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This article describes a basic method for the recording of malocclusion that has been developed jointly by the World Health Organization and the International Dental Federation. The method was developed and field-tested in the period 1969-78 and should provide investigators and health authorities with a common basis for assessing the prevalence of malocclusion in various parts of the world. It should also serve as a basic reference tool in the development of methods for assessing the need and demand for orthodontic treatment.
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The evolution of present day attitudes toward maintaining standards of medical care in the United States is described, and the main methods identified. Their influence on current practice is discussed, and application made to the promotion of high standards of care in British general practice.
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A broadened procedure to be used in examining abese children are described. These include an analysis of the history data according to specially worked out schemes, the determination of the basal metabolism and energy expenditures of the naturt of fat deposition, characteristics of the lipids metabolism and the coefficient of the effectiveness of the alimentary fatty acids metabolization.
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A protocol for upper-respiratory tract complaints was administered to 226 patients in a walk-in clinic. The protocol, for use by a physician-extender in conjunction with a physician, specified the collection of data necessary for management. A decision-making algorithm separated the major causes of upper respiratory infection (URI) complaints and led to one of four plans: a physician referral, a culture only, antibiotic treatment, or symptomatic treatment only. Each patient was seen by a physician following the health assistant's interview. Of 226 patients, 96 (42 percent) would have been sent home by the protocol without seeing the physician. None of these had a complication of URI. Sixteen (seven percent) of the 226 had serious complications - all would have been referred to the physician. The protocol proved to be safe and efficient, acceptable to patients, and a reliable approach to physician-extender management of URI.
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