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Biomedical subjects

J L Dicks

Publications and source records attributed to J L Dicks.

13 recordsLinked to original sources
PubMed1987

Down's syndrome and hepatitis: an evaluation of carrier status.

Literature citations show that institutionalized people with Down's syndrome have a significantly higher incidence of positive hepatitis B antigen (HBsAg) than mentally handicapped people who do not have Down's syndrome. A review of 2,136 institutionalized mentally handicapped people in Georgia shows that 27% of residents who have Down's syndrome and 7% of the residents who do not have Down's syndrome tested positive for HBsAg. Forty-nine people with Down's syndrome living in the community were screened for HBsAg. Only one (3%) of 37 of the people who had never lived in an institution tested positive for HBsAg. The implication is that patients with Down's syndrome who have never been institutionalized should be treated no differently than any person in the general population who is not suspected of being a transmitter of an infectious disease.

Adolescent↗
PubMed1984

Evaluation of accumulation of calculus in tube-fed mentally handicapped patients.

A group of tube-fed, nonambulatory, and multihandicapped clients and a similar nontube-fed group were compared to determine the rate of calculus formation over 90 days. The findings indicate that calculus formation is significantly more rapid in the tube-fed group: the majority (71%) of this calculus was formed within the first 30 days; there was no significant difference in plaque formation between the two groups, and the oral hygiene level for both groups was poor. Further study is in progress to determine the impact of rapid buildup of calculus on oral health; any disadvantage caused the patient by frequent prophylaxis; and possible causes of the rapid onset of calculus formation.

Adolescent↗
PubMedDate not supplied

Evaluation of calculus accumulation in tube-fed, mentally handicapped patients: the effects of oral hygiene status.

A group of fifteen tube-fed mentally handicapped subjects were compared with a similar group of fifteen nontube-fed subjects to determine the rate of calculus formation during a 60-day period of intensive oral hygiene care. The findings indicate that calculus formation is significantly more rapid in the tube-fed group, although the oral hygiene levels of the tube-fed group were superior. Nearly half (48%) of this calculus accumulated within the first 3 weeks. The calculus accumulation for both groups was lower than that indicated in a previous study where oral hygiene was poor.

Adolescent↗
PubMedDate not supplied

Outpatient dental services for individuals with mental illness: a program description.

This paper describes a state-funded program providing dental services for community-based mentally ill clients. Contrasts between outpatient services for persons with mental illness and similar programs serving the mentally retarded population are emphasized. Implications of client eligibility, communication, and compliance issues relative to limitations of care are discussed. Suggestions for improving similar programs are provided.

Ambulatory Care Facilities↗
PubMedDate not supplied

Providing oral health care to individuals with severe disabilities residing in the community: alternative care delivery systems.

For some individuals with disabilities who reside in the community, comprehensive oral health care is inaccessible. This deficiency has been noted by health care professionals and advocacy organizations. For example, most dentists who provide care to people with disabilities who reside in the institutional setting perceive that present resources within the community, both private and public, are generally unprepared to provide comprehensive dental care to the adult with severe disabilities; they also believe that special facilities and programs are needed that will be geographically and financially accessible to these individuals. Fortunately, several "special programs" have been established that successfully provide dental care to this population. This article describes these alternative care delivery systems and discusses their characteristics, advantages, and disadvantages. In addition, given the continuing process of community placement, implications for institutional dental programs are presented.

Ambulatory Care Facilities↗