scholarly journals A two-centre study assessing the impact of the COVID-19 pandemic on orthodontic patients in secondary care

2021 ◽  
pp. 146531252110333
Author(s):  
Robert M Conville ◽  
Andrew Flett ◽  
Melanie Stern
Keyword(s):  
Secondary Care ◽  
Orthodontic Treatment ◽  
Online Survey ◽  
Orthodontic Appliance ◽  
Convenience Sample ◽  
Face To Face ◽  
The United Kingdom ◽  
Item Questionnaire ◽  
Orthodontic Patients ◽  
The Impact

Objective: To evaluate the impact of the coronavirus pandemic on patients in active orthodontic treatment. Design: Digital online survey. Setting: Two secondary care orthodontic departments in the United Kingdom. Participants: A prospective convenience sample of 103 patients in active orthodontic treatment. Methods: A 12-item questionnaire developed using the platform SurveyMonkey was used to assess the following: (1) patient’s feelings towards attending their orthodontic appointments; (2) their desire to continue with their treatment; (3) how many patients encountered problems with their appliance during the lockdown; (4) how patients sought help during the first national lockdown period; and (5) any other concerns regarding impact on their orthodontic treatment. Results: A total of 103 participants responses were collected over a four-week period across two departments. Of them, 45% required a face-to-face appointment to solve a problem with their appliance; 45% of patients who had problems with their orthodontic appliance were able to resolve the issue through digital means either via telephone/email advice from their provider or from accessing help via the Internet; and 99% of patients wanted to continue with their orthodontic treatment. Conclusion: Our study has shown that a significantly higher percentage of patients are more concerned regarding attending face-to-face appointments after the first national lockdown due to the coronavirus pandemic. Providers of orthodontic care should ensure they support their patients by providing digital support and adopt virtual means of managing emergency cases patients in the event of any further imposed national or local lockdowns. Furthermore, access and availability of emergency face-to-face orthodontic care is necessary for many patients in active orthodontic treatment.

scholarly journals Exploring the use of cannabis as a substitute for prescription drugs in a convenience sample

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Sinikka L. Kvamme ◽  
Michael M. Pedersen ◽  
Kristine Rømer Thomsen ◽  
Birgitte Thylstrup
Keyword(s):  
Side Effects ◽  
Drug Use ◽  
Prescription Drug ◽  
Prescription Drugs ◽  
Online Survey ◽  
Convenience Sample ◽  
Patient Organizations ◽  
Public Media ◽  
Prescription Drug Use ◽  
The Impact

Abstract Background The use of cannabis as medicine (CaM) both prescribed and non-prescribed has increased markedly in the last decade, mirrored in a global shift in cannabis policy towards a more permissive stance. There is some evidence that cannabis functions as a substitute for prescription drugs, particularly opioids; however, more knowledge is needed on the motives of substitution users, their patterns of use, and perceived effects of substitution use. Aims To explore who substitutes prescription drugs with cannabis, the type of prescription drugs substituted and the type of cannabis used, and the impact that substitution with cannabis has on prescription drug use as well as the motives for substitution in terms of experienced effects and side effects. Methods A self-selected convenience sample was recruited through social media, public media, and patient organizations to take part in an anonymous online survey. Inclusion criteria were 18 years or older and use of cannabis (prescribed or non-prescribed) with a medical purpose. Results The final sample included 2.841 respondents of which the majority (91%) used non-prescribed cannabis, and more than half (54.6%) had used CaM with the purpose of replacing a prescribed drug. Compared to non-substitution users, substitution users were more likely to be women and to use CaM in the treatment of chronic pain and other somatic conditions. Pain medication (67.2%), antidepressants (24.5%), and arthritis medication (20.7%) were the most common types of drugs replaced with CaM. Among substitution users, 38.1% reported termination of prescription drug use, and 45.9% a substantial decrease in prescription drug use. The most frequent type of cannabis used as a substitute was CBD-oil (65.2%), followed by ‘hash, pot or skunk’ (36.6%). More than half (65.8%) found CaM much more effective compared to prescription drugs, and 85.5% that the side effects associated with prescription drug use were much worse compared to use of CaM. Conclusion CaM is frequently used as a substitute for prescription drugs, particularly opioids. More research is needed on the long-term consequences of use of CaM, including the impact from low and high THC cannabis products on specific somatic and mental health conditions.

scholarly journals Service-user efforts to maintain their wellbeing during and after successful withdrawal from antipsychotic medication

2021 ◽  
Vol 11 ◽  
pp. 204512532198913
Author(s):  
Miriam Larsen-Barr ◽  
Fred Seymour
Keyword(s):  
Antipsychotic Medication ◽  
Online Survey ◽  
Structured Interviews ◽  
Obsessive Compulsive ◽  
Convenience Sample ◽  
Internal Resources ◽  
Compulsive Disorder ◽  
What Works ◽  
Systemic Factors ◽  
The Impact

Background: It is well-known that attempting antipsychotic withdrawal can be a fraught process, with a high risk of relapse that often leads people to resume the medication. Nonetheless, there is a group of people who appear to be able to discontinue successfully. Relatively little is known about how people do this. Methods: A convenience sample of adults who had stopped taking antipsychotic medication for more than a year were recruited to participate in semi-structured interviews through an anonymous online survey that investigated antipsychotic medication experiences in New Zealand. Thematic analysis explored participant descriptions of their efforts to maintain their wellbeing during and after the withdrawal process. Results: Of the seven women who volunteered to participate, six reported bipolar disorder diagnoses and one reported diagnoses of obsessive compulsive disorder and depression. The women reported successfully discontinuing antipsychotics for 1.25–25 years; six followed a gradual withdrawal method and had support to prepare for and manage this. Participants defined wellbeing in terms of their ability to manage the impact of any difficulties faced rather than their ability to prevent them entirely, and saw this as something that evolved over time. They described managing the process and maintaining their wellbeing afterwards by ‘understanding myself and my needs’, ‘finding what works for me’ and ‘connecting with support’. Sub-themes expand on the way in which they did this. For example, ‘finding what works for me’ included using a tool-box of strategies to flexibly meet their needs, practicing acceptance, drawing on persistence and curiosity and creating positive life experiences. Conclusion: This is a small, qualitative study and results should be interpreted with caution. This sample shows it is possible for people who experience mania and psychosis to successfully discontinue antipsychotics and safely manage the impact of any symptoms that emerge as a result of the withdrawal process or other life stressors that arise afterwards. Findings suggest internal resources and systemic factors play a role in the outcomes observed among people who attempt to stop taking antipsychotics and a preoccupation with avoiding relapse may be counterproductive to these efforts. Professionals can play a valuable role in facilitating change.

scholarly journals Student nurses’ experiences of incivility and the impact on learning and emotional wellbeing

2017 ◽  
Vol 8 (4) ◽  
pp. 102 ◽  
Author(s):  
Julie C. Vuolo
Keyword(s):  
Nursing Education ◽  
Interpretative Phenomenological Analysis ◽  
Student Nurses ◽  
Theory And Practice ◽  
Negative Consequences ◽  
Emotional Wellbeing ◽  
Face To Face ◽  
The United Kingdom ◽  
The Impact ◽  
The Invisible

Background: Incivility is the display of intimidating, rude, disruptive or undesirable behaviours. Incivility in nursing has the potential to impact on the learning environment, student wellbeing and patient outcomes. Although it is a globally recognised phenomenon, relatively little is known about it in the context of nurse education in the United Kingdom, where the students’ time is divided equally between theory and practice and a nurse mentor is allocated to each student when on clinical placement.Methods: A phenomenological qualitative design was used to explore the experiences of ten student nurses studying on a three year degree level pre-registration (pre-licensure) nursing programme. Data was collected by in-depth, semi-structured, face-to-face interviews which were tape-recorded and transcribed verbatim. Thematic analysis was conducted using Interpretative Phenomenological Analysis as a framework.Results: Student nurses can experience incivility in both classroom and clinical settings with negative consequences in terms of learning and personal wellbeing. Four superordinate (main) themes (Knowing-Not Knowing/Positioning/The Invisible Student/Distraction) were identified along with a further fifteen subordinate themes which included misuse, being nameless and feeling a burden.Conclusions: These findings add further to our understanding of incivility in nursing education and specifically the potential for incivility to impact on learning and students’ emotional wellbeing. Incivilities related to ‘the Invisible Student’ and ‘Knowing-Not Knowing’ are particularly worthy of further exploration as they reveal a hitherto unappreciated dimension of this complex, globally recognised phenomena. 

scholarly journals Financing entrepreneurship in times of crisis: Exploring the impact of COVID-19 on the market for entrepreneurial finance in the United Kingdom

2020 ◽  
Vol 38 (5) ◽  
pp. 380-390 ◽  
Author(s):  
Ross Brown ◽  
Augusto Rocha ◽  
Marc Cowling
Keyword(s):  
United Kingdom ◽  
Real Time ◽  
Entrepreneurial Finance ◽  
Time Data ◽  
Face To Face ◽  
Policy Interventions ◽  
The United Kingdom ◽  
Real Time Data ◽  
Start Ups ◽  
The Impact

This commentary explores the manner in which the current COVID-19 crisis is affecting key sources of entrepreneurial finance in the United Kingdom. We posit that the unique relational nature of entrepreneurial finance may make it highly susceptible to such a shock owing to the need for face-to-face interaction between investors and entrepreneurs. The article explores this conjecture by scrutinising a real-time data source of equity investments. Our findings suggest that the volume of new equity transactions in the United Kingdom has declined markedly since the outbreak of the COVID-19 pandemic. It appears that seed finance is the main type of entrepreneurial finance most acutely affected by the crisis, which typically goes to the most nascent entrepreneurial start-ups facing the greatest obstacles obtaining finance. Policy makers can utilise these real-time data sources to help inform their strategic policy interventions to assist the firms most affected by crisis events.

The moderating effect of e-bank structure on French consumers’ trust

2019 ◽  
Vol 38 (2) ◽  
pp. 501-528 ◽  
Author(s):  
Souheila Kaabachi ◽  
Selima Ben Mrad ◽  
Anne Fiedler
Keyword(s):  
Structural Equation ◽  
Online Survey ◽  
Group Analysis ◽  
Equation Modeling ◽  
Convenience Sample ◽  
Content Type ◽  
Online Trust ◽  
Bank Structure ◽  
Website Features ◽  
The Impact

Purpose The purpose of this paper is to demonstrate how an e-bank’s structure (click-and-mortar bank vs internet-only bank) influences the consumer’s evaluation of website quality, and to identify the most significant website features that influence online trust and lead to consumer loyalty. Design/methodology/approach A non-probability convenience sample of 476 online bank users (248 click-and-mortar and 230 internet-only bank users) was used in this study. An online survey was conducted. Structural equation modeling and multi-group analysis were used to analyze the data. Findings Findings suggest that e-trust and e-loyalty levels depend on the e-banking structure. Click-and-mortar-based online users were found to have more trust and loyalty in their online banks than internet-only bank users. Findings demonstrate that website features are evaluated differently according to the e-bank structure. Information design and interactivity are very important for internet-only banks, and their effect on online trust seems to be higher. On the other hand, website personalization was evaluated as more important for click-and-mortar banks and had a stronger impact on online trust. Practical implications To promote the trustworthiness of their websites and retain customers, internet-only banks should make the experience more tangible for users by developing a pleasant online experience. Personalization is an important variable that can enhance the consumer’s engagement with the brand. Click-and-mortar banks should enhance their interactivity by providing a continuous and consistent experience across different channels of distribution whether online or in-person and provide more interactive tools on their websites. Originality/value This study contributes significantly to the marketing research literature related to consumer trust as well as to the electronic banking literature. It is the first study to compare customers of click-and-mortar banks with customers of internet-only banks when evaluating website features. It also explores the impact of the e-bank model on the relationship between website features and online trust and customer loyalty.

scholarly journals The Impact of Orthodontic Appliance on Body Weight Changes, Dietary Habits, and Self-Perceived Discomfort in Early Stages of Orthodontic Treatment

2018 ◽  
Vol 10 (9) ◽  
pp. 11
Author(s):  
Nancy Ajwa ◽  
Lamya Makhdoum ◽  
Hadeel Alkhateeb ◽  
Alanoud Alsaadoun ◽  
Samiah Alqutub ◽  
...  
Keyword(s):  
Body Weight ◽  
Orthodontic Treatment ◽  
Pain Perception ◽  
Dietary Habits ◽  
Weight Changes ◽  
Orthodontic Appliance ◽  
Observational Prospective Cohort Study ◽  
Patient Weight ◽  
The Difference ◽  
The Impact

AIMS: To assess and compare the changes in body weight, dietary habits, and pain perception of patient’s undergoing orthodontic treatment at the initial stage.MATERIAL & METHODS: This was an observational prospective cohort study to assess patient’s changes in body weight, dietary habits, and pain perception undergoing orthodontic treatment at the initial stage. Thirty patients who received orthodontic treatment “for the first time” and those who will get comprehensive orthodontic treatment within the age group of 18-30 years old including both genders were included in the study. The weight as well as dietary habits of patients were measured at the initial visit, “prior reserving of any the orthodontic treatment” as (T0). Re-evaluation of patient’s weight, dietary habits, and pain perception were re-assessed on the next visit” after fixed orthodontic appliance bonding” as (T1) one month later. The pain, discomfort, and dietary habits changes were evaluated using a validated questionnaire.RESULTS: The mean (SD) patient weight at first and second visit of orthodontic treatment was 67.43 (24.42) and 64.98 (22.7) kg respectively. The difference in the patient weight between first and second visit was statistically significant. Patients with discomfort and patients who used medication to relieve pain were reported to have more weight loss.CONCLUSIONS: This study confirms the initial loss of weight, pain and discomfort among patients who undergo orthodontic treatments. The findings of this study are of importance among the orthodontic centres and practitioners highlighting the importance of their guidance in structured diet planning and advice after treatment. 

Attitudes toward food fraud in Israel and Germany

2020 ◽  
Vol 122 (7) ◽  
pp. 2219-2232
Author(s):  
Inna Levy ◽  
Pamela Kerschke-Risch
Keyword(s):  
Gender Differences ◽  
Online Survey ◽  
Public Attitudes ◽  
Food Fraud ◽  
Negative Attitudes ◽  
Convenience Sample ◽  
Content Type ◽  
Kosher Food ◽  
And Gender ◽  
The Impact

PurposeThe current research focused on attitudes toward food fraud (AFF) and examined the impact of types of food fraud, gender differences, and country of residence.Design/methodology/approachA convenience sample of German (n = 151) and Israeli (n = 496) participants was recruited through an online survey. They filled out a sociodemographic questionnaire and AFF scale, which includes three subscales: organic fraud, kosher fraud, and spraying fraud.FindingsThe results indicate that there is a significant effect of type of fraud, country of residence, and gender. German participants expressed more negative attitudes toward organic food fraud and less negative attitudes toward kosher fraud than Israeli participants. Women expressed more negative attitudes toward organic and kosher food frauds than men.Originality/valueThis study offers insight into cross-cultural and gender differences in attitudes toward food fraud. The findings suggest that public attitudes toward food fraud represent not just severity of possible consequences, but also environmental and religious aspects of consumption, norms and culture.

scholarly journals The Impact of Grit on Health Outcomes in College Students

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 455-455
Author(s):  
Amelia Sullivan ◽  
Leigh Neptune ◽  
Kayla Parsons ◽  
Ashley Reynolds ◽  
Carol Byrd-Bredbenner ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Food Insecurity ◽  
Undergraduate Students ◽  
Online Survey ◽  
Future Research ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Experiment Station ◽  
College Undergraduate ◽  
The Impact

Abstract Objectives The objective was to examine the relationship between grit and health outcomes in college undergraduate students. Methods A cross-sectional convenience sample of college undergraduate students completed an online survey assessing Health-Related Quality of Life (HRQOL), the National Cancer Institute Fruit and Vegetable Screener, and the 2-item Hager Food Insecurity Screener. Grit was assessed by generating a mean score using the 8-item short grit scale. Independent t-tests were used to compare health outcomes between students who reported above/below the average grit score of the sample. Chi-square tests were used to examine group differences between grit level and prevalence of food insecurity. Results Participants (N = 655) were 19.8 ± 1.5 years old, mostly female (63%), and white (84%). The average grit score was 3.27 ± 0.54 out of 5. Results indicated that students who were grittier than average (n = 372) reported fewer days/months (d/m) with poor mental health (8.1 ± 8.5 vs. 11.6 ± 9.6, P < 0.001), fewer d/m feeling sad/depressed (6.2 ± 7.7 vs. 9.9 ± 9.3, P < 0.001), more d/m with restful sleep (12.9 ± 9.8 vs. 10.3 ± 8.6, P < 0.001), more d/m feeling very healthy and full of energy (12.6 ± 8.8 vs. 8.4 ± 7.5, P < 0.001), and ate more servings of fruits and vegetables per day (2.4 ± 1.3 vs. 2.1 ± 1.32, P < 0.01). Grittier participants were also less likely to report being food insecure (16.0%) vs. less grittier participants (23.3%), P < 0.05. Conclusions This data indicates that students who were grittier than average reported better HRQOL, consumed a more healthful diet, and were more likely to be food secure. This provides justification for future research to explore grit as a mediating factor that may contribute to better health outcomes, especially in populations particularly susceptible to experiencing poor HRQOL and food insecurity. Funding Sources This project was supported by the USDA National Institute of Food and Agriculture, Hatch project number #ME0022104 through the Maine Agricultural & Forest Experiment Station. NJ Agriculture Experiment Station.

scholarly journals Impact of Multitasking on Listening Effectiveness in the Learning Environment

2012 ◽  
Vol 3 (2) ◽  
Author(s):  
Alla Kushniryk ◽  
Kenneth J. Levine
Keyword(s):  
Experimental Study ◽  
Learning Environment ◽  
Social Presence ◽  
Online Survey ◽  
Etude Expérimentale ◽  
Face To Face ◽  
The Third ◽  
Survey Questions ◽  
Recorded Lecture ◽  
The Impact

This experimental study evaluated the impact of multitasking and social presence on students’ performances in the learning environment. In the first live-presenter group, the participants listened to a lecture in a face-to-face environment. In the second virtual-presenter group, the participants listened on their computers to a pre-recorded lecture. The participants of these groups listened to a lecture and simultaneously wrote responses to open-ended online survey questions. While the participants of the first two groups were multitasking, those in the third group completed listening and writing tasks sequentially. It was found that multitasking significantly decreased performances on both the listening and writing tasks. The experiment also uncovered that the degree of social presence did not affect students’ performances on the listening or writing tasks in the learning environment. The perceived degree of social presence was the same in the virtual- and live-presenter groups. La présente étude expérimentale évalue les conséquences de la multiplicité des tâches et de la présence sociale sur la performance des étudiants dans l’environnement d’apprentissage. Le premier groupe a assisté à une cours donnée par un conférencier sur place. Le deuxième groupe a écouté le cours préenregistrée à partir d’un ordinateur. Les participants de ces deux groupes ont répondu simultanément en ligne aux questions ouvertes d’un sondage. Alors que les participants des deux premiers groupes ont effectué des tâches multiples simultanément, ceux du troisième groupe ont d’abord écouté puis ont répondu au sondage de façon séquentielle. Les chercheurs ont découvert que le fait de réaliser des tâches multiples entraînent une baisse importante de la performance en ce qui a trait à l’écoute et à la rédaction des réponses. L’expérience a aussi permis de découvrir que la présence en classe n’influe pas sur la performance des étudiants en ce qui a trait aux tâches d’écoute ou de rédaction dans l’environnement d’apprentissage. Le degré perçu de présence sociale était le même dans le groupe du conférencier virtuel que dans celui du conférencier en direct.

scholarly journals Investigating the impact of COVID-19 on performance and image enhancing drug use

2021 ◽  
Author(s):  
Matthew Dunn ◽  
Timothy Piatkowski
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Online Survey ◽  
High Dose ◽  
Convenience Sample ◽  
Health Concerns ◽  
Exercise Habits ◽  
Mental Health Concerns ◽  
Image Enhancing ◽  
The Impact

Abstract Background Emerging research has suggested that the COVID-19 pandemic has had some impact on substance use patterns. The aim of the study was to conduct a rapid survey to assess the impact of COVID-19 on performance and image enhancing drug (PIED) use and training, and any subsequent negative physical or mental health outcomes. Methods During 2020, a convenience sample of 60 PIED consumers (mean age = 26.69; 68.3% located outside Australia) completed a quantitative anonymous online survey exploring how the coronavirus pandemic impacted patterns of PIED use and associated exercise habits. The survey was administered via the Qualtrics platform and distributed online through PIED forums as well as through the investigator's networks. Participants were asked about their PIED use and exercise habits prior to and during restricted movement ‘lockdowns’. Results Pre-COVID, the majority of the sample opted to ‘blast-cruise’ (an initial high dose, followed by a lower maintenance dose; 71.7%, n = 43). During lockdown, (45%, n = 27) reported a change in PIED use as a result of the restrictions. In light of health concerns during COVID-19, a majority of men (60%, n = 36) did not take any extra precautions relating to their PIED use. A subgroup of men ceased using PIEDs completely (16.7%, n = 10) with the majority (80%, n = 8) of that subgroup following post-cycle therapy (PCT) of some kind. Conclusions This study contributes to the emerging literature of the impact of the COVID-19 pandemic on substance use, specifically PIED use among men. The results suggest that the pandemic did influence the choice of PIEDs that participants consumed, although there was little disruption to patterns of exercise, an important aspect of PIED use. Of the men who did cease use completely, the majority reported little issue with PCT access; those who reported difficulty accessing PCT compounds indicated experience some mental health concerns related to ceasing their PIED use. Clinicians and those who come into contact with this group should be alert for any negative physical or mental health concerns resulting from disrupted or ceased PIED use.

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