scholarly journals Participation of paediatric patients in primary dental care before and after a dental general anaesthetic

Author(s):  
J. F. Large ◽  
A. J. Keightley ◽  
A. Busuttil-Naudi

Abstract Purpose The aim of this retrospective study is to determine children’s attendance and experience of preventative interventions and operative treatment (restorations and extractions) with their primary care dentist (PCD) in the 12 months before and after their caries management under dental general anaesthetic (DGA). Methods A record of all children who had an elective DGA in 2016 across two hospital sites was retrospectively obtained (n = 1308). A representative sample of 300 was randomly selected encompassing 114 dental practices. An online questionnaire to the children’s PCDs collated quantitative and qualitative data regarding participation in the pre- and post-DGA period. Results Data was collated and analysed for 80 children (mean age: 6 years 10 months [SD = 2.49; range: 2 years 1 month – 14 years 3 months]; equal sex distribution) with 43 responding PCDs. Attendance for examination declined significantly from 85% (n = 68) pre-DGA to 57.5% (n = 46) post-DGA (p ≤ 0.001). Attendance at emergency appointments pre-DGA was high (33.75% [n = 27]); a significant reduction post-DGA was recorded (p ≤ 0.001). Over one third of children (37.5% [n = 30]) did not receive any form of preventative intervention over 24 months. A non-significant reduction in the provision of operative treatment was observed post-DGA (p = 0.06 [fill, primary]; p = 0.78 [fill, permanent]; p = 0.66 [ext, primary]). No statistical difference between age and treatment experience was found. Qualitative analysis revealed challenges in providing care included behavioural difficulties and poor attendance. Conclusion Improvements are required in strategies employed to support high caries risk children pre- and post-DGA to facilitate a higher incidence of attendance and preventative intervention with PCDs.

Author(s):  
Sayuri M. Naruse ◽  
Mark Moss

COVID-19 has brought not only fear and anxiety, but also legitimate restrictions of communication and consequential touch-deprivation in our daily lives. Couples’ relational wellbeing continues to be impacted by these COVID-19 related stressors. Protecting both personal and relational wellbeing is therefore particularly important at this time. Using a preventative intervention approach, the current paper argues the theoretical benefit of the Positive Massage programme and reports a qualitative analysis of stressed but healthy couples’ experience of engaging in the programme. Thirty-four participants completed 3 weekly classes and home-based practice of massage exchange. Data from an open text online questionnaire completed every week of the programme and again 3 weeks afterwards were analysed using thematic analysis. The identified themes included “holistic stress relief”, “relationship-promotion”, and “selves-care skill”. Couples perceived Positive Massage as an effective mutual support skill to relax and help one another by de-stressing, both emotionally and physically through verbal and nonverbal communication, creating gratitude, deeper connection and self-efficacy via quality time together and pleasurable touch. Theoretically and experientially, Positive Massage can be an effective preventative selves-care skill. Promoting the concept of selves-care and its practical application through Positive Massage would be beneficial for couples’ personal and relational wellbeing in a touch-deprived era.


2017 ◽  
Vol 32 (1) ◽  
pp. 51-59 ◽  
Author(s):  
HEG Wolfenden ◽  
M Angioi

BACKGROUND: The circus arts involve a high degree of acrobatic, athletic, and aesthetic ability with extreme physical demands placed on performers. An understanding of the injury profile is required to guide prevention. AIM: To provide the first systematic review to enhance understanding of circus-related injuries and to provide a foundation for future preventative intervention. METHODS: MEDLINE, Scopus, and Web of Science were searched from conception to March 2016 using key search terms relating to circus artists and injury. Studies were limited to English-language human studies and included all levels and ages of circus artists. Risk of bias was assessed using a novel seven-item checklist based on the STROBE statement. RESULTS: Eight studies of varying design, populations, outcomes, and quality were analysed. Results suggest that the injury rate is relatively low among professional circus artists at 7.37 to 9.27/1,000 artist exposures. The spine and ankle are frequently injured, and most injuries are to soft tissue structures. In the professional setting, injuries appear minor, resulting in few treatments, few missed or altered performances, and a low risk of re-injury. CONCLUSIONS: The spine and ankle should be targeted for preventative interventions in circus artists due to their high frequency of injury. The heterogeneity of studies included in this review highlights the need for consistency within future research, particularly in terms of injury definition and outcome measurements.


1998 ◽  
Vol 26 (5) ◽  
pp. 257-265 ◽  
Author(s):  
CF Adriaenssen

The activity, safety and tolerability of the azalide azithromycin were compared with those of co-amoxiclav in the treatment of acute periapical abscesses in adults in an open, randomized, multicentre comparative study. Patients of either sex, recruited from 106 dental practices in Belgium, were aged between 18 and 75 years and had acute periapical abscesses not requiring drainage, confirmed by radiology. Azithromycin was administered as a 500-mg tablet orally once daily for 3 days ( n = 150) and co-amoxiclav as a 625-mg capsule three times daily, for 5–10 days ( n = 153). Both before and after treatment, masticatory pain, percussion pain, headache, and oedema and redness of soft tissue were graded on a four-point scale. Overall clinical success (cure plus improvement) was seen in 131/144 (91%) evaluable patients receiving azithromycin and in 142/148 (96%) receiving co-amoxiclav (difference not significant). There was no significant difference between the two groups in the incidence or severity of adverse events or in the number of discontinuations because of adverse events.


2020 ◽  
Vol 11 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Aseel Al-ani ◽  
Douglas A. MacDonald ◽  
Maha Ahmad

Aim: Certain individuals are more prone to dental caries than others are. Caries risk may be related in the secretion of certain defensive salivary proteins including secretory IgA (sIgA) and proline-rich acidic protein (PRAP-1). In this study, we investigated the relationship between PRAP-1 and sIgA leading to the susceptibility of development of dental caries in adults and explored the differences in the levels of sIgA and PRAP-1 between men and women. Materials and Methods: Unstimulated saliva samples were collected from 28 patients with high caries risk and 32 control subjects with low caries risk according to caries management by risk assessment guidelines. sIgA and PRAP-1 levels in clarified saliva samples were measured using the enzyme-linked immunosorbent assay. Results: According to our results, sIgA and PRAP-1 levels did not demonstrate statistically significant differences as a function of caries risk or gender, even when potential confounding variables such as age and numbers of teeth were taken into consideration. Estimates of effect size, however, revealed small- to medium-sized effects and suggest that significant results may have been found if larger sample sizes were used. Conclusion: The results of this study indicate that caries risk and salivary levels of sIgA and PRAP-1 do not appear to be significantly associated. Statistically significant findings could emerge if the sample size was larger.


2016 ◽  
Vol 118 (1) ◽  
pp. 231-246 ◽  
Author(s):  
Mu Weisong ◽  
Li Chengcheng ◽  
Tian Dong ◽  
Feng Jianying

Purpose – The purpose of this paper is to analyze and identify Chinese consumers’ behavior and preference characters toward table grapes, especially to explore the variance of consumption preference in recent five years. Design/methodology/approach – Two representative China-wide questionnaire surveys were conducted by face-to-face and online questionnaire survey, respectively, in 2009 and 2014. Comparative study was adopted to dig the changes of consumers’ preferences and habits. ANOVA was adopted to explore the statistically difference among consumers’ behavior and preferences. Findings – The results indicate that Chinese consumers are rational-motivation-driven grape consumers, they prefer to sweet taste, seedless and medium priced grapes. Safety and quality characters (clean appearance, freshness and taste) were ranked as the most important grape attributes. As a whole, it was found that consumers are more quality-focussed and safety-conscious five years later, so some variances was showed in their purchase habits and preferences, such as the choice of purchase place, attitude to special grapes and willingness to pay to safe and genetically modified grapes. Originality/value – This research not only indicates some stable preferences of Chinese consumers toward table grape, but also finds out some significant changes in consumers’ behavior before and after five years based on a comparative study in 2009 and 2014.


2015 ◽  
Vol 8 (3) ◽  
pp. 45-48
Author(s):  
Sergey Yurievich Astakhov ◽  
Medeya Vakhtangovna Gobedzhishvili

Purpose: to analyze the efficacy of non-steroidal anti-inflammatory drugs (NSAIDs) after cataract extraction. To determine the NSAID’s role in post-operative inflammatory processes treatment. Results: the rationale of NSAIDs use before and after cataract surgery was validated. The NSAIDs efficacy in terms of post-op inflammation reduction was confirmed. Among NSAIDs benefits, the convenient and easy-to-use instillation regimen of Bromfenac 0.09% eye drops solution was highlighted.


2019 ◽  
Vol 18 (3-4) ◽  
pp. 82
Author(s):  
Antónia Szász ◽  
Gábor Kiss

A tanulmányban ismertetett kutatás fő célja az informatikai biztonsági kurzus hatásának vizsgálata a hallgatók szokásaira, attitűdjére és mindennapi információbiztonsági tudatosságára, valamint az alkalmazott oktatási módszerek elemzése és fejlesztése. Az oktatás során a hallgatók egy csoportja videofelvételeket nézett, amelyek jelszavak visszafejthetőségét mutatták be megfelelő programok használatával. A másik csoportban ki is próbálhatták ezeket a programokat, tesztelhették akár saját jelszavaik feltörhetőségét is. A kurzust megelőzően és azt követően felvett online kérdőíves felmérés a hallgatók személyes életében is megjelenő hatást az egyéni jelszó- és eszközhasználat vizsgálatával igyekezett feltárni. A válaszokban tükröződő gyakorlatok biztonságos, illetve biztonsági kockázatnak kitett voltuk alapján kerültek pontozásra. Az elemzés eredményei azt mutatták, hogy a programhasználattal kiegészített, a hallgatói aktivitást facilitáló módszernek szignifikánsan nagyobb hatása volt a hallgatók információbiztonsági attitűdjére, gyakorlatára és tudatosságára, mint a videóval támogatott oktatási módszernek. --- Password retrieval programs in education and their effects on information security awareness The main purpose of the research is to examine the impact of the information security course on students’ habits, attitudes, and everyday security awareness, furthermore to analyse and develop methods used in education. In this study two groups were compared. In the first group, students watched video recordings exemplifying password decryption by using appropriate programs. In the second group, students could try out these programs testing the retrievability of their own passwords. Before and after the course an online questionnaire survey was carried out. The impact appearing in students’ personal lives was revealed by examining their individual password and device usage. Answers were scored according to their safety, or security risk. It has been demonstrated that the educational method supported by decrypter programs that facilitate student activity had a significantly greater impact on the students’ information security attitudes, practices, and awareness than those method applying only video demonstrations. Keywords: e-inclusion, information security, educational methods, attitude change, awareness


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