{"title":"Stress and coping in fourth-year medical and dental students.","authors":"R C Harris, C J Millichamp, W M Thomson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>Medicine and dentistry are stressful professions. Dental and medical students suffer high levels of stress and may experience adverse psychological symptoms and use dysfunctional coping mechanisms.</p><p><strong>Aim: </strong>To investigate levels and sources of stress, anger, anxiety and sadness, and associated coping mechanisms, in fourth-year dental and medical students.</p><p><strong>Methods: </strong>A link to an online questionnaire was emailed to all fourth-year dental and medical students at the University of Otago, in Dunedin (New Zealand).</p><p><strong>Results: </strong>The response rate was 60.2% (N = 100). The majority of students (58.6%) reported frequently feeling stressed. More dental than medical students reported always feeling stressed, but a greater proportion of medical students reported not coping well with stress, suffering abnormal anxiety, anger and sadness, and having these feelings for prolonged periods. Destructive coping mechanisms were more common among dental students, while positive coping mechanisms were also used by both groups. Few students (13.5%) reported using professional counselling services during their undergraduate years.</p><p><strong>Conclusions: </strong>Mental stability is indispensable for the compassionate, professional and competent delivery of care by health professionals. The high prevalence of detrimental emotions and adverse mental states reported by students before they enter the health workforce is alarming and needs to be addressed.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 3","pages":"102-8"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34185589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Keratocystic Odontogenic Tumour of the Mandible: a case report of decompression with a customised removable tube and review of literature.","authors":"R B Smit, B K Moore, S M Y Lou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Keratocystic odontogenic tumour (KOT or KCOT) is defined by the WHO to be 'a benign uni- or multicystic, intraosseous tumour of odontogenic origin'. In 2005, the World Health Organization renamed the lesion; previously known as an odontogenic keratocyst (OKC) as the KCOT. WHO recommends the term KCOT as it reflects its neoplastic nature. In this case report, a 21-year-old female with a histologically proven large parakeratinised KCOT of the right mandible underwent treatment that involved a 14-month period of decompression, followed by enucleation (with Carnoys application) of the residual cyst. During the period of decompression, a custom made removable mandibular chrome-cobalt appliance was used to hold the decompression tube in the oral cavity.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 3","pages":"98-101"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34185588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Brown tumour of the mandible in primary hyperparathyroidism; a case report.","authors":"J Olsen, C Sealey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present an uncommon diagnosis in a 34-year-old female with a non-healing extraction socket. Incisional biopsy revealed multi-nucleated giant cells suggestive of central giant cell granuloma (CGCG). The computed tomography (CT) report made incidental note of a parathyroid mass. The parathyroid hormone (PTH) level was checked and found to be abnormally high. A diagnosis of brown tumour of the mandible was made. The patient was referred to a head and neck surgeon and the parathyroid mass was removed. The mandibular lesion was managed conservatively and continues to regress post-normalisation of PTH levels. The inclusion of the parathyroid region on the CT scan in this case was fortuitous. There are a range of pathologies containing multinucleated giant cells that can arise from the maxillofacial region; PTH level should, nevertheless, be checked in all such jaw lesions. This allows the clinician to exclude brown tumour from the diagnostic sieve.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 3","pages":"116-8"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34185591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C M Rocha, S McGuire, R Whyman, E Kruger, M Tennant
{"title":"The role of a bus network in access to primary health care in Metropolitan Auckland, New Zealand.","authors":"C M Rocha, S McGuire, R Whyman, E Kruger, M Tennant","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>Background: This study examined the spatial accessibility of the population of metropolitan Auckland, New Zealand to the bus network, to connect them to primary health providers, in this case doctors (GP) and dentists. Analysis of accessibility by ethnic identity and socio-economic status were also carried out, because of existing health inequalities along these dimensions. The underlying hypothesis was that most people would live within easy reach of primary health providers, or easy bus transport to such providers.</p><p><strong>Methods: </strong>An integrated geographic model of bus transport routes and stops, with population and primary health providers (medical. and dental practices) was developed and analysed.</p><p><strong>Results: </strong>Although the network of buses in metropolitan Auckland is substantial and robust it was evident that many people live more than 150 metres from a stop.</p><p><strong>Conclusion: </strong>Improving the access to bus stops, particularly in areas of high primary health care need (doctors and dentists), would certainly be an opportunity to enhance spatial access in a growing metropolitan area.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 3","pages":"119-22"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34116692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SOCIAL ACCOUNTABILITY IN THE DENTAL PROFESSION.","authors":"Lyndie Foster Page","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 3","pages":"96"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34185587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interprofessional Education, Dentistry, and the New Zealand experience: a commentary.","authors":"C Ding, Page L A Foster, S Rangnekar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 3","pages":"109-12"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34185590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The new era begins.","authors":"James M. Denham","doi":"10.5744/florida/9780813060491.003.0007","DOIUrl":"https://doi.org/10.5744/florida/9780813060491.003.0007","url":null,"abstract":"","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"85 379 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2015-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70904882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R P Fitzgerald, W M Thomson, G Huakau, M Darrou, D Gilmore, H Sadler, R J Bell, V Danse, B Broad, J R Broughton
{"title":"A qualitative study of the meaning of oral health and self-care for 40 Dunedin residents living on lower incomes.","authors":"R P Fitzgerald, W M Thomson, G Huakau, M Darrou, D Gilmore, H Sadler, R J Bell, V Danse, B Broad, J R Broughton","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and objectives: </strong>This project extends studies of oral health cultures for lower income families by identifying the participants' meaning of oral health self-care, barriers to its attainment, and suggestions for its improvement.</p><p><strong>Methods: </strong>Forty open-ended interviews were conducted with Dunedin residents purposively selected from a variety of ages, backgrounds and ethnicities. Transcribed interviews were analysed thematically.</p><p><strong>Results: </strong>Five key themes emerged: (1) oral health understandings for self and wider family groups; (2) the complexity of understanding cost in relation to oral self-care; (3) oral self-care tools and daily oral health routines; (4) relationships with oral health workers and the meaning of good and bad care provision; and (5) the State's involvement in oral health.</p><p><strong>Conclusions: </strong>Participants valued good oral health and were knowledgeable about it, but cost was the primary barrier to care.</p>","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 2","pages":"68-75"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33875640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Consenting to budgeted plans for redevelopment of the School of Dentistry.","authors":"Don Schwass, Nick Chandler","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76703,"journal":{"name":"The New Zealand dental journal","volume":"111 2","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33874708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}