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Biomedical subjects

F A Hale

Publications and source records attributed to F A Hale.

At least 19 recordsLinked to original sources

Localized intrinsic staining of teeth due to pulpitis and pulp necrosis in dogs.

Dental charts and records of 71 dogs were received and 84 intact tooth crowns were noted to have been entirely discolored in shades of pink, purple, grey, or tan. Endodontic therapy was performed on 49 of these teeth allowing gross examination of the entire pulp. In exploratory pulpotomy was performed in 15 teeth prior to exodontic therapy in order to assess the integrity of the coronal pulp. Gross signs of partial or total pulp necrosis were present in 59 (92.2%) of these teeth. The pulp was not observed grossly in 20 teeth which received exodontic therapy. Overall, of the 84 teeth evaluated, 36 (42.9%) had no radiographic signs of endodontic disease. Gross or radiographic signs of endodontic disease were absent in only 2 (4.1%) discolored teeth receiving endodontic therapy. Based on the low incidence of vital, affected teeth in the dogs of this study, endodontic on exodontic therapy is recommended for discolored teeth.

Animals↗

From petting zoos to electronic classrooms: meeting the technology learning needs of family medicine teachers.

BACKGROUND AND OBJECTIVES: To meet the need for faculty development in the use of information technology for its membership, the Society of Teachers of Family Medicine (STFM) Program Committee implemented a pilot, fee-supported, electronic classroomformat at STFM's 2000 Annual Spring Conference. We assessed the characteristics of those who attended the sessions, the satisfaction of participants with the venue both from expressed satisfaction and enrollment, the financial viability of electronic classrooms, and whether participants used acquired skills 6 months after the conference. METHODS: An evaluation instrument was used to collect the demographic data on attendees and their satisfaction with the sessions they attended. This data was compiled and compared with the demographics of overall conference attendees. The enrollment and revenues for the electronic classrooms were totaled and compared with expenses. A 6-month post-conference phone survey was conducted to assess continued use of learned skills. RESULTS: Attendees were more likely to be physicians from community-based residencies. The program was filled to 80% capacity. Survey results indicated that the program was satisfying to attendees. Registration fees covered costs. Most participants were still using their new skills 6 months after the program. CONCLUSIONS: The electronic classroom pilot was successful and provides skills that participants use months after the program. This program can be used to meet the educational technology training needs of STFM members.

Adult↗

Dental caries in the dog.

The dental records of 435 dogs seen in a dental referral practice were reviewed. Twenty-three dogs (5.3%) had one or more caries lesions. Of the 47 caries lesions, 19 (40%) were pit and fissure caries, 17 (36%) were smooth surface caries, and 11 (23%) were root caries. Twelve dogs had symmetrical lesions. The teeth most commonly involved were the fourth premolar and first and second molar teeth. Twenty affected teeth were extracted and 17 were treated by cavity preparation and restoration with composite or glass ionomer materials. Ten restorations in four dogs were examined one year or more following treatment; all of the restorations were intact and there was no progression of the caries.

Animals↗

Prevention of hypothermia in cats during routine oral hygiene procedures.

While thermally supported cats experienced a drop in body temperature during dental procedures, the drop was significantly greater in cats without thermal support. As cats are at risk of developing clinical hypothermia during dental procedures, steps should be taken to minimize the loss of body heat.

Anesthesia, General↗

The use of a prosthetic appliance to manage a large palatal defect in a dog.

Large defects of the hard palate can result from a congenital abnormality, trauma, or surgical treatment of oral masses. Closure of these defects can be challenging as dehiscence is common. Large, inoperable hard palate defects may be managed with prosthetic obturators, which recreate the separation between the oral and nasal cavities. This report describes the use of a palatal obturator to manage a large palatal defect that persisted after resection of a palatal fibrosarcoma. Three prior attempts at surgical closure of the defect had failed.

Animals↗

Orthodontic correction of lingually displaced canine teeth in a young dog using light-cured acrylic resin.

Lingually displaced canine teeth is a common malocclusion condition in dogs, the treatment of which has been described. Several of the previously reported treatment regimens involve the use of potentially harmful (toxic and/or dangerously exothermic) substances (methylmethacrylate) or require separate anesthetic episodes to make impressions and place the appliance. In this case, a dog was treated with directly placed appliances made of non-heat generating light-cured resin. Treatment required only one anesthetic episode to place the appliances and one more to remove them.

Acrylic Resins↗

Compound odontoma in a dog.

Compound odontomas are rare tumors of dental origin. Though benign, their effect as a space occupying lesion can be dramatic. A large compound odontoma in the caudal right mandible of a five and a half month old dog was managed by surgical enucleation of the abnormal tissues. No recurrence was evident 6 months later.

Animals↗

Bringing the homosexual patient out: teaching the doctor's role.

Little attention is given in the medical school curriculum to providing care for the 5-10% of the population that is homosexual. An elective course was developed to promote more positive attitudes among doctors-in-training towards homosexual patients. The format was primarily small group discussion between students and articulate homosexual people around societal biases towards homosexuals and issues of health care delivery. Students from this seminar and a control group from another elective completed an attitude questionnaire before and after the course. The study group became more accepting towards homosexual lifestyles significantly in 12 of 15 measures while no difference was found in the control group. Students' reaction to this learning experience was highly positive: they appreciated the opportunity to learn about same-sex life-styles in a personal and nonthreatening way, thus enabling them to accept and better care for homosexual people.

Arizona↗

Use of an interpractice medical information system to develop a data-based clinical cost-consciousness curriculum in Primary Care settings.

A data-based cost-consciousness curriculum was developed that stresses teaching by community physician preceptors in their own practice settings, using an educational packet that incorporates the teaching practice's own data. The cost awareness program represents an educational application of an interpractice medical information system developed by the Primary Care Cooperative Information Project (COOP Project). This system allows patients to be tracked longitudinally within a practice and enables cross-practice comparisons of process, outcomes, and costs for similar cohorts of patients. Initial experiences during the pilot year suggest that the use of practice-based data by physician preceptors is a sound strategy, giving the preceptors flexibility in tailoring their approach to specific teaching/learning situations. Student and preceptor reaction was generally positive. Cost issues are threatening to physicians and it is appropriate to design educational strategies which allow physician preceptors to articulate their perspectives. As role models for medical students, preceptors are in an excellent position to influence physicians in training to be more cost conscious as physicians.

Costs and Cost Analysis↗

The cooperative information project: Part 2: some initial clinical, quality assurance, and practice management studies.

Many of the obstacles inherent in the conduct of primary care research have been overcome by an experimental program in northern New England, the Primary Care Cooperative Information Project. This project uses a medical information network in 44 rural medical practices to carry out both clinical and management research. This paper describes the developmental problems encountered and the results of some initial clinical, quality assurance, and practice management studies conducted by the network and presents observations on its future research directions.

Adolescent↗

The Cooperative Information Project: Part 1: A sentinel practice network for service and research in primary care.

This is the first of two papers describing the Primary Care Cooperative Information Project (COOP Project), a program that integrates the interests of community physicians, medical school faculty, and health policymakers. This integration has been accomplished through the uniting of 44 rural medical practices in Maine, New Hampshire, and Vermont with faculty at Dartmouth Medical School in clinical research, quality assurance, practice management, and continuing medical education activities. This paper describes the structure, goals, and history of the COOP Project, together with the design, cost, and output of its computerized medical information system.

Family Practice↗