Coronavirus (COVID-19) Information and Resources

Information and resources on coronavirus (COVID-19)

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A selection of Penn Dental Medicine faculty publications related to the work within the Center for Integrative Global Oral Health.

Screening testing in health care: Getting it right.
The Journal of the American Dental Association, Volume 153, Issue 4, April 2022, Pages 365-370.
Glick M, Carrasco-Labra, A.
Involving oral health care professionals in screening for diseases traditionally not within the scope of practice of dentistry will emphasize further the link between oral health and general health and well-being. An understanding by oral health care professionals of how to interpret screening test results will benefit their patients substantially and, in the case of contagious diseases, the public at large.
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Increasing the usefulness of acupuncture guideline recommendations. BMJ. 2022 Feb 25;376:e070533
Zhang YQ, Lu L, Xu N, Tang X, Shi X, Carrasco-Labra A, Schünemann H, Chen Y, Xia J, Chen G, Liu J, Liu B, Wang J, Qaseem A, Jing X, Guyatt G, Zhao H.
The minimal important difference (MID) refers to the smallest difference in an outcome measure that patients perceive as beneficial. Using a MID allows the interpretation of the magnitude of health status change in patient-reported outcome measures (PROM). Previous studies proposed the utilization of a universal value for what represents a MID in standard deviation (SD) units (e.g., 0.5 SD). Our study results failed to find evidence of the existence of this constant MID value across PROMs.
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Minimal important changes in standard deviation units are highly variable and no universally applicable value can be determined. J Clin Epidemiol. 2022 Jan 25;145:92-100.
Y, Fujii T, Tsutsumi Y, Kataoka Y, Tajika A, Okada Y, Carrasco-Labra A, Devji T, Wang Y, Guyatt GH, Furukawa TA
“More than 1,300 consensus and evidence-based clinical practice guidelines were published between 1991 and 2007, and these included 2,189 recommendations on the use of acupuncture. Two-thirds of these recommendations focused on pain-related conditions.” This article summarizes the progress made when addressing deficiencies limiting the clinical usefulness of evidence-informed clinical practice guidelines (CPG) in acupuncture, examines the barriers to inclusion of acupuncture interventions in CPG, and suggests strategies to remediate these shortcomings. Critical recommendations for guideline developers in acupuncture include 1) joint efforts for guideline development, 2) change toward a more patient-centric guideline approach, 3) increase use of existing extensive acupuncture evidence to inform recommendations, and 4) Improve CPG reporting quality.
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COVID-19 Vaccination: To Lead by Example or an Opportunity Lost. J Dent Res. 2021;100(13):1421-2.
Glick M, Wolff M
Vaccine hesitancy and tremendous misinformation about the actual science are leaving the public with significant confusion. However, sound epidemiologic science is guiding us to a clear path toward mitigating this modern-day scourge. It is remarkable how putting an end to current COVID-19 outbreaks has such a simple solution—convincing the public to accept getting vaccinated. The dental research, dental education, and dental practice communities have a unique opportunity to act as trusted public exemplars as well as trusted interpreters of the science for the public.
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COVID-19 and Scientific Illiteracy, a Syndemic. J Am Dent Assoc. 2021;152(12):967-8.
Glick M, Wolff M, Carrasco-Labra A
As scientists, we may be reluctant to comment on information found on social media; however, we must develop strategies for communicating clearly and concisely to refute misinformation and disinformation. If we leave this information in the echosphere unrebutted, it takes on the ethos of fact in the minds of those who are less informed. Being scientific resources and communicators should be an integral part of our social contract as health care professionals.
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Long COVID and Oral Health Care Considerations. J Am Dent Assoc. 2022;153(2):167-74.
France K, Glick M
An increasing number of patients recovering from COVID-19 are developing a new syndrome known as long COVID. This condition can affect multiple organ systems and may lead to fatigue, respiratory difficulties, renal and hepatic impairments, the need for antiplatelet and anticoagulant medications, psychiatric complications, and various other symptoms. Many of these medical concerns will require modification to routine oral health care interventions. Recommendations for the treatment of affected people in an oral health care setting are presented, including a thorough evaluation of the patient history and current status, understanding of how related symptoms may affect oral health care interventions, and which modifications to treatment are needed to provide safe and appropriate care.
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