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At least 19 recordsLinked to original sources
PubMed2003

The impact of Kansas House Bill 2724: perceptions of Kansas dental hygienists and dental assistants.

PURPOSE: Kansas House Bill 2724 (HB 2724), which allows dental assistants to perform coronal scaling, was passed by the Kansas legislature in the spring of 1998. This bill was the legislature's way of addressing access to care and manpower issues, in relation to oral health care in Kansas. The intent of this study was to collect baseline data related to HB 2724. Specific purposes of this study were to, 1) compare overall perceptions of dental hygienists and scaling assistants related to HB 2724, 2) compare perceptions of dental hygienists and scaling assistants on how HD 2724 has addressed access to care and manpower issues, and 3) examine the impact of HB 2724 on the delivery of preventive care in underserved areas in Kansas. METHODS: This study employed a nonexperimental descriptive survey research design. Two survey instruments were developed consisting of Likert scale questions, demographic information, and closed and opened-ended questions. All registered Kansas dental hygienists, and dental assistants who had completed the training course approved by the Kansas Dental Board to perform coronal scaling of teeth, were chosen to participate. RESULTS: A total response rate of 38% for dental hygienists, and 42% for scaling assistants was achieved. Analyses were conducted to ensure validity and reliability of the two survey instruments, including factor analysis and internal reliability measures. In relation to overall satisfaction with career choices, both dental hygienists and scaling assistants reported being happy in their professions and respected by their dentist employers. The majority of dental hygiene respondents (79%) did not see HB 2724 addressing either access to care or manpower issues in the state, while in contrast a majority (89%) of scaling assistants believed that this was the best answer for Kansas in relation to access to care and manpower. In examining the impact of HB 2724 on delivery of preventive care in underserved areas of Kansas, this study found that the majority of scaling assistants reported practicing in metropolitan areas, as opposed to identified oral health care shortage areas in the state. CONCLUSIONS: While both dental hygienists and scaling assistants are satisfied with their career choices, this legislation does not appear to be addressing its main objectives-access to care and increased manpower in dentally underserved areas in Kansas.

Delivery of Health Care↗
PubMed2003

Dimensionality of the Kansas Family Strengths Scale and the Kansas Marital Satisfaction Scale as revised to capture changes in marital satisfaction.

The Kansas Marital Satisfaction Scale was modified to reflect issues of relationship development and administered, along with 19 items from a previously reported Kansas Family Strengths Scale by Schumm, Bollman, Jurich, and Hatch, to 337 married couples from a midwestern urban community. High internal consistency was obtained for the revised version (alpha=.93), and the dimensionality of the Kansas Family Strengths Scale was approximately similar to that reported previously. In both this and the previous study, communication and conflict resolution items factored together while items for enjoying time together and actually spending time together factored separately. Likewise, in both studies, normative and affective commitment factored separately, and the internal consistency of the affective commitment subscale exceeded that for the normative commitment subscale. While the subscales for affective commitment, communication or conflict resolution, positive interaction, and time together yielded fair to adequate internal consistency in both studies, both studies indicated very low internal consistency for the normative commitment subscale, suggesting a need for improvement in that particular subscale.

Adult↗
PubMed1994

Mycobacterium kansasii among patients infected with human immunodeficiency virus in Kansas City. Kansas City AIDS Research Consortium.

Previous reports of infection due to Mycobacterium kansasii among patients infected with human immunodeficiency virus (HIV) have conflicted with regard to the significance of the isolate; the clinical, radiographic, and laboratory features of the disease; and the response to therapy. To clarify the spectrum of M. kansasii infection in this population, we conducted a retrospective study of 35 patients. Twenty-eight of these patients were believed to have disease due to M. kansasii, while the remaining seven patients were probably colonized with the organism. All but two patients presented with advanced HIV infection; the median CD4 cell count was 12/microL. Most patients with pulmonary disease presented with fever, cough, and dyspnea, but only eight of these 22 patients had radiographic findings of either pulmonary cavitation or predominantly upper-lobe disease. Ten patients had M. kansasii isolated from blood or bone marrow. The majority of patients with pulmonary or disseminated disease responded to therapy. However, 11 patients died either before mycobacterial infection was diagnosed or early in the course of treatment, and two had a relapse of infection during therapy.

AIDS-Related Opportunistic Infections↗