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1.
Environ Pollut ; 343: 123215, 2024 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-38145635

RESUMEN

The cooking fumes generated from thermal cooking oils contains various of hazardous components and shows deleterious health effects. The edible oil refining is designed to improve the oil quality and safety. While, there remains unknown about the connections between the characteristics and health risks of the cooking fumes and oils with different refining levels. In this study, the hazardous compounds, including aldehydes, ketones, polycyclic aromatic hydrocarbons (PAHs), and particulate matter (PM) in the fumes emitted from heated soybean oils with different refining levels were characterized, and their health risks were assessed. Results demonstrated that the concentration range of aldehydes and ketones (from 328.06 ± 24.64 to 796.52 ± 29.67 µg/m3), PAHs (from 4.39 ± 0.19 to 7.86 ± 0.51 µg/m3), and PM (from 0.36 ± 0.14 to 5.08 ± 0.15 mg/m3) varied among soybean oil with different refining levels, respectively. The neutralized oil showed the highest concentration of aldehydes and ketones, whereas the refined oil showed the lowest. The highest concentration levels of PAHs and PM were observed in fumes emitted from crude oil. A highly significant (p < 0.001) positive correlation between the acid value of cooking oil and the concentrations of PM was found, suggesting that removing free fatty acids is critical for mitigating PM concentration in cooking fumes. Additionally, the incremental lifetime cancer risk (ILCR) values of PAHs and aldehydes were 5.60 × 10-4 to 8.66 × 10-5 and 5.60 × 10-4 to 8.66 × 10-5, respectively, which were substantially higher than the acceptable levels (1.0 × 10-6) established by US EPA. The present study quantifies the impact of edible oil refining on hazardous compound emissions and provides a theoretical basis for controlling the health risks of cooking fumes via precise edible oil processing.


Asunto(s)
Hidrocarburos Policíclicos Aromáticos , Aceite de Soja , Aceite de Soja/análisis , Aceites de Plantas , Hidrocarburos Policíclicos Aromáticos/análisis , Material Particulado , Gases/análisis , Medición de Riesgo , Culinaria/métodos , Aldehídos/análisis , Cetonas/análisis
2.
Clin Chim Acta ; 544: 117364, 2023 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-37105451

RESUMEN

BACKGROUND: Transient hyperphosphatasemia, characterized by isolated highly elevated alkaline phosphatase (ALP) activity in the absence of liver or bone disease, is typically seen in children but rarely in adults. Here we report highly elevated ALP activity in a complicated multiple-organ transplant patient due to benign transient hyperphosphatasemia. CASE REPORT: A 54-year-old male had a complicated past medical history including a bilateral lung transplant for cystic fibrosis in 2006, colonic resection due to colon cancer in December 2011 and subsequent chemotherapy which ended in June 2022. He also had combined liver and kidney transplant in 2022 at our academic medical center. Post-transplant, he was treated with triple drug immunosuppressant therapy (tacrolimus, mycophenolic acid, and prednisone). Although his alkaline phosphatase (ALP) activity was 83 U/L, it continued to increase three months after combined liver and kidney transplant even though other liver enzymes were mildly elevated but total bilirubin remained within their reference ranges. Flecainide was discontinued but his ALP remained high, peaking at 5904 U/L. Finally, lansoprazole, ergocalciferol (vitamin D2) and vitamin E supplement were discontinued as nonessential medications, and coincidently ALP activity started to decline. CONCLUSIONS: After ruling out all possibilities that may cause elevated ALP, we concluded that this is a rare case of benign transient hyperphosphatasemia in an adult transplant recipient.


Asunto(s)
Fosfatasa Alcalina , Enfermedades Óseas , Niño , Masculino , Humanos , Adulto , Persona de Mediana Edad , Hígado , Inmunosupresores , Tacrolimus/uso terapéutico
3.
Molecules ; 28(5)2023 Feb 21.
Artículo en Inglés | MEDLINE | ID: mdl-36903257

RESUMEN

Rapeseed polyphenols have cardiovascular protective effects. Sinapine, one main rapeseed polyphenol, possesses antioxidative, anti-inflammatory, and antitumor properties. However, no research has been published about the role of sinapine in alleviating macrophage foaming. This study aimed to reveal the macrophage foaming alleviation mechanism of sinapine by applying quantitative proteomics and bioinformatics analyses. A new approach was developed to retrieve sinapine from rapeseed meals by using hot-alcohol-reflux-assisted sonication combined with anti-solvent precipitation. The sinapine yield of the new approach was significantly higher than in traditional methods. Proteomics was performed to investigate the effects of sinapine on foam cells, and it showed that sinapine can alleviate foam cell formation. Moreover, sinapine suppressed CD36 expression, enhanced the CDC42 expression, and activated the JAK2 and the STAT3 in the foam cells. These findings suggest that the action of sinapine on foam cells inhibits cholesterol uptake, activates cholesterol efflux, and converts macrophages from pro-inflammatory M1 to anti-inflammatory M2. This study confirms the abundance of sinapine in rapeseed oil by-products and elucidates the biochemical mechanisms of sinapine that alleviates macrophage foaming, which may provide new perspectives for reprocessing rapeseed oil by-products.


Asunto(s)
Brassica napus , Brassica rapa , Aceite de Brassica napus/metabolismo , Proteómica , Macrófagos/metabolismo , Células Espumosas/metabolismo , Brassica napus/metabolismo , Brassica rapa/química , Antiinflamatorios/metabolismo , Colesterol/metabolismo , Lipoproteínas LDL/metabolismo
4.
Food Res Int ; 163: 112282, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36596189

RESUMEN

The rapeseed (Brassica napus L.) are the important oil bearing material worldwide, which contain wide variety of bioactive components with polyphenolic compounds considered the most typical. The rapeseed polyphenols encompass different structural variants, and have been considered to have many bioactive functions, which are beneficial for the human health. Whereas, the rapeseed oil processing technologies affect their content and the biofunctional activities. The present review of the literature highlighted the major types of the rapeseed polyphenols, and summarized their biofunctional roles. The influences of rapeseed oil processing technologies on these polyphenols were also elucidated. Furthermore, the directions of the future studies for producing nutritional rapeseed oils preserved higher level of polyphenols were prospected. The rapeseed polyphenols are divided into the phenolic acids and polyphenolic tannins, both of which contained different subtypes. They are reported to have multiple biofunctional roles, thus showing outstanding health improvement effects. The rapeseed oil processing technologies have significant effects on both of the polyphenol content and activity. Some novel processing technologies, such as aqueous enzymatic extraction (AEE), subcritical or supercritical extraction showed advantages for producing rapeseed oil with higher level of polyphenols. The oil refining process involved heat or strong acid and alkali conditions affected their stability and activity, leading to the loss of polyphenols of the final products. Future efforts are encouraged to provide more clinic evidence for the practical applications of the rapeseed polyphenols, as well as optimizing the processing technologies for the green manufacturing of rapeseed oils.


Asunto(s)
Brassica napus , Brassica rapa , Humanos , Brassica napus/química , Aceite de Brassica napus/química , Disponibilidad Biológica , Brassica rapa/química , Polifenoles
5.
J Sci Food Agric ; 102(8): 3179-3192, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34787315

RESUMEN

BACKGROUND: The palm oil (PO), leaf lard oil (LO), rapeseed oil (RO), sunflower oil (SO) and linseed oil (LN) are five of the most typical dietary lipids in most Asian countries. However, their influences on gut health, and the connections between the fatty acid composition, the gut microbiota, and the bile acid metabolism are not fully understood. RESULTS: In the present study, results showed that compared with polyunsaturated fatty acid (PUFA)-rich SO and LN, the saturated fatty acid (SFA)-rich and monounsaturated fatty acid (MUFA)-rich PO, LO and RO were more likely to decrease the re-absorption of bile acid in the colon, which was probably caused by their different role in modulating the gut microbiota structure. LO consumption significantly up-regulated the Cyp27a1, FXR and TGR5 gene expression level (P < 0.05). The correlation results suggested that the C18:0 was significantly positive correlated with these three genes, indicating that intake of SFA-rich dietary lipids, especially for the C18:0, could specifically increase the bile acid production by stimulating the bile acid alternative synthesis pathway. Although the bile acid receptor expression in the colon was increased, the re-absorption of bile acid did not show a significant increase (P > 0.05) as compared with other dietary lipids. Moreover, the C18:2-rich SO maintained the bile acid metabolic balance probably by decreasing the Romboutsia, while increasing the Bifidobacterium abundance in the colon. CONCLUSIONS: The different dietary lipids showed different effects on the bile acid metabolism, which was probably connected with the alterations in the gut microbiota structure. The present study could provide basic understandings about the influences of the different dietary lipids consumption on gut homeostasis and bile acid metabolism. © 2021 Society of Chemical Industry.


Asunto(s)
Microbioma Gastrointestinal , Animales , Ratas , Ácidos y Sales Biliares , Grasas de la Dieta/metabolismo , Ácidos Grasos , Aceite de Linaza/metabolismo , Metabolismo de los Lípidos , Aceite de Palma , Aceites de Plantas/química , Aceite de Brassica napus , Ratas Sprague-Dawley , Aceite de Girasol
6.
J Food Biochem ; 45(4): e13695, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33694208

RESUMEN

In the present study, the influences of five typical dietary oils (i.e., palm oil, PO; leaf lard oil, LO; rapeseed oil, RO; sunflower oil, SO; and linseed oil, LN) consumption on the nutrients malabsorption were studied using adult male Sprague Dawley rats. Results suggested that the C16:0 (24.534 ± 2.26% to 54.269 ± 1.28%) and C18:0 (18.433 ± 4.421% to 36.455 ± 3.316%) were the dominant fatty acids in fecal samples in different groups. After 6-week intervention by different dietary oils, the fecal moisture and water soluble protein content in PO group, the reducing sugar content in PO, LO, and RO groups were significantly increased compared with those in the control group (p < .05). Moreover, the Na, K, and Fe contents in LO group were all the highest among the all groups. These effects were probably due to the different fatty acids composition as illustrated in the correlation analysis results. The different effects were probably due to their distinct fatty acids composition as illustrated in the correlation analysis results. Results further indicated that the different dietary oils treatment, especially for the PO (SFAs, 43.17 ± 0.98%) and LO (SFAs, 36.44 ± 0.65%), increased the upstream inflammatory cytokine expression level in the Toll-like receptor signal pathway (i.e., TLR4 and MyD88), enhancing the gut permeability. This resulted in significant increase of serum lipopolysaccharide (LPS) levels (p < .05), which was closely connected with different metabolic diseases. The present study may provide basic understandings about different dietary oil enteral nutrition and their effects on gut health. PRACTICAL APPLICATIONS: The PO, LO, RO, SO, and LN are the five of the most typical dietary lipids in Asia countries, especially in China. They are the natural edible oils which are rich in C16:0, C18:0, C18:1, C18:2ω6, and C18:3ω3, respectively. The present study indicated that the different dietary lipid consumption may result in different dietary nutrients malabsorption, which are related with the dietary lipid fatty acid composition.


Asunto(s)
Grasas Insaturadas en la Dieta , Animales , China , Masculino , Nutrientes , Aceites de Plantas/farmacología , Ratas , Ratas Sprague-Dawley
7.
J Oleo Sci ; 69(6): 573-584, 2020 Jun 04.
Artículo en Inglés | MEDLINE | ID: mdl-32404548

RESUMEN

For the controversy still existed about the oxidation stability of the high oleic oils compared with palm oil (PO), this study was aimed to explore the possible reason causing the controversies. Total polar compounds (TPC) was used to evaluate the oxidation stability of oils. Results showed there exist two kinds of lineal changes about the content of total polar compounds (TPC) in each oil, which were closely linked with the fatty acid composition and the tocochromanols content. The possible influence of the initial quality of oils also should be considered. The TPC of high oleic peanut oil (HOPO), high oleic sunflower oil (HOSO), high oleic rapeseed oil (HORO) and PO increased slowly at the initial period mainly owing to the antioxidation of tocochromanols, then sharply after 24, 48, 36 and 72 h respectively, when tocochromanols in each oil almost reduced below the detection limit. After that, the major factor would be fatty acids, particularly PUFA. It showed that the major tocochromanols in different oils (e.g. α, γ-tocotrienols in PO, α, γ-tocopherols in HORO and HOPO, and α-tocopherols in HOSO), could impose the main effects of inhibiting the TPC generation in the initial thermal treatment. The TPC in HORO significantly increased after 84 hours of heat process, which might be caused by the higher content of the polyunsaturated fatty acids (PUFA) (i.e. C18:2 and C18:3). However, the content of the saturated fatty acid (SFA) did not show statistically significant change during the thermal treatment.


Asunto(s)
Calidad de los Alimentos , Calor , Aceite de Palma/química , Aceite de Cacahuete/química , Aceite de Brassica napus/química , Aceite de Girasol/química , Antioxidantes/análisis , Ácidos Grasos/análisis , Ácidos Grasos Insaturados/análisis , Oxidación-Reducción , Factores de Tiempo , Tocoferoles/análisis , Tocotrienoles/análisis
8.
Food Res Int ; 132: 109117, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32331659

RESUMEN

Palm oil (PO), leaf lard oil (LO), rapeseed oil (RO), sunflower oil (SO), and linseed oil (LINO) are the five of the most typical dietary lipids, while few studies have explored and compared their influences on the serum lipid profiles, colonic short chain fatty acids (SCFAs) composition and colon health of Sprague Dawley (SD) rats. Results from the present work showed that PO and LO groups showed significantly higher serum TG and TC level compared with Ctrl group, whereas, the LDL-C/HDL-C and TC/HDL-C ratio were significantly lower in the RO, SO and LINO groups. Different dietary lipid consumption (15% of the normal diet) decreased the colonic SCFAs concentration. The saturated fatty acid (SFA) was negatively correlated, while unsaturated fatty acid (UFA)/SFA ratio was positively correlated, with colonic isobutyric acid concentration. The C18:2ω6 and ω3 fatty acids were positively correlated with colonic butyric acid and isovaleric acid concentration, respectively. Results also demonstrated that PO and LO could decrease the colon villus length and crypt depth, and led to colon injury, which might be due to their high SFAs content. Moreover, results suggested that PO and LO could specifically up-regulate the colon inflammation related gene expression levels and down-regulate the Muc2 expression levels, thus, imposing negative impact on the mucus layers. The present study could provide some information for nutritional evaluation about these dietary lipids.


Asunto(s)
Colon/metabolismo , Ácidos Grasos Volátiles/metabolismo , Tracto Gastrointestinal/metabolismo , Animales , Grasas de la Dieta , Ácidos Grasos , Ácidos Grasos Insaturados , Aceite de Linaza/metabolismo , Masculino , Aceite de Palma , Aceites de Plantas/metabolismo , Aceite de Brassica napus , Ratas , Ratas Sprague-Dawley , Aceite de Girasol
9.
Food Funct ; 10(3): 1490-1503, 2019 Mar 20.
Artículo en Inglés | MEDLINE | ID: mdl-30783644

RESUMEN

The objective of the present study was to investigate the connections between lipid compositions and the digestion and absorption differences of different lipids. Five typical edible oils (palm oil, PO; leaf lard oil, LO; rapeseed oil, RO; sunflower oil, SO; linseed oil, LINO) were selected to conduct in vitro digestion experiments considering the lipid digestion extent and hydrolysis rate before analyzing the fatty acid composition and TAG profiles using GC and UHPLC-Q-TOF-MS/MS. Meanwhile, the postprandial lipid absorption status after gavage administration was examined in adult male Sprague-Dawley rats with respect to serum lipid profiles. The results showed that the maximum FFA release extent decreased in the order: PO > RO > LINO > SO > LO, and the FFA release apparent constants were PO > SO ≈ RO > LO ≈ LINO. This suggested that the fatty acid species and the location of fatty acids within TAG molecules could significantly affect the lipid digestion fates in the gastrointestinal tract, and short chain saturated fatty acids located at the Sn-1, 3 position could favor the lipid digestion process. PO and LO were both shown to be more likely to affect the serum TG levels and LDL-C : HDL-C ratio compared with RO, SO and LINO. Different fatty acids displayed different correlations with serum lipid profiles when examined by Pearson correlation analysis. This suggested that fatty acid composition and TAG profiles may influence first the digestion rate and then the serum lipid profiles. This further confirmed that lipid composition could modulate the digestion and absorption status under the gastrointestinal conditions. These findings may provide some basic understanding of the connections between lipid composition and their functional difference.


Asunto(s)
Grasas de la Dieta/metabolismo , Digestión/fisiología , Lípidos/sangre , Lípidos/química , Aceites de Plantas/metabolismo , Animales , Grasas de la Dieta/análisis , Metabolismo de los Lípidos , Masculino , Aceites de Plantas/química , Distribución Aleatoria , Ratas , Ratas Sprague-Dawley
10.
Food Chem ; 280: 34-44, 2019 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-30642504

RESUMEN

The objective of the present study was to investigate the influences of dietary lipid composition on the gastrointestinal digestion and postprandial serum lipid profiles, and the connections between them. The in-vitro digestion results showed that maximum free fatty acid (FFA) release level of different lipid samples was PO (Palm oil) > RO (Rapeseed oil) > LINO (Linseed oil) > SO (Sunflower oil) > LO (Lard oil), and the first-order kinetics apparent rate constant was PO > SO ≈ RO > LO ≈ LINO, this may probably be ascribed to their specific lipid fatty acid composition and TAG structure. The individual FFA released during 240 min in-vitro digestion time was measured, and it showed that the release rate of short-chain saturated fatty acids (e.g. C16:0 in PO) were higher than the long-chain poly-unsaturated fatty acids (e.g. C18:3n-3 in LINO). Besides, the position of fatty acids within TAG molecules could also impose influences on the lipid hydrolysis process upon pancreas lipase in gastrointestinal tract using in-vitro digestion model. The postprandial serum fatty acid composition of the adult SD male rats were examined within 240 min after oral gavage administration, and the Pearson correlations between lipid fatty acid composition and the serum fatty acid profiles were analyzed. Certain correlations were summarized between lipid compositions (i.e. fatty acid composition and TAG structure), lipid digestion fates and serum fatty acid content in postprandial. The present work may provide some basic understandings of the connections among lipid compositions, lipid gastrointestinal digestion differences and the postprandial serum lipid profiles, and provide useful information about their nutritional and functional evaluation.


Asunto(s)
Cromatografía de Gases , Ácidos Grasos no Esterificados/análisis , Aceites de Plantas/metabolismo , Animales , Ácidos Grasos no Esterificados/sangre , Ácidos Grasos no Esterificados/química , Aceite de Linaza/química , Aceite de Linaza/metabolismo , Lipasa/metabolismo , Masculino , Aceite de Palma/química , Aceite de Palma/metabolismo , Aceites de Plantas/química , Periodo Posprandial , Aceite de Brassica napus/química , Aceite de Brassica napus/metabolismo , Ratas
11.
Ecotoxicol Environ Saf ; 166: 453-461, 2018 Dec 30.
Artículo en Inglés | MEDLINE | ID: mdl-30296610

RESUMEN

BACKGROUND: Liver diseases have been bound to environmental factors, inclusive of air pollution. The exposure of workers to petrochemicals counts as a possible cause of Liver diseases, whereas results are inconsistent with the previous studies. In this study, a meta-analysis is conducted to assess the pooled risk. METHODS AND FINDING: A systematic search was performed by related researchers. Correlations are analyzed among petroleum and liver cirrhosis mortality, fatty liver, alanine amino transferase (abbreviated as ALT), aspartate amino transferase (abbreviated as AST). Pooled risk ratios (RR) with 95% confidence interval (CI) and effect size(ES) with 95% confidence interval are calculated. Sensitivity analysis and publication bias are also tested. Data are analyzed from 5 studies involving 296 participants. Results are incorporated through adopting a random effects meta-analysis. Working in a petrochemical plant shall not increase the death risk posed by cirrhosis (RR = 0.44, 95% CI [0.36; 0.54]). Yet the incidence of fatty liver increases (RR = 1.22, 95% CI [1.21; 1.23]). Abnormal incidence of ALT and AST also increases. CONCLUSIONS: Occupational exposure plays an important role in causing ALT abnormalities and fatty liver among oil workers, but not a risk factor of cirrhosis, AST abnormalities and liver cancer.


Asunto(s)
Contaminación del Aire/efectos adversos , Cambio Climático , Hepatopatías/etiología , Exposición Profesional/efectos adversos , Petróleo/toxicidad , Alanina Transaminasa/análisis , Aspartato Aminotransferasas/análisis , Humanos , Cirrosis Hepática/etiología , Neoplasias Hepáticas/etiología , Exposición Profesional/análisis , Factores de Riesgo
12.
Food Res Int ; 111: 281-290, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-30007687

RESUMEN

The digestion fates of different edible oils are different. The objective of this study was to understand the influences of lipid composition on their digestion fates, and investigate the roles of bile salts (BS) played in emulsified lipid system (whey protein isolate as emulsifier) in the in-vitro small intestine digestion stage. Three typical oils (palm oil (PO), rapeseed oil (RO) and linseed oil (LINO)) were chosen. Results showed that with the BS addition increased from 0.0 to 2.0 mg/mL, the increasing magnitude of the different fatty acid (FA) apparent release rate constants were: PO > RO ≈ LINO. Although the maximum FA release extent changed with BS addition, the order were: PO > RO > LINO. These may probably be attributed to palmitic acids, the most abundant FA in PO, was mostly located on the Sn-1, 3 positions of triacylglycerol (TAG) molecules, which contributed to the pancreatic lipase hydrolysis action. The relatively short chain length and the lower hydrophobicity also favored this process. However, Sn-1, 3 positions of TAGs in RO and LINO were mainly long chain mono- or poly-unsaturated FAs, which restricted the continuous lipid hydrolysis. Furthermore, the lipid composition may also affect the BS behavior on the O/W emulsion droplet surface, thus modulating lipase hydrolysis reaction. These findings can provide some basic understandings of the digestion differences of different oils.


Asunto(s)
Ácidos y Sales Biliares/farmacología , Aceite de Linaza/metabolismo , Aceite de Palma/metabolismo , Aceite de Brassica napus/metabolismo , Digestión/efectos de los fármacos , Hidrólisis , Técnicas In Vitro , Lipasa/metabolismo , Lipólisis/efectos de los fármacos
13.
J Agric Food Chem ; 66(24): 6227-6238, 2018 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-29845858

RESUMEN

Three typical edible oils (palm oil, PO; leaf lard oil, LO; rapeseed oil, RO) and triacylglycerols (TAGs) (glycerol tripalmitate, GTP; glycerol tristearate, GTS; glycerol trioleate, GTO) were selected to conduct digestion experiments using fully designed in vitro digestion model. The evolutions in mean particle diameter, ζ-potential, and microstructural changes during different digestion stages were investigated. Free fatty acid (FFA) release extent and kinetics were monitored by pH-Stat method. The particle characterization of different lipids during passage through the GIT depended on lipid type and the microenvironment they encountered. Absorbed surface protein can hardly be the obstacle for pancreas lipase to catalyze lipid hydrolysis after gastric digestion. The maximum FFA release level and apparent rate constant in small intestine digestion stage of the three oils and TAGs were: PO > RO > LO, GTP > GTS > GTO, respectively. PO showed the highest FFA release level and rate mainly due to the short chain length saturated palmitic acid (C16:0) specifically located in the Sn-1, 3 positions of TAG molecules in palm oil, while the Sn-1, 3 positions of TAG molecules in RO and LO were mainly mono- or polyunsaturated fatty acids (C18:1 or C18:2), restricting the continuous hydrolysis reaction. These findings can provide some basic understanding of the digestion differences of different lipids, which may be useful for their nutritional and functional evaluation and the applicability in the food area.


Asunto(s)
Tracto Gastrointestinal/metabolismo , Aceites de Plantas/metabolismo , Triglicéridos/química , Triglicéridos/metabolismo , Digestión , Humanos , Metabolismo de los Lípidos , Modelos Biológicos , Aceites de Plantas/química
14.
J Am Dent Assoc ; 148(5): 328-337, 2017 05.
Artículo en Inglés | MEDLINE | ID: mdl-28284418

RESUMEN

BACKGROUND: The authors conducted this study to identify the most relevant patient dental information in a medical-dental integrated electronic health record (iEHR) necessary for medical care providers to inform holistic treatment. METHODS: The authors collected input from a diverse sample of 65 participants from a large, regional health system representing 13 medical specialties and administrative units. The authors collected feedback from participants through 11 focus group sessions. Two independent reviewers analyzed focus group transcripts to identify major and minor themes. RESULTS: The authors identified 336 of 385 annotations that most medical care providers coded as relevant. Annotations strongly supporting relevancy to clinical practice aligned with 18 major thematic categories, with the top 6 categories being communication, appointments, system design, medications, treatment plan, and dental alerts. CONCLUSIONS: Study participants identified dental data of highest relevance to medical care providers and recommended implementation of user-friendly access to dental data in iEHRs as crucial to holistic care delivery. PRACTICAL IMPLICATIONS: Identification of the patients' dental information most relevant to medical care providers will inform strategies for improving the integration of that information into the medical-dental iEHR.


Asunto(s)
Registros Electrónicos de Salud , Necesidades y Demandas de Servicios de Salud , Enfermedades Estomatognáticas , Registros Electrónicos de Salud/organización & administración , Registros Electrónicos de Salud/normas , Grupos Focales , Necesidades y Demandas de Servicios de Salud/organización & administración , Salud Holística , Humanos , Enfermedades Estomatognáticas/diagnóstico , Enfermedades Estomatognáticas/terapia
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