scholarly journals Trends in Dental Medication Prescribing in Australia during the COVID-19 Pandemic

2021 ◽  
pp. 238008442098676
Author(s):  
M. Mian ◽  
L. Teoh ◽  
M. Hopcraft
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Unmet Need ◽  
Opioid Analgesics ◽  
Population Level ◽  
Professional Associations ◽  
Prescribing Patterns ◽  
Evidence Based ◽  
The World ◽  
The Impact

Introduction: The coronavirus disease 2019 (COVID-19) pandemic and subsequent restrictions on dental services have had a significant impact on the provision of dental care in Australia and around the world. Objectives: To investigate the impact of COVID-19 on medications prescribed by dentists under the Australian Pharmaceutical Benefits Scheme (PBS). Methods: Data on the number of dental prescriptions dispensed for all medications listed on the PBS Dental Schedule, from January 2019 to June 2020, were extracted from publicly available data sets. Analysis of prescription trends was performed for 1) total medications, 2) each major medication class, and 3) individual medications. The number of prescriptions dispensed in each month from January 2020 to June 2020 was compared to the same month in 2019 to determine the relative (percentage) change, and z statistics were used to determine whether changes were statistically significant. Results: There was a significant decrease in dental prescriptions in April 2020 compared to April 2019 (14,785, 18%; P < 0.05). Decreases in prescriptions for antibiotics (10,512, 16%; P < 0.05) and opioid analgesics (3,129, 18%; P < 0.05) were smaller compared to other major medication classes. There was a significant increase in June 2020, compared with June 2019, for prescriptions of amoxicillin with clavulanic acid (4,903, 20%; P < 0.05), tramadol (89, 46%; P < 0.05), and oxycodone (381, 73%; P < 0.05). Conclusion: Dental service restrictions during COVID-19 likely drove an unmet need for routine dental treatment, which had significant implications for public oral health following easing of restrictions. During the initial surge and subsequent lockdown, antibiotics and opioid analgesics may have been used an as alternative to routine operative treatment. Continued professional guidance is required to ensure dental prescribing remains evidence based during the pandemic period. Knowledge Transfer Statement: The COVID-19 pandemic and subsequent restrictions on dental practice have had a profound impact on the provision of dental care in Australia and elsewhere in the world. In this context, population-level medication surveillance is important to identify and respond to changes in prescribing patterns that have arisen due to COVID-19 and restrictions on the provision of dental care. This research is particularly important for governments, regulators, and professional associations to ensure therapeutic guidelines and recommendations during the pandemic period remain relevant and evidence based.

scholarly journals Heuristics, biases and traps in managerial decision making

2013 ◽  
Vol 61 (7) ◽  
pp. 2117-2122
Author(s):  
Peter Gál ◽  
Miloš Mrva ◽  
Matej Meško
Keyword(s):  
Decision Making ◽  
Systematic Errors ◽  
Small Samples ◽  
Evidence Based ◽  
Managerial Decision ◽  
Initial Information ◽  
Representativeness Heuristic ◽  
Starting Point ◽  
The World ◽  
The Impact

The aim of the paper is to demonstrate the impact of heuristics, biases and psychological traps on the decision making. Heuristics are unconscious routines people use to cope with the complexity inherent in most decision situations. They serve as mental shortcuts that help people to simplify and structure the information encountered in the world. These heuristics could be quite useful in some situations, while in others they can lead to severe and systematic errors, based on significant deviations from the fundamental principles of statistics, probability and sound judgment. This paper focuses on illustrating the existence of the anchoring, availability, and representativeness heuristics, originally described by Tversky & Kahneman in the early 1970’s. The anchoring heuristic is a tendency to focus on the initial information, estimate or perception (even random or irrelevant number) as a starting point. People tend to give disproportionate weight to the initial information they receive. The availability heuristic explains why highly imaginable or vivid information have a disproportionate effect on people’s decisions. The representativeness heuristic causes that people rely on highly specific scenarios, ignore base rates, draw conclusions based on small samples and neglect scope. Mentioned phenomena are illustrated and supported by evidence based on the statistical analysis of the results of a questionnaire.

scholarly journals Dental Care during COVID-19 Outbreak: A Web-Based Survey

2020 ◽  
Vol 14 (S 01) ◽  
pp. S14-S19 ◽  
Author(s):  
Melissa Faccini ◽  
Fernanda Ferruzzi ◽  
Aline Akemi Mori ◽  
Gabriela Cristina Santin ◽  
Renata Cristina Oliveira ◽  
...  
Keyword(s):  
Oral Health ◽  
Economic Impact ◽  
Dental Care ◽  
Dental Treatment ◽  
Health Conditions ◽  
Orthodontic Appliances ◽  
Web Based ◽  
Emergency Procedures ◽  
Level Of Concern ◽  
The Impact

Abstract Objective This survey aimed to assess the effects of coronavirus disease 2019 (COVID-19) on elective and urgency/emergency dental care and dentists concerned. Materials and Methods A web-based survey was performed using Google forms questionnaire sent to dentists in Brazil. Questions included: personal information, type of dental care provided during quarantine, if emergencies increased, the dental office biosafety routine, among others. The levels of concern about the impact of quarantine on dental care and patient oral health conditions and the economic impact on dental practices were evaluated using a 0- to 10-point scale. Statistical analysis included descriptive, percentages, one-way ANOVA, Tukey, and chi-square tests. Results During quarantine, 64.6% of the dentists attended only urgency/emergency treatments, while 26.1% maintained routine appointments, and 9.3% closed the dental offices. A higher percentage of dentists from the least affected states continued routine dental treatment; dentists were younger and presented a significantly lower level of concern about dental treatments and oral health conditions of their patients. An increase in urgency/emergency procedures was reported by 44.1% of the dentists, mostly due to the unavailability of routine/elective dental care and increased patient anxiety and stress. The main causes of urgency/emergency appointments were toothache, dental trauma, and broken restorations, besides the breakage of orthodontic appliances and temporomandibular disorders. Dentists reported a high level of concern about the economic impact caused by quarantine. Conclusions The pandemic/quarantine has negatively affected the clinical routine. Personal protection/hygiene care must be adopted and reinforced by dental professionals/staff to make dental procedures safer.

scholarly journals Are the needs of people with mental health problems met?

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Foteini Tseliou ◽  
Michael Rosato ◽  
Dermot O'Reilly
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Mental Health Treatment ◽  
Mental Health Problems ◽  
Unmet Need ◽  
Population Level ◽  
Health Condition ◽  
Health Needs ◽  
Mental Health Needs ◽  
The Impact

BackgroundHigh levels of mental ill-health have resulted in increasing delays in the receipt of appropriate care. However, the size of the gap between mental health needs and the likelihood of receiving treatment has not been thoroughly investigated on a population-level within Northern Ireland. ObjectivesTo that end we investigated the link between self-reported mental ill-health and likelihood of being in receipt of treatment in a population cohort. MethodsThe 2011 Northern Ireland Census was linked to a population-wide prescribing database. The presence of a chronic mental health condition, as assessed through the Census self-reported mental health question, was compared to regular psychotropic medication use in the six and twelve months following the Census. Of the 23,803 individuals (aged 25 to 74) who reported chronic mental ill-health at the Census, 22% were not in receipt of medication over the following six months, with this being reduced down to 18.5% by the twelve month mark. FindingsAfter adjusting logistic regression models for socio-demographic factors, men (OR=0.56: 95%CI=0.52-0.60), those of non-white ethnicity (OR=0.38: 95%CI=0.26-0.54), never married (OR=0.67: 95%CI=0.61-0.82), unemployed (OR=0.65: 95%CI=0.53-0.81) and living in a rural area (OR=0.88: 95%CI=0.79-0.98) were less likely to receive regular medication, indicating mental health unmet need. ConclusionsA level of discord was observed between mental-ill health and medication receipt on a population level. Further focus on mental health needs and the impact of low prescribing rates on mental health patients could help ameliorate the current inequalities and reduce potential gaps in mental health treatment.

A patient information video for treatment under intravenous conscious sedation: considerations, challenges and prospects

Dental Update ◽  
2021 ◽  
Vol 48 (9) ◽  
pp. 752-758
Author(s):  
Harjit Tagar ◽  
Omesh Modgill ◽  
Jashme Patel ◽  
Julie Edwards ◽  
Olamide Obisesan
Keyword(s):  
Patient Experience ◽  
Patient Information ◽  
Dental Care ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Digital Health ◽  
Related Information ◽  
Health Related ◽  
The Impact ◽  
Insight Into

This article describes the use of a newly developed animation for the delivery of patient information pertinent to dental treatment performed under intravenous conscious sedation, and provides an understanding of how digital health-related information impacts upon the patient experience. This article provides insight into the rationale for using animation as a means to deliver healthcare-related information, the process undertaken to develop this animation and how the themes and imagery in the animation can be used more broadly to further enhance the patient experience in primary and secondary dental care settings. CPD/Clinical Relevance: This article outlines the process of developing an animation for patient information and the impact animation can have upon patient experience locally as an aid to delivering instructions.

How can we Enhance the Impact of HFE on the World? Presidential Forum Position Paper

2007 ◽  
Vol 51 (10) ◽  
pp. 578-580 ◽  
Author(s):  
Marvin J. Dainoff
Keyword(s):  
Quality Control ◽  
Scientific Knowledge ◽  
Position Paper ◽  
Evidence Based ◽  
Research To Practice ◽  
The World ◽  
Core Value ◽  
The Impact ◽  
Goals And Objectives ◽  
Key Questions

A core value of HFES has been the translation of scientific knowledge into information that can be used to improve the design and effectiveness of the systems and equipment used by people. The extent to which HFE knowledge has, in fact, had an impact on the world needs to be systematically and analytically explored. This is necessary for the continued growth of the HFE field. This forum will explore this issue. Three key questions are: (a) In the process of translation from research to practice, to what extent is practice evidence-based? (b) Should the HFE field be constrained in the service of quality control or purely entrepreneurial in style? (c) Can we reframe the benefits of our contributions to conform more closely with the key goals and objectives of customer organizations?

scholarly journals Music and Brain Health: Recommendations From the Global Council on Brain Health, an AARP Collaborative

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 783-784
Author(s):  
Sarah Lock
Keyword(s):  
Older Adults ◽  
Behavior Change ◽  
Health Research ◽  
Evidence Based ◽  
Brain Health ◽  
Music Participation ◽  
The Public ◽  
The World ◽  
The Impact ◽  
Consensus Report

Abstract Music is a complex auditory stimulus that resonates on a physiological, psychological, and spiritual level for people around the world. This symposium will provide highlights from the Global Council on Brain Health consensus report aimed at helping the public to understand the potential that music holds for supporting and enriching brain health. The Global Council on Brain Health (GCBH) is an independent collaborative of scientists, clinicians, scholars, and policy experts convened by AARP to provide evidence-based advice on what people and professionals can do to maintain and improve brain health. The Council translates scientific research into actionable recommendations for the public that will help drive behavior change in individuals across communities and cultures. Issue specialists from around the world were brought together to build consensus, issue recommendations, and offer practical tips. Moreover, we will feature research from our issue experts and provide an overview of the impact of music participation on older adults, including those with dementia. Data from surveys fielded by AARP research, developed in consultation with the GCBH, will also be featured. In sum, this presentation will highlight the work of the Council at the forefront of this international effort to translate advancements in brain health research to the wider public, with an emphasis on individuals aged50 and older.

scholarly journals The impact of Covid-19 pandemic over the dental patients

2021 ◽  
Vol 10 (11) ◽  
pp. e252101119502
Author(s):  
Lara Steffany de Carvalho ◽  
Caroline Trefiglio Rocha ◽  
Rafael de Aguiar Vilela Júnior ◽  
Ivan Balducci ◽  
Amjad Abu Hasna
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Cross Contamination ◽  
Dental Patients ◽  
Significant Difference ◽  
Dental Offices ◽  
Group 2 ◽  
Respiratory Droplets ◽  
The Impact ◽  
Group 1

Objective: Covid-19 is a highly infectious disease; it is transmitted by patients’ secretions and respiratory droplets SARS-CoV-2 was detected in patients saliva making dental care professionals more susceptible for contamination and the patient less safe while seeking the dental treatment. Methodology: This quantitative study was elaborated through a questionnaire for patients who frequently seek dental care in private and publica dental care units. A total of 205 over-18 patients were included, those who left one or more questions without answer were excluded. Participants were able to refuse to answer any question or to participate in the questionnaire at all. The questionnaire was composed of five questions. Participants were divided into two groups: Group 1: private dental offices patients (n=98); Group 2: public dental clinic patients (n=107). Results: there was a significant difference between groups 1 and 2, in which 50% of group 1 feel safe while seeking dental care during the Covid-19 pandemic in comparison with 72.89% of group 2. There was no significant difference between groups 1 and 2, in which 93.87 and 94.39% of groups 1 and 2 respectively feel safe with the professionals' PPE and consider it sufficient. About 59.81% of the participants of group 2 do not feel insecure with the cross contamination caused by SARS-CoV-2 in collective health care units. Finally, there was a significant difference between groups 1 and 2, in which 74.48% of group 1 prefer to be attended by vaccinated professionals, instead of only 56.07% of group 2. Conclusion: it was concluded that not all dental patients feel safe while seeking dental treatment during the Covid-19 pandemic, however, they consider the professional PPE sufficient. Patients feel safe to be attended by vaccinated professionals.

scholarly journals Fear Factor in Seeking Dental Care among Saudis during COVID-19 Pandemic

2021 ◽  
Vol 18 (20) ◽  
pp. 10589
Author(s):  
Maria Salem Ibrahim ◽  
Hala Alibrahim ◽  
Abdullah Al Madani ◽  
Abdulaziz Alamri ◽  
Mohamed Bamashmous ◽  
...  
Keyword(s):  
Dental Care ◽  
Perceived Risk ◽  
Social Life ◽  
Dental Treatment ◽  
Instant Messaging ◽  
Lifestyle Changes ◽  
Online Questionnaire ◽  
Dental Clinics ◽  
The Impact ◽  
Dental Conditions

The recent coronavirus disease of 2019 (COVID-19) pandemic led to major lifestyle changes. The present study sought to assess factors associated with fear to seek dental care during COVID-19 pandemic in Saudi Arabia. This cross-sectional study was conducted during the COVID-19 outbreak in 2020. An online questionnaire was filled by a convenient sample of adult Saudi residents through mobile instant messaging application. The following measures were collected: sociodemographic characteristics, fear of COVID-19 using validated Fears of Illness and Virus Evaluation scale, fear to seek dental care, perceived health status, and COVID-19 experience. There were 826 participants involved in this study (541 females and 285 males, mean age: 38.8 ± 13.29 years). Fear to seek dental care was significantly higher among females, younger age groups, people who perceived poor general and oral health, and people who perceived high risk of contracting the virus in dental clinics. After controlling for confounders, fear to seek dental care was significantly higher among the age group of 35–44 years, those who perceived high and moderate risk of COVID-19 infection in dental clinics, and among participants who reported untreated dental conditions. Fear that Others Get Sick, Fear of the Impact on Social Life, and Behaviors Related to Illness and Virus Fears were significantly associated with high levels of fear to seek dental care. Within the study’s limitations, fear of COVID-19 negatively impacted the study population’s willingness to seek dental treatment. Factors such as age, perceived risk of COVID-19 infection in dental clinics, and untreated dental conditions were associated with fear to seek dental care.

Domiciliary dental care: considerations and challenges

Dental Update ◽  
2021 ◽  
Vol 48 (9) ◽  
pp. 783-790
Author(s):  
Anjan David Pal ◽  
Abigale Farrar
Keyword(s):  
Dental Care ◽  
Clinical Relevance ◽  
Dental Treatment ◽  
The Past ◽  
The Impact

This article examines the planning that goes into successfully providing domiciliary dental care. It includes a comment on patient demand for this type of service, what dental treatment is appropriate to offer, and the impact of relevant legislation introduced over the past 15 years. CPD/Clinical Relevance: This article highlights some of the considerations that should be taken into account when providing dental care for patients outside the clinic environment when the need arises.

COVID-19 in People with Diabetes: Perspectives from Saudi Arabia

2020 ◽  
Vol 16 ◽  
Author(s):  
Asirvatham Alwin Robert ◽  
Mohamed Abdulaziz Al Dawish
Keyword(s):  
Saudi Arabia ◽  
Evidence Based ◽  
Health Issues ◽  
Major Health ◽  
Increased Risk ◽  
The World ◽  
Risk Of Disease ◽  
The Government ◽  
Evidence Based Programs ◽  
The Impact

Abstract:: Coronavirus disease 2019 (COVID-19) and diabetes have major impacts on the health of the population across the world. Since the beginning of the COVID-19 pandemic, people with diabetes have been identified to be more vulnerable to infection and greater risk for hospitalization. As diabetes is one of the major health issues in Saudi Arabia, the current study describes the perspectives of COVID-19 in people with diabetes and the steps taken by the government to minimize the impact of it. Most patients with COVID-19 in Saudi Arabia, experience mild illness, while people with diabetes are at increased risk of disease severity and mortality. The government of Saudi Arabia has taken several measures to control and mitigate the effect of the pandemic, as Saudi population gradually returning back to normal life. However, currently there are limited studies from Saudi Arabia on COVID-19 among people with diabetes and the effectiveness of interventions. We emphasize the necessity for comprehensive research, which would provide a better understanding of the incidence of COVID-19 and its association with diabetes to develop evidence-based programs and policies in the country.

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