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he complexities in how the evidence is used in order to achieve better uptake of evidence in practice. However, one should be aware that the assumption of fact-based decision making in organizations is misleading. In order to create better chances that the evidence produced would be used, this should be addressed through the design of eHealth trials.
Self-monitoring is key to successful behavior change in diabetes and obesity, and the use of traditional paper-based methods of self-monitoring may be time-consuming and burdensome.

This study aimed to explore participant experiences while using technology-assisted self-monitoring of lifestyle behaviors and health indicators among overweight or obese adults with type 2 diabetes.

Qualitative data collected from the intervention group of a 6-month, three-arm (control, paper diary, and technology-assisted self-monitoring groups) randomized clinical trial were analyzed. Study participants in the intervention group monitored their diet, exercise, and weight using the LoseIt! app, and their blood glucose levels using a glucometer and the Diabetes Connect app. Semistructured group discussions were conducted at 6 weeks (n=10) from the initiation of the behavioral lifestyle intervention and again at 6 months (n=9). All group interviews were audiotaped and transcribed verbatim. Using a combination of thematic andearch studies when investigating the effectiveness of using technology-assisted self-monitoring, as well as in clinical practice when recommending technology-assisted self-monitoring of lifestyle behaviors and health indicators to improve health outcomes.
Although there were some barriers, participants were able to identify various individual and external facilitators to adjust to and engage in technology-assisted self-monitoring, and it was concluded that the technology-assisted self-monitoring approach was beneficial, safe, and feasible to use for positive lifestyle change. These patient perspectives need to be considered in future research studies when investigating the effectiveness of using technology-assisted self-monitoring, as well as in clinical practice when recommending technology-assisted self-monitoring of lifestyle behaviors and health indicators to improve health outcomes.
Although mental health issues constitute an increasing global burden affecting a large number of people, the mental health care industry is still facing several care delivery barriers such as stigma, education, and cost. Connected mental health (CMH), which refers to the use of information and communication technologies in mental health care, can assist in overcoming these barriers.

The aim of this systematic mapping study is to provide an overview and a structured understanding of CMH literature available in the Scopus database.

A total of 289 selected publications were analyzed based on 8 classification criteria publication year, publication source, research type, contribution type, empirical type, mental health issues, targeted cohort groups, and countries where the empirically evaluated studies were conducted.

The results showed that there was an increasing interest in CMH publications; journals were the main publication channels of the selected papers; exploratory research was the dominant researre research should be shifted toward providing evidence-based studies to examine the effectiveness of CMH solutions and identify related issues.A cross-sectional study was carried out to determine the relationship between the quality of life and oral health of athletes (soccer and basketball players) at a private Peruvian university. Eighty-nine athletes were evaluated. Their oral health was assessed using the epidemiologic index relating to decayed, missing, and filled teeth (DMFT), the O'Leary plaque control record, and the Periodontal Screening and Recording (PSR) system. Their quality of life was assessed using the Spanish version of the Oral Health Impact Profile 49 (OHIP-49Sp) self-questionnaire. The resulting data were then analyzed using descriptive (mean and standard deviation) and inferential (Spearman rank order correlation) statistics. The athletes presented a mean (SD) DMFT of 4.46 (3.66) 1.40 decayed teeth, 0.02 missing teeth, and 3.04 filled teeth. The mean (SD) O'Leary index score was 45.78 (22.04). In the PSR evaluation, 32.77% of sextants were assigned code 2, 32.77% were assigned code 1, and 30.33% were assigned code 0. According to the OHIP-49Sp survey, the oral health dimensions with higher scores were functional limitation (7.37), physical pain (8.76), and psychological distress (4.80). The Spearman analysis revealed no statistically significant correlation between oral health and quality of life. Moderate caries risk, poor oral hygiene, and probable gingivitis were found in Peruvian university athletes. However, their quality of life was not compromised by their oral health status.This study aimed to evaluate the flexural strength (FS) and modulus of elasticity (ME) of 2 provisional resins at different thicknesses and after different storage periods. A total of 80 specimens were made of 2 provisional restorative materials (n = 40) Dencôr (DC) or Protemp 4 (PT). The specimens in each material group were prepared in 2 different thicknesses (n = 20) 1.5 mm or 2.0 mm. The groups were further subdivided by storage time (n = 10 per material thickness per time) 7 days or 3 months. A 3-point bending test was performed with a universal testing machine. Data were submitted to 3-way analysis of variance followed by a post hoc Tukey test (α = 0.05). Regarding the interaction of material and thickness, the 2.0-mm-thick DC specimens presented a significantly lower mean FS (41.08 MPa) than the other groups (P 0.05). The correlation between FS and ME was direct and positive (R2 = 0.51; P less then 0.001), independently of the variables (material, thickness, and time). Therefore, 2.0-mm-thick PT specimens presented the highest values of FS, mainly after 3 months. The ME was higher after 3 months (1.5-mm-thick specimens), regardless of the material. In addition, the higher the FS, the higher the ME of the material.Cannabis, a psychoactive drug widely used for medicinal, recreational, and religious purposes, can have detrimental effects on several body systems, including the respiratory, cardiovascular, and central nervous systems. The use of cannabis in cigarette form can produce a series of oral alterations, including periodontitis, caries, xerostomia, a decreased salivary pH, and an increase in the density of Candida albicans. However, the occurrence of oral candidal lesions related to cannabis use is little reported in the literature. This article reports 2 cases of oral candidiasis associated with cannabis use. The adult male patients, both of whom were systemically healthy, had white and red spots consistent with oral candidiasis on the dorsal surface of the tongue. One of the patients also had a red lesion on an area of the hard palate that was in contact with the affected area of the tongue. Neither patient was currently undergoing antibiotic or corticosteroid treatment, and both reported frequent smoking of cannabis. One patient was initially treated with an oral suspension of nystatin without clinical improvement. Miconazole gel therapy was then prescribed, and clinical improvement was observed after 2 weeks. The patient did not stop smoking cannabis, and a recurrence of oral candidiasis was observed 6 months posttreatment. Treatment with miconazole gel was repeated, resulting in resolution of the infection. The second patient declined treatment. learn more The reported cases demonstrate that, although it is infrequently reported, oral candidiasis may occur in cannabis smokers.The aim of this research was to determine the color stability of 3 gingival shades of dental restorative materials, Amaris Gingiva, Beautiful II Gingiva, and PermaFlo Pink, compared to a tooth-colored nanohybrid composite, Filtek Z250. Twenty-five specimens of each composite were fabricated in polytetrafluoroethylene-coated stainless steel molds and polished using a 4-step polishing regimen. The specimens were randomly assigned to groups for immersion in 1 of 5 solutions (n = 5) distilled water (control), red wine, tea, coffee, or curry (curry powder [containing turmeric] in a solution with distilled water). A desktop spectrophotometer was used to perform color measurements within the Commission Internationale de l'Eclairage L*a*b* color space, and mean overall color (E*) was calculated for each group before and after immersion for 7 days. The mean E* values of each composite before and after immersion were compared using paired t tests at the P less then 0.05 level of significance. For all of the tested restorative materials, immersion in a solution of curry produced the greatest increase in mean E* values (P less then 0.0001), with E* increasing 32-fold for Amaris Gingiva specimens, 27-fold for Beautiful II Gingiva, 34-fold for PermaFlo Pink, and 2-fold for Filtek Z250. There were smaller, but still significant, increases in E* for Amaris Gingiva, Beautiful II Gingiva, and PermaFlo Pink when immersed in coffee (P less then 0.05). Curry caused the greatest change in E* values for all of the tested restorative materials, indicating that curry seasonings based on turmeric can cause unacceptable color change in all of the tested materials and such change can happen in a relatively short time. Coffee also has the potential to cause unacceptable color change in gingival shades of composite materials.This case report demonstrates the use of digital technology to communicate with the dental laboratory during the diagnostic and fabrication phases of veneers. Digital technology has made significant advances in dentistry in the last 25 years, and there is great potential for its use in new methods for achieving excellent final restorations. One of these methods involves the use of digital technology in the diagnostic wax-up phase of dental treatment. The wax-up is a valuable, sometimes necessary tool in the cosmetic treatment plan. This esthetic preview allows the clinician to assess and adjust the function, shape, outline, and color of the restoration and to seek the patient's approval for the prosthetic design. The case reviewed in this report involved the fabrication of veneers to restore small maxillary lateral incisors. Digital scans of the existing dentition were sent to the dental laboratory with the request for a digital diagnostic wax-up. The laboratory printed 3-dimensional (3D) models and completed a conventional diagnostic wax-up. After the design was approved by the patient, the maxillary lateral incisors were prepared intraorally, the arch was digitally scanned, and the scans were sent to the dental laboratory with the request for veneer fabrication. The final restorations were made to the specifications of the digital diagnostic wax-up using computer-aided design/computer-aided manufacturing. The veneer restorations were delivered, and the patient was satisfied with the result. In this case, the dental laboratory completed a conventional diagnostic wax-up from 3D-printed models. Further software improvements might allow easier virtual alteration of existing teeth and thereby enable a fully digital workflow.
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