The Impact of the Health Information Technology for Economic and Clinical Health Act on Clinical Pharmacy and Computerized Provider Order Entry

The Health Information Technology for Clinical and Economic Health (HITECH) Act of 2009 encouraged the meaningful use of the electronic health record (EHR) by health care providers in the United States. “Meaningful use” monetary incentives were offered by the Center for Medicare and Medicaid Services (CMS) for health care providers who met standards of documenting in and using the EHR. While clinical pharmacists typically work in clinics and hospitals in the United States, they were not considered eligible professionals who could receive incentives for using the EHR. There is a great deal of literature regarding the use of the EHR by eligible professionals, but not by ineligible professionals like clinical pharmacists. One way that clinical pharmacists assist in meaningful use criteria is by developing computerized provider order entries (CPOEs). The purpose of this study is to assess the perception and use of CPOEs by clinical pharmacists

Influence of Drilling Technique on the Radiographic, Thermographic, and Geomorphometric Effects of Dental Implant Drills and Osteotomy Site Preparations

The aim of this comparative study is to analyze the influence of drilling technique on the radiographic, thermographic, and geomorphometric e ects of dental implant drills and osteotomy site preparations. One hundred and twenty osteotomy site preparations were performed on sixty epoxy resin samples using three unused dental implant drill systems and four drilling techniques performed with a random distribution into the following study groups: Group A: drilling technique performed at 800 rpm with irrigation (n = 30); Group B: drilling technique performed at 45 rpm without irrigation (n = 30); Group C: drilling technique performed at 45 rpm with irrigation (n = 30); and Group D: drilling technique performed at 800 rpm without irrigation (n = 30). The osteotomy site preparation morphologies performed by the 4.1 mm diameter dental implant drills from each study group were analyzed and compared using a cone beam computed tomography (CBCT) scan. The termographic e ects generated by the 4.1 mm diameter dental implant drills from each study group were registered using a termographic digital camera and the unused and 4.1 mm diameter dental implant drills that were used 30 times from each study group were exposed to a micro computed tomography (micro-CT) analysis to obtain a Standard Tessellation Language (STL) digital files that determined the wear comparison by geomorphometry. Statistically significant di erences were observed between the thermographic and radiographic results of the study groups (p < 0.001). The e ect of cooling significatively reduced the heat generation during osteotomy site preparation during high-speed drilling; furthermore, osteotomy site preparation was not a ected by the wear of the dental implant drills after 30 uses, regardless of the drilling technique.Odontologí

Update and Making-Decisions in Dental Traumatology

Dental traumatology is highlighted as an unexpected emergency event which can occur at any moment, age, sex, and gender. Crown fractures account for most traumatic injuries occurring in the permanent dentition. A complete radiographic examination is considered essential in order to assess the state of the pulp, the degree of root development, and the existence of any pathologies affecting the supporting tissues. These examinations also provide a useful tool for subsequent comparisons with those conducted after treatment, ensuring adequate clinical follow-up. Additionally, avulsion of permanent teeth has been highlighted as one of the most relevant dental injuries; therefore, the prognosis of this traumatic event has been directly related to the treatment decision-making process and the time passed since the accident. In addition, dental trauma is also one of the most frequent emergency situations seen in Pediatric Dentistry; moreover, the dental injury of the temporary teeth could also affect to the permanent teeth; hence, it is necessary to perform an exhaustive clinical and radio diagnostic exam to allow a correct diagnosis and a predictable treatment plan. Therefore, the creation of action protocols makes it possible to simplify and facilitate decision-making under stressful situations for patients and clinicians

Screening potential pests of Nordic coniferous forests associated with trade in ornamental plants

Plant pests moved along with the trade in ornamental plants could pose a threat to forests. In this study plant pests potentially associated with this pathway were screened to identify pests that could pose a high risk to the coniferous forests of Finland, Sweden and Norway. Specifically, the aim was to find pests that potentially could fulfil the criteria to become regulated as quarantine pests. EPPO’s commodity study approach, which includes several screening steps, was used to identify the pests that are most likely to become significant pests of Picea abies or Pinus sylvestris. From an initial list of 1062 pests, 65 pests were identified and ranked using the FinnPRIO model, resulting in a top list of 14 pests, namely Chionaspis pinifoliae, Coleosporium asterum s.l., Cytospora kunzei, Dactylonectria macrodidyma, Gnathotrichus retusus, Heterobasidion irregulare, Lambdina fiscellaria, Orgyia leucostigma, Orthotomicus erosus, Pseudocoremia suavis, Tetropium gracilicorne, Toumeyella parvicornis, Truncatella hartigii and Xylosandrus germanus. The rankings of the pests, together with the collected information, can be used to prioritize pests and pathways for further assessment

Forces of Destruction and Construction : Local Conflict Dynamics, Institutional Trust and Postwar Crime

In 2017 alone, an estimated 68,851 people lost their lives as a consequence of civil wars, that is, armed conflicts that take place within the borders of a state. Such violent conflicts not only lead to immense human suffering, but also leave social, economic and political imprints on the societies that experience them. This dissertation contributes to a burgeoning literature that seeks to understand these imprints by studying how local conflict dynamics affect two specific outcomes: institutional trust and postwar crime. It comprises four independent essays that pose separate research questions, but taken together make important contributions to our understanding of how subnational particularities related to conflict intensity, armed actors and the type of violence employed determine whether, how and why civil wars affect the outcomes of interest. Essay I finds that a large-scale insurgent attack on civilians led to an immediate increase in individual-level trust in state institutions in Kabul City. Essay II finds that conflict intensity at the local level in Afghanistan has a negative impact on individual-level perceptions of one specific state institution: the police. Essay III finds that the more an area in Northern Ireland was affected by wartime violence, the more crime it displayed in the postwar context, but that this effect is contingent on the actor perpetrating violence. Finally, Essay IV shows how conflict dynamics in a former insurgent stronghold of Northern Ireland (West Belfast) changed the style of policing at the local level, as well as the consequences this had for the police’s ability to enforce law and order in the postwar context. These findings speak to an emerging research agenda that studies the conditions under which civil wars function either as forces of destruction or as catalysts for societal development, and offer three larger conclusions: conflict dynamics shape the relationship between local populations and the state far into the postwar period; institutional consequences of armed conflict can translate into postwar challenges, such as crime; and conflict dynamics affect perceptions of state institutions in a quite similar manner across rather different contexts, in this case, Afghanistan and Northern Ireland

Forces of Destruction and Construction : Local Conflict Dynamics, Institutional Trust and Postwar Crime

In 2017 alone, an estimated 68,851 people lost their lives as a consequence of civil wars, that is, armed conflicts that take place within the borders of a state. Such violent conflicts not only lead to immense human suffering, but also leave social, economic and political imprints on the societies that experience them. This dissertation contributes to a burgeoning literature that seeks to understand these imprints by studying how local conflict dynamics affect two specific outcomes: institutional trust and postwar crime. It comprises four independent essays that pose separate research questions, but taken together make important contributions to our understanding of how subnational particularities related to conflict intensity, armed actors and the type of violence employed determine whether, how and why civil wars affect the outcomes of interest. Essay I finds that a large-scale insurgent attack on civilians led to an immediate increase in individual-level trust in state institutions in Kabul City. Essay II finds that conflict intensity at the local level in Afghanistan has a negative impact on individual-level perceptions of one specific state institution: the police. Essay III finds that the more an area in Northern Ireland was affected by wartime violence, the more crime it displayed in the postwar context, but that this effect is contingent on the actor perpetrating violence. Finally, Essay IV shows how conflict dynamics in a former insurgent stronghold of Northern Ireland (West Belfast) changed the style of policing at the local level, as well as the consequences this had for the police’s ability to enforce law and order in the postwar context. These findings speak to an emerging research agenda that studies the conditions under which civil wars function either as forces of destruction or as catalysts for societal development, and offer three larger conclusions: conflict dynamics shape the relationship between local populations and the state far into the postwar period; institutional consequences of armed conflict can translate into postwar challenges, such as crime; and conflict dynamics affect perceptions of state institutions in a quite similar manner across rather different contexts, in this case, Afghanistan and Northern Ireland

Forces of Destruction and Construction : Local Conflict Dynamics, Institutional Trust and Postwar Crime

In 2017 alone, an estimated 68,851 people lost their lives as a consequence of civil wars, that is, armed conflicts that take place within the borders of a state. Such violent conflicts not only lead to immense human suffering, but also leave social, economic and political imprints on the societies that experience them. This dissertation contributes to a burgeoning literature that seeks to understand these imprints by studying how local conflict dynamics affect two specific outcomes: institutional trust and postwar crime. It comprises four independent essays that pose separate research questions, but taken together make important contributions to our understanding of how subnational particularities related to conflict intensity, armed actors and the type of violence employed determine whether, how and why civil wars affect the outcomes of interest. Essay I finds that a large-scale insurgent attack on civilians led to an immediate increase in individual-level trust in state institutions in Kabul City. Essay II finds that conflict intensity at the local level in Afghanistan has a negative impact on individual-level perceptions of one specific state institution: the police. Essay III finds that the more an area in Northern Ireland was affected by wartime violence, the more crime it displayed in the postwar context, but that this effect is contingent on the actor perpetrating violence. Finally, Essay IV shows how conflict dynamics in a former insurgent stronghold of Northern Ireland (West Belfast) changed the style of policing at the local level, as well as the consequences this had for the police’s ability to enforce law and order in the postwar context. These findings speak to an emerging research agenda that studies the conditions under which civil wars function either as forces of destruction or as catalysts for societal development, and offer three larger conclusions: conflict dynamics shape the relationship between local populations and the state far into the postwar period; institutional consequences of armed conflict can translate into postwar challenges, such as crime; and conflict dynamics affect perceptions of state institutions in a quite similar manner across rather different contexts, in this case, Afghanistan and Northern Ireland

Losing Hearts and Minds : Civil Conflict, Counterinsurgency Policing and Postwar Crime in Insurgent Strongholds

Postwar countries often experience high levels of crime. A frequent explanation is that these countries exhibit inefficient and illegitimate state security apparatuses that cannot enforce law and order, and that contribute to an environment conducive to crime. Theoretical arguments outlining how an environment conducive to crime comes about as consequences of armed conflict have remained generic and empirical evidence is scant. Building on theoretical insights from the micro dynamics of civil wars, counterinsurgency policing and environmental criminology, this study makes a contribution by theoretically developing and empirically exploring how local conflict dynamics in insurgent strongholds shape police-community relations in a way that undermines the extent to which the police can handle crime in a postwar context. The suggested causal process is explored in the context of West Belfast (Northern Ireland) from 1969-2008. The analysis indicates overall support for it, though with important nuances