The State of Children's Dental Health: Making Coverage Matter

Examines states' progress since 2010 in meeting the dental care needs of publicly insured and soon-to-be insured children, including providing fluoridated water to 75 percent of residents and Medicaid reimbursements for preventive care.The state that children call home can make a big difference in the health of their teeth.  In this year's 50-state report card by the Pew Children's Dental Campaign, 27 states earned grades of an A or B, while 23 states and the District of Columbia received a C or lower grade. However, the 2011 grades for 22 states were higher than their 2010 grades, revealing that even in a time of fiscal distress, dental health policies can be improved.More than 16 million U.S. children go without even basic dental care each year. Pew's report card, The State of Children's Dental Health: Making Coverage Matter, assesses states' ability to serve insured and soon-to-be-insured children

REVIEWS

Iván BALASSA M.: A parasztház története a Felföldön (Die Geschichte des Bauernhauses im Oberland). Herman Ottó Múzeum, Miskolc, 1994, 309 Seite

Identifying dance in UK higher education

In this panel a group of University academics from six different UK Higher Education institutions, discusses their understandings of their academic environment with regard to both national and institutional contexts to contemplate the notion of common and distinctive features. Questions to be addressed include whether Higher Education in Dance across the UK is in any way uniform, if so, in what ways? Conversely, in what ways do the distinctive features of each setting differentiate dance education from one institution to another. How do commonalities contribute to an identity of UK Dance in HE that is in turn distinct from Dance among institutions elsewhere in the world? What are similarities across other systems? At the heart of the discussion is a partial construct of an identity of Dance in Higher Education in the UK. Viewed from within we could be forgiven for believing that we are all clearly distinct from one another. From beyond the UK it may appear that we have a common approach to Dance in HE that is in certain ways unique and distinct from the work of colleagues from other countries. Doubtlessly there are overlaps with colleagues from elsewhere and that these will probably emerge through the discussion from the floor.  What we hope to uncover in this session is the continuity and diversity of our work and how this is distinct and as such can be either a starting point from which we can learn from our colleagues or what they might learn from us

Active vs. Passive Green Space Use and Measures of Well-Being among University Students

Frequent exposure to green space has been linked to positive health and well-being in varying populations. Yet, there is still limited research exploring the restorative benefits associated with differing types of green space use among students living in the university setting. To address this gap, we explored green space use amongst a population of undergraduate students (n = 207) attending a university with abundant opportunities to access the restorative properties of nature. The purpose of this study was to examine the type and frequency of green space interactions that are most strongly associated with indicators of health and well-being, and investigate student characteristics associated with frequent use of green space. Results revealed that students who frequently engage with green spaces in active ways report higher quality of life, better overall mood, and lower perceived stress. Passive green space interactions were not strongly associated with indicators of health and well-being. Having had daily interactions with green space in childhood was associated with frequent green space use as a university student, and identified barriers to green space use included “not enough time,” and “not aware of opportunities” These results could assist in the tailoring of “green exercise” interventions conducted in the university setting

COVID’s Lasting Impact on Georgia Libraries

Special Article Call: This spring marks three years since the onset of the COVID-19 pandemic. Looking back, what have been the pandemic\u27s lasting impacts on your work or your library? What have you or your library learned or how have you changed

Associations between the psychological health of patients and carers in advanced COPD

Objective: Anxiety and depression are highly prevalent in patients with chronic obstructive pulmonary disease (COPD) and their informal carers, and associated with numerous risk factors. However, few studies have investigated these in primary care or the link between patient and carer anxiety and depression. We aimed to determine this association, and factors associated with anxiety and depression in patients, carers, and both in a dyad, in a population-based sample. Methods: Prospective, cross-sectional analysis of data from 119 advanced COPD patients and their carers. Patient and carer scores ≥8 on the Hospital Anxiety and Depression Scale were defined as cases of anxiety and depression; Chi-square, independent-t and Mann-Whitney U tests were used to determine variables significantly associated with these. Patient-carer dyads were categorised into four groups relating to the presence of anxiety or depression: (1) in both the patient and carer, (2) patient only, (3) carer only and (4) neither; factors associated with dyad anxiety or depression were determined with Chi-square, one-way ANOVA and Kruskal-Wallis tests. Results: Prevalence of anxiety and depression was 46.4% (n=52) and 42.9% (n=48) in patients, and 46.0% (n=52) and 23.0% (n=26) in carers, respectively. Patient and carer anxiety and depression were significantly associated. Patient anxiety and depression was also significantly associated with younger age, more physical co-morbidities, more exacerbations, greater dyspnoea, greater fatigue, and poor mastery. Carer anxiety and depression was significantly associated with younger age, being female and separated/divorced/widowed, higher educational level, more physical co-morbidities, unmet support needs, greater subjective caring burden and poor patient mastery. Dyad anxiety or depression was significantly associated with greater patient fatigue. Conclusion: Anxiety and depression of patients and carers are associated. Dyad anxiety or depression was associated with greater patient fatigue. It is necessary to identify and address patient, carer and dyad psychological morbidity in advanced COPD

The practical ethics of repurposing health data: how to acknowledge invisible data work and the need for prioritization

Throughout the Global North, policymakers invest in large-scale integration of health-data infrastructures to facilitate the reuse of clinical data for administration, research, and innovation. Debates about the ethical implications of data repurposing have focused extensively on issues of patient autonomy and privacy. We suggest that it is time to scrutinize also how the everyday work of healthcare staff is affected by political ambitions of data reuse for an increasing number of purposes, and how different purposes are prioritized. Our analysis builds on ethnographic studies within the Danish healthcare system, which is internationally known for its high degree of digitalization and well-connected data infrastructures. Although data repurposing ought to be relatively seamless in this context, we demonstrate how it involves costs and trade-offs for those who produce and use health data. Even when IT systems and automation strategies are introduced to enhance efficiency and reduce data work, they can end up generating new forms of data work and fragmentation of clinically relevant information. We identify five types of data work related to the production, completion, validation, sorting, and recontextualization of health data. Each of these requires medical expertise and clinical resources. We propose that the implications for these forms of data work should be considered early in the planning stages of initiatives for large-scale data sharing and reuse, such as the European Health Data Space. We believe that political awareness of clinical costs and trade-offs related to such data work can provide better and more informed decisions about data repurposing