scholarly journals Perception of Tobacco Counseling and Cessation among Dental Practitioners

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jazia A. Alblowi

Objective. To investigate the knowledge and practice of tobacco cessation and counseling (TCC) among dental practitioners and their attitude and perceived barriers. Methods. A cross-sectional study targeted licensed dental practitioners in Jeddah, Saudi Arabia. Participants answered a pretested and validated self-administered questionnaire consisted of demographic data; smoking status; knowledge of tobacco hazards, attitude, and practice; and perceived barriers of tobacco cessation counseling. Result. Among the total sample of 529, response rate was 72.2% (mean age ( 34.20 ± 9.38   years ), males (42.4%), and current smokers (23.8%)). Only 13.2% received formal training on TCC. Around (57.1%) reported smoking of dental team as an obstacle for TCC. Half of the participants (49.9%) reported patient’s resistance as barrier to TCC. Others (45%–48%) reported insufficient time, knowledge, or training for TCC. Professional responsibility and willingness to provide cessation services constituted the highest median. Conclusion. The majority showed willingness to participate in TCC. Lack of training, smoking status of providers, females, inadequate materials, and patients’ resistance were the most common barriers. Education and training on TCC are recommended and should be allowed as a routine practice in dentistry.

2021 ◽  
pp. 25-27
Author(s):  
Shrishty Bhardwaj ◽  
Apoorva Anand ◽  
David K ◽  
Abhinav Kathuria

Inhalation sedation is a minimally depressed level of consciousness that retains the patient's ability to maintain an airway independently and continuously and respond to stimulation and command. Found to be safe for use in dentistry with positive outcomes, it is used to manage anxiety in pediatric patients during procedures. Aim of our study was to determine the frequency of usage of inhalation sedation as adjunctive management technique in children by Dentists. A Cross sectional study was conducted with pre-structured questionnaire given to Pedodontists and General dental practitioners in various Dental colleges and clinics in and around Mangalore. Total sample size was 72. Data was collected and analyzed using SPSS version 17.0 with the Test of Proportions. 32 out of 72 participants were trained in usage of Inhalation Sedation, out of which 14 used it regularly. Out of the 80.56% dentists not using it, majority said that expensive equipment, increased cost of treatment and potential complications were the main reasons for not using it. 59.72% of participants wanted to gain information, knowledge and undergo training in the usage of Inhalation Sedation.58.33% agreed to use it in their future dental career. 70.83% believed that knowledge and training to use Inhalation Sedation is integral part of dental curriculum for undergraduates. This study showed willingness of the dentists to provide Inhalation Sedation as a behavior management technique to their patients. The lack of training, costly equipment, increased cost of treatment are the main barriers to providing such services to the patients.


Author(s):  
Abdullah Musleh ◽  
Sarah Ali AlShehri ◽  
Anas Mohammed AlShehri ◽  
Sultan Khalid Kadasah ◽  
Mohammed Sharaf Alshahrani ◽  
...  

<p class="abstract"><strong>Background:</strong> Epistaxis is the common occurrence of bleeding from the nose. It is usually noticed when blood drains out through the nostrils. There are two types: anterior (the most common), and posterior (less common, more likely to require medical attention). Sometimes in more severe cases, the blood can come up the nasolacrimal duct and out from the eye<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was conducted in main five hospitals in Aseer region targeting residents dealing with emergency room (ER) cases during the period from 1st July to 31st July, 2018. Data were collected using a pre-structured written questionnaire by the researchers. The questionnaire composed of three parts. First part was for residents’ demographic data. Second part considered epistaxis cases rate and treatment. Third part covered 10 questions for knowledge regarding epistaxis<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> A total sample of 165 residents was involved with ages ranged from 27 years to 32 years old and 65.5% of the sampled residents were males. Exact of 47.3% of the residents were ER residents and 24.2% were general practitioners (GPs)<span lang="EN-IN">. </span></p><p class="abstract"><strong><span lang="EN-IN">Conclusions:</span></strong><span lang="EN-IN"> Nearly one out of each four residents had good awareness level regarding epistaxis especially GPs and ER residents. Position of patients with epistaxis and sites of epistaxis were the only items well known by residents. </span></p>


Author(s):  
Ghaida Aziz, Ghaida jabri, Ghaida Al-Ahmadi, Mona Ehab, Marw

Breast feeding (BF) is known to have many advantages but our Arab region has a pattern similar to western countries; where exclusive breastfeeding less than 35%. Knowledge given to women during her antenatal visits plays an important influential role in her attitude and practice of BF later on.  Objective: To explore knowledge and attitude of female medical students at Taibah University about breastfeeding.  Methods: A Cross sectional study was carried out from October to November 2012. It included female medical students. Stratified sampling allocation technique was used; with a total sample of 149 students. A specialty designed self-administrated questionnaire in Arabic form was used. It included socio-demographic data, obstetric history, data about the knowledge and attitude of female medical students towards breastfeeding value and guidelines. Mean percent knowledge score for value of BF, mean percent score for BF guidelines and mean percent score for attitude were calculated. Appropriate statistical tests for qualitative and quantitative data were used accordingly. Results: Majority (91.9%) (of the studied sample) was never married and 37.6% got their knowledge about BF via books. Regarding ever married women, 58.3% only were gravid (mean =2.2±1.94). Only 25.0% were family planning users; 66.7% of them used hormonal contraceptives. Only 20% breast fed their infants with a mean duration for exclusive BF of 3.8 ± 2.87 months and mean age of weaning of 2.3 ±0.63 months. The mean knowledge percent score for guidelines of BF was 64.7±8.45. The mean attitude percent score for concepts related to BF was 76.9±7.91. Conclusion: Media and internet have minor roles in getting knowledge about BF. The mean knowledge score about advantages of BF, guidelines of BF and attitude towards BF of all female medical students; especially academic years were unsatisfactory.


Author(s):  
Sumana M. ◽  
Sreelatha C. Y. ◽  
Sundar M. ◽  
Narottam Das

Background: Cessation of tobacco is important to prevent non-communicable diseases and mortality. Smokers frequently approach doctors for various health ailments. This opportunity can be utilized to give tobacco cessation advice. This study aims to assess the clinician’s practice perspectives barriers and need for the training related to tobacco cessation.Methods: A cross-sectional study was conducted to explore tobacco cessation practices of clinicians of a teaching hospital attached to Medical College in Hassan, Karnataka, India. Pre-tested, pre-structured self-administered questionnaire was distributed to all the clinicians in person. All the Professors, Associate Professors, Assistant Professors, Senior Residents and Junior Residents in the departments coming in contact with smokers were included in the study and patients were also interviewed to assess their smoking status, willingness to quit and counselling by physicians using pre-structured oral questionnaire.Results: Almost 84.4% of clinicians said they ask about smoking history but only 50.9% said they assess patients’ willingness to quit smoking. 37% assist patients to quit smoking and 29.8% arranged follow up visits. 25% of clinicians mentioned undergraduate and postgraduate training prepared them to help patients quit smoking. Remaining said it was inadequate. All agreed that it is their role to help, motivate, discuss, speak, refer and monitor patients who smoke to quit.Conclusions: Majority of the doctors believed that they play a very important role in tobacco cessation activities. There is a need for Undergraduate and postgraduate skill based training to assist patients quit the tobacco habit. The study showed a need for adherence and reinforcement of tobacco cessation guidelines. 


Author(s):  
Aziza Jamaan Alalmaie ◽  
Hind Khalaf Alkhalaf ◽  
Reema Mashhour Aldakheel ◽  
Roa’a Rafa Al Shehri ◽  
Shahzeb Hasan Ansari

Introduction: Children with ASD face various obstacles to professional dental care that are prominent causes to stop seeking dental care. The main barriers are behavioral problems and trouble finding a dentist who treats ASD children. Materials and Methods: This is a cross sectional study conducted among the dental practitioners of Saudi Arabia using an online survey. Online questionnaire was constructed consisting of questions related to personal, professional, and demographic data followed by questions including knowledge, experience and confidence in managing patients with ASD. Results: Only 18% had previously treated an autistic child, 14% had treated autistic adults and 16% having treated both with 52% with no past exposure. Maximum score of 3.86 was attained when inquired about knowing where to find further information and guidance for treating autistic patients. Conclusion: Overall knowledge and confidence level of participants is low regarding autistic patients.


2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Elaine Cristina Caon de Souza ◽  
Marcia Margaret Menezes Pizzichini ◽  
Mirella Dias ◽  
Maíra Junkes Cunha ◽  
Darlan Lauricio Matte ◽  
...  

ABSTRACT Objective: To estimate the prevalence of respiratory symptoms and asthma, according to body mass index (BMI), as well as to evaluate factors associated with physician-diagnosed asthma, in individuals ≥ 40 years of age. Methods: This was a population-based cross-sectional study conducted in Florianópolis, Brazil, with probability sampling. Data were collected during home visits. Demographic data were collected, as were reports of physician-diagnosed asthma, respiratory symptoms, medications in use, and comorbidities. Anthropometric measurements were taken. Individuals also underwent spirometry before and after bronchodilator administration. Individuals were categorized as being of normal weight (BMI < 25 kg/m2), overweight (25 kg/m2 ≥ BMI < 30 kg/m2), or obese (BMI ≥ 30 kg/m2). Results: A total of 1,026 individuals were evaluated, 274 (26.7%) were of normal weight, 436 (42.5%) were overweight, and 316 (30.8%) were obese. The prevalence of physician-diagnosed asthma was 11.0%. The prevalence of obesity was higher in women (p = 0.03), as it was in respondents with ≤ 4 years of schooling (p < 0.001) or a family income of 3-10 times the national minimum wage. Physician-diagnosed asthma was more common among obese individuals than among those who were overweight and those of normal weight (16.1%, 9.9%, and 8.0%, respectively; p = 0.04), as were dyspnea (35.5%, 22.5%, and 17.9%, respectively; p < 0.001) and wheezing in the last year (25.6%, 11.9%, and 14.6%, respectively; p < 0.001). These results were independent of patient smoking status. In addition, obese individuals were three times more likely to report physician-diagnosed asthma than were those of normal weight (p = 0.005). Conclusions: A report of physician-diagnosed asthma showed a significant association with being ≥ 40 years of age and with having a BMI ≥ 30 kg/m2. Being obese tripled the chance of physician-diagnosed asthma.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohamedraed Elshami ◽  
Bettina Bottcher ◽  
Mohammed Alkhatib ◽  
Iyad Ismail ◽  
Khitam Abu-Nemer ◽  
...  

Abstract Background Several factors might contribute to the delay to get cancer care including poor cancer awareness and having barriers to seeking help. This study described these barriers in Gaza and their association with recalling and recognizing cancer symptoms and risk factors. Methods A cross-sectional study was conducted in Gaza. Adult visitors (≥18 years) to the largest three governmental hospitals and adolescent students (15–17 years) from ten high schools were recruited. A translated-into-Arabic version of the validated Cancer Awareness Measure (CAM) was used to collect data in face-to-face interviews. It described demographic data, barriers to seek cancer care as well as recall and recognition of cancer symptoms and risk factors. Responses were compared between adults and adolescents as well as males and females. Results Of 3033 participants approached, 2886 completed the CAM (response rate= 95.2%). Among them, 1429 (49.5%) were adult (702 females; 49.1%) and 1457 (50.5%) were adolescent (781 females; 53.6%). The mean age± standard deviation (SD) of adult and adolescent participants was 33.7±11.7 years and 16.3±0.8 years, respectively. Emotional barriers were the most common barriers with ‘feeling scared’ as the most reported barrier (n=1512, 52.4%). Females and adolescents were more likely to report ‘feeling scared’ as a barrier than males and adults, respectively. Higher recall scores for cancer symptoms were associated with lower likelihood to report ‘embarrassment’, ‘worry about wasting doctor’s time’ and ‘difficulty arranging transport’. This was also seen for recalling risk factors, where ‘embarrassment’ and all practical barriers showed significant inverse associations with higher scores. In addition, greater recognition scores of cancer risk factors were inversely associated with reporting ‘embarrassment’ and ‘feeling scared’. Conclusions The most commonly perceived barriers to seeking cancer care were ‘feeling scared’ and ‘feeling worried about what the doctor might find’, followed by practical and service barriers. Females and adolescents were more likely to report ‘fear’ as a barrier to seek medical advice. Having a higher recall of cancer symptoms and risk factors was inversely associated with reporting most barriers. To improve patient outcome, early presentation can be facilitated by targeting barriers specific to population groups.


Author(s):  
Theo Audi Yanto ◽  
Gilbert Sterling Octavius ◽  
Rivaldo Steven Heriyanto ◽  
Catherine Ienawi ◽  
Haviza Nisa ◽  
...  

Abstract Introduction Increasing the rate of vaccination is crucial in combating the COVID-19 pandemic. However, a survey of 112,888 Indonesians found that only 64.8% Indonesians were willing to be vaccinated, with 7.6% refusing all vaccines and 27.6% are unsure. Several factors were related to this vaccine hesitancy and refusal, such as cognitive reflection, trust in authoritative figures, and personality traits. This study aims to identify psychological determinants and other factors associated with vaccine hesitancy and vaccine refusal. This was a cross-sectional study with data collection done in March 2021 using a questionnaire. We collected demographic data, respondents' stance on vaccination, as well as their psychology measurement. IBM SPSS 26.0 (Statistical Package for the Social Sciences, IBM Corp., Armonk, NY, USA) was used for statistical analysis. Results The data of 190 respondents were collected for this study. There are 165 respondents (86.8%) who belong to “vaccine acceptance”, while 25 are “vaccine hesitance” or “vaccine resistance.” Multivariate analysis shows that frequency of COVID-19 tests (p = 0.03), smoking status (p = 0.035), agreeableness trait (p = 0.001), trust in government (p = 0.04) and trust in scientist (p = 0.049) are significantly associated with the two population. Conclusion Several demographic and psychological factors affect the COVID-19 vaccine acceptance. The government and other related parties should consider these factors when adjusting for future policies controlling the COVID-19 pandemic and increasing the vaccination rate.


2017 ◽  
Vol 4 (4) ◽  
pp. 123 ◽  
Author(s):  
V Prathima ◽  
Krishna Priya Vellore ◽  
Arpitha Kotha ◽  
Saka Malathi ◽  
Vedati Santosh Kumar ◽  
...  

Aim: The survey aims to assess the knowledge, attitude and practices regarding eco -friendly dentistry among dental practitioners.Material and Methods: The cross sectional study was conducted among 800 dental practitioners selected through a systematic random sampling. Data was collected using the pretested structured closed ended questionnaire. The first part of the questionnaire consisted of the demographic details and the second part awareness on eco-friendly dentistry, its associations and implemented strategies in their practice, their support and opinion towards this concept.Results: Among the total sample only 13.1% were aware of EFD Association. 76% (608) of the total sample reported that they were aware of harm done to the environment by dental practice. Among the total participants, majority 57.9% reported that they implement the strategy of proper protocol for waste disposal. Among the total sample 91.9% (735) of them gave positive opinion on emphasis to be made on implementing these strategies.Conclusions: Significant difference was found in gender, specialty, place of practice and type of practice related with knowledge attitude and practice on eco friendly dentistry. Significant difference was found in study subjects related with awareness on eco friendly dentistry concept, following the concept, awareness on the harm done by dental practice, opinion on emphasis to be made on implementing these strategies.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Joanne R. Winter ◽  
Graham S. Taylor ◽  
Olivia G. Thomas ◽  
Charlotte Jackson ◽  
Joanna E. A. Lewis ◽  
...  

Abstract Background Human cytomegalovirus (CMV) is a common herpesvirus which is estimated to infect 83% of the global population. Whilst many infections are asymptomatic, it is an important cause of morbidity and mortality, particularly for immunocompromised people and for infants who are congenitally infected. A vaccine against CMV has been stated as a public health priority, but there are gaps in our understanding of CMV epidemiology. To guide potential future vaccination strategies, our aim was to examine risk factors for CMV seropositivity in young people in England. Methods The Health Survey for England (HSE) is an annual, cross-sectional representative survey of households in England during which data are collected through questionnaires, and blood samples are taken. We randomly selected individuals who participated in the HSE 2002, aiming for 25 participants of each sex in each single year age group from 11 to 24 years. Stored samples were tested for CMV antibodies. We undertook descriptive and regression analyses of CMV seroprevalence and risk factors for infection. Results Demographic data and serostatus were available for 732 individuals, of whom 175 (23.7%) were CMV-seropositive. CMV seroprevalence was associated with age, with 18.3% seropositive at 11–14 years compared to 28.3% at 22–24 years. CMV serostatus was also higher in people of non-white ethnicity (adjusted odds ratio [aOR] 6.22, 95% confidence interval [CI] 3.47–11.14), and in adults who were seropositive for EBV (aOR 2.08 [1.06–4.09]). There was no evidence that smoking status, occupation, body mass index and region of England were associated with CMV serostatus. Conclusions CMV seroprevalence is strongly associated with ethnicity, and modestly increases with age in 11–24-year-olds. A greater understanding of the transmission dynamics of CMV, and the impact of this on CMV-associated morbidity and mortality, is necessary to inform effective vaccination strategies when a vaccine for CMV becomes available.


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