Reexamining dental outreach programs

Arefi, Pouya; Cardoso, Elaine; Azarpazhooh, Amir

doi:10.1016/j.adaj.2020.01.023

Cited by 7 publications

(4 citation statements)

References 26 publications

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“…Discussion of collaboration and longitudinal relationships encompassed three main components: collaboration with the host country and local community, with other NGO’s or STMMs, and with local health care providers. Strong partnerships with the host country and local community help ensure local needs are met 2, 11, 20, 27, 30 . This also empowers community members, enhances buy-in, and supports sustainability.…”

Section: Discussionmentioning

confidence: 99%

“…Much of the literature supported the notion that language barriers, along with lack of cultural humility and understanding of local systems, can result in ineffective patient care due to miscommunication and poor sensitivity. 1, 2,13, 15, 20, 28, 31, 35 Language barriers in particular are detrimental to patient-provider and provider-provider relationships. 13, 15, 20, 21, 24, 28 Stone and Olsen (2016) note that “cultural differences may make communication and understanding difficult with respect to expectations, values, and decision making.” 31 This holds true both in individual treatment and when considering the needs and goals of the host community.…”

Section: Discussionmentioning

confidence: 99%

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Ethical Considerations for Clinical Care on Short Term Medical Missions in Low- And Middle-Income Countries: A Scoping Review

Smith,

Graham,

Vance

et al. 2024

Preprint

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Intro: Despite short term medical missions (STMMs) to low- and middle-income countries (LMIC) becoming increasingly popular, ethical considerations for the provision of clinical care on STMMs are poorly defined. Clinicians are often unprepared to adapt care and ethical precepts to resource limited environments. There may be discord in interpretation of ethical principles between visiting providers and hosts. Clinical care provision has direct impact on the health of patients and communities and there is a need for guidelines regarding ethical clinical care. Methods: Scoping review of the literature published from 2001-2021 restricted to English language identified 3072 records discussing ethical considerations of provision of clinical care on STMMs. Records were screened by title, abstract and finally full text by independent reviewers resulting in 40 records for inclusion. Results: Thirteen themes were identified as important considerations for provision of ethical clinical care on STMMs. These themes included: collaboration/longitudinal relationship, education, lack of follow up, cultural barriers, needs assessment/goal setting, capacity building, outcome evaluation, pre-departure preparation, scope of practice, resources allocation, detriment to local systems, bidirectionality, and formal ethical review. From these themes a list of guidelines is outlined. Conclusion: While ideally clinical care on STMMs would be regulated by formal ethical review boards this is difficult to develop and enforce. Independent STMMs must evaluate their approach to clinical care in LMICs. Care should be given to focusing on collaboration, education, follow up, cultural barriers, and performing a needs assessment/goal setting. These efforts may be guided by the checklist included within.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ethical Considerations for Clinical Care on Short Term Medical Missions in Low- And Middle-Income Countries: A Scoping Review

Smith,

Graham,

Vance

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…Firstly, the average number of failures of power equipment in the period from 0 to t is analyzed, and the equation is shown in Equation (4).…”

Section: Operational Risk Assessment Of Equipmentmentioning

confidence: 99%

“…Unlike traditional data analysis, D-L can automatically and quickly read valid features from vast amounts of historical data, and make full use of them during the modeling process. It can significantly reduce defects in human design, effectively improving model quality and work efficiency [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Examination and Repair of Technology of Equipment Status Based on SNN in Intelligent Substation

Yang,

Liu,

et al. 2023

J. Phys.: Conf. Ser.

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Aiming at the problems of poor accuracy and low reliability in equipment evaluation and decision results of examination and repair (E&R) for the traditional power system (P-S) state, an E&R technology of intelligent substation (INSU) equipment state based on SNN is proposed. Firstly, based on the operational status of devices and systems in the intelligent substation (INSU), the E&R risks of devices and systems in INSU are evaluated through analysis of device availability. Then, by analyzing traditional CNN and improved SNN networks, a P-S state E&R model for power equipment detection based on SNN is proposed. Finally, a simulation experiment was conducted to compare and analyze the proposed SNN-based INSU device state E&R model with other methods. The results show that the proposed method has a lower system risk in the E&R process and is superior to other comparison methods.

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'We had to take a hammer to get some roots out' - experiences, motivations and challenges among volunteer dentists: a qualitative study

et al. 2021

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Objectives To address a gap in the literature by examining the experiences, motivations and challenges among volunteer dentists engaged in short-term missions to low- and middle-income countries.Methods In-depth interviews among volunteer dentists (n = 20) who had provided voluntary dental care in low- or middle-income countries within the preceding five years. Interviews lasted on average 55 minutes and were recorded, transcribed and analysed using NVivo. Routine debriefings complemented analysis. COREQ principles guided this research.Results Motivations to volunteer included: exposure to new dental challenges (enhancing competence); discovering a new setting (tourism); and enhancing the lives of clients (humanitarianism). Volunteers enjoyed undertaking new tasks and developing new skills, but were burdened by a high patient load, challenging clinical conditions, peri- and post-operative complications, and a concern that their work was not addressing root causes of inadequate access to basic dental care. Respondents recommended that more information regarding the vision, equipment status, armamentarium and dental supplies be made available pre-departure, and that more dental schools include training on global oral health. Such measures could facilitate volunteers' abilities to provide care while also enhancing their personal and professional development. Creating an appropriate, sizable and competent capacity-building programme for local dentists was described as essential.

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Reexamining dental outreach programs

Cited by 7 publications

References 26 publications

Ethical Considerations for Clinical Care on Short Term Medical Missions in Low- And Middle-Income Countries: A Scoping Review

Ethical Considerations for Clinical Care on Short Term Medical Missions in Low- And Middle-Income Countries: A Scoping Review

Examination and Repair of Technology of Equipment Status Based on SNN in Intelligent Substation

'We had to take a hammer to get some roots out' - experiences, motivations and challenges among volunteer dentists: a qualitative study

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