Navigation Links
NIH grant advances dentistry school's work on psychosocial stress
Date:11/6/2007

Every day, trauma centers throughout the country provide acute care to patients with intentional injuries. The focus is on treating the physical injury of the patients; there is precious little time for attending to the underlying risky behaviors that gave rise to the injury or to what its psychosocial aftereffects may be.

Vivek Shetty, an oral and maxillofacial surgeon at the UCLA School of Dentistry who treats patients with facial trauma, recently proposed that introducing technology to this scenario could lead to a better way to screen for and detect the psychological impact of injuries and thus unite the complementary skills of various health care providers to deliver comprehensive care to patients.

The National Institutes of Health found merit in this unique approach and agreed to fund Shetty's idea.

The UCLA School of Dentistry is among the first research institutions to receive a grant from the NIH's new Genetics, Environment and Health Initiative. Among other goals, the initiative seeks to develop new technologies to measure psychosocial stress and the use of addictive substances, both licit and illicit, in large-scale studies of diverse populations. The four-year, $1,876,920 award to Shetty, the grant's principal investigator, will culminate in the implementation of an innovative new tool that will provide rapid and reliable assessments of the stress response to trauma as evidenced in saliva.

Shetty's previous studies have shown that traumatic facial injury provokes an immediate, intense psychological response from the victim, and a significant number of patients manifest post-traumatic stress disorder-like symptoms even one year after the injury. Nevertheless, a busy trauma center is not the ideal setting for administering the detailed questionnaires that help identify related mental health issues, whether they exist before or develop after injuries.

For these reasons, Shetty felt it important to develop an effective transdisciplinary approach that sets the stage for early integrated case management and interventions across a broad range of allied specialties. If surgeons, nurses and social workers can easily identify at-risk patients who could benefit from psychological treatment and make the appropriate referrals for targeted interventions and follow-up care, they might be able to prevent further trips to the emergency room.

"A handheld salivary biosensor of stress could help health care providers treat not merely the physical injury but the whole person," said Shetty, a professor of oral and maxillofacial surgery at the UCLA School of Dentistry.

In recent years, the concept of using saliva as a reliable, noninvasive and highly informative diagnostic tool has come into its own. As the technology of salivary diagnostics improves, the idea of using a saliva-based expression of the individual stress response as the basis for point-of-use detection becomes a reality.

"Such a tool could have a profound impact on how we screen, triage and treat injured patients," Shetty said. "Enabling surgeons to rapidly assess the risk for future psychological and substance-use problems will set the stage for expanded, high-quality post-trauma care that is specific to the needs of each patient and incorporates appropriate mental health interventions."

For the past decade, the UCLA School of Dentistry has been a leader in the burgeoning field of salivary diagnostics research, which portends dramatic changes in the future of clinical diagnostics. Currently, the school's scientists are engaged in projects that use saliva to assess the risk of dental caries; create smart, targeted antibiotics that preserve beneficial flora; and diagnose various systemic illnesses, from oral and breast cancer to autoimmune diseases and diabetes.

The research currently being conducted by Shetty builds on research on collaborative-care interventions made possible by an ongoing five-year, $3.8 million grant from the National Institute on Drug Abuse.

"UCLA takes great pride in its researchers operating at the cutting-edge of salivary diagnostics. Our objective is to translate the discoveries we make in the laboratory into new tools that will transform the standard of clinical care," said No-Hee Park, dean of the UCLA School of Dentistry. "Dr. Shetty's research brings together the fields of surgery, biostatistics, biomedical engineering and psychology to expand the use of saliva as a diagnostic tool beyond physical illness to include psychological illness."


'/>"/>

Contact: Sandra Shagat
sshagat@dentistry.ucla.edu
310-206-0835
University of California - Los Angeles
Source:Eurekalert

Related medicine news :

1. UVa researcher awarded $3.6 million grant to fight drug-resistant bacteria
2. UT Southwesterns obesity research receives $22 million NIH Roadmap grant
3. $21.8 Million NIH Grant for Fragile X Research
4. Bioniche Receives $2 Million Government Grant For Market Development Related to its E. coli O157:H7 Cattle Vaccine
5. Boston University School of Medicine researcher recipient of Memory Ride Grant
6. RAND researchers offer options to improve immigrant health care quality, access
7. Pennsylvania Department of Aging Receives Grant to Improve Alzheimers Support
8. CAS Medical Systems, Inc. Awarded $2.8 Million Grant by National Institutes of Health
9. NIH awards Einstein multimillion dollar grant to extend studies of exceptional longevity
10. Johns Hopkins receives $100 million grant to speed research from clinic to community
11. Major grant advances UWs clinical and translational research enterprise
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... The International Association ... standards of excellence for the field of eating disorders, announces the opening of ... 2018 in Orlando, Florida at the Omni Resort at ChampionsGate. , ...
(Date:10/13/2017)... ... October 13, 2017 , ... Many families have long-term insurance that covers ... companies have a waiver for care if the client has a cognitive impairment diagnosis. ... pays for care, is often waived, so the benefits from their insurance start immediately,” ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... ... will be giving viewers the lowdown on sciatica in a new episode of ... that focuses on current events and innovation and investigates each subject in-depth with ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... sleep apnea using cutting-edge Oventus O2Vent technology. As many as 18 ... characterized by frequent cessation in breathing. Oral appliances can offer significant relief to ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... in post-acute health care, have expanded their existing home health joint venture through ... AccentCare has been operating a joint venture home health company with Asante, delivering ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... Labs announces the European launch of their new low volume, high ... in Cambridge, U.K on October 4th. The ... with unprecedented speed and sensitivity while using far less sample volume ... ... ...
(Date:9/28/2017)... Sept. 28, 2017 Hill-Rom Holdings, Inc. (NYSE: ... conference call and webcast on Friday, November 3, 2017, ... and ending at approximately 8:30 a.m. (CDT) / 9:30 ... company,s 2017 financial performance and guidance for 2018, Hill-Rom ... to enhance operational performance, and long-range financial outlook through ...
(Date:9/27/2017)... 2017  Commended for their devotion to personalized service, SMP ... number one in the South Florida Business Journal,s 50 Fastest-Growing ... yearly list, the national specialty pharmacy has found its niche.  ... will soon be honored by SFBJ as the 2017 Power ... Set to receive his award in October, Bardisa said of ...
Breaking Medicine Technology: