Validation of a multifactorial risk factor model used for predicting future caries risk with nevada adolescents

<p>Abstract</p> <p>Background</p> <p>The objective of this study was to measure the validity and reliability of a multifactorial Risk Factor Model developed for use in predicting future caries risk in Nevada adolescents in a public health setting.</p> <p>Methods</p> <p>This study examined retrospective data from an oral health surveillance initiative that screened over 51,000 students 13-18 years of age, attending public/private schools in Nevada across six academic years (2002/2003-2007/2008). The Risk Factor Model included ten demographic variables: exposure to fluoridation in the municipal water supply, environmental smoke exposure, race, age, locale (metropolitan vs. rural), tobacco use, Body Mass Index, insurance status, sex, and sealant application. Multiple regression was used in a previous study to establish which significantly contributed to caries risk. Follow-up logistic regression ascertained the weight of contribution and odds ratios of the ten variables. Researchers in this study computed sensitivity, specificity, positive predictive value (PVP), negative predictive value (PVN), and prevalence across all six years of screening to assess the validity of the Risk Factor Model.</p> <p>Results</p> <p>Subjects' overall mean caries prevalence across all six years was 66%. Average sensitivity across all six years was 79%; average specificity was 81%; average PVP was 89% and average PVN was 67%.</p> <p>Conclusions</p> <p>Overall, the Risk Factor Model provided a relatively constant, valid measure of caries that could be used in conjunction with a comprehensive risk assessment in population-based screenings by school nurses/nurse practitioners, health educators, and physicians to guide them in assessing potential future caries risk for use in prevention and referral practices.</p

Nevada State Cancer Plan: 2016-2020 Refining Strategies for the Future of Cancer Control in Nevada

Steering Committee Susan Cox, RT (R)(T)(M) Renown Institute for Cancer; James Cohen, MD Renown Institute for Cancer; Lisa Dettling Nevada Health Centers; Stacey Escalante, Melanoma Survivor / Escalante Media Management;Alice Hampton, RN, BSN Health Advocate;Cari Herington, MBA Nevada Cancer Coalition; June Hunter, MPH American Cancer Society; Holly Lyman, MPH, CLC The Barbara Greenspun Womens Care Centers & Community Outreach, St. Rose Dominican Hospitals; Tom McCoy, JD American Cancer Society Cancer Action Network;Kristen Power Nevada Cancer Coalition; Ann Proffitt Carson Tahoe Cancer Resource Center; Karen Sartell, MA, CCRP Nevada Cancer Research Foundation; Patty Sredy, RN, BSN Saint Mary’s Center for Cancer; Debbie Strickland Northern Nevada Children’s Cancer Foundation; Anu Thummala, MD Comprehensive Cancer Centers of Nevada;Mónica Morales, MPA Nevada Division of Public & Behavioral Health;Shannon Odermann Bennett Nevada Division of Public & Behavioral Health; Lily R. Helzer Nevada Division of Public & Behavioral Health Contributors Shelby Adams, RHIT Cancer Survivor / ACS-CAN Advocate; Angela Berg, DNP, CPNP Children’s Specialty Center of Nevada/Cure 4 The Kids Foundation; Jason Crawford, MD, MPH Community Health Alliance; Spencer Flanders Nevada Statewide Coalition of Youth; James B. Harris, MD, FACS Western Surgical Group; Clark A. Harrison, MD Gastroenterology Consultants; Susan Howe Nevada Radon Education Program University of Nevada Cooperative Extension; Karin Klove, MD Surgeon; Annette Logan Children’s Specialty Center of Nevada/Cure 4 The Kids Foundation; Brock Maylath, MBA Transgender Allies Group; John Packham, Ph.D. University of Nevada School of Medicine; Heidi Parker, MA Immunize Nevada; Paulo S. Pinheiro, MD, MSc, Ph.D., CTR School of Community Health Sciences, University of Nevada Las Vegas; Carmen Ponce, MD, MPH Nevada Central Cancer Registry, Office of Public Health Information and Epidemiology, Nevada Division of Public and Behavioral Health; Sherri Rice Access to Healthcare Network R.; Nathan Slotnick, MD, Ph.D. Perinatal Associates of Northern Nevada, LLP; Nicholas J. Vogelzang, MD Comprehensive Cancer Centers of Nevada; Rebecca Whistler Nevada Cancer Coalitio

International planning directions for provision of mental health services

Internationally, there have been calls for more strategic mental health care delivery. For this to occur, individual countries need to define 'core' mental health services and set evidence-based, country-specific resource targets related to these. Via a web search, we identified 32 current mental health plans from five developed countries. We synthesised descriptive information from these documents, in order to compare profiles of 'core' services, resource targets relating to these services, and rationales for these resource targets. Most plans list 'core' clinical services, typically including a mix of inpatient and community services. Only four plans cite resource targets for these 'core' services, and these are difficult to compare due to different definitional and counting rules. All four provide rationales for the targets, though these vary in strength. The challenge remains for individual countries to develop plans that include appropriate resource targets, and to implement initiatives that move them towards these targets

Metadata record for: COVIDiSTRESS Global Survey dataset on psychological and behavioural consequences of the COVID-19 outbreak

This dataset contains key characteristics about the data described in the Data Descriptor COVIDiSTRESS Global Survey dataset on psychological and behavioural consequences of the COVID-19 outbreak. Contents: 1. human readable metadata summary table in CSV format 2. machine readable metadata file in JSON forma