Venice Family Clinic

Children living in rural and migrant areas in the United States disproportionately suffer from poor oral health. Additionally, there continues to be a shortage of pediatric dentists practicing in rural/migrant areas. The purpose of this formative research study was to assess whether staff, teachers and families from rural/migrant Head Start/Early Head Start (HS/EHS) programs in California were receptive to oral health online education workshops conducted by pediatric dental residents who were assisted by bilingual (English and Spanish) community oral health workers (COHWs). Our findings suggest that partnering pediatric dental residents with bilingual COHWs to educate HS/EHS teachers, staff and parents on oral health care in rural/migrant areas could result in a rewarding experience for pediatric dentists that might lead them to practice in these communities upon graduation from their residency program. Furthermore, the positive feedback received from the teachers, staff and parents who participated in the workshops indicates they were receptive to receiving oral health information related to oral health literacy from the dental providers and COHWs. COHWs can help increase access to oral health care by serving as a bridge between families and providers by relaying information in a cultural, linguistic and sensitive manner.

Iuliana Cosmina iuliana.cosmina@gmail.com

In Chapter 7, we discussed how to use Hibernate with Spring when implementing data access logic with the ORM approach. We demonstrated how to configure Hibernates SessionFactory in Spring’s configuration and how to use the Session interface for various data access operations. However, that is just one way Hibernate can be used. Another way of adopting Hibernate in a Spring application is to use Hibernate as a persistence provider of the standard Java Persistence API (JPA), now renamed to Jakarta Persistence API.

Chapter explained how to build a Spring web application using classic, "manual"-style configuration and using Spring Boot with Thymeleaf. This chapter will take the application built in Chapter 14 and add a security layer that will declare which users are allowed to access various parts of the application. For example, only those users who logged into the application with a valid user ID can add a new singer or update existing singers. Other users, known as anonymous users, can only view singer information.

Transactions are one of the most critical parts of building a reliable enterprise application. The most common type of transaction is a database operation. In a typical database update operation, a database transaction begins, data is updated, and then the transaction is committed or rolled back, depending on the result of the database operation. However, in many cases, depending on the application requirements and the back-end resources that the application needs to interact with (such as an RDBMS, message-oriented middleware, an ERP system, and so on), transaction management can be much more complicated.

Iuliana Cosmina iuliana.cosmina@gmail.com

Chapters and have introduced you to the Spring world, explaining why this framework is necessary and why dependency injection is so cool and useful. In essence, Spring was built to make dependency injection easy. This software design pattern implies that dependent components delegate the dependency resolution to an external service that will take care of injecting the dependencies. The dependent component is not allowed to call the injector service and has very little to say when it comes to the dependencies that will be injected. This is why the behavior is also known as the “Don’t call us, we’ll call you!” principle, and it is technically known as inversion of control (IoC). If you do a quick Google search, you will find a lot of conflicting opinions about dependency injection and inversion of control. You will find programming articles calling them programming techniques, programming principles, and design patterns. However, the best explanation comes from an article by Martin Fowler, which is recognized in the Java world as the highest authority when it comes to design patterns. If you do not have the time to read it, here is a summary: Inversion of control is a common characteristic of frameworks that facilitate injection of dependencies. And the basic idea of the dependency injection pattern is to have a separate object that injects dependencies with the required behavior, based on an interface contract.

The original installation of Vittore Carpaccio’s narra­tive paintings in the Scuola Dalmata has long been assumed to have been in the upper chapter hall, following the practice used in other Venetian confraternities (Scuole). Studies and observations dur­ing the recent conservation campaign of the canvases have led to a new hypothesis that Carpaccio may very well have instead placed his paintings on the ground floor, as we see them today, due to a heated dispute with the Priory of the Order of Saint John of Jerusalem over the control of the upstairs premises.

Practices regarding recovery after mastectomy vary significantly, including overnight stay versus discharge same day. Expanded use of Enhanced Recovery After Surgery (ERAS) algorithms and the recent COVID pandemic have led to increased number of patients who undergo home recovery after mastectomy (HRAM). The Patient Safety Quality Committee of the American Society of Breast Surgeons created a multispecialty working group to review the literature evaluating HRAM after mastectomy with and without implant-based reconstruction. A literature review was performed regarding this topic; the group then developed guidance for patient selection and tools for implementation. Multiple, retrospective series have reported that patients discharged day of mastectomy have similar risk of complications compared with those kept overnight, including risk of hematoma (0-5.1%). Multimodal strategies that improve nausea and analgesia improve likelihood of HRAM. Patients who undergo surgery in ambulatory surgery centers and by high-volume breast surgeons are more likely to be discharged day of surgery. When evaluating unplanned return to care, the only significant factors are African American race and increased comorbidities. Review of current literature demonstrates that HRAM is a safe option in appropriate patients. Choice of method of recovery should consider patient factors, such as comorbidities and social situation, and requires input from the multidisciplinary team. Preoperative education regarding pain management, drain care, and after-hour access to medical care are crucial components to a successful program. Additional investigation is needed as these programs become more prevalent to assess quality measures such as unplanned return to care, complications, and patient satisfaction.