scholarly journals COVID-19 outbreak and dental health care provision in Nigeria: a national survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Timothy Olukunle Aladelusi ◽  
Foluso Ayobami Atiba ◽  
Shakeerah Olaide Gbadebo ◽  
Yewande Isabella Adeyemo ◽  
Adeola Adenike Olusanya ◽  
...  

Abstract Background The impact of the COVID-19 pandemic on the world is unprecedented, posing greater threats to vulnerable healthcare systems, especially in developing countries. This study aimed to assess the knowledge of dental healthcare providers in Nigeria about the disease and evaluate their responses to the preventive measures necessitated by COVID-19. Methods This was an online self-administered questionnaire-based study conducted among dentists practicing in Nigeria. A message containing the link to the survey was sent widely via social medial platforms and electronic mails to dentists practicing in Nigeria. The data collection was done between the 2nd of June and 3rd of July 2020. Results A total of 314 responses was recorded. Fever was the most specified generalized symptom (97.5%), while the use of masks (100%), hand hygiene (99.7%), social distancing (97.7%) and surface cleaning (99.4%) were the most commonly employed general preventive methods. The main identified risk of transmission in the clinic was aerosol generating procedures (98.7%). Conclusion The general knowledge of dental personnel in our study population appears to be adequate on the common clinical features of COVID-19 but less adequate regarding the less common features. The COVID-19 pandemic has also modified some aspects of dental service delivery but more needs to be done in this regard. Preventive measures against the transmission of COVID-19 in dental practice settings include proper utilization of teledentistry, clinical triage, preprocedural 1% hydrogen peroxide oral rinses, and the use of appropriate Personal Protective Equipment (PPE) which should always be encouraged.

2021 ◽  
Author(s):  
Timothy Olukunle ALADELUSI ◽  
Foluso Ayobami ATIBA ◽  
Shakeerah Olaide GBADEBO ◽  
Yewande Isabella ADEYEMO ◽  
Adeola Adenike OLUSANYA ◽  
...  

Abstract Background: The impact of the COVID-19 pandemic on the world is unprecedented, posing greater threats to vulnerable healthcare systems, especially in developing countries. This study aimed to assess the knowledge of dental healthcare providers in Nigeria about the disease and evaluate their responses to the preventive measures necessitated by the disease.Methods: This was an online self-administered questionnaire-based study conducted among Dentists practicing in Nigeria. A message containing the link to the survey was sent widely via social medial platforms and electronic mails to dentists practicing in Nigeria. The data collection was done between the 2nd of June and 3rd of July, 2020.Results: A total of 314 responses was recorded. Fever was the most commonly specified generalized symptom (97.5%), while the use of masks (100%), hand hygiene (99.7%), social distancing (97.7%) and surface cleaning (99.4%) were the most commonly employed general preventive methods. The main identified risk of transmission in the clinic was aerosol generating procedures (98.7%).Conclusion: The general knowledge of dental personnel in our study population appears to be adequate on the common features of COVID-19 but less adequate regarding the less common features. The COVID-19 pandemic has also modified some aspects of dental service delivery but more needs to be done in this regard.Preventive measures against the transmission of COVID-19 in dental practice settings include proper utilization of teledentistry, clinical triage, preprocedural 1% hydrogen peroxide oral rinses, and the use of appropriate PPEs which should always be encouraged.


2019 ◽  
Vol 10 (12) ◽  
pp. 1183-1199
Author(s):  
Mohammed Alrouili ◽  

This study attempted to identify the impact of internal work environment on the retention of healthcare providers at Turaif General Hospital in the Kingdom of Saudi Arabia. In particular, the study aimed to identify the dimensions of work circumstances, compensation, and relationship with colleagues, professional growth, and the level of healthcare providers’ retention. In order to achieve the study goals, the researcher used the descriptive analytical approach. The researcher used the questionnaire as the study tool. The study population comprised all the healthcare providers at Turaif General Hospital. Questionnaires were distributed to the entire study sample that consisted of 220 individuals. The number of questionnaires valid for study was 183 questionnaires. The research findings were as follows: the participants’ estimate of the work circumstances dimension was high (3.64), the participants’ estimate of the compensation dimension was moderate (3.32), the participants’ estimate of the relationship with colleagues dimension was high (3.62), the participants’ estimate of the professional growth dimension was weak (2.39), and the participants’ estimate of healthcare providers’ retention level was intermediate (2.75). Accordingly, the researcher’s major recommendations are: the need to create the right atmosphere for personnel in hospitals, the interest of the hospital to provide the appropriate conditions for the staff in terms of the physical and moral aspects for building the work adjustment in the staff, and conducting training courses and educational lectures for personnel in hospitals on how to cope with the work pressures.


2019 ◽  
Vol 24 (2) ◽  
pp. 167-172 ◽  
Author(s):  
T. V. Kudryavtseva ◽  
V. V. Tachalov ◽  
E. S. Loboda ◽  
L. Yu. Orekhova ◽  
E. Yu. Nechai ◽  
...  

Relevance. Periodontal diseases are a medical and social problem due to the wide spread among the population of developed countries and the impact on the quality of life. Among the many factors that are important in the development of inflammatory periodontal diseases, an important role is played by adherence to the recommendations of the dentist in respecting oral hygiene. Aim of the work was to study the adherence of patients of the dental clinic to compliance with preventive measures in the oral cavity.Materials and methods. A total of 98 patients of dental clinic, 62 female (medial age 38,6 ± 14,0 years) and 36 male (medial age 37,2±13,1 years) participated in survey. The study participants flled in the profle and answered questions about age, gender, harmful working conditions and bad habits, frequency of visits to the dental clinic, attitudes to the prevention of dental diseases, knowledge about the means and methods of oral hygiene.Results. As a result of the study, it was found that in the vast majority of cases, respondents are employed in production that does not adversely affect their health (91%), only 8% of patients indicated harmful working conditions.Conclusions. The study revealed that, despite the recommendations of the dentist, patients are not always committed to the implementation of preventive measures in the oral cavity. Dentists need to motivate patients to use not only the usual methods and means of hygiene, but also additional ones necessary for maintaining dental health.


2016 ◽  
Vol 44 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Roberto S. Kalil ◽  
Peter J. Kaboli ◽  
Xin Liu ◽  
Mary Vaughan-Sarrazin

Background: There is a higher risk of gastrointestinal (GI) bleeding in patients treated with dabigatran versus warfarin. We analyzed the impact of renal function on the relative risk of bleeding in patients converted to dabigatran. Methods: Patients aged ≥65 years who received anticoagulation with warfarin for a minimum of 6 months and subsequently converted to dabigatran or remained on warfarin were studied. Data sources included VA National Patient Care, and VA Decision Support System National Pharmacy and Laboratory. Each patient who converted to dabigatran 150 mg twice daily was matched by propensity score with 2 patients on warfarin who did not convert. Outcomes included rates of hospital admission for GI or other major bleeding and mortality, stratified by estimated glomerular filtration rate (eGFR). Results: Study population included 864 patients who converted and 1,710 patients who did not convert to dabigatran. In patients with eGFR 50-80 ml/min/1.73 m², the hazard of GI bleeding in patients who initiated dabigatran was nearly 3 times higher, (4.1 vs. 1.3 per 100 patient years; hazards ratio 2.94; 95% CI 1.24-7.02; p = 0.015), compared to patients who remained on warfarin. There were relatively few patients with eGFR <50 or >80 ml/min/1.73 m2, and relatively few bleeding events outside the GI tract. Conclusions: Prescribing healthcare providers should exercise caution and close monitoring for bleeding complications when converting from warfarin to dabigatran, even in patients with renal function in the range considered safe for dabigatran use as per current recommendations.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 653-658
Author(s):  
Roshan A ◽  
Jeevitha M ◽  
Sridevi G

Given the existence of a standardized tool and infection control recommendations for COVID-19, many dental professionals lack the minimum infection control requirements. As the disease outbreak continues to evolve and health centres respond to unique situations in their communities, the Department of Health recognizes that dental settings may also be necessary to provide non-emergency dental care. The dental environment will balance the need to include the resources available whilst reducing the harm to patients and dental health staff. The aim of the study is to assess the awareness of infection control in dental practice in the COVID-19 outbreak among dental practitioners. A Self-administered questionnaire was designed based on awareness of infection control for a dental practice in the COVID-19 outbreak. The questionnaire was distributed through an online google form link. The study population included dental professionals in Tamil Nadu. The data was collected and statistically analysed. 81% use PPE (personal protective equipment) during the procedure, 82.7% of patients are made to rinse their mouth with an antimicrobial mouth rinse before the dental procedure. Based on the findings, awareness level and infection control in dental practice can be improved.


2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Faizah Abdul Karim ◽  
Ishak Abdul Razak

Introduction: Dental therapists are one of the main dental workforce in Malaysia and are exposed to various risk factors of MSD. However, studies on MSD among dental therapists are limited. The objectives of this study were to determine the prevalence, the sites affected, the symptom severity, the impact, the risk factors and the association between individual, biomechanical, physical and psychosocial risk factors with prevalence of MSD among dental therapists. Materials and Methods: A survey was conducted using self-administered questionnaire which was distributed to all dental therapists in Perak, Terengganu and Kuala Lumpur in February 2017, from which a response rate of 89.2% was achieved. Results: There was a high prevalence of MSD (87.5%) among the respondents. The MSD was found to be affecting mainly the back (69.7%), neck (66.7%), shoulders (58.7%) and wrists/hands (50.2%) while MSD of the elbow and lower extremities was found to more severe and often affect their daily work. Most of the respondents who reported MSD accommodated their own symptoms with analgesics or sought alternative treatment (20.1%). Majority reported that they often used vibratory instruments (76.1%), involved in biomechanical risk activities, and perceived that they have a high job demand and lack of authority to make decisions related to work. Age (OR: 3.58; 95% CI: 1.644, 7.773), number of extractions (OR: 4.69; 95% CI: 1.348, 16.327) as well as psychosocial factors (OR: 4.05; 95% CI: 1.547, 10.613) were significantly associated with prevalence of MSD. Conclusion(s): Therefore, preventive measures should be implemented to reduce the burden of MSD.


2011 ◽  
Vol 39 (12) ◽  
pp. 2656-2661 ◽  
Author(s):  
Shinya Koyama ◽  
Osamu Fukuda ◽  
Nakamasa Hayashi ◽  
Shunro Endo

Background: Many reports have compared head injuries between snowboarding and skiing. However, detailed studies comparing snowboarding head injuries between beginners and intermediates/experts have been lacking. Purpose: The authors investigated differences in clinical characteristics of head injuries to snowboarders between beginners (group B) and intermediates/experts (group IE). Study Design: Descriptive epidemiology study. Methods: The study population included 2367 patients treated at Saito Memorial Hospital and Yuzawa Community Health Medical Center, Niigata Prefecture, Japan, during 9 seasons from 1999-2000 to 2007-2008. Results: Group B comprised 959 patients (mean age, 23.0 years; 52% males). Group IE comprised 1408 patients (mean age, 24.8 years; 72% males). Accidents in group B predominantly occurred as falls on gentle slopes (37%) and intermediate slopes (33%), whereas accidents in group IE occurred mostly during jumping (48%). The impact point on the head was predominantly occipital in both groups, but group IE showed a significantly higher frequency of trauma to the frontal region. The ratio of neurologic abnormalities was significantly higher in group IE. However, the ratio of surgical cases was significantly higher in group B (n = 10, 1.04%) than in group IE (n = 5, 0.36%). More acute subdural hematomas were seen in group B, but more fractures, contusions, and acute epidural hematomas were seen in group IE. Four moderate disabilities, 2 comatose patients, and 2 deaths were seen in group B, and 1 moderate disability, 2 severe disabilities, and 1 death were seen in group IE during this study. Conclusion: The data suggest significant differences in clinical states between beginners and intermediates/experts. Preventive methods for severe head injuries among snowboarders need to be devised based on differences in skill levels.


Author(s):  
Bogdan Biedunkiewicz ◽  
Leszek Tylicki ◽  
Ewelina Puchalska-Reglińska ◽  
Alicja Dębska-Ślizień

Background: The appearance of very contagious SARS-CoV-2 variants and waning vaccine immunity may indicate the need to return to using universal methods of preventing the spread of COVID-19. Methods: We performed a multicenter retrospective cohort survey study to describe the methods used in dialysis units to prevent and control the spread of SARS-CoV-2 and also the association between these methods and the incidence of COVID-19 among hemodialyzed (HD) patients before the era of vaccination. The study population included all maintenance HD patients (n = 1569) in 14 dialysis units in the Pomeranian Voivodeship. Results: The group of 352 patients (199 men, 153 female) were confirmed for COVID-19. The absolute cumulative incidence in the studied period was 22.4%. It varied widely by dialysis units, ranging from 9.4% to 36.9%. Universal preventive methods were applied by all units. Different additional methods were implemented in some stations with varying frequency (36–86%). In order to quantify the scale of the applied additional preventive methods, we calculated a summary prevention index (PI), i.e., one point for one additional method. Lower incidence was found in centers applying dialysis in isolation of patients hospitalized due to diseases requiring hospitalization (17.42% ± 6.89 vs. 26.54 ± 6.34; p = 0.028) and higher incidence in medium-size dialysis centers (ANOVA F: p = 0.017). Significant inverse correlation between PI and incidence was demonstrated as well (r = −0.759; p = 0.002). Conclusions: The higher the number of implemented preventive measures, the lower the risk of COVID-19 infection in HD patients. Among applied procedures the isolation of hospitalized patients is of significant importance. The measures proved to be effective in prevention before the vaccination era should be continued, as the threat of SARS-CoV-2 still exists.


Oral ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 139-152
Author(s):  
Lise Boudinar ◽  
Damien Offner ◽  
Sophie Jung

Background: Dentists have a high risk of developing occupational allergies due to their repeated exposure to many professional allergens. The aim of this cross-sectional study was to assess occupation-related allergies in a group of French dentists and to determine the main associated risk factors. Methods: A self-administered questionnaire about allergies, particularly occupational allergies, was published online in a private group dedicated to French dentists. Results: Data from 584 French dentists were collected; 50.3% of the respondents presented allergies and 13.4% presented occupation-related allergies. Regarding professional allergens, natural rubber latex, cleaning products, and resins were the most frequently incriminated substances. Temporary interruption of activity was reported by 10.3% of individuals suffering from occupational allergies. Almost 65% of them used different reliever medications for the management of acute exacerbations, but maintenance treatment was implemented in only 34.6% of cases. Having a general allergy was the first predictor of occupational allergies with an odds ratio of 7.49. Conclusions: The frequency and the impact of occupational allergies were significant among our study population of French dentists, particularly in those with an associated allergic background. Education and prevention programs are key measures to minimize risk.


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