Objective: The purpose of this study was to provide and evaluate oral health care education programs for refugees resettled in the US.Methods: This project consisted of six sessions, which were held from February to April 2017. Each session included the following components: 1) a short survey that included demographic questions and oral health-related questions; 2) a class on oral health home care; 3) a focus group; and 4) a postclass survey on class satisfaction. Participants were individuals who had a refugee background and were ages 18 and older at the time of the session.Results: Twenty-seven refugees from diverse ethnic backgrounds participated in this study. Refugees that have resettled in the US may not have had opportunities to learn about oral health care, but seem to be interested in oral health education, and find the information useful. While brushing teeth seems to be commonly practiced (though their methods of brushing may not be appropriate), flossing teeth is not. Before resettlement, participants had poor oral health practices and habits, lacked resources, and maintained cultural norms that negatively affected their oral health. Conclusion:It is important to develop and provide educational programs to promote proper oral health practices for refugees. The changes in their environment after migration to the US such as unfamiliarity to dental health practice and the addition of sugary food/drinks to their lives should be considered in oral health education.
African-Americans in Douglas County, Nebraska, experience above-average incidence of death and disability from chronic diseases, particularly cardiovascular disease. Current screening and education services are independent and poorly available to minority citizens. Despite communities' progress in addressing health disparities, barriers prevent effective and culturally-competent care. Addressing these inequalities requires new and innovative models like Creighton University's Center for Promoting Health and Health Equity, Racial and Ethnic Approaches to Community Health (CPHHE-REACH) program. This collaborative partnership with community stakeholders in Douglas County, Nebraska addresses chronic disease disparities in Omaha African-Americans by increasing community opportunities for access to physical activities. The REACH strategy involves promoting and supporting changes in policy, systems and environment (PSE). The Omaha African-American community for REACH comprises some 50,000 people. REACH program settings include Omaha faith-based organizations (churches of diverse denominations), public housing towers, a federally qualified health center, and public middle schools' after-school program. The Douglas County Health Department and Creighton University School of Medicine personnel are key partners that provide technical assistance through the Physical Activity Leadership Train-theTrainer mechanism for Community Health Ambassadors (CHAs) and direct support for (PSE) improvements. Thirtytwo (32) program-certified CHAs support enhancing access to physical activity in the affiliated public housing towers, diverse faith-based organizations, the health center, and the after-school programs.
Atypical Mastoiditis.DR. W. C. PHILLIPS: I want to speak in a general way of the prevalence during the past season of what we ordinarily call atypical cases of mastoiditis, in which there are but few classical mastoid symptoms. Many of them have little or no discharge; little or no pain; little or no temperature; but finally the few symptoms verified by the radiograph lead one to operate and very extensive involvement is found in the mastoid process.I recall a private case in consultation with Dr. Friesner, which eventually required a double mastoid and in which extensive disease was found.Another case somewhat different was a woman forty years of age, who complained of no pain in the ear, very little discharge, no mastoid symptoms, but enough redness of the drum and bulging apparent to lead me to believe that it was not a case of catarrhal involvement. I opened the ear drum, and she had some discharge for two or three days, but always complained of a sense of fullness on the side of the head. The discharge entirely ceased, and for about a period of over a week there was "no discharge. She went back to her work and was apparently well, when suddenly she had a little bit more pain, and then a very profuse discharge of pus, and some temperature, but no tenderness of the mastoid. The discharge remained excessive, she had gone over a period of three weeks, and she was running a temperature of about 100 in the afternoon. I operated on her last week, and I have never seen a more extensively involved mastoid process. And yet that
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