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Al in 1955 werd de ultrasone scaler in de paradontologie geïntroduceerd. In Nederland is het echter lang stil geweest rondom het gebruik van ultrasone apparatuur binnen de parodontale behandeling. Het heeft tot het einde van de vorige eeuw geduurd voordat de ultrasone unit echt zijn opgang deed bij de behandeling van paro-patiënten. Dit is mede het gevolg van de ontwikkeling van de slanke tips die perfect geschikt blijken te zijn voor de subgingivale gebitsreiniging. In deze monografie wordt ingegaan op het werkingsmechanisme, de wetenschappelijke onderbouwing en het juiste gebruik van ultrasone apparatuur. De lezer treft een samenvatting van de literatuur die handinstrumenten heeft vergeleken met ultrasone scalers. De klinische resultaten worden bekeken en de mogelijke bijwerkingen en contra-indicaties worden besproken. Als ultrasone scalers zorgvuldig worden gebruikt, kunnen ze functioneren als een goed alternatief voor handinstrumenten. In furcatie-gebieden is het instrument zelfs de eerste keus. De inhoud van deze monografie reikt de lezer een sleutel aan tot het succesvol werken met ultrasoon instrumentarium.
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Public health --- Public Health. --- Public Health - General
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This comparative social analysis represents the results of the "West European Study of Health (WESH)". It is one of a few systematically comparative social science analyses of such national health systems as Belgium, France, Germany, the Netherlands and Spain. Based on a total of 2500 cases the project analyses problems like health culture, social stratification in its impact on health, health life style and the motivations of people that shape health policies. This book meets both the expectation of descriptive information as well as comprehensive analysis by statistical means and on the background of practical as well as theoretical concerns. The policy implications of the results are eminent. The comparative design is of exemplary importance for health and social science. The book is of interest for public health, health professionals, health policymakers, psychologists, social scientists and political representatives from the community up to the European level.Aus dem Inhalt:Statement and Significance of the Problem: Theoretical, Historical Context and Comparative Methodology * Organization, Present problems and Efficiency of West European Health Care Systems * WESH - Method, Fieldwork, and Selected Indicators of the Study * A Descriptive Overview Concerning Results for Health Behavior in the 5-Nation-Study of WESH * Health Culture in Europe - an Exploration of National and Social Differences in Health-Related Values * Health and Social Stratification * Health Life-Style and Social Stratification * Public and Private Responsibility for Health: A Comparative Analysis towards Financing and the Right for Health Care * From Utilization to Evaluation * Euregional Health Culture: An Exploration
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In 1949, the newly-independent Indonesia inherited a health system that was devastated by three-and-a-half years of Japanese occupation and four years of revolutionary struggle against the Dutch. Additionally, the country had to cope with the resurgence of epidemic and endemic diseases. The Ministry of Health had initiated a number of symbolic public health initiatives - both during the Indonesian Revolution (1945 to 1949) and the early 1950s - resulting in a noticeable decline of mortality. These initiatives fuelled the newly-independent nation's confidence because they demonstrated to the international community that Indonesia was capable of standing on its own feet. Unfortunately, by the mid-1950s, Indonesia's public health program faltered due to a constellation of factors attributed to the political tensions between Java and the Outer Islands, administrative problems, corruption, and rampant inflation. The optimism that characterised the early years of independence gave way to despair. The Soekarno era could, therefore, be interpreted as the era of bold plans but unfulfilled aspirations in Indonesian public health. Based on extensive archival research and a close reading of Indonesian primary sources, this book provides a nuanced account of the inner tensions in Indonesian public health during the twentieth century - between a narrow biomedical approach that emphasised disease eradication, and a holistic approach that linked public health to practical concerns of nation-building.
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