Folkestone College

Objective This pilot study aimed to produce and evaluate training resources and training in oral health care, including oral hygiene, for carers in care homes in Surrey and Medway.Methods During two training days, for carers from these homes, short, interactive presentations were given on a range of topics relevant to oral health care and oral hygiene of older people, followed by practical training. Prior to any training all attendees completed a 39 question questionnaire to establish their baseline knowledge of oral health and hygiene. At the end of the training day they completed an evaluation form. Fourteen weeks later, they were visited at their place of work and completed the same questionnaire again. Differences in responses between baseline and after 14 weeks were statistically tested using the chi-squared test.Results Sixty-six carers attended the training sessions and 44 were followed up 14 weeks later. The results showed an improvement in carer knowledge at follow up. The majority of carers (36/44) spoke English as their first language. They had a mean age of 41 years, 37 were female and 7 male. They had worked as carers for a mean of 10.9 years (range 4 months-34 years). Over 90% stated that the training day fully met or exceeded their requirements and expectations.Conclusions The results indicated improvements in carer knowledge. However, the carers were atypical of carers in general, as they were self-selected and well-motivated. Nevertheless the content of the training day and the questionnaire should inform future work in this area.

Journal Article Sarcoma growing in a calcified adenoma of the thyroid Get access H W L Molesworth H W L Molesworth Folkestone Search for other works by this author on: Oxford Academic Google Scholar British Journal of Surgery, Volume 22, Issue 87, January 1935, Pages 630–631, https://doi.org/10.1002/bjs.1800228725 Published: 06 December 2005

Obtaining a stable and retentive denture base is a major factor in achieving a successful outcome when providing complete or partial removable dentures. The best results are obtained when the denture bases are well extended, especially in the upper arch. This is complicated when the patient experiences difficulty with the impression phase of treatment due to a hypersensitive gag reflex. Relative Analgesia (RA), also termed inhalational sedation, may be employed to facilitate the taking of dental impressions in patients with a hypersensitive gag reflex. Three patients, who had previous failed attempts to produce a satisfactory dental impression, have been used to illustrate the technique and outcome. It must be noted that the concentration of nitrous oxide required to produce suppression of the gag reflex will vary from patient to patient. This may be irrespective of size and weight; therefore each subject should be individually monitored. Relative analgesia (inhalational sedation) may be employed to facilitate the taking of dental impressions in patients with a hypersensitive gag reflex.

In the third part of her series, Kate Wall looks at the issues that need to be addressed to develop partnerships with parents.

Journal Article Imagination and fission futures Get access G. J. Shipley G. J. Shipley 60 Coolinge Lane, Folkestone Kent CT20 3QE, UKgj-shipley@supanet.com Search for other works by this author on: Oxford Academic Google Scholar Analysis, Volume 62, Issue 4, October 2002, Pages 324–327, https://doi.org/10.1093/analys/62.4.324 Published: 01 October 2002