Associations Between Pain Severity, Clinical Findings and Endodontic Disease – A Cross Sectional Study

Background: Primary headache disorders including migraine and tension-type headache (TTH) are of great importance to global public health due to its high prevalence, but very few studies have been conducted to know its prevalence and pain severity of different types of primary headache. Aim of this study was to investigate the subtypes and pain severity of different types of primary headache in hospital setting.Methods: This study is a cross-sectional study with 200 sample size. Includes patients with Primary headache in department of Psychiatry, MGMMC, Indore. Patient aged between 18-65 years, both gender. Diagnosis of headache was done clinically in accordance with International Classification of Headache disorders (ICHD- 3). Semi-structured headache questionnaire, Comparative pain scale were used for assessment of samples.Results: Among 200 patients, Tension type headache was 73.5%, Migraine was 22%, Mixed headache was in 4.5% patients. Majority of migraine and mixed headache cases had severe pain at 93.2% & 55.6% respectively. Majority of TTH cases had moderate pain in 42.2% patients.Conclusions: Study has shown assessments of severity of pain, can be used to assess the impact of Primary headache on patient’s quality of life.

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Constructs of health belief and disabling distal upper limb pain

Scandinavian Journal of Pain ◽

10.1016/j.sjpain.2016.07.003 ◽

2016 ◽

Vol 13 (1) ◽

pp. 91-97 ◽

Cited By ~ 1

Author(s):

Daniel Whibley ◽

Ross MacDonald ◽

Gary J. Macfarlane ◽

Gareth T. Jones

Keyword(s):

Health Beliefs ◽

Upper Limb ◽

Health Belief ◽

Cross Sectional Study ◽

Pain Severity ◽

Clinical Population ◽

Sectional Study ◽

Cross Sectional ◽

Arm Pain ◽

The Relationship

AbstractBackgroundMusculoskeletal pain in the distal upper limb is common and is a cause of disability and healthcare consultation. At the time of presentation individuals reporting similar pain severities may report different levels of related disability. The biopsychosocial model proposes that health beliefs may help explain this difference. The aim of this cross-sectional study was to identify underlying constructs of health belief in those referred to physiotherapy with pain in the distal upper limb and investigate whether these constructs moderated the relationship between pain severity and extent of disability.MethodHealth beliefs were assessed using an instrument included in a questionnaire completed before randomisation to the Arm Pain Trial (ISRCTN79085082). Ordinal responses to statements about health beliefs were used to generate a polychoric correlation matrix. The output from this matrix was then used for Exploratory Factor Analysis to determine underlying constructs. The moderating influence of the identified health belief constructs was then tested using interaction terms in linear regression models.Results476 trial participants contributed data, age range 18–85 (mean 48.8, SD 13.7), 54% female. Five health belief constructs were identified: beliefs about hereditary factors, beliefs about movement and pain, beliefs about locus of control, beliefs about the role of lifecourse/lifestyle factors, and beliefs about prognosis. The only health belief construct found to moderate the pain-disability relationship was beliefs about prognosis, with greater pessimism resulting in higher levels of disability at mild-to-moderate levels of pain severity (B –0.17,95% CI –0.30, –0.036).ConclusionThis exploratory cross-sectional study identified five constructs of health belief from responses to a previously used set of statements investigating fear avoidance and illness beliefs in a clinical population with pain in the distal upper limb. Of these constructs, beliefs about prognosis were found to moderate the relationship between pain and disability.ImplicationsAt the time of referral to physiotherapy it may be beneficial to assess patients’ perception of prognosis. For those with higher than expected disability for the presenting level of pain, and pessimism about prognosis, focused reassurance may play an important part in initial consultation. Longitudinal study is required to support the findings from this study and investigate whether a causal relationship exists. Future investigations should confirm the health belief constructs proposed.

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Perception of dental practitioners in and around Kanpur city towards forensic odontology: a cross sectional study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20192909 ◽

2019 ◽

Vol 7 (7) ◽

pp. 2732

Author(s):

Vishal Mehrotra ◽

Gauri Mishra ◽

Rohan Sachdev ◽

Kriti Garg ◽

Sekhar Mukherjee ◽

...

Keyword(s):

Personal Data ◽

Forensic Odontology ◽

Cross Sectional Study ◽

Clinical Findings ◽

Forensic Sciences ◽

Sectional Study ◽

Training Experience ◽

Cross Sectional ◽

Dental Practitioners

Background: In the present era, forensic odontology has expanded as one of the most remarkable and commendable branches of Forensic Sciences. Through forensic odontology, a dentist plays a very important role in crime investigation of any type. The main objective of the present study was to evaluate the knowledge, percipience and practical perception of forensic odontology among the dental practitioners in and around Kanpur city.Methods: A cross-sectional study was conducted from Jan-Mar 2019 among 207 dental practitioners in and around Kanpur city including 143 BDS and 64 MDS through a questionnaire proforma. The proforma consisted of 20 questions prepared on the topic of forensic Odontology and role of dentist in the field of forensic Odontology.Results: In this study, nearly 70% of dental practitioners were aware of the role of dentist in forensics, and around 60% of dental practitioners maintain dental records with recording of personal data and clinical findings being the most frequently used method. In the present study most of the dental practitioners were not aware of significance of chelioscopy (63%) and rugoscopy (66%) in field of forensic Odontology. Nearly 70% of dentist accepted the fact that their level of knowledge regarding forensic dentistry is inadequate and nearly 40% of them were not confident in giving any opinion regarding the same.Conclusions: This study shows that although there is an adequate awareness of role of dentist in forensic Odontology, but there is lack of good knowledge, confidence and practical approach of the dental practitioners towards forensic Odontology which may be due to lack of training, experience, exposure in field of forensics. Thus, the need of the hour lies in updating the knowledge and also developing interest of the dental practitioners regarding forensic Odontology.

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Anxiety and Pain Severity in Children Based on Self-Report

International Journal of Child Health and Nutrition ◽

10.6000/1929-4247.2021.10.01.3 ◽

2021 ◽

Vol 10 (1) ◽

pp. 17-23

Author(s):

Maryam Mirmotalebi ◽

◽

Behshid Garrusi ◽

Mina Danaei

Keyword(s):

Pain Intensity ◽

Objective Evaluation ◽

Cross Sectional Study ◽

Self Report ◽

Pain Severity ◽

Medical Team ◽

Sectional Study ◽

Cross Sectional ◽

Spss Software ◽

Children's Pain

Background and Objective: Evaluation of the severity of pain in children can help the medical team diagnose the type of disease. In this study, anxiety and pain intensity in children were examined based on self-report. Materials and Methods: This cross-sectional study was performed in 2018 on 300 children aged 3 to 12 years, referring to outpatient treatment centres in Kerman. To measure the severity of pain felt by children, FPS-R was used. The level declared by children was evaluated by the pain intensity estimated by parents and doctors using a visual analogue scale (VAS) and the standard FLACC (Face, Legs, Activity, Cry, Consolability scale) for correlation. The data were analysed using SPSS software version 25. Results: The pain reported by children was obtained by VAS (4.16 ± 3.49), and the estimated pain by the doctor was obtained by FPS-R (2.87±1.68). The pain severity estimated by the doctor using FLACC had the highest correlation with the pain estimated by the doctor using VAS and the lowest correlation with the pain estimated by the mother using VAS. Conclusion: The results of this study showed that FPS-R could be used as a suitable self-report tool in children and, along with the standard FLACC, can help the medical team recognize the severity of children's pain.

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The Additional Information of Bitewing Radiographs in the Detection of Established or Severe Dentinal Decay in 14-Year Olds: A Cross-Sectional Study in Low-Caries Population

The Scientific World JOURNAL ◽

10.1155/2014/175358 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 2

Author(s):

Aija-Maaria Hietala-Lenkkeri ◽

Mimmi Tolvanen ◽

Pentti Alanen ◽

Kaisu Pienihäkkinen

Keyword(s):

Cross Sectional Study ◽

Clinical Findings ◽

Tooth Surface ◽

Sectional Study ◽

Caries Prevalence ◽

Cross Sectional ◽

Surface Level ◽

Individual Level ◽

Additional Information ◽

Occlusal Surfaces

Aim. To reveal the additional value of radiographic bitewings (BW) in detection of caries and in comparing the occurrence of clinically undetected severe decay between 14-year olds with and without clinically observed dentinal caries in a low-caries prevalence population.Design. The cross-sectional study used 363 pairs of radiographs read by one examiner without knowledge of the clinical findings. The yield was analyzed on a tooth surface level by cross tabulating the clinical and radiographic information and on an individual level by counting the number of yield surfaces for all subjects. Mann-WhitneyUtest was used.Results. On a tooth surface level, the contribution of BW was the greatest on the occlusal surfaces of the first molars, where established or severe dentinal decay was registered in BW in 11% of clinically sound surfaces and in 40% of established cavitated enamel lesions. On an individual level, 53% of subjects benefited from BW. The subjects clinically DMFS > 0 benefited more than the clinically DMFS = 0 subjects (P=.004), nearly 60% in relation to 47%, respectively.Conclusions. In a low-caries prevalence population a remarkable portion of both clinically DMFS = 0 and DMFS > 0 14-year olds benefit from BW examination. Most of the benefit is obtained on the occlusal surfaces of the first and the second permanent molars.

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Pain severity and use of analgesic medication in adults with atopic dermatitis: a cross‐sectional study

British Journal of Dermatology ◽

10.1111/bjd.18557 ◽

2019 ◽

Vol 182 (6) ◽

pp. 1430-1436 ◽

Cited By ~ 4

Author(s):

J.P. Thyssen ◽

A.‐S. Halling‐Sønderby ◽

J.J. Wu ◽

A. Egeberg

Keyword(s):

Atopic Dermatitis ◽

Cross Sectional Study ◽

Pain Severity ◽

Sectional Study ◽

Cross Sectional ◽

Analgesic Medication

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Prevalence of Neuropathic Pain and Related Characteristics in Hidradenitis Suppurativa: A Cross-Sectional Study

Journal of Clinical Medicine ◽

10.3390/jcm9124046 ◽

2020 ◽

Vol 9 (12) ◽

pp. 4046

Author(s):

Simone Garcovich ◽

Simona Muratori ◽

Chiara Moltrasio ◽

Agata Alba Buscemi ◽

Giulia Giovanardi ◽

...

Keyword(s):

Neuropathic Pain ◽

Pain Management ◽

Hidradenitis Suppurativa ◽

Specific Treatment ◽

Cross Sectional Study ◽

Pain Severity ◽

Sectional Study ◽

Cross Sectional ◽

Patient Reported ◽

Reported Data

Background: Pain is a core symptom of hidradenitis suppurativa (HS) and is of complex, multifactorial origin. HS patients frequently report typical neuropathic pain qualities, but its prevalence has been poorly described. Methods: In this cross-sectional study, we examine the prevalence of neuropathic pain (NP) component and related pain-characteristics of a hospital-based cohort of patients with symptomatic HS. We administered the pain-DETECT tool (PDQ), a validated screening tool for NP, collecting clinical and patient-reported data on pain, pruritus and pain-management. We obtained 110 complete datasets from symptomatic HS patients (49.1% females; Hurley I (27.3%])–II (45.5%)–III (27.3%)). According to the PDQ tool, 30% of patients were classified with a high probability (>90%) of neuropathic pain (LNP). LNP status was significantly associated with increased pain severity, disease activity, pruritus intensity and use of pain medication. Regression analysis showed a significant impact of the PDQ score on patient-reported outcomes, including pain severity and the dimensions of activity and affective pain interference. HS patients may present a mixed chronic pain phenotype with a neuropathic component, thus requiring additional pain-assessments. A multi-modal approach to pain management, in combination with disease-specific treatment, should be implemented in future interventional studies.

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