scholarly journals General and Paediatric Dentists’ Knowledge, Attitude and Practices Regarding the use of Silver Diammine Fluoride for the Management of Dental Caries: A National Survey in the Netherlands

Author(s):  
Sofie C.H. Schroë ◽  
Clarissa C. Bonifacio ◽  
Josef J. Bruers ◽  
Nicola P. T. Innes ◽  
Daniela Hesse

Abstract Background: Silver Diammine Fluoride (SDF) is a topical medication used to arrest cavitated carious lesions non-invasively. The primary aim of this research was to investigate, and analyse the relationships between; knowledge, attitudes and practices (including barriers and facilitators) as they relate to SDF use for the management of dental caries by general dental practitioners (GDPs) and paediatric dentists (PDs) in the Netherlands. A secondary aim was to explore any differences between these groups.Methods: A sample of 600 Dutch GDPs (random selection from 9,777 registered) and all 57 registered PDs were invited to participate in this cross-sectional survey, consisting of four sections: 1) participant characteristics, 2) knowledge (through responses to summative questions), 3) attitudes (through agreements using 5-point Likert scale), and 4) practices, use, barriers and facilitators (through multiple choice questions). Results: Response rates were: GDPs 23% (n=140) and PDs 47% (n=27). Knowledge: out of 15 questions testing understanding of SDF, the mean correct answers were GDPs 6.7; SD 2.6 and PDs 7.4, SD 2.2 (no statistically significant differences). Mean overall attitude score showed positivity towards SDF use in both groups. Compared to GDPs, PDs were more likely to use SDF (p<0.001) and expected this to increase (p=0.03). The main barrier for users was parental acceptance (47%) and for non-users it was lack of knowledge (60%). The main facilitator for both users and non-users was gaining knowledge through courses and workshops, followed by written information leaflets about SDF for parents.Conclusions: Less than half knowledge questions about SDF were answered correctly. Despite low knowledge, attitude towards its use was positive. Practitioners believed that its use would be facilitated by professionals having more accessible information and training and by the availability of parent information leaflets. SDF was used more frequently by PDs than GDPs.

Author(s):  
Tanushri Dalvi ◽  
Shrivardhan Kalghatgi ◽  
Samruddhi Metha ◽  
Amol Karagir ◽  
Madhuri Sale ◽  
...  

Background: In the last few decades, information and communication technology in social media has brought tremendous changes in the whole business, educational and political system; Dentistry is not an exception. The rise of social media has transformed how health professionals interact with their patients and deliver different types of health care services. Aim: To assess the attitudes and practices related to social media usage among dental practitioners in Sangli-Miraj-Kupwad city. Methods: A self-designed questionnaire survey was conducted among all dental practitioners in Sangli-Miraj-Kupwad city, Maharashtra, India. The questionnaire consisted of first part with socio-demographic variables like age, gender, years of experience and area of expertise and second part to assess attitudes and practices towards social media usage. Results: Among total of 138 dental practitioners, majority (68.1%) were belonging to age of 36-44 years followed by those above 45 years of age (17.4%). Around 49.3% dental practitioners were practicing dentistry since less than 5 years. Gender wise comparison showed no significant difference between attitudes and practices for social media usage. Although significant difference was found for question 3, 6 and 11 for P < 0.05. Conclusion: There has been wide adoption of social media among dental practitioners and shows no significant difference with different genders for both attitudes and practices.


2022 ◽  
Vol 8 (1) ◽  
pp. 23-34
Author(s):  
Uğur Lokman ◽  
Aylin Akoğlu

The purpose of this study is to determine the food allergy knowledge, attitudes and practices of food handlers working in five-star hotel kitchens in Turkey and to explore the association between the obtained scores and handlers’ demographic and working characteristics. A cross-sectional survey involving 450 food handlers in the state of Istanbul, Ankara and Antalya, in Turkey, was conducted using a paper-based questionnaire. The total knowledge score of the participants was 11.89 ±2.22 (max 17), attitude score 60.63 ±10.34 (max 75) and practice score 55.60 ±8.01 (max 65). In the comparison based on demographic characteristics; the knowledge (12.10 ±2.15) and practice (56.33 ±5.91) scores of the food handlers who received food allergy training in the hotel they work were found to be significantly higher than those who did not receive food allergy training (p<0.05). Food allergy knowledge of food handlers was evaluated as "average", attitude as "positive", and practice as "low risk practice". The results obtained are expected to contribute to the development of food allergy policies, procedures, and the planning of the necessary trainings for reducing the risks of food allergies and preventing fatal allergic reactions.


Author(s):  
Tshokey Tshokey ◽  
Deepika Adhikari ◽  
Thinley Jamtsho ◽  
Kinley Wangdi

Introduction: Concerns about antibiotic resistances is increasing. Antibiotic misuses mostly result from inadequate knowledge impacting attitudes and practices. The literature on this subject is limited in Bhutan.  It is of immense importance to understand the gap and target interventions. Therefore, we assessed the knowledge, attitudes and practices (KAP) on antibiotics amongst Bhutanese university graduates in 2016. Methods: The survey was conducted through a self-administered online questionnaire after seeking consent. The questionnaire was developed by the investigators using past literature.   Results: Of the 2,229 invited graduates, only 220 (≈10%), 52.3% (115) males, completed the survey. Internet was the commonest source of information on antibiotics. Only 51% (113) showed good knowledge with a mean score of 15.5 (range 2-30). Penicillin, amoxicillin and cotrimoxazole were correctly identified as antibiotics by 63.6%, 78.7% and 21.4% but 11.4%, 35% and 31.8% misidentified atenolol, paracetamol and ibuprofen as antibiotics respectively. Side effects of antibiotics were poorly recognized. Fifty-four percent (119) showed good attitude score. About 39% (85), 35% (76) and 46% (101) misconceived that antibiotics would be required for common cold, all fevers and all small clean-cut wounds respectively. Almost 91% knew that antibiotic courses should be completed, 12% thought that antibiotics can be stopped when patients improve and 31.8% repeated antibiotics for similar illnesses. Although 76% knew that antibiotics shouldn’t be bought without a prescription, 28% were able to get them. About 44.1% revealed that the dispensing pharmacists did not explain adequately about antibiotics. Unfortunately, 43.6% suggested others to take antibiotics during illnesses and 60% used topical antibiotics. Conclusion: KAP on antibiotics amongst Bhutanese graduates was unsatisfactory except few good specific practices. Health authorities should educate public on antibiotics and other medicines.


Author(s):  
Gyandas G. Wadhwani ◽  
Anupriya Chaudhary ◽  
Aditi Chadha ◽  
Lovepreet Kaur ◽  
Khushbu Chaudhary ◽  
...  

Background: Delhi and NCR of India is densely populated with access to an integrated health care delivery system, with a promoted preventive homoeopathic medicine for flu like illnesses. To assess knowledge, attitudes and practices to this unanticipated situation and infectious disease pandemic of COVID-19 continues to be a global and public health challenge.Methods: A survey was conducted. An online cross-sectional survey was conducted in a sample of the residents of Delhi and NCR using a self-prepared pilot-tested structured format. The obtained data was analysed using descriptive and inferential statistics.Results: 925 people completed the survey with 55.5% of the study group being females. Mean knowledge score obtained was 7.57±1.41 while mean attitude score was 3.27±1.31. Majority of the respondents (86%) had an adequate knowledge about the disease in general and were optimistic about recovery from the disease. Gender had negligible impact on the average knowledge score, while the score differed significantly with education and occupation. In the absence of an available vaccine, 29.47% respondents considered prophylactic potential of homoeopathy.Conclusions: Results reveal adequate knowledge and practices in the educated residents but below average mean attitude score. Public has welcomed the governmental initiative of homoeopathic prophylactic, and their belief in its therapeutic potential furthers the studies to determine its role as an adjuvant. Further extensive cross-sectional surveys to cover various strata of population are required to assess the widespread pattern of KAP in the general population.


2020 ◽  
Vol 14 (1) ◽  
pp. 489-497
Author(s):  
Mona Rajeh

Background: The recent outbreak of the Corona Virus Disease (COVID-19) has affected millions of lives in different countries including the Kingdom of Saudi Arabia. Due to the characteristics of dental practice settings, there is a high risk of infection transmission between patients and dentists. Objectives: The aim of this study was to assess the level of public knowledge, attitude and practice regarding COVID-19 and infection control when visiting a dentist. Methods: In April 2020, a web-based cross-sectional survey was distributed randomly among the public through social media platforms. A validated anonymous questionnaire was used to assess knowledge about COVID-19 and participants’ attitudes toward extra measures to prevent the spread of infection. Results: Among the completed questionnaires (N=521), the mean age of the participants was 36.24 years, 68.3% were women, 87.5% held a university degree, and 81% were from the Makkah region. Most of the participants (99%) obtained a good knowledge score regarding COVID-19. Women were more likely than men to have more knowledge (p<0.05). Nearly all of the participants (99.6%) demonstrated good attitudes towards precautionary measures in dental clinics. Spearman’s rho test showed a statistically significant correlation between age and attitude score, suggesting that attitude score increased with age (p<0.05). Overall, 73.3% reported that they would maintain good hygiene practices when visiting a dentist during this pandemic. Conclusion: Most Saudi residents with a high education level are knowledgeable about COVID-19, hold promising attitudes, and have appropriate practices towards precautionary measures needed while visiting a dental clinic during the virus outbreak.


Author(s):  
Yousif Elmosaad ◽  
Ahmed Al Rajeh ◽  
Asif khan ◽  
Elfatih Malik ◽  
Ilias Mahmud

This study assessed the knowledge, attitudes, and practices (KAP) in malaria prevention using insecticide-treated bed nets (ITNs) among mothers of children under five years of age in White Nile State, Sudan. Multistage cluster sampling was used to select 761 mothers for this cross-sectional survey. There were gaps in the KAP in malaria prevention. Only 46.3% of the mothers stated personal protective measures (PPMs) as the best malaria prevention strategy; 54.9% considered ITNs as an effective means; and only 18.7% reported sleeping under an ITN every day. Older mothers were less likely to have good knowledge (OR=0.96), attitudes (OR=0.98) and practices (OR=0.98). Having a Government employee as the head of the household was positively associated with knowledge (OR=2.16) and attitudes (OR=1.96). The mother having a formal education was also positively associated with good knowledge (OR=1.55) and positive attitudes (OR=1.69). Mothers with a monthly household income of <491 Sudanese Pound were more likely to have good knowledge (OR=1.43). Mothers who had good knowledge (OR=4.99) and positive attitudes towards PPMs (OR=2.60) in malaria prevention were found to be more likely to practice preventive measures. Therefore, we recommend focusing on raising mothers’ awareness of the different preventive activities to protect them and their family from malaria.


2021 ◽  
Vol 11 (8) ◽  
pp. 105
Author(s):  
Kranthi Swaroop Koonisetty ◽  
Ubydul Haque ◽  
Rajesh Nandy ◽  
Nasrin Aghamohammadi ◽  
Tamanna Urmi ◽  
...  

Dengue fever is one of the most important viral infections transmitted by Aedes mosquitoes and a major cause of morbidity and mortality globally. Accurate identification of cases and treatment of dengue patients at the early stages can reduce medical complications and dengue mortality rate. This survey aims to determine the knowledge, attitude, and practices (KAP) among physicians in dengue diagnosis and treatment. This study was conducted among physicians in Turkey as one nonendemic country and Bangladesh, India, and Malaysia as three dengue-endemic countries. The dosing frequencies, maximum doses, and contraindications in dengue fever were examined. The results found that physicians from Bangladesh, India, and Malaysia have higher KAP scores in dengue diagnosis and treatment compared to physicians in Turkey. This may be due to a lack of physician’s exposure to a dengue patient as Turkey is considered a nonendemic country. This assessment may help establish a guideline for intervention strategies among physicians to have successful treatment outcomes and reduce dengue mortality.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ursula W. de Ruijter ◽  
Hester F. Lingsma ◽  
Willem A. Bax ◽  
Johan Legemaate

Abstract Background Healthcare rationing can be defined as withholding beneficial care for cost reasons. One form in particular, hidden bedside rationing, is problematic because it may result in conflicting loyalties for physicians, unfair inequality among patients and illegitimate distribution of resources. Our aim is to establish whether bedside rationing occurs in the Netherlands, whether it qualifies as hidden and what physician characteristics are associated with its practice. Methods Cross-sectional online questionnaire on knowledge of -, experience with -, and opinion on rationing among physicians in internal medicine within the Dutch healthcare system. Multivariable ordinal logistic regression was used to explore relations between hidden bedside rationing and physician characteristics. Results The survey was distributed among 1139 physicians across 11 hospitals with a response rate of 18% (n = 203). Most participants (n = 129; 64%) had experience prescribing a cheaper course of treatment while a more effective but more expensive alternative was available, suggesting bedside rationing. Subsequently, 32 (24%) participants never disclosed this decision to their patient, qualifying it as hidden. The majority of participants (n = 153; 75%) rarely discussed treatment cost. Employment at an academic hospital was independently associated with more bedside rationing (OR = 17 95%CI 6.1–48). Furthermore, residents were more likely to disclose rationing to their patients than internists (OR = 3.2, 95%CI 2.1–4.7), while salaried physicians were less likely to do so than physicians in private practice (OR = 0.5, 95%CI 0.4–0.8). Conclusion Hidden bedside rationing occurs in the Netherlands: patient choice is on occasion limited with costs as rationale and this is not always disclosed. To what extent distribution of healthcare should include bedside rationing in the Netherlands, or any other country, remains up for debate.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jerrald Lau ◽  
David Hsien-Yung Tan ◽  
Gretel Jianlin Wong ◽  
Yii-Jen Lew ◽  
Ying-Xian Chua ◽  
...  

Abstract Background Primary care physicians (PCPs) are first points-of-contact between suspected cases and the healthcare system in the current COVID-19 pandemic. This study examines PCPs’ concerns, impact on personal lives and work, and level of pandemic preparedness in the context of COVID-19 in Singapore. We also examine factors and coping strategies that PCPs have used to manage stress during the outbreak. Methods Two hundred and sixteen PCPs actively practicing in either a public or private clinic were cluster sampled via email invitation from three primary care organizations in Singapore from 6th to 29th March 2020. Participants completed a cross-sectional online questionnaire consisting of items on work- and non-work-related concerns, impact on personal and work life, perceived pandemic preparedness, stress-reduction factors, and personal coping strategies related to COVID-19. Results A total of 158 questionnaires were usable for analyses. PCPs perceived themselves to be at high risk of COVID-19 infection (89.9%), and a source of risk (74.7%) and concern (71.5%) to loved ones. PCPs reported acceptance of these risks (91.1%) and the need to care for COVID-19 patients (85.4%). Overall perceived pandemic preparedness was extremely high (75.9 to 89.9%). PCPs prioritized availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and well-being of their colleagues and family as the most effective stress management factors. Conclusions PCPs continue to serve willingly on the frontlines of this pandemic despite the high perception of risk to themselves and loved ones. Healthcare organizations should continue to support PCPs by managing both their psychosocial (e.g. stress management) and professional (e.g. pandemic preparedness) needs.


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