Explore the vast range of titles available.

\"Why do some gardens make us feel so wonderful, relaxed and refreshed? Professional landscape designer Jan Johnsen shares her passion for creating serene, enticing gardens that become outdoor havens for our spirit. Heaven is a Garden is a thoroughly entrancing garden design book that you will refer to over and over. Johnsen draws on her 40 years of experience to explore far-ranging ideas, some new, some ancient like, why a gate facing East is considered auspicious, why a sheltered corner is so alluring and why certain trees can impart a special atmosphere. Richly photographed with inspiring landscapes, this guide is written with thoughtful prose and practical advice. It reveals how, with a new/old design approach, you can create a delightful outdoor haven that everyone will enjoy. Jan Johnsen writes the popular Serenity in the Garden blog www.serenityinthegarden.blogspot.com and Facebook page.\" --Publisher's description.

Objectives We investigated the impact of time pressure on dentists' arousal levels and the immediate quality of composite resin fillings using two filling techniques in a simulated clinical setting. Material and Methods Forty‐two dentists and dental students were randomized to fill an identical Class II cavity either with the bulk‐fill base technique or the conventional incremental technique. The task was performed first under timing and then under time pressure. Arousal levels were investigated with a 100 mm visual analog scale (VAS) and a wireless wrist‐mounted triaxial accelerometer. The surface porosity and marginal gaps on the approximal surfaces of the fillings were evaluated using a stereomicroscope and specific probes according to the FDI criteria for restoration evaluation. Results Time pressure significantly increased arousal overall (F = 14.98, p < 0.05), and there was a significant effect of the experimental group on participants' arousal levels under time pressure (F = 7.78, p < 0.05); Dunn–Bonferroni tests indicated significantly lower arousal levels (p < 0.05) for the bulk‐fill base technique (M = 4.53, SD = 2.17) compared to the conventional incremental technique (M = 6.68, SD = 1.86). The bulk‐fill base technique showed superior quality under time pressure (X2 = 4.71, p = 0.030). Less experienced operators achieved better quality with the bulk‐fill base technique (Χ2 = 5.62, p = 0.018), while operator experience did not correlate with arousal levels under time pressure. Conclusions Employing the bulk‐fill base technique under time pressure led to reduced operator arousal levels and improved the immediate quality of fillings. Clinical Relevance The bulk‐fill base technique shows promise in being resistant to common work environment factors in dentistry, such as time pressure and stress, without compromising the quality of fillings. Utilizing innovative techniques, such as the bulk‐fill base technique, in a clinical setting can contribute to mitigating the operator's stress and enhancing the quality of care provided.

Background Potentially Traumatic Events (PTEs), such as accidents, childhood neglect or abuse, can affect mental and physical health. The study investigated the association between PTEs and self-reported oral health (SROH), focusing on cumulative exposure to multiple events, the types of events, and the timing of exposure. Methods Data were collected from the seventh survey of the Tromsø Study, which invited all residents over 40 in Tromsø, Norway. A total of 21,069 participants took part, comprising 47,5% male and 52,5% female respondents, who completed assessments of PTEs and SROH. Chi-square (Χ²) tests evaluated unadjusted associations, and a series of logistic regression models were employed to investigate the association of PTEs with poor SROH, controlling for sociodemographic variables, emotional distress, and oral health-related behaviours. Findings The likelihood of reporting poor SROH was higher among those who experienced more PTEs, and this relationship persisted after adjusting for sex, age, socioeconomic status, oral health-related behaviour, dental anxiety, emotional distress and adverse dental events. Subsequent analyses differentiated the associations by type and timing (before and after age 18) of events. Interpersonal events involve direct interactions with others (e.g., abuse, bullying), while impersonal events refer to broader circumstances (e.g., accidents, natural disasters). Adverse dental events, classified as impersonal events, demonstrated the strongest association with poor SROH. The associations between interpersonal events and poor SROH varied more depending on covariates than impersonal events. The association strengthened when adjusting for sociodemographic factors but weakened when accounting for oral health behaviours, dental anxiety, and emotional distress. Notably, impersonal events occurring before age 18 were consistently associated with poor SROH across all models. Conclusions Experiencing multiple PTEs throughout life is associated with poor SROH. Among the various PTEs, adverse dental events showed the strongest association with poor SROH, emphasising the importance of addressing dental care’s emotional and psychological aspects, particularly in paediatric settings, to support long-term oral health outcomes. Clinical trial number Not applicable.

Delay of dental care is a problem for dental public health. The present study explored the relationship between procrastination and dental attendance, focusing on delay in seeking dental care. This hypothetical relation was compared to other avoidance-related factors affecting dental attendance. In addition, an inquiry into the reasons for delaying dental care was conducted. Students (n = 164) answered an internet-based questionnaire on socio-demographic factors, dental health, dental attendance, delay of dental care, reasons for the delay, procrastination (IPS), dental anxiety (MDAS), perceived stress (PSS) and oral health self-efficacy (OHSES). The study found no significant relation between procrastination and delay in dental care. However, procrastination was related differently to past, present, and future dental attendance and seemed to relate to oral health behavior. Delay of dental care was associated with higher dental anxiety and lower oral health self-efficacy. The cost of dental care was the most frequently given reason for the delay of dental care. Further research on the delay of dental care and dental attendance is warranted in understanding the behavior, implementing interventions, and improving the utilization of public dental care.

The aim was to assess perceived stress (PS) and factors associated with PS in Russian medical and dental students. A total of 406 medical and 283 dental students aged 18–25 years that attended the Northern State Medical University in Arkhangelsk, North-West Russia participated in this cross-sectional study. A structured, self-administered questionnaire was used to collect information on socio-demographic and socioeconomic factors, oral health (OH) behavior, and self-reported OH. All students were clinically examined to assess dental caries, oral hygiene, and gingiva. PS was measured by the Perceived Stress Scale 10 (PSS-10). Of the students, 26.0%, 69.1%, and 4.9% reported low, moderate, and high PS, respectively. Female sex (b = 2.28, 95% confidence interval (CI): 1.38–3.18), dental faculty (b = 1.74, 95% CI: 0.94–2.54), low subjective socioeconomic status (SES) (b = 1.71, 95% CI: 0.91–2.51), and irregular dental visits (b = 1.65, 95% CI: 0.72–2.58) were associated with higher PSS-10 score. These factors were assumed to be clinical meaningful, given that minimal clinically important difference of PSS-10 fell between 2.19 and 2.66 points. The majority of the medical and dental students reported moderate PS. Based on statistical significance and clinical meaningfulness, socio-demographic factors (sex, faculty), subjective SES, and OH behavior (regularity of dental visits) were associated with PS.

The importance of e-health to citizens, patients, health providers, governments, and other stakeholders is rapidly increasing. E-health services have a range of advantages. For instance, e-health may improve access to services, reduce costs, and improve self-management. E-health may allow previously underserved populations to gain access to services. Services utilizing apps, social media, or online video are rapidly gaining ground in most countries. In this special issue, we present a range of up-to-date studies from around the world, providing important insights into central topics relating to e-health services.

Objectives Understanding the psychological mechanisms that moderate oral hygiene self‐care behavior is anticipated to benefit efforts to change such behavior. Top‐down self‐regulatory (TSR) processes represent one group of relatively unexplored, yet potentially influential, moderating factors. This systematic scoping review aims to explore whether there is evidence that TSR processes moderate oral hygiene self‐care engagement within the current literature. Methods CINAHL, The Cochrane Library, Embase, MEDLINE, PsycINFO, Scopus, and Web of Science databases were searched up to April 2020 for articles that compared measures of TSR processes (such as self‐monitoring, inhibitory control, and task switching) to oral hygiene self‐care behavior, or tested interventions that aimed to change or support TSR processes. Results The search returned 6626 articles, with 25 included in the final sample. Weak evidence supported both the role of TSR processes as moderators of interdental cleaning and the value of interventions targeting self‐monitoring of interdental cleaning behavior. Overall, methodological limitations rendered the findings somewhat inconclusive, with an absence of objective assessments of TSR capacity, and little focus on TSR processes as moderators of intervention effects. Conclusions The inconclusive, but reasonably promising, findings point to the value of continuing to apply TSR processes within studies of oral hygiene behavior. Exploring why interdental cleaning appears more reliant on TSR processes than toothbrushing, employing objective neuropsychological assessment, and measuring TSR constructs within interventions targeting TSR processes, are encouraged. As a scoping review, the study hopes to generate interest and serve as a starting point for further investigation.

Background/Objectives: Negative stories about dentists are prevalent in mass media and in social discourse. This study explores the associations between dental anxiety, negative dental stories, and negative dental experiences, and how these phenomena are related to the perception of dentists’ personality traits. Methods: An anonymous electronic survey was distributed among students at UiT The Arctic University of Norway, and 118 students chose to participate in the study. The questionnaire included questions on dental anxiety, negative stories about dental treatment, negative experiences of dental treatment, and ratings of dentists’ personality traits. Results: Almost half of the participants (46%) had at least one negative dental experience, while the majority (80%) of the participants had heard a negative story about the dentist. There were significant differences in the ratings of dentists’ personality traits based on having previous negative dental experiences and based on dental anxiety scores. Participants without negative dental experiences and with low dental anxiety rated the dentist more favorably in terms of personality traits than anxious participants or participants with negative dental experiences. Negative dental treatment experiences (OR 10.35; p < 0.001) and rating dentists as having low extraversion (OR 0.34; p < 0.05) emerged as the most important predictors of high dental anxiety. Conclusions: The interplay between negative stories about the dentist, dental anxiety, and negative dental experiences should be explored further, as well as the impact of the perceived personality traits of dental health professionals.

Background Establishing positive oral health behaviours during adolescence should be a key priority to improve lifelong oral health. However, changing adolescent behaviours is known to be a challenge. Motivational interviewing (MI) is a method of working with patients to activate their motivation for change and has shown promising results within the dental setting. Yet, little is known about the actual experiences and perspectives of Norwegian dental health professionals in delivering motivational interviewing as part of routine care to their young patients. The overall aim of the present study was to explore the implementation of motivational interviewing by dentists and dental hygienists, employed by the Norwegian Public Dental Service, for their adolescent patients. Methods As part of the larger #Care4YoungTeeth <3 project, a Norwegian Research Council funded four-year Collaborative Project to Meet Societal and Industry-related Challenges, an online survey was developed and administered to dental personnel (n = 168) in one region of Central Norway. Data were analysed by descriptive statistics and two-sample tests of proportions at the 95% confidence level. Results A total of 98 dental personnel responded to the survey (response rate 58.3%), of which 37 were dental hygienists (response rate 72.5%) and 61 were dentists (response rate 52.1%). A greater proportion of hygienists reported implementing this intervention compared to dentists (78.4% versus 50.8%; p = 0.007). Similarly, a greater proportion of hygienists (83.8%) stated that they had received training in MI compared to dentists (65.6%; p = 0.051). About 80% of dentists and 90% of dental hygienists felt that they understood the principles of MI. However, only about 45% and 60%, respectively, felt confident in its use. Dental hygienists found MI more usable in their work (p = 0.052), to a greater extent want to use MI (p = 0.002) and found that using MI works well (p < 0.001), as compared to dentists. Conclusions A high proportion of dental professionals working within a Norwegian public dental service have received training in MI. However, barriers to implementation for adolescent patients and differences in practice between dentists and hygienists warrant further enquiry.