16 results on '"Rhian Fitzgerald"'
Search Results
2. Eating disorders and the orthodontist: Diagnosis, considerations and referral
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David Sawbridge, Kelly Smorthit, and Rhian Fitzgerald
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medicine.medical_specialty ,Adolescent ,Referral ,Bulimia nervosa ,business.industry ,Incidence (epidemiology) ,Orthodontics ,030206 dentistry ,Oral health ,medicine.disease ,Mental health ,030227 psychiatry ,Feeding and Eating Disorders ,03 medical and health sciences ,Eating disorders ,0302 clinical medicine ,Anorexia nervosa (differential diagnoses) ,Orthodontists ,medicine ,Humans ,Psychiatry ,business ,Referral and Consultation - Abstract
Background:Eating disorders are relatively common mental health disorders in Western European and North American populations. The peak incidence occurs within the adolescent years, which correlates with the largest orthodontic patient population. The morbidity associated with these psychological conditions is significant, and has a direct impact upon patient well-being, orthodontic outcomes and the success of treatment. Therefore, it is of relevance to the orthodontist to be aware of potential presenting features of these conditions, when and where to seek advice, and how such disorders may impact upon orthodontic outcomes.Methods:Articles published on PUBMED and MEDLINE relevant to orthodontics and eating disorders were reviewed. Key information was extracted, and the relevant evidence for the orthodontist summarised.Results:Eating disorders may present to the orthodontist in specialist or hospital practice, either undiagnosed or as a co-morbidity. Orthodontists may benefit from an appreciation of these potential diagnoses, the orthodontic implications and to have the confidence to refer their patients to the necessary services.Limitations:There is little existing research in this area.Conclusions:These conditions have a significant impact on patient morbidity and mortality. This cohort of patients is not suitable for orthodontic treatment while their disease is active. The impact of a developing eating disorder can adversely affect orthodontic treatment.
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- 2021
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3. Orthodontics in patients with significant medical co-morbidities
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Rhian Fitzgerald, Fahad Alawsi, and David Sawbridge
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Orthodontics ,business.industry ,030206 dentistry ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Summative assessment ,Orthodontists ,Humans ,Medicine ,Co morbidity ,In patient ,Morbidity ,business - Abstract
A wide variety of patients with medical co-morbidities may present to general orthodontic practice. It is important for the treating clinician to have a general understanding of key medical conditions that may impact upon the treatment and management options. This clinical supplement provides a treatment-focused summative update for the orthodontist regarding significant medical co-morbidities, their general prevalence and an exploration of potential impacts upon orthodontic treatment. This review also discusses the significance of key medications and provides suggestions for the safe provision of orthodontic treatment.
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- 2020
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4. Teaching orthodontic emergencies using the 'flipped classroom' method of teaching—A mixed methods RCT
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Norah Flannigan, Grant Isherwood, Rhian Fitzgerald, Girvan Burnside, and Kathryn Taylor
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020205 medical informatics ,Teaching method ,Context (language use) ,02 engineering and technology ,Experiential learning ,Flipped classroom ,Education ,03 medical and health sciences ,0302 clinical medicine ,ComputingMilieux_COMPUTERSANDEDUCATION ,0202 electrical engineering, electronic engineering, information engineering ,Humans ,Learning ,Education, Dental ,General Dentistry ,Curriculum ,Medical education ,Teaching ,Problem-Based Learning ,030206 dentistry ,Focus group ,United Kingdom ,Virtual learning environment ,Emergencies ,Thematic analysis ,Psychology - Abstract
INTRODUCTION In the United Kingdom, the General Dental Council requires newly graduated dentists to be competent in managing orthodontic emergencies. Undergraduate students typically receive limited exposure to orthodontics, with teaching primarily delivered via conventional lectures. Flipped teaching involves knowledge being acquired in students' own time, with class time focussing on construction of meaning. METHODS A total of 61 undergraduate dental students were randomised into either a flipped or a conventional group. The conventional group (n = 30) attended a lecture describing the management of six common emergencies. The flipped group (n = 31) were given access to six videos via a virtual learning environment and later completed practical tasks related to the material. Both groups completed a single best answer assessment. Perceptions of flipped classroom teaching were explored via focus groups. RESULTS For questions on orthodontic emergencies, the conventional group had a mean examination result of 70.5% (SD 8.0%) compared with the flipped group of 72.8% (SD 12.9%). There was no significant difference between the groups (P = .532). For regular orthodontic questions, the conventional group had a mean examination result of 64.8% (SD: 19.9%) compared with 78.3% (SD: 21.7%). There was no significant difference between the groups (P = .083). Thematic analysis identified the following themes: ways in which videos encourages more effective learning, improved engagement, awareness of learning needs and proposed teaching/curriculum changes. The overarching theoretical perspective was facilitating an experiential learning cycle using flipped classroom teaching. CONCLUSIONS In the context of this investigation, the flipped classroom method of teaching resulted in comparable examination performance and improved levels of satisfaction.
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- 2019
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5. Television advertisements for high-sugar foods and beverages: effect on children's snack food intake
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Susan M. Higham, Norah Flannigan, Emma Boyland, Rhian Fitzgerald, Girvan Burnside, Jason C.G. Halford, and Justin Kearney
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Male ,Food intake ,Pediatric Obesity ,Dietary Sugars ,Medicine (miscellaneous) ,Dental Caries ,Snack food ,03 medical and health sciences ,0302 clinical medicine ,Advertising ,Medicine ,Humans ,030212 general & internal medicine ,Sugar ,Eating behaviour ,Child ,Sugar-Sweetened Beverages ,Nutrition and Dietetics ,business.industry ,digestive, oral, and skin physiology ,Body Weight ,Food advertisements ,030206 dentistry ,Overweight ,medicine.disease ,Obesity ,United Kingdom ,Play and Playthings ,Social Class ,Dental examination ,High sugar ,Female ,Television ,Diet, Healthy ,Snacks ,business ,Energy Intake - Abstract
Energy-dense food advertising affects children’s eating behaviour. However, the impact of high-sugar food advertising specifically on the intake of sweet foods is underexplored. This study sought to determine whether children would increase their intake of sugar and total energy following high-sugar food advertising (relative to toy advertising) and whether dental health, weight status and socio-economic status (SES) would moderate any effect. In a crossover, randomised controlled trial, 101 UK children (forty male) aged 8–10 years were exposed to high-sugar food/beverage and toy advertisements embedded within a cartoon. Their subsequent intake of snack foods and beverages varying in sugar content was measured. A dental examination was performed, and height and weight measurements were taken. Home postcode provided by parents was used to assign participants to SES quintiles. Children consumed a significantly greater amount of energy (203·3 (95 % CI 56·5, 350·2) kJ (48·6 (95 % CI 13·5, 83·7) kcal); P = 0·007) and sugar (6·0 (95 % CI 1·3, 10·7) g; P = 0·012) following food advertisements compared with after toy advertisements. This was driven by increased intake of the items with most sugar (chocolate and jelly sweets). Children of healthy weight and with dental caries had the greatest intake response to food advertising exposure, but there were no differences by SES. Acute experimental food advertising exposure increases food intake in children. Specifically, high-sugar food and beverage advertising promotes the consumption of high-sugar food items. The debate around the negative health effects of food advertising on children should be widened to include dental health as well as overall dietary health and obesity.
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- 2021
6. Abstracts
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Rhian Fitzgerald
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Orthodontics - Published
- 2015
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7. Selected Scientific Abstracts
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Rhian Fitzgerald
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Orthodontics - Published
- 2015
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8. Erratum
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Rhian Fitzgerald
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stomatognathic diseases ,stomatognathic system ,Electric Pulp Test ,Orthodontics ,Original Article ,Orthodontic Treatment ,Pulp Vitality - Abstract
Introduction: The current study investigated the pulp response to electric pulp testing (EPT), before, upon initiation and one month after the start of orthodontic tooth movement. Methods and Materials: A total of 402 anterior teeth from 39 patients (mean age of 16.8±2.7 years) were examined in this non-controlled prospective study. The aligning forces were administered using initial NiTi archwires ligated on fixed appliances by using the MBT straight wire technique. The electrical stimulation was provided by the EPT. The EPT readings were recorded at three time points: before bonding (EPT0), immediately upon initiation (EPT1) and 1 month post-treatment (EPT2). The data were statistically analyzed by the ANOVA and Bonferroni tests (P
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- 2017
9. Abstracts
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Rhian Fitzgerald
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Orthodontics - Published
- 2014
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10. Abstracts
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Rhian Fitzgerald
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Orthodontics - Published
- 2013
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11. Relevant abstracts from orthodontic journals
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Jayne E Harrison and Rhian Fitzgerald
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Library science ,Orthodontics ,Psychology ,Review article - Abstract
Nimcenko T, Omerca G, Varinauskas V, Bramanti E, Signorino F, Cicciu M. Dent Res J (Isfahan) 2013; 10: 1–6.This review article discusses auto-transplantion, focusing on their predictors of success ...
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- 2013
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12. Orthodontic Abstracts
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Rhian Fitzgerald
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Orthodontics - Published
- 2016
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13. Predictors of ethical approval and informed consent in orthodontic RCTs
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Jayne E Harrison, Rhian Fitzgerald, and Girvan Burnside
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Orthodontics ,Publishing ,medicine.medical_specialty ,Informed Consent ,business.industry ,Statistics as Topic ,Alternative medicine ,Outcome measures ,Authorship ,law.invention ,Ethics, Dental ,Randomized controlled trial ,Informed consent ,law ,Family medicine ,Medicine ,Humans ,Observational study ,Periodicals as Topic ,business ,Ethics Committees, Research ,Forecasting ,Randomized Controlled Trials as Topic ,Retrospective Studies - Abstract
Determine the number of orthodontic randomized controlled trials (RCTs) published in four key orthodontic journals from 1 January 2001 to 31 December 2010, whether details about ethical approval (EA) and/or informed consent (IC) were reported and identify predictors for reporting EA and IC in orthodontic RCTs.Retrospective observational study.American Journal of Orthodontics and Dentofacial Orthopedics (AJODO), Angle Orthodontist (AO), European Journal of Orthodontics (EJO) and Journal of Orthodontics (JO) from 2001 to 2010.AJODO, AO, EJO and JO were handsearched to identify all RCTs published from 1 January 2001 to 31 December 2010.The RCTs were assessed to identify: inclusion of details about EA and IC, publication journal, number of authors, number and location of centres involved, perceived statistician involvement, publication year and inclusion of random* in either the title, abstract or body of the text.218 RCTs were published. 109 (48·6%) had reported both EA and IC, 59 (27·1%) neither and 53 (12·9%) either EA or IC. Factors associated with an RCT reporting obtaining EA and IC: number of authors (P0·001), random* in title (P0·001), random* in abstract but not title (P0·001), location of origin (P = 0·001), publication year (P = 0·003), journal of publication (P = 0·004) and number of centres (P = 0·008). Logistic regression suggested the most significant indicators of reporting EA and IC were: publication in the JO (P = 0·018),6 authors (P0·001), random* in the abstract but not title (P = 0·004) and publication after 2004 (P = 0·001).RCTs were most likely to have reported EA and IC when published in the JO, after 2004 while having more than six authors and random* in the abstract but not title.
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- 2013
14. Are opthopantomograms of value in the initial diagnosis and management of tempromandibular joint disorders?
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Rhian Fitzgerald, J. Lyall, and E. Fitzgerald
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medicine.medical_specialty ,Otorhinolaryngology ,business.industry ,Physical therapy ,Medicine ,Joint disorder ,Surgery ,Oral Surgery ,business ,Value (mathematics) - Published
- 2009
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15. Enjoyable Elevators
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David Sawbridge and Rhian Fitzgerald
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General Dentistry - Published
- 2009
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16. 'Lazy, slothful and indolent': medical and social perceptions of obesity in Europe to the eighteenth century
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Dt, Sawbridge and Rhian Fitzgerald
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Europe ,History, 17th Century ,Ancient Lands ,Social Perception ,Attitude of Health Personnel ,History, 16th Century ,Humans ,Obesity ,History, 18th Century ,History, Ancient ,History, Medieval ,History, 15th Century - Abstract
There is a considerable stigma associated with obesity, among healthcare professionals as well as the general population, which often leads to discrimination and weight bias. But why is there a stigma attached to obesity? The origin of this stigma has been identified in the 18th century but its roots lie much further back in history. There is some debate about how this negative perception of obesity arose and the role of medical professionals in its creation. This paper examines both positive and negative conceptions by following three major aspects of the modern stigma through from Palaeolithic statues to the medical texts of ancient Greece and Rome, finishing with the medical and literary sources of the 18th century 'Enlightenment'. The modern perception of obesity originated in the social and scientific climate of the Enlightenment through the combination of three key themes; obesity as conspicuous consumption, associations with suspect morals and excess, and as an outward representation of the soul. The evolution of each of these themes can be clearly identfied in pre-Enlightenment sources. By the eighteenth century, these perceptions became amplified by, and disseminated through, the literary and media boom to create a recognisably modern stigma against the obese.
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