scholarly journals Opieka stomatologiczna oraz problemy zdrowia jamy ustnej u pacjentów w Ośrodku Rehabilitacji i Leczenia Trądu w Puri (Indie) - doświadczenia własne*

2010 ◽  
pp. 151-156
Author(s):  
KAROLINA GERRETH

Most people in developing countries have little or no access to organized oral health care or to basic emergency dental treatment. The main reasons are lack of dentists and poor socio-economic status. Particularly access to dental health is characteristic of isolated groups such as, e.g., lepers’ colonies. The author presents her own observations gathered during two medical missions organized by the Redemptoris Missio Humanitarian Aid Foundation to the Karunalaya Leprosy Care Center in Puri, in 2001 and 2003. The paper describes the problems resulting from health status, methods of dental treatment and ways of teeth cleaning. The author’s experience shows that even if dental aid is rendered at irregular intervals it allows to treat successfully a relatively high number of patients. The poor appreciate any dental help, which, in turn, encourages the dentist to continue his/her efforts in the future.

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Guy Tobias

Background: First infections of COVID-19 pandemic occurred in December 2019 in China and then spread rapidly all over the world. In February 2020, the first Corona case was diagnosed in Israel, since then, three national lockdowns have been imposed. Israeli Ministry of health published guidelines for dental treatment during times of social distancing which include: 1) Questioning patients prior to admittance. 2) Increasing intervals between appointments. 3) Restricting number of people permitted in the waiting room to prevent crowds. 4) Wearing masks at all times. 5) Wearing long sleeve waterproof surgical gowns, goggles / face shield. Methods: Data from 54 dental clinics (MaccabiDent health maintenance organization) were collected between March and October 2020 regarding: 1) Number of treatments performed. 2) Number of health care providers participating in the procedures. 3) Number of patients with positive COVID-19 results. 4) Number of healthcare workers positive for COVID-19. 5) Number of paramedical and administrative staff positive for COVID-19. 6) Number of patients treated by dentists who later turned out to be infected by the virus. Results: 1,079 dentists and 354 dental hygienists worked during the study period, and performed 1.29 million procedures of these, seventy eight dentists treated 99 verified COVID-19 patients. 17 dentists (1.58%) tested positive for the virus. Conclusion: By following guidelines, the risk of transmission of coronavirus is minimal in the dental setting. Practical Implications: This article reinforces the evidence regarding the importance of education and following guidelines regarding infection control for dental professionals employed in public clinics.


Author(s):  
Lirim Mustafa ◽  
Hilmi Islami ◽  
Ivana Sutej

Abstract Objective Antibiotics misuse and a high level of antibiotics resistance is observed worldwide, but particularly in developing countries. Kosovo in the last decade is facing challenges regarding antimicrobial resistance. The purpose of the present study was to investigate patterns of antibiotics prescriptions of dentists in Kosovo's major dental clinics. Materials and Methods For Kosovo's prescribing pattern, data collection was obtained from 10 Regional Dental Clinics and a Tertiary Health Center regarding patients who were prescribed antibiotics in the years 2015 to 2019. Data analysis was performed by using descriptive statistics and was processed by using MS Excel. Results Most prescribed antibiotic during the observed period from 2015 to 2019 in Kosovo was amoxicillin, although a drastic increase of amoxicillin with clavulanic acid—as a broad-spectrum antibiotic—is observed. The trend of antibiotics use in tertiary health institutions is in an overall decrease in Kosovo with an exception in the year 2017. Despite this overall decrease, inconsistency in prescribing is observed when the pattern is analyzed for each region separately. The highest number of patients in health care dental clinics received antibiotics for maxilla-related health conditions and the lowest number of them for oncologic ones. Conclusion The patterns of antibiotics prescriptions by dental practitioners in Kosovo during the years 2015 to 2019 are fluctuating. Compared with the global health care standards, the irrational use of antibiotics in dental health care clinics in Kosovo still exist and this issue should be further addressed by respective actors.


2021 ◽  
pp. 263183182110323
Author(s):  
Aditya Prakash Sharma ◽  
Japleen Kaur ◽  
Ravimohan S. Mavuduru ◽  
Shrawan K. Singh

Sexual health-care seeking behavior and practices have been affected during COVID-19 pandemic. The impact of COVID-19 on this subspecialty is far reaching. This study aimed to assess the impact of COVID-19 on health-care seeking practice pertaining to sexual health in men in our tertiary care center and review the relevant literature regarding impact of COVID-19 on sexual health seeking practice and challenges faced. Outpatient data was analyzed from January 2019 to April 2021. Patients awaiting surgical procedures due to COVID were documented. A narrative synthesis of literature based on systematic search using the keywords sexual health, sexual health seeking, sexual health practice, andrology, and COVID with operators “AND” and “OR” was carried out in three search engines PubMed, Scopus, and Embase. The study outcomes were obtained by comparing data of outpatient attendance and compiling the reviewed literature. The mean attendance fell significantly from 95.11±11.17 to 17.25±13.70 persons (P <.0001) per outpatient clinic, March 2020 being the reference point. Teleconsultation has taken over physical consultation. In 98/949 cases, teleconsult could not be provided despite registration. Over 25 patients were waiting for surgical procedures pertaining to andrology due to shut down of elective services. Similar trends have been reported from other countries. Number of patients seeking consultation for sexual health problems has dramatically decreased during COVID-19 era. Establishment of data safe teleconsultation facility and its widespread advertisement is needed to encourage patients to seek consult.


2011 ◽  
Vol 22 (5) ◽  
pp. 620-624 ◽  
Author(s):  
Csilla Nagy ◽  
Attila Juhász ◽  
Linda Beale ◽  
Anna Páldy

Author(s):  
Madharam Bishnoi ◽  
Tabish Tahir Kirmani ◽  
Najmul Huda ◽  
Gaurav Chahal ◽  
Sandeep Bishnoi

<p class="abstract"><strong>Background:</strong> Hip fractures are a leading cause of morbidity and mortality in the elderly population posing significant burden on health care resources. The purpose of this study is to determine the epidemiological analysis of hip fractures at a tertiary care center.</p><p class="abstract"><strong>Methods:</strong> This was a retrospective study done on patients with hip fractures admitted during the period 2015-2017 in Moradabad district of Uttar Pradesh. Case files and radiographs of patients were reviewed for age, gender, nature of trauma, associated comorbidities, type of fracture and presence of osteoporosis.<strong></strong></p><p class="abstract"><strong>Results:</strong> During the 2015-2017 period, 2214 patients with hip fractures were admitted, out of which 1180 were males and rest females. The mean age of patients was 56.8 years with 41.6% belonging to age group 60-75 years. In elderly patients, a low energy simple fall accounted for &gt;85% of fractures with presence of significant osteoporosis (Singh’s index grade 3). The in hospital mortality was 2.1%. Hip fracture characteristics included intertrochanteric 57.81%, femoral neck 30.26% and sub trochanteric 11.93%. Smoking and medical comorbidities were present in a significant number of patients.</p><p class="abstract"><strong>Conclusions:</strong> With increased longevity, hip fractures are an increasing health care problem. Various preventive measures for osteoporosis and falls will decline the prevalence of these fractures.</p>


Patan Pragya ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 1-10
Author(s):  
Dipak Bahadur Adhikari

The focus of this paper is to analyze the role of micro-finance in socio-economic development of Kathmandu. Microfinance is a simple but effective credit tool that enables the most poor to pull themselves out of poverty. The socio-economic status of loanees has improved consequently than when they started small business with loan in the earlier days. Moreover, it was found that their socio-economic status was higher than that of non-loanees. Microcredit is an effective tool for raising the socio-economic status of the poor people, particularly the women.


1987 ◽  
Vol 7 (1) ◽  
pp. 1-18 ◽  
Author(s):  
V. A. Braithwaite ◽  
D. M. Gibson

ABSTRACTDifficulty in adjusting to retirement has consistently emerged as a problem for approximately a third of retirees. A body of research has converged on a description of the poor adjuster as one in poor health, with inadequate income, a negative pre-retirement attitude, but with an increased likelihood of adaptation over time. Findings relating to other factors such as socio-economic status, occupation, activity, career fulfilment, job satisfaction and work commitment are far less conclusive, with interpretation hampered by a failure to control for the more well established correlates of retirement adjustment. This paper reviews the empirical work in this field, evaluates the goal hierarchy model and the political economy of old age literature as bases for explaining differences in retirement adjustment, and proposes a theoretical framework for future research which brings these two perspectives together.


2015 ◽  
Vol 25 (1) ◽  
pp. 66-71
Author(s):  
Rūta Žaliūnienė ◽  
Jolanta Aleksejūnienė ◽  
Vilma Brukienė ◽  
Vytautė Pečiulienė

Patients with haemophilia often face difficulties in accessing primary dental care: they are at increased risk of spontaneous gum bleeding and significant bleeding from invasive dental procedures. Other of the known barriers is lack of confidence in the ability of dentists to manage patients with haemophilia. The aim of this study was to examine the dental health and its determinants in Lithuanian children with haemophilia and to compare these findings to the general population. Materials and methods. Two study groups were formed: a group of cases, children with haemophilia aged between 4-17 years and a group of controls, randomly selected healthy subjects matched for gender, age and place of residense. The Quantitative Plaque Percent Index (P% index), caries related microflora, stimulated salivary flow rate and buffer capacity, dmf(t), DMF(t) scores were calculated and analyzed. Dietary habits, frequency of tooth brushing, educational and economic level of the parents and type of haemophilia were determined by a questionnaire. Results. Data were collected from 57 children among which 27 were children with haemophilia and 30 healthy controls. Children with haemophilia had lower overall caries experience and less unmet dental treatment needs in deciduous dentitions as compared to their healthy counterparts, but were no differences between the study groups in permanent dentitions. Higher bacteriological counts were found in controls than in study group. Healthy children were from higher socio-economic status families than children with haemophilia. Conclusions. Better dental health was observed in children with haemophilia in deciduos teeth as compared to healthy children. In permanent dentitions overall caries experience and unmet dental treatment needs did not differ between cases and controls.


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