Wednesday 29 December 2010

409. Oral health affects reasoning ability

A study conducted at Columbia University states that good oral hygiene can help adults maintain healthy reasoning. According to an article published in the latest edition of the Journal of Neurology, Neurosurgery, and Psychiatry, people over 60 years with gum disease have more difficulty remembering a sequence of three words after a while. Furthermore, they are twice as likely not to move in tests with calculations subtracting three-digit numbers.
Researchers have resorted to more than 2300 men and women to examine their oral health to see your reasoning. Overall, 5.7 percent of adults had trouble completing some tests of memory and 6.5 percent did not complete the tests of subtraction.
Participants with higher levels of bacteria had the worst results in these tests. Among other risk factors for loss of mental function, researchers highlighted the inflammation caused in whole body because of poor oral health. Other investigations have linked this issue with other diseases such as diabetes and Alzheimer's.

408. Orlando Monteiro da Silva X Fernado Guerra

These interviews were taken from the Oral Health website, this blog has the same name but the site is completely independent of the same name and only coincide by chance.
For the elections to the Dean of the Dental Association, the Oral Health Blog is completely independent and equidistant to the two candidates, so that in case of detection of any breach of this policy of independence, thanks to instant communication via email to tempogero@gmail.com
Finally, gratitude is the publication of Oral Health interviews to the site to which you want sincere congratulations and your continued service for oral health in Portugal.
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Defender of the Order of Dentists' independent and free of other interests than those directly related to the exercise of the profession, the candidate for leader of over seven thousand dentists registered with the association believes the future of oral health in Portugal is by creating public-private partnerships that enhance the structures already built at the same time as providing care to the population within the National Health Service
Oral Health - How did the challenge to reapply the president of the OMD?
Orlando Monteiro da Silva -Came after reflection and after receiving support from a huge range of people who gave me a kind of blank check and that, though I know it is not always easy, given the guy on the site of application. The group of supporters already gathers more than 750 people who felt a call to one who stars in the project application. I felt that call with a great deal of freedom and responsibility at the same time, because there was also a very strong movement on the part of young dentists. These were what convinced me to proceed with the same decision, not wanting to put in here because the support nor the reputation of anyone.
Oral Health - However, there is also a growing problem of excess dentists in Portugal. What measures proposed to resolve this issue?
Orlando Monteiro da Silva - I am not a president or cabinet operetta and regular contact with professionals in the field. I realized how well the expectations that were deposited in me by these young newcomers to the profession and understand that there is clearly a surplus of dentists in our country, with many to go abroad to work. I'm not mincing words about it: it's a shame that this potential is being lost and skilled people. Furthermore, it is a shame for the country so that you lose the investment made in training these professionals.
I think actually the youngest are struggling to assert itself in Portugal and that there must be a great representative and are listened to their problems, as has happened on the site, with questionnaires, selecting focus groups and trying to make their bids to obtain appropriate response by the OMD.
What I want to emphasize is that this application is a new project that promotes new ideas for the next three years, and obviously we will pay attention to the problems of this fringe of the profession that has supported us so much. I also think we should adapt the training of dentists to country needs and propose concrete measures in this regard, because colleges live in student numbers since it depends for its funding.
Oral Health - Do not see then welcome the opening of a College of Dental Medicine announced for Lisbon?
Orlando Monteiro da Silva - I know there are instincts in this direction that the Order has not stemmed the privileged dialogue it has with the Government - not only with this, but with any government - the result of the prestige it has acquired over the years. I believe that in many cases is more important is what stops people do than what you do. We are committed to the attitude toward the opening of new faculties and remains until it reduces the number of students in dentistry, because we believe would improve the quality of education.
In addition, heralded a greater stake in postgraduate teaching and there is an unpaid volunteer internship, in terms of courses of Bologna, colleges, hospitals, health centers and private clinics, which gives young dentists ease of entry labor market and an experience that increased contact with the profession.
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With the motto An Order for All, the list B is assumed confident of victory. Of the ten lines of force by which it will govern, there is a proposal to create a permanent service dental care, provided by clinics and private hospitals with emergency rooms 24 hours a day and create a bulletin distributed Oral Health at birth. Fernando Guerra also accuses the current management of OMD have assumed an attitude of subservience to the various powers in place and promises to reshape dental checks whose current model considers a counter-intuitive, since no benefit in the long term.
Oral Health - What prompted your application the president of the OMD?
Fernando Guerra - It was believing it was time to renew and revitalize Order. We think the life experience that we have prepared us for this challenge and managed to mobilize a number of colleagues who are a team with the necessary experience and expertise at all levels, to serve the OMD in the way that we understand more convenient. This revitalization is vital and necessary that these institutions have the ability to renew itself and to open doors to new ideas and energies.
Oral Health - Why the motto An Order for All?
Fernando Guerra - Translate much of what are our beliefs. We believe that the OMD must reorient itself to the professional issues, giving particular emphasis to the difficulties that dentists feel and our action, while the Order, will refocus attention on the institution's dentist. We are therefore convinced that there would be no better motto to reflect this desire.
The team consists of dentists who work daily in their practices and, therefore, we are aware of reality and the problems that persist. We want to change that and make our contribution to changing the way that has been followed.
Oral Health - I assume by your statements that there are changes that the OMD should be made to its operation. What changes they intend to introduce?
Fernando Guerra - As mentioned above, institutions should periodically re-energize. For this, we propose a different framework in order to address the problems through a refocusing on professional issues, also a large opening in the dentist's role in society and have the capacity to form the OMD as a true catalyst for a national integrated health and has an active participation of dentists.
By this we mean clearly the integration of dentists at all levels in this strategy of oral health. We have drawn up an action program that has many ideas. A set of measures that we present such a plan within that statement that we want to go through the integration of dentists in the team of School Health, immediately creating a different approach that has been advocated, which will include an integration in the health centers. We want to be dentists to establish the community level strategies, as well as best practices and also they can be the engines of an overhaul, which should be immediate and highly relevant, the dentist-check.
Oral Health - Therefore advocate the integration of the SNS dentist?
Fernando Guerra - Yes, we want is an integration at various levels. The integration of the SNS dentist is needed for an effective improvement of oral health in Portugal. We watched, year after year, the implementation of oral health programs that have no real consequence in this instance and that have been offending in a way to consider only the dentists as manpower caregiver, the cheapest possible and undermining their professional dignity. We are completely against this style of approach.
Rather, we intend that dentists are engines at the community level in implementing strategies for oral health and OMD should be a catalyst of this idea nationally.

Monday 20 December 2010

407. Dental seasonal?

The current status of oral health in Portugal experienced a period of many difficulties and action taken by officials from the Ministry of Health, in joint initiatives with the Order of Dentists, remain inconclusive as to the measures to provide adequate care to the citizens.
Over the past seven years, doubled the number of people who abdicated to treat their teeth by economic difficulties. Do not just launch television campaigns or speak of million of budgeted funds (many do not run), finishing everything by not translate into real gains in health.
Patients and dentists can not be condemned to the dental check. It is an open urgnte immediate overhaul of the National Oral Health. The dentist-check measure has proved increasingly ineffective as the period and manner of operation are incompatible with good oral health of young people, pregnant women and elderly people who want to cover.
For young people in many parts of the country, checks were issued only in August and the end of its validity was given this October 31. Oral diseases are not seasonal.
On the other hand, the difference between the number of checks issued and used reflects the failure of the model. The same inefficiency has been demonstrated in late payments to professionals, with more than five months of waiting, which entails enormous difficulties for the viability of clinics and offices that joined the program. The Directorate General of Health, in agreement with the current direction of the Order stipulated guidelines of the National Oral Health which undermine the dignity of dentists and tend to frustrate the best practices in treating many cases of dental disease in groups target.
It is intended that the necessary dental treatment to an oral cavity are carried out within a predetermined fixed budget, not looking at various details and the number of medical and dental acts to perform, calling into question the professional ethics and the right to health. This affront to ethics and attitude offends either the patients or professionals.
The proposals for reform that are defended by the following aspects: the integration of dentists in the SNS (National Health Service), allowing coordinate the referral of patients and monitor the evolution of oral health care, the eradication of treatments at no cost, to prepare a paytable dignified and differentiated for the different medical and dental instruments, the penalty for late payments, simplification of administrative procedures, the permanent availability of the computer system for registration of patients, the change of name (check-dentist) for reimbursement of medical / dental instrument, the proper scientific monitoring program, and the universal freedom of access and the same termination.
Fernando Guerra, Professor, University of Coimbra and candidate for president of the College of Dentists

Thursday 2 December 2010

405. MANGUALDE: Draft municipal oral health

The Board of Mangualde was the only city council in the district of Viseu and the first country that accepted the proposal of the Portuguese Association of Oral Health: a project on oral health over two years. The first phase of teeth cleaning, which focused on elementary and middle schools of the county, ended this week and is already considered the most successful experiments in this field. But the results are staggering: nearly 80% of children have teeth with cavities. The association is satisfied, but regrets the lack of interest from other municipalities.
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Someone you please tell if this program is still in business? What is the balance made by the Portuguese Association of Oral Health and the Municipality of Mangualde's work? We await an explanation.

404. Candidates for president of the College of Dentists

Presidential candidate Fernando Guerra defends reformulation of the dentist-check - The candidate for president of the College of Dental Association (OMD) Fernando Guerra defended today the immediate re-check the dentist, considering that the measure is ineffective in improving the oral health of citizens.
As dentist-check entered in the National Oral Health has proved increasingly ineffective, with a period and way of functioning inconceivable to the oral health of young people, pregnant women and elderly people who want to cover claims Fernando Guerra in a statement released today . According to the candidate list B for young people in many parts of the country checks were issued only in August and the closure of the treatment takes place this October 31.
Oral diseases are not seasonal, says the professor of the Faculty of Medicine, University of Coimbra. According to the candidate for president of the College of Dentists, the same inefficiency has been demonstrated in late payments to professionals, with more than five months of waiting, which entails enormous difficulties for the viability of clinics and offices that joined the program.
In defending the immediate re-check the dentist and the National Oral Health, Fernando Guerra also advocates a decisive stance in defense of the OMD patients and physicians, dentists and end with the attitude pactuante purely political interests. Patients and dentists can not be condemned to hold the check-dentist claims.
According to Fernando Guerra, the Directorate General of Health, agreed with the president of OMD still intends for the dental care needed in the oral cavity are carried out in a predetermined fixed amount, not looking at various details and the number of acts medical and dental running, calling into question the professional ethics and the right to health of citizens. On the other hand, this government election promise in extending the check-young dentist from 4 to 17 years and diabetes continues to not encourage adequate patient care and not to address the just reward of treatments that allow the recovery of dental specimens at risk , harming citizens.
Proposals for reform, the list B claims, among other measures, eradication treatments at no cost, to draw up a schedule of payments dignified and differentiated for the different medical and dental instruments, the penalty for late payment, the simplification of administrative procedures and adequate scientific monitoring program. Elections for the OMD are scheduled for December 12, competing also the current president, Orlando Monteiro da Silva.
On 12 September, the president of the Dental Association revealed that more than 90,000 dental checks were given to pregnant women and elderly people between May 2008 and August 31 this year.
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Candidate for president of OMD advocates extending dental checks to diabetic and HIV positive - The candidate for president of the College of Dental Association (OMD) Orlando Monteiro Silva Tuesday defended the extension of dental checks to diabetic and HIV positive, and adequacy of the number of graduates looking for the reality of the Portuguese market.
Unlike Fernando Guerra, another presidential candidate who advocated the immediate overhaul of the program of dental checks for considering the measure ineffective in improving the oral health of citizens, the candidate list A of the OMD to consider the measure included in the Program National Oral Health should be expanded. Pretending not to create shocks either change course or call into question what has been achieved, what is being negotiated with the Government, and that might be achieved is the extension of dental check-children from four to 18 years and other special population groups such as diabetics (about one million in Portugal) and those with HIV positive, sustained the Lusa news agency.
For the president, who reapply for the position, the proposal for immediate reform, proposed by List B, would result in the end the program with a huge disservice to the people and for the thousands of professionals who have acceded to it. Listing A presents major challenges for the class, including reducing the number of graduate training in dentistry that existing colleges are producing, advanced.
In recent years we have gone from about 5300 to 7100 dentists. This is inadequate to the demand that exists in Portugal, creates situations of underemployment and unemployment in the class, he advocated. This situation is leading professionals to seek employment elsewhere, there are even cases of dentists enrolled in job centers. We have 400 registered dentists to practice in England and several others to engage in other European countries, namely Luxembourg, Sweden, Denmark, etc., he stressed, considering this situation entirely inappropriate.
Orlando Silva Monteiro also defended the extension of the access to medicine, dentistry through a system of reimbursement of dental consultations in private to the users of the National Health Service (SNS in portuguese), which already exists in Madeira and the Azores. Most of its population has no access to dental care by the SNS, excluding dental checks, he stressed.
The inclusion of dentists in SNS hospitals, health centers and family health units in a career suited to their own profession is another proposal from List A, and the inclusion of dentistry in occupational medicine. It is unacceptable that dentistry is excluded from this area because about seven to ten percent of absenteeism from work is linked to oral health, he argued.