Kienböck's Disease Following a Hypersupination Injury: A Case Report.

Wrist pain is a common presentation in primary care clinics. Chronic pain after trauma with non-acute radiographs requires careful physical examination and a case-specific workup. We present a case of a 32-year-old female evaluated at the primary care clinic with two months of left wrist pain after a hypersupination injury that was found to be secondary to avascular necrosis of the lunate on the left wrist with no radiographic signs of fracture or focal sclerosis on plain films. This case demonstrates the importance of identifying less common chronic wrist pain etiologies.

using photovoice to foster a student vision for natural spaces on a college campus in the Pacific Northwest United States.

Undergraduate students face a host of stressors and may be particularly susceptible to encountering health-related challenges throughout college life. Seventy-two (N = 72) undergraduate students enrolled at a newly developed university campus located in the pacific northwest United States used the photovoice research method in crafting a vision for how natural spaces on campus might be maintained and minimally developed to promote student health. Five student-created themes emerged: 1) mental and physical health, 2) developing community spaces, 3) sustainable infrastructure design, 4) preserving natural habitat and history of the region, and 5) addressing issues related to homelessness. Initial evidence suggests that many aspects of the student vision may be incorporated into future campus environmental planning efforts. Additional research is needed in determining whether community-based greenspace planning on college campuses can positively impact the extent to which students access natural spaces for the purposes of alleviating stress and promoting health.

Influence of demographics on patients' receipt of endodontic therapy or implant placement.

INTRODUCTION: With the recent advancement in dental treatment modalities, patients are increasingly faced with the dilemma of selecting between root canal treatment (RCT) and implant placement (IP). Data on the influence of demographics on the aforementioned choice appear to be limited. The purpose of this retrospective cohort study was to investigate any association between demographic attributes and patients' receipt of RCT or IP. METHODS: The study sample for this computerized retrospective cohort study included 4084 dental school patients who received RCT and/or IP between 2006 and 2011. The following data were abstracted for each patient: age, sex, ethnicity, insurance status, and zip codes; the last variable was the proxy for socioeconomic status (SES). Statistical analysis included descriptive, chi-square test, and computation of odds ratios. RESULTS: Patient age, sex, race, insurance status, and SES were significantly associated with the choice of endodontic or implant therapy. Older patients were 6 times more likely as younger ones to receive IP. Males were 1.3 times more likely as females to have received IP; whites were twice as likely as blacks for the same treatment. Insured patients were 1.6 times more likely to have received RCT compared with uninsured patients The odds of patients from high SES receiving IP was 2.4 times greater than those from low SES. CONCLUSIONS: Demographic attributes and insurance status significantly affected the receipt of RCT or IP. Clinicians need to be aware that patient demographics and/or dental insurance status play a role in treatment decisions.