about tenfold. The current situation must be examined and estimates obtained for the next ten years. Only thus can the system be enabled to cope with the problem as it develops. The chosen method was a carefully preplanned, multisectorial workshop. Recommendations were discussed, amended and finalised. The recommendations of the workshop included: Baseline national data is urgently required. Guidelines are required for selecting specific target populations to which priority should be given. The current favourable situation of adequate oral health manpower in Israel makes it possible to encourage providers of oral health care towards treatment for the elderly. It is essential that the appropriate health authorities allocate sufficient funds for the following urgent purposes: the conduct of a national survey of the elderly population; the establishment of oral health units on a trial basis in some selected hospitals; support institutions of higher education to facilitate training in geriatric dentistry. CONCLUSIONS. The workshop was multidisciplinary because it was necessary to include all the expertise and experience available as vital elements of the policy making process. This type of workshop was found to be an effective tool for planning oral health services.

Aged↗
PubMed1993

[Free and informed consent in dental practice].

The right to give or withhold free and informed consent to care is basic, but has been eroded. Lack of consent to treatment could result in a charge of the crime of battery. The parameters of free and informed consent include autonomy, veracity, beneficence, nonmaleficence and justice. Consent may be implied, expressed or written; consent may be withdrawn, exceeded or limited. Informed consent is considered in detail and guidelines are suggested for the dentist. The problems of implantology are presented including the question of prepared consent forms for this treatment. Capacity to consent is described with particular reference to children, the aged and the mentally impaired.

Adolescent↗