scholarly journals Pain perception of orthodontic treatment – A cross-sectional study

2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Mazia Jawaid ◽  
Tabassum Ahsan Qadeer ◽  
Muhammad Faisal Fahim

Objectives: The objectives were to evaluate the intensity of pain perceived 24 hours following insertion of fixed orthodontic appliance components i-e separators, bands and brackets. Methods: This cross-sectional study conducted at a Dental College in Karachi (July 2017-March 2018) investigated the amount of pain perceived during different stages of fixed orthodontic treatment. The inclusion criteria were healthy individuals without systemic disease, age 13-26 years, fixed orthodontic treatment candidates having healthy permanent first molars. The exclusion criteria were missing permanent first molars, patients requiring brass wire separators instead of elastomeric separators and molar tubes instead of bands, ongoing or previous periodontal disease and syndromic patients. Pain intensity was assessed in ninety eight patients using a Numeric Rating scale (NRS) at baseline (T0) before insertion, and 24 hours after insertion (T1) of a component. This procedure was repeated six times, twice each for separators, bands and brackets. Scoring was done on the NRS from 0 to 10 where 0 indicated no pain and 10 indicated worst pain possible. Results: A significant difference in perceived pain was found between baseline and after 24 hours of placement of all components (P-value 0.000). Odds ratio indicated that males were at a greater risk to feel pain than females at baseline and after 24 hours of insertion of all components. Mann-Whitney U test showed that the most painful components at baseline were bands (Mean value=0.56) and after 24 hours were brackets (Mean value 6.25). Conclusions: Significant increase in pain was noted 24 hours after insertion of separators, bands and brackets. The most painful components were bands at baseline and brackets after 24 hours of insertion. There were no significant variations in pain perception based on age. However, males perceived higher pain than females both at baseline and after 24 hours. doi: https://doi.org/10.12669/pjms.36.2.619 How to cite this:Jawaid M, Qadeer TA, Fahim MF. Pain perception of orthodontic treatment – A cross-sectional study. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.619 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

2019 ◽  
Vol 9 (1) ◽  
pp. 40-44
Author(s):  
Asal Acharya ◽  
Praveen Mishra ◽  
Rabindra Man Shrestha ◽  
Pooja Shah

Introduction: General dentists and specialists other than orthodontist may encounter patient requiring orthodontic treatment. For proper counseling and referral, it is important that general dentists and non-orthodontic specialists have adequate level of orthodontic knowledge. Objective: To assess the knowledge of orthodontic treatment among general dentists and non-orthodontic specialists and to compare the knowledge between the two groups. Materials & Method: A descriptive cross sectional study using questionnaire was performed among 185 actively practicing general dentists and non-orthodontic specialists of Nepal. The questionnaire comprised of three parts. The first part included demographic details, second part contained 5 multiple choice questions regarding orthodontic counseling and third part integrated 18 questions for evaluating knowledge of orthodontic treatment. Each correct answer was given score 1 and every incorrect answer was scored zero in the third part of the questionnaire. Result: Among total participants, 60.5% think first orthodontic evaluation of a child should be carried out within 7 to 8 years of age and 44.3% think orthodontic treatment can even be started after 40 years of age. Around 66% of the participants think that orthodontic treatment cannot be performed in periodontally compromised cases. No significant difference was found between the mean scores of knowledge among general dentists and non-orthodontic specialists (p=0.891), or among dentists with different years of experience (p=0.644). Conclusion: There is a need for more education of orthodontic treatment concepts to the dentists who do not belong to orthodontic field for proper counseling and referral.


2021 ◽  
Author(s):  
Rana Kurdi ◽  
Hanan Abdul Rahim ◽  
Ghadir Al-Jayyousi ◽  
Manar Yaseen ◽  
Aetefeh Ali ◽  
...  

Background: Electronic cigarette (e-cigarette) use is becoming popular worldwide especially among youth. Research reported that university students have poor knowledge and misconceptions about the health risks of e-cigarettes, which may lead students to use them even in populations where prevalence of cigarette smoking is relatively low. At this age, the influence of peers is also significant. In this study, we assessed the prevalence of e-cigarette use among university students as well as their knowledge and attitudes towards e-cigarettes. Methodology: We conducted a cross-sectional study among Qatar University students using a self-administered online questionnaire. Descriptive univariate analysis of all variables was conducted as well as a bivariate analysis to check the association of e-cigarette use with selected variables. A binary logistic regression was conducted to assess predictors of e-cigarette use. Results: The prevalence of e-cigarette use among students was found to be 14% where 32% of them were daily users. Approximately 42% of the participants agreed that ‘e-cigarettes are less harmful to health compared to traditional cigarettes, and 45.7% of them agreed that ‘e-cigarettes can prevent smoking traditional cigarettes. The prevalence of e-cigarettes use was 16.2% among males and 12.8% among females, which showed no significant difference between the two genders. Females were more likely to use e-cigarettes because they “don’t smell” (P-value=0.023). The study showed a significant association between e-cigarette use and knowledge items (P-value < 0.05) and having a smoker among siblings or friends. At the multivariate analysis level, only the friends’ effect remained significant after controlling for the other variables (OR= 7.3, P-value=0.000). Conclusion: Our research found that university students have inadequate knowledge and misconceptions in regards to e-cigarettes use, especially among users. Effective smoking prevention policy and educational interventions are needed to enhance awareness among university students about the health effects associated with e-cigarettes use.


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Rafika Oktova ◽  
Desmiwarti Desmiwarti ◽  
Arni Amir

AbstrakDepo Medroksiprogesteron Asetat dan Implant Levonorgestrel merupakan kontrasepsi hormonal progestin sintetik yang memiliki efek samping yaitu peningkatan berat badan dan mempengaruhi metabolisme lipid. Tujuan penelitian ini adalah untuk mengetahui perbedaan profil lipid pada akseptor Depo Medroksiprogesteron Asetat dengan Implant Levonorgestrel. Ini adalah studi observasional dengan desain cross sectional comparative. Penelitian dilakukan di laboratorium Bagian Biokimia Fakultas Universitas Andalas dari Maret sampai Mei 2014. Subjek penelitian terdiri dari dua kelompok, masing-masing 20 subjek. Pemeriksaan dengan metode enzimatis kolorimetri yaitu GPO-PAP untuk trigliserida, dan CHOD-PAP untuk kolesterol total, HDL dan LDL. Data dianalisis menggunakan uji t dengan nilai p<0.05 dianggap bermakna secara statistik. Rerata kadar LDL pada Depo Medroksiprogesteron Asetat lebih tinggi (95,51 ± 20,47) mg/dl daripada Implant Levonorgestrel (79,35 ± 12,55) mg/dl dengan nilai p<0,05 artinya terdapat perbedaan yang bermakna sedangkan kadar trigliserida, kolesterol total dan HDL tidak bermakna. Kesimpulan penelitian in adalah terdapat perbedaan yang bermakna rerata kadar LDL pada Depo MedroksiprogesteronAsetat dan Implant Levonorgestrel, sedangkan kadar trigliserida, kolesterol total dan HDL tidak bermakna. Secara klinis profil lipid pada kedua kelompok dalam keadaan normal.Kata kunci: profil lipid, depo medroksiprogesteron asetat, implant levonorgestrelAbstractDepo Medroxyprogesterone Acetate and Levonorgestrel Implants are synthetic progestine hormonal contraceptives that have side effect in body weight and lipid metabolism. The objective of this study was to determine the differences of lipid profile between acceptors Depo Medroxyprogesterone Acetate and Levonorgestrel Implants. This was a comparative cross sectional study. The study was done at laboratory of Biochemistry Departement in Medical Faculty of Andalas University from March until May 2014. The subjects were consisted of two groups, each group had 20 subjects. The examination used an enzymatic colorimetric method GPO-PAP for trygliserides and CHOD-PAP for total cholesterol, HDL and LDL. Data was analyzed using analysis of t-test with p<0.05 was considered to be significantly different. LDL levels average in Depo Medroxyprogesterone Acetate was (95,51 ± 20,47) mg/dl and Levonorgestrel Implants was (79,35 ± 12,55) mg/dl with p-value, it means there is a significantly difference, but levels of trygliserides, total cholesterol and HDL means there is no significantly difference. This research concluded that there is a significant difference on average levels of LDL in the Depo Medroxyprogesterone Acetate and Levonorgestrel Implants but levels of trygliserides, total cholesterol and HDL there is no significantly difference. The clinically lipid profile in the two groups is in normal range.Keywords: lipid profile, depo medroxyprogesterone acetate and levonorgestrel implants


2019 ◽  
Vol 4 (1) ◽  
pp. 26-32
Author(s):  
Sri Sumarni

Imunisasi adalah suatu usaha memasukkan vaksin ke dalam tubuh yang akan  membuat zat anti dengan tujuan mencegah terhadap penyakit tertentu, imunisasi kadang di takutkan oleh ibu karena evek samping yang terjadi setelah di berikan imunisasi sehingga ibu cemas, penyebab kecemasan ibu di karenakan pemberitaan miring tentang efek samping imunisasi. Penelitian ini bertujuan untuk mengetahui hubungan kecemasan ibu dengan pemberian imunisasi dasar lengkap pada bayi usia 0-12 bulan di Desa Banjar Barat Kecamatan Gapura. Jenis penelitian ini merupakan analitik korelasional cross sectional study. Populasi dalam penelitian ini adalah semua ibu yang memiliki bayi usia 0-12 bulan sebanyak 35 ibu. Tehnik pengambilan sampel pada penelitian adalah Total Sampling. Sampel dalam penelitian ini adalah semua ibu yang memiliki bayi usia 0-12 bulan sebanyak 35 ibu. Pengumpulan data menggunakan kuesioner HARS (Hamilton Anxiety Rating Scale) dan observasi buku KIA. Analisa data yang digunakan adalah uji korelasi spearman dengan nilai signifikansi p = 0,05. Hasil penelitian didapatkan bahwa sebagian besar ibu mengalami kecemasan ringan sebanyak 22 ibu (62,9%), dan sebagian besar ibu memberikan imunisasi dasar yang tidak lengkap sebanyak 19 orang (54,3%). Hasil uji statistik diperoleh P value < α (0,000 < 0,05) dan tingkat kepercayaan 95%. Kekuatan korelasi adalah r sebesar 0,732 yang berarti ada hubungan yang signifikan antara kecemasan ibu dengan pemberian imunisasi dasar lengkap pada bayi usia 0-12 bulan di Desa Banjar Barat kecamatan Gapura. Sehingga kepada para ibu yang memiliki bayi usia 0-12 bulan perlu adanya ikut serta jika ada penyuluhan kesehatan mengenai imunisasi dasar lengkap dan banyak bertanya sebelum di lakukan pemberian imunisasi pada bayinya.


Thrita ◽  
2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Fatemeh Mousavi ◽  
Parisa Shojaei ◽  
Azadeh Nazemi ◽  
Atefe Dadashi

Objectives: This research has been conducted to study antibiotic self-medication, prevalence, and reasons. Methods: A questionnaire containing 30 comprehensive questions in terms of the experience of antibiotic self-medication was prepared. In this cross-sectional study, data were analyzed using analytical statistics bases on chi-square and logistic regression. Results: The results showed that 61.3% of the participants were self-antibiotic users. There was a significant difference only between gender and self-medication such that self-medication in males was more than females (P value = 0.027). Conclusions: Self-medication of antibiotics is almost high and requires more information about the side effects of these drugs in order to promote rational and physically prescribed use.


2021 ◽  
Vol 71 (5) ◽  
pp. 1582-84
Author(s):  
Hassam Anjum Mir ◽  
Mubashir Sharif ◽  
Ali Asif ◽  
Maleeha Shamim ◽  
Maaz Qureshi ◽  
...  

Objective: To determine if the traditional chewing stick Miswak was as effective in cleaning teeth as Toothbrush. Study Design: Cross sectional study. Place and Duration of Study: Armed Forces Institute of Dentistry, Rawalpindi, from Aug 2020 to Jan 2021. Methodology: A total of 300 subjects were included which were divided in two groups on the basis of whether they used miswak or toothbrush as a cleaning aid. Group A was toothbrush users and group B was Miswak user. Plaque Index was used to determine the cleanliness of teeth. The scores were recorded and data analyzed using SPSS-23. Results: The means and standard deviations of Plaque Index score for group A and B were 0.96 ± 0.58 and 0.98 ± 0.56 respectively. The comparison of Plaque Index score for both groups was insignificant with the p-value of 0.083. Conclusion: Within the limitations of this study, it is concluded that, no significant difference was found in the effectiveness of traditional miswak and tooth brush. It is recommended that if the technique of teeth cleaning is good then any of the abovementioned means of teeth cleaning can be used.


Author(s):  
Prakash B. ◽  
Pradeep T. S. ◽  
Praveen Kulkarni ◽  
M. R. Narayana Murthy

Background: One of the features of modern life is ever increasing stress. Stress is an epidemic in the 21st century that commonly affects all of us on a daily basis. Adolescence can be a stressful time as this age group people are dealing with the challenges of puberty, changing expectations and coping with new feelings. Coping is the process of managing demands (external or internal) that are appraised as taxing or exceeding the resources of the person. Coping consists of efforts, both action-oriented and intrapsychic. The relationship between coping and a stressful event represents a dynamic process. With this background study was conducted to assess the coping ability of tribal, rural and urban school children of Mysuru District. Methods: A community based cross-sectional study conducted in Tribal, rural and urban Mysuru.A Pre tested semi-structured proforma which included general profile and socio-demographic profile of student was used. Information about coping skills was collected through Tobin Coping Strategies Inventory 32 item scale. Statistical analysis: Descriptive statistics like mean and standard deviation were applied. Anova test for comparison of means between three groups. Independent t test was applied for comparison between two groups. The association was expressed statistically significant at p-value less than 0.05. Results: In regards to problem solving, cognitive restructuring, expressing emotions, social contact, wishful thinking, social withdrawal, self-criticism there was a significant difference among 3 groups with p-value <0.05, with regards to problem focused engagement and emotion focused engagement there was a significant difference among 3 groups with p-value< 0.05 with tribal high school participants having higher scores and with regards to engagement there was a significant difference among 3 groups with p-value <0.05 with tribal high school participants having higher scores.Conclusions: The present study was a community based cross sectional study conducted among tribal, rural and urban high school students of Mysuru district aged 14-16 years which revealed tribal school participants had better coping strategy next to urban. Males differed from females with respect to their coping strategies especially in rural and urban participants.


2017 ◽  
Vol 4 (6) ◽  
pp. 2205
Author(s):  
Madhivanan S. ◽  
Harikrishnan E. ◽  
Kumarasamy K.

Background: Blood pressure measurements in childhood are an important clinical examination. Present study was done to evaluate the normal range of blood pressure (BP) in children aged 6-12 years and to find its relationship with regard to age, sex, height and weight criteria and comparing the values with the available standards.Methods: This prospective cross-sectional study was done in primary and middle schools of Chennai from January 2016 to May 2017. Three readings of blood pressure were recorded for each subject and were correlated with age, gender, socioeconomic status and anthropometry. Data was analysed on SPSS 20.0. P value of <0.05 was considered significantResults: A total of 2002 children (1026 boys, 976 girls) of age between 6-12 years were examined over 18 months. There was an upward trend in both systolic (r = 0.437, P<0.001) and diastolic BP (r = 0.386, P <0.001) with age. There was no statistically significant difference in mean systolic and diastolic BP with gender (P = 0.10), weight (P = 0.10) and height (P = 0.10). There was a statistically significant difference between the mean systolic and diastolic BP between low and high socio-economic groups (P <0.0001). The proportion of children with hypertension was 9.54% with a slight female preponderance.Conclusions: Blood pressure measurement in children is pivotal in clinical examination. It shows a linear relationship with age and varies across socio-economic status. Periodic recording of BP would enable identify hypertension at an early age.


2016 ◽  
Vol 17 (6) ◽  
pp. 440-444 ◽  
Author(s):  
Abdullah G Amran ◽  
Noor Al-Huda M Al-Rafik

ABSTRACT Introduction Epidemiological data on gingivitis in children are important for understanding the natural course of the disease, identifying its risk factors, and predicting its time trends. The objective of this study was to evaluate the prevalence and severity of gingivitis among 6- and 12-year-old school children in Dhamar city, Yemen. Materials and methods A total of 663 children (310 children of 6 years old and 353 children of 12 years old) were examined from 10 public primary schools. Gingival health status was assessed using the plaque index (PI), calculus index (CI), and gingival index (GI) on the six Ramfjord teeth. The latter index was used to categorize gingivitis severity at the subject level. Data were analyzed using independent t-test, chi-squared test, and Spearman's correlation. A p-value of < 0.05 was considered significant. Results Both age groups had high mean of PI and GI with nonsignificant difference. The 12-year-old children had calculus deposits much higher than the 6-year-old group with significant difference. There was a significant correlation between age and gender of the whole sample with CI [(odds ratio, OR = 1.65, p = 0.003) and (OR = 0.74, p = 0.05) respectively]. Most of the participants presented with gingival inflammation, which was less in 12-year-old females. Conclusion Poor oral hygiene and mild gingivitis were highly prevalent among Yemeni school children. Clinical significance The early assessment and intervention of gingivitis and periodontitis will minimize the chance of tooth loss. It has been reported that marginal gingivitis begins early in childhood, increases in prevalence and severity at puberty, and then subsides slightly to the remainder of the second decade of life. How to cite this article Amran AG, Alhajj MN, Al-Rafik NA-HM. Evaluation of Gingival Health Status among 6- and 12-years-old Children in Dhamar City, Yemen: A Cross-sectional Study. J Contemp Dent Pract 2016;17(6):440-444.


Author(s):  
AT. Lopa ◽  
B. Rusli ◽  
M. Arif ◽  
Hardjoeno Hardjoeno

Hepatitis is a inflammation process which may present in an acute or chronic phase. A decrease of serum albumin level may befound in liver disease. Ratio de Ritis in mild hepatitis is < 1 while in alcoholic hepatitis is >1. To analyze serum albumin level withratio de Ritis in hepatitis B patients. A cross sectional study was carried out comprising 46 subjects from October 2005 to August 2006measuring albumin level SGOT and SGPT levels using Lyasis autoanalyzer. Thirty eight males and eight females, the level of serumalbumin decreased with an average of albumin level 2.98 gr/dL (p<0.05). Twenty two subjects showed a ratio de Ritis ≤ 1 with theaverage albumin level 3.00 gr/dL and 24 subjects were included in group ratio de Ritis > 1 with average albumin level 2.96 gr/dL(p value = 0.658). There was a decrease of serum albumin level in hepatitis B patient but no significant difference between decrease ofserum albumin level with ratio of de Ritis ≤ 1 and ratio of de Ritis >1.


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