Prevalence of tumours of the maxillomandibular complex diagnosed in a reference center in Brazil

Tumors of the maxillomandibular complex are a heterogeneous group of lesions with a wide spectrum of clinical and histopathological characteristics. Aim: To evaluate the prevalence of odontogenic and non-odontogenic tumors associated with maxillary bones in a Reference Center for Oral Lesions. Methods: A cross-sectional study based on the medical records of a Reference Center for Oral Lesions at the State University of Feira de Santana, from 2006 to 2018. The data was initially analyzed in a descriptive manner. For bivariate analysis, Pearson’s chi-square test was applied. The level of significance was set at 5%, where p≤ 0.05 is considered significant. Results: The prevalence of tumors was 2.27%. The average age of the individuals was 22.2 (± 15.1) years, the majority being up to 39 years (79.59%) and female (69.40%). A statistically significant difference was observed in relation to age (p = 0.00), as well as regarding the location of tumors in the anterior or posterior region (p = 0.02). Odontogenic tumors were benign, with odontoma being most frequent (46.90%), followed by ameloblastoma (16.30%). As for the non-odontogenic, neurofibroma (4.10%) and osteoma (4.10%) were the most common across the benign, while osteosarcoma accounted for 6.10% of cases. Conclusion: Odontogenic tumors were the most frequent in women, with age up to 39 years, odontoma being most common in the posterior region of the mandible. Among nonodontogenic tumors, central neurofibroma and osteoma were the most common. Osteosarcoma was more frequent in men over 40 years old and in the mandible region.

Download Full-text

Personal Audio System: Hearing Symptoms, Habits, and Sound Pressure Levels Measured in Real Ear and a Manikin

Journal of Speech Language and Hearing Research ◽

10.1044/2020_jslhr-19-00053 ◽

2020 ◽

Vol 63 (6) ◽

pp. 2016-2026

Author(s):

Tamara R. Almeida ◽

Clayton H. Rocha ◽

Camila M. Rabelo ◽

Raquel F. Gomes ◽

Ivone F. Neves-Lobo ◽

...

Keyword(s):

Sound Pressure ◽

Daily Basis ◽

Cross Sectional Study ◽

Normal Hearing ◽

Chi Square ◽

Cross Sectional ◽

The Real ◽

Significant Difference ◽

Sound Pressure Levels ◽

Audio System

Purpose The aims of this study were to characterize hearing symptoms, habits, and sound pressure levels (SPLs) of personal audio system (PAS) used by young adults; estimate the risk of developing hearing loss and assess whether instructions given to users led to behavioral changes; and propose recommendations for PAS users. Method A cross-sectional study was performed in 50 subjects with normal hearing. Procedures included questionnaire and measurement of PAS SPLs (real ear and manikin) through the users' own headphones and devices while they listened to four songs. After 1 year, 30 subjects answered questions about their usage habits. For the statistical analysis, one-way analysis of variance, Tukey's post hoc test, Lin and Spearman coefficients, the chi-square test, and logistic regression were used. Results Most subjects listened to music every day, usually in noisy environments. Sixty percent of the subjects reported hearing symptoms after using a PAS. Substantial variability in the equivalent music listening level (Leq) was noted ( M = 84.7 dBA; min = 65.1 dBA, max = 97.5 dBA). A significant difference was found only in the 4-kHz band when comparing the real-ear and manikin techniques. Based on the Leq, 38% of the individuals exceeded the maximum daily time allowance. Comparison of the subjects according to the maximum allowed daily exposure time revealed a higher number of hearing complaints from people with greater exposure. After 1 year, 43% of the subjects reduced their usage time, and 70% reduced the volume. A volume not exceeding 80% was recommended, and at this volume, the maximum usage time should be 160 min. Conclusions The habit of listening to music at high intensities on a daily basis seems to cause hearing symptoms, even in individuals with normal hearing. The real-ear and manikin techniques produced similar results. Providing instructions on this topic combined with measuring PAS SPLs may be an appropriate strategy for raising the awareness of people who are at risk. Supplemental Material https://doi.org/10.23641/asha.12431435

Download Full-text

Faktor Yang Berhubungan Dengan Kinerja Tenaga Kesehatan Di Rawat INAP RSUD Batusangkar

Jurnal Endurance ◽

10.22216/jen.v3i3.3005 ◽

2018 ◽

Vol 3 (3) ◽

pp. 440

Author(s):

Sri Handayani ◽

Puteri Fannya ◽

Putri Nazofah

Keyword(s):

Health Personnel ◽

Poor Performance ◽

Cross Sectional Study ◽

The Philippines ◽

Bivariate Analysis ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Master Level

Based on data from the Indonesia Ministry of Health in 2015, In Indonesia, new professional nurses were just 2% of the total nurses. This figure was much lower than the Philippines which has reached 40% with bachelor and master level as their education. The purpose of this study was to determine the relationship between age, and leadership with the performance of health personnel. The design of this research was analytical research with Cross Sectional Study. The population in this study was all nurses and doctors who served in the internal room, children, surgery and midwifery. Sampling using total sampling by questionnaires. The data was processed by univariate and bivariate analysis using Chi-square test. The result showed that 57,8% nurses had poor performance, 56,3% doctors had poor performance, 64,4% nurses had average age 26-35 years, 56,2% doctors had average age 36-45 years, 64.4% nurses have poor leadership, and 50.0% of doctors have less good leadership. There is a relationship between age and leadership with the performance of health personnel. Berdasarkan data kemenkes RI tahun 2015 jumlah tenaga kesehatan terbanyak yaitu perawat sebanyak 147.264 orang (45,65%). Di Indonesia, perawat profesional baru mencapai 2% dari total perawat yang ada. Angka ini jauh lebih rendah dibandingkan dengan Filipina yang sudah mencapai 40% dengan pendidikan strata satu dan dua. Tujuan penelitian ini untuk mengetahui hubungan antara umur, kepemimpinan dengan kinerja tenaga kesehatan. Jenis penelitian yang digunakan adalah desain penelitian analitik dengan Cross Sectional Study. Populasi pada penelitian ini adalah semua perawat dan dokter. Pengambilan sampel dengan menggunakan Total Sampling. Pengambilan data menggunakan kuesioner. Data diolah dengan analisis univariat menggunakan statistik deskriptif dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian didapatkan 57,8% perawat memiliki kinerja kurang baik, 56,3% dokter memiliki kinerja kurang baik, 64,4% perawat memiliki umur rata-rata 26-35 tahun 64,4%, 56,2% dokter memiliki umur rata-rata 36-45 tahun, 64,4% perawat memiliki kepemimpinan kurang baik, 50,0% dokter memiliki kepemimpinan kurang baik. Terdapat hubungan antara umur dan kepemimpinan dengan kinerja tenaga kesehatan.

Download Full-text

Attitude towards online classes among school and college going students during lockdown due to COVID-19 pandemic

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20212600 ◽

2021 ◽

Vol 8 (7) ◽

pp. 3446

Author(s):

Saurav Kumar ◽

Shiv Prakash ◽

Mona Srivastava

Keyword(s):

Family Income ◽

Cross Sectional Study ◽

Categorical Variables ◽

Online Classes ◽

Online Questionnaire ◽

Chi Square ◽

Cross Sectional ◽

Academic Level ◽

College Going ◽

Significant Difference

Background: The aim of the study was to assess the attitude of the school and college-going students towards online classes. Methods: An online cross-sectional study was conducted on 228 school and college-going students fulfilling inclusion and exclusion criteria selected through purposive sampling methods. A semi-structured online questionnaire consisting of a socio-demographic questionnaire and Attitude towards online classes (ATOC) questionnaire was prepared by the researcher using Google form. The link of the questionnaire was sent to all the selected respondents through WhatsApp messages and emails. The data was analyzed using the IBM SPSS version 20 software. The reliability of the attitude questionnaire was assessed using Cronbach’s alpha test. The association between categorical variables was assessed using Chi-square tests. The comparison between variables was assessed using the students independent t-test.Results: More than half of the respondents (51.32%) were found with a positive attitude towards online classes. There was a significant association found between attitude towards online classes and socio-demographic variables such as age (p<0.05), academic level (p<0.05), and family income (p<0.01). The respondents who attended online classes (p<0.05), have technical knowledge (p<0.01), and got supported by their parents in the study (p<0.05) were found significantly high positive attitudes towards online classes. There was a significant difference found in the attitude of the respondents who faced psychological disturbances such as a decline in attention-concentration (p<0.05), irritation-anger (p<0.01), and tension (p<0.05) due to online classes.Conclusions: Although, online classes are more beneficial for the students and teachers in their academic activities during the lockdown period due to the COVID-19 pandemic but it can’t take place of traditional face-to-face classes.

Download Full-text

Is there an association between skeletal asymmetry and tooth absence?

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.21.4.073-079.oar ◽

2016 ◽

Vol 21 (4) ◽

pp. 73-79 ◽

Cited By ~ 3

Author(s):

Guilherme Thiesen ◽

Bruno Frazão Gribel ◽

Keila Cristina Rausch Pereira ◽

Maria Perpetua Mota Freitas

Keyword(s):

Cross Sectional Study ◽

Midsagittal Plane ◽

Chi Square ◽

Cross Sectional ◽

Posterior Teeth ◽

Significance Level ◽

Posterior Tooth ◽

Mandibular Asymmetry ◽

Significant Difference ◽

Skeletal Asymmetry

ABSTRACT Introduction: Facial skeletal asymmetry is commonly found in humans and its main characteristic is menton deviation. The literature suggests that occlusal and masticatory problems arising from tooth absence could be related to the development of such asymmetries. Objective: The aim of this cross-sectional study was to estimate the prevalence of mandibular skeletal asymmetries and to investigate its association with posterior tooth absences. Methods: Tomographic images of 952 individuals aged from 18 to 75 years old were used. Asymmetry was the analyzed outcome, and it was categorized into three groups according to gnathion displacement in relation to the midsagittal plane (relative symmetry, moderate asymmetry, and severe asymmetry). Patients were sorted by the presence of all posterior teeth, unilateral posterior tooth absence, or bilateral posterior tooth absence. Chi-square test with a significance level of 5% was used to verify the association between posterior tooth absence and asymmetry. Results: Results show relative symmetry present in 55.3% of the sample, as well as the prevalence of 27.3% for moderate mandibular asymmetry and 17.4% for severe asymmetry. Moderate and severe mandibular asymmetries occurred in a higher proportion in patients with unilateral posterior tooth absence. However, there was no statistically significant difference between the analyzed groups (p = 0.691). Conclusions: In this study, mandibular asymmetries did not present any association with the absence of teeth on the posterior area of the arch.

Download Full-text

Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.160086 ◽

2017 ◽

Vol 20 (1) ◽

pp. 138-148 ◽

Cited By ~ 2

Author(s):

Natália Araujo de Almeida ◽

Annelita Almeida Oliveira Reiners ◽

Rosemeiry Capriata de Souza Azevedo ◽

Ageo Mário Cândido da Silva ◽

Joana Darc Chaves Cardoso ◽

...

Keyword(s):

The Elderly ◽

Cross Sectional Study ◽

Health Condition ◽

Bivariate Analysis ◽

Elderly Persons ◽

Chi Square ◽

Cross Sectional ◽

Mato Grosso ◽

Significance Level ◽

Factors Associated

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

Download Full-text

Denver Developmental Screening Test in two-year old infants delivered by vacuum extraction

Paediatrica Indonesiana ◽

10.14238/pi41.1.2001.27-32 ◽

2017 ◽

Vol 41 (1) ◽

pp. 27

Author(s):

Meriah Sembiring ◽

Iskandar Iskandar ◽

Amir Syarifuddin ◽

Bistok Saing

Keyword(s):

Physical Examination ◽

Screening Test ◽

Cross Sectional Study ◽

Developmental Screening ◽

Vacuum Extraction ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Developmental Retardation ◽

Significant Difference

The aim of this study was to determine the developmental retardation of infants of two years of age who were delivered by vacuum extraction. This cross-sectional study examined 44 infants delivered by vacuum extraction, comprising 25 males and 19 females who were born in Tembakau Deli and St. Elizabeth Hospitals, between August 1993 until February 1994. The examination included interview and physical examination in the patient's house. Chi-square statistics analysis was used with a significant level of 95% (1'=0.05). The results showed Ihat of the 44 infants delivered by vacuum extraction. 28 (32%) had had were found with mild asphyxia, while 2 infants (5%). whose mothers work as private clerk and entrepreneur, had development retardation. We concluded that there was no significant difference in development between infants delivered by vacuum extraction and those who were born spontaneously. Developmental retardation was found in infants whose mothers lack time to communicate.

Download Full-text

The influence of varying maxillary central incisor vertical dimension on perceived smile aesthetics

Journal of Orthodontics ◽

10.1177/1465312519839713 ◽

2019 ◽

Vol 46 (2) ◽

pp. 137-142

Author(s):

Elis Janaina Lira dos Santos ◽

Alana Moura Xavier Dantas ◽

Raíssa Marçal Vilela ◽

Karina Jerônimo Rodrigues Santiago de Lima ◽

Rejane Targino Soares Beltrão

Keyword(s):

Age Groups ◽

Educational Background ◽

Cross Sectional Study ◽

Central Incisor ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Maxillary Central Incisor ◽

Significant Difference ◽

Chi Square Test

Objective: To evaluate patient perception of the smile focused on analysis of the upper incisors. Design: Cross-sectional study. Setting: Department of Clinical and Social Dentistry at Federal University of Paraíba, João Pessoa, Brazil. Participants: The sample consisted of 135 individuals (73 women and 62 men). Methods: Images with different characteristics associated with the incisal edges were shown at random and analysed using a Likert scale. Data were analysed using the Chi-square test or Fisher’s exact test with a statistically significant difference ( P < 0.05). Results: Smile I (difference of 1.5 mm in relation to the central incisor and lateral) was considered the most aesthetic, while Smile III (no difference in height between the central and lateral incisors) was the least aesthetic. A significant difference was found between perception of smile II (difference of 1 mm in relation to the central incisor and lateral) and age groups ( P < 0.005), with 31% (n = 13) of individuals aged 45–64 years considering smile II as not pleasant, 4.4% (n = 2) aged 15–24 years and 8.3% (n=4) aged 25–44 years and 4.4% (n = 2) aged 15–24 years considering the same. A significant difference was also found in relation to educational background of the assessor and smile perception, with smile III ( P = 0.0441) and smile IV ( P = 0.0053) considered the most aesthetic ( P = 0.0116). Conclusion: The smile considered most attractive among the sample was that with 1.5 mm steepness between the central and lateral incisors, while a flat smile arc was considered least attractive.

Download Full-text

Oral Hygiene Practice And Perceived Oral Malodour Among Dental And Medical Undergraduate Students Of Bahria University Medical And Dental College

Journal of Bahria University Medical and Dental College ◽

10.51985/jbumdc2018057 ◽

2018 ◽

Vol 08 (04) ◽

pp. 221-225

Author(s):

Beenish Fatima Alam ◽

Hira Raza ◽

Shizma junejo ◽

Marium Azfar ◽

Tuba Saleem ◽

...

Keyword(s):

Medical Students ◽

Undergraduate Students ◽

Oral Hygiene ◽

Cross Sectional Study ◽

Dental Students ◽

Chi Square ◽

Cross Sectional ◽

Medical Undergraduate ◽

Significant Difference ◽

Medical Undergraduate Students

Objective: To determine the differences of self-perception of halitosis and oral hygiene practices among the medical and dental undergraduate students. Methodology: A cross-sectional study conducted over duration of 9 months amongst the medical and dental undergraduate students of Bahria University Medical and Dental College. The questionnaires were distributed to 298 students. Questionnaire employed for this study was adopted and modified from the study conducted by Khalid Almas et al. Descriptive statistics were checked by means of percentages and frequency for all variables. Chi-square test was applied to check significant difference among the responses given by the medical and dental undergraduate students. Results: The response rate for the survey was about 85%. 55% of dental and 17 % of medical students were able to smell their breath. About having examination by dentist about 73% of medical students agreed as compared to 53% of dental students. Both medical and dental students preferred having examination done by the dentist. For management of halitosis, dentist was preferred by 62% of the dental students, while 97% of the medical students did not agree. 62% of the dental students preferred using traditional medications, while 82% of the medical students preferred using self-medications for treatment. Conclusion: The results suggest that there is not a high level of agreement among dental and medical students concerning the detection and management of halitosis. Although large percent of the respondents claimed to be aware of dentistry, our findings revealed low level of knowledge and attitude to Dentistry by the medical undergraduate students. Efforts should be made towards closing this knowledge gap to attain effective oral health.

Download Full-text

Relationship between Number and Order of Children with Exclusive Breastfeeding Practices in Surakarta

Smart Society Empowerment Journal ◽

10.20961/ssej.v1i1.48533 ◽

2021 ◽

Vol 1 (1) ◽

pp. 7

Author(s):

Vivienne Tjung ◽

Husnia Auliyatul Umma ◽

Jarot Subandono

Keyword(s):

Exclusive Breastfeeding ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Chi Square ◽

Cross Sectional ◽

Number Of Children ◽

Breastfeeding Practices ◽

Analysis Technique ◽

The Relationship ◽

Breastfeeding Practice

Introduction: Exclusive breast milk is breastfeeding for six months to babies, without providing other foods and drinks. Breastfeeding for up to 6 months is recommended by various health organizations, including the Ministry of Health. In Indonesia, exclusive breastfeeding is still low, even though the benefits of breastfeeding are numerous. Various studies that have been conducted have shown different results regarding the relationship between the number and sequence of children with breastfeeding practices. This study aimed to determine the relationship between the number of children and the order of the children with the practice of exclusive breastfeeding in SurakartaMethods: This study was an analytic observational study with a cross-sectional study design. The research sample was determined by random sampling of mothers registered at the Penumping Health Center. The research sample consisted of 50 people who have children aged 1-5 years. Assessment of completeness of breastfeeding was measured using a questionnaire. Data were analyzed using bivariate analysis techniques using chi-square and multivariate logistic regression.Results and discussions: From 47 subjects studied with the bivariate analysis technique using the chi square between the number of children and the order of children with exclusive breastfeeding practice, the results were less significant, p = 0.724 and p = 0.401.Conclusion: There was no significant relationship between the number of children and the order of children with the practice of exclusive breastfeeding in Surakarta.Keywords: Exclusive breastfeeding, number of children, order of children.

Download Full-text

Assessment of role of mandibular third molar in lower anterior crowding among orthodontic patients of Kathmandu Nepal

Orthodontic Journal of Nepal ◽

10.3126/ojn.v10i3.35486 ◽

2020 ◽

Vol 10 (3) ◽

pp. 21-26

Author(s):

Bashu Dev Pant ◽

Anjana Rajbhandari ◽

Resina Pradhan ◽

Manju Bajracharya ◽

Surendra Maharjan ◽

...

Keyword(s):

Third Molar ◽

Cross Sectional Study ◽

Third Molars ◽

Chi Square ◽

Cross Sectional ◽

Anterior Crowding ◽

Mandibular Third Molar ◽

Significant Difference ◽

Orthodontic Patients

Introduction: Crowding in mandibular arch increases with increasing age and etiology of crowding is multifactorial in nature. Role of mandibular third molar in lower anterior crowding remains a topic of controvery over a period of century. The objective of this study was to assess whether there is any correlation between presence of mandibular third molar position and lower anterior crowding. Materials and Method: On the basis of third molar position one hundred and six sample of pretreatment orthodontic patients aged between 17 to 38 years were divided into erupted, erupting and agenesis group. The study was conducted in Peoples Dental College and Hospital from January 2020 to March 2020 after obtaining ethical approval from the institutional review committee. This cross-sectional study was done on dental casts and orthopantomogram; brass wire was used for measuring arch length and digital vernier caliper for measuring tooth material with modified segmental arch analysis method. Result: Among 106 samples collected 55 (51.88%) were female and 51(48.11%) were male and the mean age was 21.53 ± 3.91 years, Chi square and ANOVA test was used for Statistical analysis. This study showed no statistically significant differences between third molar position and lower anterior crowding on right (P= 0.68) and left side (P = 0.45). The study also showed that association between the third molar position and lower anterior crowding is more on left side compared to right side. Conclusion: Mandibular third molars have not statistically significant difference in lower anterior crowding so, extraction of third molars for relieving the anterior crowding is not justifiable

Download Full-text