Dentists’ Decision to Conduct CRA in Adult Patients in Turkey: A Questionnaire-based Survey

Aim: The concept of minimal intervention in dentistry is one of the most important stages of the preventive dentistry, and caries risk assessment (CRA) is an application that needs to be primarily evaluated in order to perform minimal intervention approaches. This study was aimed to evaluate the awareness of CRA and whether CRA is included in daily practice by dentists in Turkey. Materials and Methods: This study used a questionnaire survey. A survey was prepared and sent to the dentists who were registered with the Turkish Dental Association via e-mail. A total of 790 dentists returned and 95 respondents were excluded. All the registered dentists filled and returned their survey. Descriptive and logistic regression analyses were performed (n = 695). Results: A total of 86.9 percent dentists who took the survey said that they performed CRA in daily practice. “Lack of time” was specified as the most important factor by the respondents who did not perform CRA in daily practice (61.5%). Current oral hygiene status (96.4%) and the presence of one or more active caries lesions (74.5%) were considered the most important risk factors for not performing CRA. Results of multiple logistic regression analysis showed that clinical experience, number of patients treated per day, and type of practice were mostly associated with whether or not performing CRA ( P = .012, .018, and .035, respectively). Conclusions: It can be concluded that most of the dentists are aware of the importance of conducting CRA and, with differences in the factors considered, CRA is required in their daily practice in Turkey. The concept of minimal intervention in dentistry is one of the most important stages of preventive dentistry, and CRA is an application that needs to be primarily evaluated in order to perform minimal intervention approaches.

Download Full-text

Annual Disease Experience by Type and Correlations with Unmet Healthcare Needs among ROK Military Personnel

Military Medicine ◽

10.1093/milmed/usz458 ◽

2020 ◽

Vol 185 (7-8) ◽

pp. e944-e951

Author(s):

Hwi Jun Kim ◽

Sarah So Yeon Oh ◽

Dong Woo Choi ◽

Sun Yeong Won ◽

Hae Jung Kim ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Military Personnel ◽

Private Insurance ◽

Multiple Logistic Regression Analysis ◽

Healthcare Needs ◽

Unmet Healthcare Needs ◽

Number Of Patients ◽

Disease Experience

Abstract Introduction The National Statistical Yearbook of Defense 2018 issued by the Republic of Korea (ROK) Ministry of National Defense reported that the number of patients using military hospitals steadily increased from 2008 to 2017. However, in the outpatient clinic statistics for years 2015–2017 from the ROK Armed Forces Medical Command, the amount of medical care received from some medical departments, such as the infection medicine, surgery, and anesthesiology departments, decreased. Therefore, the purpose of this study was to observe the differences in incidence of military personnel’s unmet healthcare needs according to number of diseases by type. Materials and Methods The study used data from the Military Health Survey, which was conducted from 2014 to 2015 and included 5162 responses from ROK military personnel. The number of diseases by type and unmet healthcare needs were self-reported. A multiple logistic regression analysis was used to examine the validity of the annual disease experience by type and correlations with unmet healthcare needs. Results Of the 5162 military personnel, 25.2% experienced unmet healthcare needs, and the more people with the number of disease by type, the more likely they were to experience unmet healthcare needs (1: 13.4%, 2: 22.9%, 3: 29.2%, 4: 34.5%, 5: 41.4%). The logistic regression analysis also revealed significant differences (1 = REF, 2 odds ratio (OR) = 1.83, 95% confidence interval (CI): 1.50–2.24; 3 OR = 2.53, 95% CI: 2.05–3.11, 4 OR = 3.10, 95% CI = 2.49–3.85; ≥5 OR = 3.85, 95% CI = 3.08–4.81). In addition, subgroup analysis showed that female military personnel are more likely to experience unmet healthcare needs than are male military personnel. We have also confirmed that working areas and private insurance can affect unmet healthcare needs. Conclusion This study suggests that unmet healthcare needs are influenced by the number of disease by the type of ROK military personnel. It is therefore necessary to strive to reduce the number of military personnel who experience unmet healthcare needs through this data.

Download Full-text

Caries Risk Factors among Three-year Old Children in Chiba, Japan

Asia Pacific Journal of Public Health ◽

10.1177/101053959901100210 ◽

1999 ◽

Vol 11 (2) ◽

pp. 109-112 ◽

Cited By ~ 3

Author(s):

Akio Tada ◽

Yuichi Ando ◽

Nobuhiro Hanada

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Dental Caries ◽

Breast Feeding ◽

Bottle Feeding ◽

Multiple Logistic Regression ◽

Regression Analyses ◽

Caries Risk ◽

Independent Variables ◽

The Relationship

In order to predict the factors which affect the occurrence of dental caries in children after the age 18-months, we analyzed the relationship between the increment of the decayed, missing, and filled teeth (dmft) in children from 18-months to three-years of age and caries risk factors. Subjects were 392 infants who received both an 18-month-old check-up and a three-year-old check-up in Chiba city. Stepwise multiple logistic regression analyses were used to analyze the results with the increment of the dmft by various combinations of independent variables (sex, order of birth, sweets intake, beverage intake, tooth brushing and feeding). The most predictive factors for the increment of the dmft in upper anterior and molar were “breast feeding” and “bottle feeding” respectively. From these results, we concluded that bottle feeding and breast feeding were the risk factors for the increment of the dmft from the age of 18-months to three years.

Download Full-text

The impact of COVID-19 pandemic on rheumatology practice and rheumatologists: a cross-sectional multinational study

10.21203/rs.3.rs-40433/v1 ◽

2020 ◽

Author(s):

Nelly Ziade ◽

Ihsane Hmamouchi ◽

Lina el Kibbi ◽

Nizar Abdulateef ◽

Hussein Halabi ◽

...

Keyword(s):

Logistic Regression ◽

Unmet Needs ◽

Web Survey ◽

Multinational Study ◽

Regression Analyses ◽

Cross Sectional ◽

Arab League ◽

The Impact ◽

E Mail ◽

Rheumatology Practice

Abstract ObjectiveTo evaluate the impact of the COVID-19 pandemic on rheumatology practice and on the rheumatologists themselves, and to develop suggestions to improve the practice.MethodsA cross-sectional web survey was designed by members of the Arab League of Associations for Rheumatology (ArLAR), validated by its scientific committee and disseminated through e-mail and social media. It included close-ended questions about the impact of the pandemic on the activities (in percentage, where 100% corresponds to complete suspension), and open-ended questions about unmet needs. Univariate and multivariable logistic regression analyses were used to evaluate the predictors of impact. Suggestions were developed to improve practice.ResultsA total of 858 rheumatologists were included in the analysis (27.3% of registered), 37% were 35-44 years-old, 60% were females and 48% worked in the private sector. The impact of COVID-19 was a decrease of 69% in hospitalizations, 65% in outpatient clinic, 56% in infusion centers and 43% in income. It was associated with the region (highest in the Gulf), the use of telemedicine, the impact on income and the practice sector (lowest in private). Telemedicine was mostly based on traditional telephone contacts and e-mails and reimbursed in 12%. Fifteen rheumatologists (1.8%) were infected and 156 cases of COVID-19 among patients were reported, of whom 22% died. The top-cited unmet needs were: access to drugs and a telemedicine platform.Conclusion The negative COVID-19 pandemic on rheumatology practice may compromise rheumatic diseases control. Better access to drugs and providing telemedicine platforms are recommended to improve the practice.

Download Full-text

The Characteristics of Patients Frequently Tested and Repeatedly Infected with Neisseria gonorrhoeae

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17051495 ◽

2020 ◽

Vol 17 (5) ◽

pp. 1495 ◽

Cited By ~ 1

Author(s):

Juliën Wijers ◽

Christian Hoebe ◽

Nicole Dukers-Muijrers ◽

Petra Wolffs ◽

Geneviève van Liere

Keyword(s):

Logistic Regression ◽

Chlamydia Trachomatis ◽

Neisseria Gonorrhoeae ◽

Sexually Transmitted Infections ◽

Hiv Positive ◽

Regression Analyses ◽

Sexually Transmitted ◽

Number Of Patients ◽

Sex With Men ◽

Insight Into

We assessed whether patients repeatedly infected with Neisseria gonorrhoeae (NG) were different compared to patients repeatedly tested negative, to obtain insight into the characteristics of patients frequently tested and infected with NG. All patients tested for NG (n = 16,662) between January 2011 and July 2018 were included. Multivariable logistic regression analyses were performed for the outcomes “repeat NG infections” and “once NG positive and not retested” versus patients “repeatedly tested NG negative”. Of the individuals tested for NG, 0.2% (40/16,662) had repeat (≥2) NG infections, and accounted for 23% of all diagnosed NG infections. STI clinic patients, men (mostly men who have sex with men (MSM)), patients aged ≥25 years, and patients co-infected with HIV or Chlamydia trachomatis (CT) more often had repeat NG infections. The number of patients not retested after their initial NG diagnosis was 29.9% (92/308). Men (mostly MSM), HIV positive patients, and patients notified for sexually transmitted infections (STIs) were more often NG positive and not retested. Concluding, only 40 patients tested for NG accounted for one in four diagnosed NG infections. However, re-infections are likely to be missed among MSM and HIV positive patients, as they were mainly not retested after NG infection. It remains important to test and re-test for NG, especially in MSM, in order to halt transmission.

Download Full-text

Nursing Communication as a Tool for Patient Satisfaction. A Single Hospital Survey

The Open Nursing Journal ◽

10.2174/1874434601913010220 ◽

2019 ◽

Vol 13 (1) ◽

pp. 220-227

Author(s):

Anna Barilaro ◽

Arianna Conidi ◽

Sabrina Ligarò ◽

Francesca Licata ◽

Maria Anna Marinaro ◽

...

Keyword(s):

Logistic Regression ◽

Patient Satisfaction ◽

Hospital Stay ◽

Multiple Logistic Regression Analysis ◽

New Drugs ◽

University Hospital ◽

Surgical Department ◽

Number Of Patients ◽

Nursing Communication ◽

Nursing Skills

Background: Communication is an essential tool for health promotion. Effective healthcare communication has great therapeutic value. Objective: The aim of the study is to assess the degree of patient satisfaction related to nursing communication in the various stages of hospital stay. Methods: Patients admitted to General University Hospital in medical and surgical department were subjected to this survey using a questionnaire, structured in four sections (acceptance, hospital stay, discharge, pain and new drugs management). Chi-square and multivariate logistic regression models were used to test the association between the outcome of interest defined as the satisfaction of nursing communication and the independent variables. Results: One thousand three hundred seventy questionnaires were administered. In acceptance, among patients satisfied with nursing skills related to explaining the department's functioning, most were satisfied with nursing communication (972 vs 87 p <0.005). Also during the hospital stay, among patients satisfied with nursing Skills and Manner relating to communication most were significantly satisfied with the nursing communication (849 vs 74 p <0.005 and 987 vs 55 p <0.001). At the discharge, the number of patients satisfied with nursing communication was greater among patients who considered the length of hospital stay adequate (1020 vs 65 p <0.001). Data are confirmed by the multiple logistic regression analysis. Conclusion: Our study shows how nursing communication is the key to establishing a good therapeutic care relationship and how it can be associated with patient satisfaction in various phases of hospital stay.

Download Full-text

Planning Volunteer Responses to Low-Volume Mass Gatherings: Do Event Characteristics Predict Patient Workload?

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00008542 ◽

2010 ◽

Vol 25 (5) ◽

pp. 442-448 ◽

Cited By ~ 5

Author(s):

John Woodall ◽

Kerrianne Watt ◽

Damien Walker ◽

Vivienne Tippett ◽

Emma Enraght-Moony ◽

...

Keyword(s):

Logistic Regression ◽

First Aid ◽

Sporting Events ◽

Regression Analyses ◽

Event Type ◽

Effective Prevention ◽

Mass Gatherings ◽

Number Of Patients ◽

The Mean ◽

Low Volume

AbstractIntroduction:Workforce planning for first aid and medical coverage of mass gatherings is hampered by limited research. In particular, the characteristics and likely presentation patterns of low-volume mass gatherings of between several hundred to several thousand people are poorly described in the existing literature.Objectives:This study was conducted to:1. Describe key patient and event characteristics of medical presentations at a series of mass gatherings, including events smaller than those previously described in the literature;2. Determine whether event type and event size affect the mean number of patients presenting for treatment per event, and specifically, whether the 1:2,000 deployment rule used by St John Ambulance Australia is appropriate; and3. Identify factors that are predictive of injury at mass gatherings.Methods:A retrospective, observational, case-series design was used to examine all cases treated by two Divisions of St John Ambulance (Queensland) in the greater metropolitan Brisbane region over a three-year period (01 January 2002–31 December 2004). Data were obtained from routinely collected patient treatment forms completed by St John officers at the time of treatment. Event-related data (e.g., weather, event size) were obtained from event forms designed for this study. Outcome measures include: total and average number of patient presentations for each event; event type; and event size category. Descriptive analyses were conducted using chi-square tests, and mean presentations per event and event type were investigated using Kruskal-Wallis tests. Logistic regression analyses were used to identify variables independently associated with injury presentation (compared with non-injury presentations).Results:Over the three-year study period, St John Ambulance officers treated 705 patients over 156 separate events. The mean number of patients who presented with any medical condition at small events (≤2,000 attendees) did not differ significantly from that of large (>2,000 attendees) events (4.44 vs. 4.67, F = 0.72, df = 1, 154, p = 0.79). Logistic regression analyses indicated that presentation with an injury compared with non-injury was independently associated with male gender, winter season, and sporting events, even after adjusting for relevant variables.Conclusions:In this study of low-volume mass gatherings, a similar number of patients sought medical treatment at small (<2,000 patrons) and large (>2,000 patrons) events. This demonstrates that for low-volume mass gatherings, planning based solely on anticipated event size may be flawed, and could lead to inappropriate levels of first-aid coverage. This study also highlights the importance of considering other factors, such as event type and patient characteristics, when determining appropriate first-aid resourcing for low-volume events. Additionally, identification of factors predictive of injury presentations at mass gatherings has the potential to significantly enhance the ability of event coordinators to plan effective prevention strategies and response capability for these events.

Download Full-text

Perceived Effectiveness of Random Testing for Alcohol and Drugs in the Australian Aviation Community

Aviation Psychology and Applied Human Factors ◽

10.1027/2192-0923/a000031 ◽

2012 ◽

Vol 2 (2) ◽

pp. 72-81

Author(s):

Christina M. Rudin-Brown ◽

Eve Mitsopoulos-Rubens ◽

Michael G. Lenné

Keyword(s):

Logistic Regression ◽

Online Survey ◽

Random Testing ◽

Regression Analyses ◽

Perceived Effectiveness ◽

Student Pilots ◽

Alcohol And Drugs ◽

Positive Attitudes ◽

One Year ◽

Alcohol And Other Drugs

Random testing for alcohol and other drugs (AODs) in individuals who perform safety-sensitive activities as part of their aviation role was introduced in Australia in April 2009. One year later, an online survey (N = 2,226) was conducted to investigate attitudes, behaviors, and knowledge regarding random testing and to gauge perceptions regarding its effectiveness. Private, recreational, and student pilots were less likely than industry personnel to report being aware of the requirement (86.5% versus 97.1%), to have undergone testing (76.5% versus 96.1%), and to know of others who had undergone testing (39.9% versus 84.3%), and they had more positive attitudes toward random testing than industry personnel. However, logistic regression analyses indicated that random testing is more effective at deterring AOD use among industry personnel.

Download Full-text

Entomological survey for identification of Aedes larval breeding sites and their distribution in Chattogram, Bangladesh

Beni-Suef University Journal of Basic and Applied Sciences ◽

10.1186/s43088-021-00122-x ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Md. Sahidur Rahman ◽

Md. Omar Faruk ◽

Sumiya Tanjila ◽

Nur Mohammad Sabbir ◽

Najmul Haider ◽

...

Keyword(s):

Logistic Regression ◽

Field Survey ◽

Mosquito Control ◽

Multiple Logistic Regression Analysis ◽

Binary Logistic Regression ◽

Breeding Sites ◽

Entomological Survey ◽

Different Types ◽

Coconut Shells ◽

Positive Properties

Abstract Background Studying the characteristics of Aedes mosquito habitats is essential to control the mosquito population. The objective of this study was to identify the breeding sites of Aedes larvae and their distribution in Chattogram, Bangladesh. We conducted an entomological survey in 12 different sub-districts (Thana) under Chattogram City, during the late monsoon (August to November) 2019. The presence of different wet containers along with their characteristics and immature mosquitoes was recorded in field survey data form. Larvae and/or pupae were collected and brought to the laboratory for identification. Results Different indices like house index, container index, and the Breteau index were estimated. The multiple logistic regression analysis was applied to identify habitats that were more likely to be positive for Aedes larvae/pupae. A total of 704 wet containers of 37 different types from 216 properties were examined, where 52 (7.39%) were positive for Aedes larvae or pupae. Tire, plastic buckets, plastic drums, and coconut shells were the most prevalent container types. The plastic group possessed the highest container productivity (50%) whereas the vehicle and machinery group was found as most efficient (1.83) in terms of immature Aedes production. Among the total positive properties, 8% were infested with Aedes aegypti, 2% with Aedes albopictus, and 1% contained both species Ae. aegypti and A. albopictus. The overall house index was 17.35%, the container index was 7%, and the Breteau index was 24.49. Containers in multistoried houses had significantly lower positivity compared to independent houses. Binary logistic regression represented that containers having shade were 6.7 times more likely to be positive than the containers without shade (p< 0.01). Conclusions These findings might assist the authorities to identify the properties, containers, and geographical areas with different degrees of risk for mosquito control interventions to prevent dengue and other Aedes-borne disease transmissions.

Download Full-text

Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: A pragmatic randomized trial

Journal of the American Medical Informatics Association ◽

10.1093/jamia/ocaa278 ◽

2020 ◽

Author(s):

Elaine C Khoong ◽

Valy Fontil ◽

Natalie A Rivadeneira ◽

Mekhala Hoskote ◽

Shantanu Nundy ◽

...

Keyword(s):

Logistic Regression ◽

Randomized Trial ◽

Odds Ratio ◽

Primary Outcome ◽

Mixed Effects ◽

Regression Analyses ◽

Diagnostic Confidence ◽

Diagnostic Uncertainty ◽

Intervention Impact ◽

High Uncertainty

Abstract Objective The study sought to evaluate if peer input on outpatient cases impacted diagnostic confidence. Materials and Methods This randomized trial of a peer input intervention occurred among 28 clinicians with case-level randomization. Encounters with diagnostic uncertainty were entered onto a digital platform to collect input from ≥5 clinicians. The primary outcome was diagnostic confidence. We used mixed-effects logistic regression analyses to assess for intervention impact on diagnostic confidence. Results Among the 509 cases (255 control; 254 intervention), the intervention did not impact confidence (odds ratio [OR], 1.46; 95% confidence interval [CI], 0.999-2.12), but after adjusting for clinician and case traits, the intervention was associated with higher confidence (OR, 1.53; 95% CI, 1.01-2.32). The intervention impact was greater in cases with high uncertainty (OR, 3.23; 95% CI, 1.09- 9.52). Conclusions Peer input increased diagnostic confidence primarily in high-uncertainty cases, consistent with findings that clinicians desire input primarily in cases with continued uncertainty.

Download Full-text

785 Reported Restful Sleep Predicting Emotional Distress: Does Exercise (and its modalities) moderate?

SLEEP ◽

10.1093/sleep/zsab072.782 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A305-A306

Author(s):

Jesse Moore ◽

Ellita Williams ◽

Collin Popp ◽

Anthony Briggs ◽

Judite Blanc ◽

...

Keyword(s):

Logistic Regression ◽

Aerobic Exercise ◽

Regression Models ◽

Regression Analyses ◽

Logistic Regression Models ◽

The Past ◽

Strengthening Exercise ◽

Waking Up ◽

The Relationship ◽

Age And Sex

Abstract Introduction Literature shows that exercise moderates the relationship between sleep and emotional distress (ED.) However, it is unclear whether different types of exercise, such as aerobic and strengthening, affect this relationship differently. We investigated the moderating role of two types of exercise (aerobic and strengthening) regarding the relationship between ED and sleep. Methods Our analysis was based on data from 2018 National Health Interview Survey (NHIS), a nationally representative study in which 2,814 participants provided all data. Participants were asked 1) “how many days they woke up feeling rested over the past week”, 2) the Kessler 6 scale to determine ED (a score >13 indicates ED), and 3) the average frequency of strengthening or aerobic exercise per week. Logistic regression analyses were performed to determine if the reported days of waking up rested predicted level of ED. We then investigated whether strengthening or aerobic exercise differentially moderated this relationship. Covariates such as age and sex were adjusted in the logistic regression models. Logistic regression analyses were performed to determine if subjective reporting of restful sleep predicted level of ED. We investigated whether strengthening exercise or aerobic exercise differentially moderated this relationship. Covariates such as age and sex were adjusted in the logistic regression models. Results On average, participants reported 4.41 restful nights of sleep (SD =2.41), 3.43 strengthening activities (SD = 3.19,) and 8.47 aerobic activities a week (SD=5.91.) We found a significant association between days over the past week reporting waking up feeling rested and ED outcome according to K6, Χ2(1) = -741, p= <.001. The odds ratio signified a decrease of 52% in ED scores for each unit of restful sleep (OR = .48, (95% CI = .33, .65) p=<.001.) In the logistic regression model with moderation, aerobic exercise had a significant moderation effect, Χ2(1) = .03, p=.04, but strengthening exercise did not. Conclusion We found that restful sleep predicted reduction in ED scores. Aerobic exercise moderated this relationship, while strengthening exercise did not. Further research should investigate the longitudinal effects of exercise type on the relationship between restful sleep and ED. Support (if any) NIH (K07AG052685, R01MD007716, K01HL135452, R01HL152453)

Download Full-text