Orofacial trauma in wheeled non-motorsports

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This review of the prevalence of orofacial trauma in wheeled non-motor sports athletes included 5 cross-sectional studies involving 132,132 participants. Analyses showed the overall prevalence of orofacial trauma = 21.7% (95%CI; 8.7 to 34.7%) however the evidence was of very low certainty.

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Caries detection methods: How accurate are they?

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This review of the accuracy of different methods for detecting carious lesions in primary and permanent teeth compares visual inspection, radiographs and fluorescence-based detection. 240 studies were included and the findings suggest that visual inspection was adequate for most patients.

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Antidepressant discontinuation and continuation: new Cochrane review finds miasma of confound

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Adele Framer, Founder of SurvivingAntidepressants.org, explores a recent Cochrane review on antidepressant discontinuation versus continuation for adults with depression or anxiety, which highlights huge uncertainty in the science about antidepressant withdrawal.

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MDMA-assisted psychotherapy for alcohol use disorder: is it feasible?

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Anya Borissova reviews a recent UK pilot study which suggests that MDMA-assisted psychotherapy is a feasible intervention to use in people with alcohol use disorder. Now we need randomised trials that can reliably measure safety and effectiveness.

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Alveolar ridge preservation techniques

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16 RCTs were included in this Cochrane review update of the effectiveness of techniques for alveolar ridge preservation (ARP) following dental extractions prior to implant placement. The findings suggest that ARP techniques may minimise the overall changes in residual ridge height and width six months after extraction, but the evidence is very uncertain

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Meditation and mindfulness can help us and harm us, but how common are adverse events?

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Edel McGlanaghy critiques a systematic review which finds that meditation may lead to adverse events, particularly psychiatric adverse events.

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Mental disorders start early and vary across the lifespan: it’s time to pay attention to the whole person, and less to the diagnosis #IoPPNfestival

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In her debut blog, Dona Matthews reviews a longitudinal cohort study by Caspi and Moffitt which explores how mental disorders and comorbidities have affected over one thousand people in New Zealand across four decades.

This Dunedin birth cohort study research will be presented by Prof Terrie Moffitt at the #IoPPNfestival later today.

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Diabetes and dental implants

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This review of the possible association between diabetes mellitus and dental implant complications included 10 cohort studies (8 prospective 2 retrospective). The findings suggest that patients with diabetes are more likely to have clinical complications with dental implants.

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Can we teach schools how to improve care for young people who self-harm? #CAMHScampfire

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Douglas Badenoch appraises and summarises a recent systematic review of experimental studies, which looks at whether school staff training can improve responses to pupils who self-harm.

Follow #CAMHScampfire on Twitter at 5pm BST on Monday 26th April for an online journal club discussing this paper. Or sign up now to join the free webinar hosted by ACAMH.

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Mental health difficulties commonly reported by ICU staff during the pandemic

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Nada Seif reviews a recent survey study on self-reported mental health problems in ICU staff working during the UK 2020 COVID-19 pandemic.

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