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16. Obesity, dietary sugar and dental caries in Australian adults

Author

Barrington, Giles, Khan, Shahrukh, Kent, Katherine, Brennan, David S., Crocombe, Leonard A., Bettiol, Silvana, Barrington, Giles, Khan, Shahrukh, Kent, Katherine, Brennan, David S., Crocombe, Leonard A., and Bettiol, Silvana

Published
2019

18. Poor oral hygiene, oral microorganisms and aspiration pneumonia risk in older people in residential aged care: a systematic review.

Author

Khadka, Sangeeta, Khan, Shahrukh, King, Anna, Goldberg, Lynette R, Crocombe, Leonard, and Bettiol, Silvana

Subjects
ORAL microbiology, ASPIRATION pneumonia, CINAHL database, INFORMATION storage & retrieval systems, MEDICAL databases, MEDICAL information storage & retrieval systems, MEDLINE, ONLINE information services, TOOTH care & hygiene, SYSTEMATIC reviews, RESIDENTIAL care, ORAL health, DISEASE risk factors, OLD age
Abstract

Background aspiration pneumonia increases hospitalisation and mortality of older people in residential aged care. Objectives determine potentially pathogenic microorganisms in oral specimens of older people with aspiration pneumonia and the effect of professional oral care in reducing aspiration pneumonia risk. Data Sources PUBMED/MEDLINE, CINAHL, EMBASE, COCHRANE, PROQUEST, Google Scholar, Web of Science. Study Eligibility Criteria published between January 2001 and December 2019 addressing oral microorganisms, aspiration pneumonia, oral health and treatment. Participants people 60 years and older in residential aged care. Study Appraisal and Synthesis Methods the Newcastle–Ottawa Scale and the Standard Protocol Items: Recommendations for Intervention Trials checklist. Results twelve studies (four cross-sectional, five cohort and three intervention) reported colonisation of the oral cavity of older people by microorganisms commonly associated with respiratory infections. Aspiration pneumonia occurred less in people who received professional oral care compared with no such care. Isolation of Candida albicans , Staphylococcus aureus , methicillin-resistant S. aureus and Pseudomonas aeruginosa was related to mortality due to aspiration pneumonia. An interesting finding was isolation of Escherichia coli, a gut bacterium. Limitations more information may be present in publications about other co-morbidities that did not meet inclusion criteria. A high degree of heterogeneity prevented a meta-analysis. Issues included sampling size, no power and effect size calculations; different oral health assessments; how oral specimens were analysed and how aspiration pneumonia was diagnosed. Conclusions and Implications of Key Findings pathogenic microorganisms colonising the oral microbiome are associated with aspiration pneumonia in older people in residential care; professional oral hygiene care is useful in reducing aspiration pneumonia risk. [ABSTRACT FROM AUTHOR]

Published
2021
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19. Advances in medical education and practice: role of massive open online courses

Author

Goldberg,Lynette and Crocombe,Leonard

Subjects
Advances in Medical Education and Practice
Abstract

Lynette R Goldberg,1 Leonard A Crocombe2 1Wicking Dementia Research and Education Centre, Faculty of Health, 2Centre for Rural Health, Faculty of Health Sciences, University of Tasmania, Hobart, TAS, Australia Abstract: Massive open online courses (MOOCs) are increasingly available in the area of health and medicine. These MOOCs are offered through various commercial and noncommercial online platforms. When offered through reputable institutions, they can provide valuable access to reliable information without the constraints of time, geographical location, or level of education. Most current courses appear introductory in nature. In its drive for quality health care, the National Academy of Medicine has prioritized a focus on known chronic care conditions. Many of these conditions are shared internationally. Among its initiatives, the academy encourages consumer and professional groups, patients, clinicians, health care organizations, and universities to work together to identify evidence-based care processes consistent with best practices, organize major prevention programs to target key associated health risk behaviors, and develop systems to measure and evaluate improvements in the provision of patient- and family-centered health care. Carefully designed and collaboratively developed MOOCs would appear a valuable resource to contribute to these initiatives. Such MOOCs can, 1) increase the health literacy of the public with regard to the prevention and treatment of known chronic care conditions, 2) provide ready access to continuing professional, and interprofessional, education, and 3) explore innovative teaching models for student learning focused on patient- and family-centered care. MOOCs would also appear helpful to facilitate effective communication among international communities of patients and clinicians, including student clinicians, with shared interests. Further, the accumulation of MOOC data through large-scale measurement and analysis, obtained nationally and internationally, has the potential to assist in greater understanding of the risk for diseases and their prevention, with this translating into medical education, and authentic, patient- and family-centered methods for student learning. This paper explores these issues. Keywords: interprofessional education, medical education, medical practice, massive open online course, MOOC, patient (or person-) and family-centered care, quality health care

Published
2017

23. Understanding the research-policy divide for oral health inequality

Author

Bell, Erica, Crocombe, Leonard A, Campbell, Steven, Goldberg, Lynette R, Seidel, Bastian, Bell, Erica, Crocombe, Leonard A, Campbell, Steven, Goldberg, Lynette R, and Seidel, Bastian

Abstract

Background: No studies exist of the congruence of research in oral health to policy. This study aimed to examine the broad congruence of oral health research to policy, and implications for developing oral health research that is more policy relevant, particularly for the wider challenge of addressing unequal oral health outcomes, rather than specific policy translation issues. Methods: Bayesian-based software was used in a multi-layered method to compare the conceptual content of 127,193 oral health research abstracts published between 2000-2012 with eight current oral health policy documents from Organisation for Economic Co-operation and Development countries. Findings: Fifty-five concepts defined the research abstracts, of which only eight were policy-relevant, and six of which were minor research concepts. Conclusions: The degree of disconnection between clinical concepts and healthcare system and workforce development concepts was striking. This study shows that, far from being "lost in translation," oral health research and policy are so different as to raise doubts about the extent to which research is policy-relevant and policy is research-based. The notion of policy relevance encompasses the lack of willingness of policy makers to embrace research, and the need for researchers to develop research that is, and is seen to be, policy-relevant.

Published
2014

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