Mark-Steven Howe

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Mark qualified from Birmingham University in 1988. After 4 years in general practice he joined the Royal Air Force Dental Branch on a Short Service Commission serving in the UK and overseas gaining his Diploma and Membership exams in general dental surgery. On leaving the RAF Mark completed his Fellowship to the Faculty of General Dental Practice (FFGDP) and has recently completed an MSc in Evidence-Based Healthcare at the University of Oxford.  Mark has been a full time general dental practitioner at Broadway Dental Care, Worcestershire since 1998. He is a Fellowship assessor for the Faculty of General Dental Practitioners UK, and examiner at the Royal College of Surgeons, Edinburgh.

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Powered Air-Purifying Respirator (PAPR) use for prevention of highly infectious viral disease in healthcare workers

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Mark-Steven Howe takes a look at a preprint of a systematic review that evaluates the effect of Powered Air Purifying Respirators (PAPRs)for respiratory protection compared with N95/FFP2 masks on HCW infection rates and contamination.

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Aerosol generating procedures (AGPs) and their mitigation in international guidelines: Fallow time

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Mark-Steven Howe takes a look at the fallow times reported in the recently published rapid review of international guidelines, the precautionary principle and the Independent Action Hypothesis (IAH).

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Coronavirus SARS-CoV-2 screening: Could it accidentally cause local lockdowns?

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Mark-Steven Howe takes a look coronavirus SARS-CoV-2 screening and the implications of false positive tests in this blog

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Blinding in randomised controlled trials of oral health interventions and effect size estimates

Clearer guidance needed on cardiology follow up, primary care treatment of skins conditions and surveillance for disability hate crime

In this blog Mark-Steven Howe looks at a methodlogical review and meta-analysis. The review looked at the use of patient and assessor blinding is trials of oral health interventions and shows larger effect sizes when blinding was lacking.

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FFP3 fit testing accuracy and Covid-19 prevalence update

FFP3 Atemluftfilter_Einwegmaske

In another of his series of blogs on Covid-19 Mark-Steven Howe looks at the latest data on prevalence from the Office of National Statistics (ONS) and data on the fit testing of FFP3 masks.

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Covid-19: Asymptomatic/presymptomatic and the next patient?

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Mark-Steven Howe takes a close look at a new systematic review estimating the extent of true asymptomatic individuals and the associated risk of community spread.

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Face shield studies and droplet contamination

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In another of his Covid-19 related blogs Mark-Steven Howe looks at the effectiveness of face shields for preventing droplet contamination.

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The tyranny of average and guideline development for PPE

The reviewers identified researchers found it difficult to control for variation

In this opinion piece Mark-Steven Howe considered the challenges of basing decisions on of average values for decision making when infection is not evenly distributed either geographically nor demographically

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Free-standing clean air systems – are they effective in dental practice?

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In this blog Mark-Steven Howe looks at what evidence is available regarding the use of free-standing clean air systems in dental practice. There was little direct evidence of the benefits of free-standing clean air systems in dental practice.

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Re-opening of dental services: A rapid review of international sources -update

This paper is not a systematic review. It is a carefully considered review of key literature from one expert’s perspective and is therefore prone to bias.

Mark-Steven Howe looks at this update of a rapid review of internationssl recommendations for re-opening of dental services published just 10 days after the first review and including a further 5 international guidelines.

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