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H Best

Publications and source records attributed to H Best.

8 recordsLinked to original sources
PubMed1999

Strike contingency planning.

On Monday, February 26, 1996, the Ontario Public Service Employees Union (OPSEU) went on strike. The month-long strike included the 10 provincial psychiatric hospitals in Ontario. Within the psychiatric hospitals, the included direct care providers--RNs, RPNs, psychologists, social workers, occupational therapists--as well as support workers (food service, maintenance, housekeeping, and office employees). In anticipation, the mental health program at the London Health Science Centre (LHSC) developed a contingency plan that went into action when the strike was announced. This paper outlines the plan, describes what happened and makes recommendations for nurses who may be faced with similar situations.

Hospitals, General↗
PubMed1994

An experimental model for the assessment of titanium denture casting techniques.

In order to establish the most suitable technique for the construction of cast titanium denture frames, an experimental model was developed for the quantification of casting success. A relatively large wax pattern (36 x 29 x 0.9 mm) was prepared from a grid sheet used for the construction of cast cobalt chromium partial denture frames. The pattern consisted of 100 circles and the number of completely cast circles was counted to obtain a percentage success rate. The castings were complete with pure titanium but incomplete (average 54%) with a titanium alloy. For an inspection of internal defects the radiographic conditions were optimised by adopting a relative density of about 2.0. The procedures described will help in establishing the most suitable casting technique for the construction of titanium denture frames for any casting system employed in a laboratory.

Dental Alloys↗
PubMed1984

Phenytoin induced gingival overgrowth in institutionalized epileptics.

In a cross-sectional, epidemiological study of phenytoin induced gingival overgrowth in 77 institutionalized persons with epilepsy, the severity of the gum lesions was quantified by means of a precise new technique. Lesion severity was then compared statistically to other clinical and laboratory parameters. Positive correlations were detected between overgrowth severity and gingival inflammation, probing depths, calculus accumulation, plaque score and the measurement gingival margin to mucogingival junction (GM-MGJ). No correlation was observed between lesion severity and patients age, daily drug dosage, plasma or saliva phenytoin level, or salivary concentration of the major phenytoin metabolite.

Adolescent↗
PubMed1983

Salivary phenytoin levels in institutionalized epileptics.

Measurement of phenytoin (PHT) levels in saliva has been advocated as a monitor of plasma levels, and therefore of effective dosage. All studies to date have been performed on outpatients. We have now analyzed whole saliva from 62 mentally retarded, institutionalized, PHT-treated persons with epilepsy. Both PHT and its major human metabolite, 5-(para-hydroxyphenyl)-5-phenylhydantoin (pHPPH) were measured using gas-liquid chromatography. We detected large inter-individual variations in saliva PHT and pHPPH levels. Data were ranked and subjected to statistical analysis according to Spearman. Significant positive correlations were detected between daily PHT dose and plasma total PHT concentration, plasma PHT and salivary PHT, and daily dose and salivary PHT level. When data were categorized and analyzed according to the type of medication being administered in addition to PHT, different results were obtained. Polypharmacy can influence drug and metabolite levels and relationships in institutionalized persons with epilepsy.

Adolescent↗