scholarly journals Medical status of patients presenting for treatment at an Australian dental institute: A cross-sectional study

2020 ◽  
Author(s):  
Agnieszka Monika Frydrych ◽  
Richard Parsons ◽  
Omar Kujan
Keyword(s):  
Mental Health ◽  
Dental Treatment ◽  
Medical Condition ◽  
Medication Use ◽  
Extended Period ◽  
Health Condition ◽  
Medical Conditions ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
Western Australian

Abstract Background: Individuals seeking dental treatment often present with medical conditions which may affect dental treatment provision. The purpose of this study was to determine the prevalence of medical conditions and medication use among individuals attending dental clinics at a Western Australian tertiary institution.Methods: This observational study examined the general demographics, medical and social histories of 873 subjects presenting for a general dental examination at a Western Australian Tertiary Institution between March 2018 and February 2019. Individual recruited were those presenting to the clinics either as new patients to the Centre or returning patients after an extended period of absence.Results: Presence of a medical condition was reported by 86% of the participants, with males more commonly affected (p=0.0448). Medication use was noted by 80% of the participants. Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%), musculoskeletal (23.0%), endocrine (22.4%) and respiratory disease (17.8%) were the most common conditions identified. Women were significantly more likely to report allergy (p=0.0002) or a mental health condition (p=0.0368). Conclusions: Medical comorbidities are common among individuals presenting for student dental treatment in Western Australia, highlighting the importance of knowledge and teaching of internal medicine and its application to the dental setting.

scholarly journals Medical status of patients presenting for treatment at an Australian dental institute: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Agnieszka M. Frydrych ◽  
Richard Parsons ◽  
Omar Kujan
Keyword(s):  
Mental Health ◽  
Dental Treatment ◽  
Medical Condition ◽  
Medication Use ◽  
Extended Period ◽  
Health Condition ◽  
Medical Conditions ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
Western Australian

Abstract Background Individuals seeking dental treatment often present with medical conditions which may affect dental treatment provision. The purpose of this study was to determine the prevalence of medical conditions and medication use among individuals attending dental clinics at a Western Australian tertiary institution. Methods This observational study examined the general demographics, medical and social histories of 873 subjects presenting for a general dental examination at a Western Australian Tertiary Institution between March 2018 and February 2019. Individual recruited were those presenting to the clinics either as new patients to the Centre or returning patients after an extended period of absence. Results Presence of a medical condition was reported by 86% of the participants, with males more commonly affected (p = 0.0448). Medication use was noted by 80% of the participants. Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%), musculoskeletal (23.0%), endocrine (22.4%) and respiratory disease (17.8%) were the most common conditions identified. Women were significantly more likely to report allergy (p = 0.0002) or a mental health condition (p = 0.0368). Conclusion Medical comorbidities are common among individuals presenting for student dental treatment in Western Australia, highlighting the importance of knowledge and teaching of internal medicine and its application to the dental setting.

scholarly journals Medical status of patients presenting for treatment at an Australian dental institute: A cross-sectional study

2020 ◽  
Author(s):  
Agnieszka Monika Frydrych ◽  
Richard Parsons ◽  
Omar Kujan
Keyword(s):  
Mental Health ◽  
Dental Treatment ◽  
Medical Condition ◽  
Medication Use ◽  
Extended Period ◽  
Health Condition ◽  
Medical Conditions ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
Western Australian

Abstract Background: Individuals seeking dental treatment often present with medical conditions which may affect dental treatment provision. The purpose of this study was to determine the prevalence of medical conditions and medication use among individuals attending dental clinics at a Western Australian tertiary institution. Methods: This observational study examined the general demographics, medical and social histories of 873 subjects presenting for a general dental examination at a Western Australian Tertiary Institution between March 2018 and February 2019. Individual recruited were those presenting to the clinics either as new patients to the Centre or returning patients after an extended period of absence. Results: Presence of a medical condition was reported by 86% of the participants, with males more commonly affected (p=0.0448). Medication use was noted by 80% of the participants. Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%), musculoskeletal (23.0%), endocrine (22.4%) and respiratory disease (17.8%) were the most common conditions identified. Women were significantly more likely to report allergy (p=0.0002) or a mental health condition (p=0.0368). Conclusion: Medical comorbidities are common among individuals presenting for student dental treatment in Western Australia, highlighting the importance of knowledge and teaching of internal medicine and its application to the dental setting.

scholarly journals Medical status of patients presenting for treatment at an Australian dental institute: A cross-sectional study

2020 ◽  
Author(s):  
Agnieszka Monika Frydrych ◽  
Richard Parsons ◽  
Omar Kujan
Keyword(s):  
Mental Health ◽  
Dental Treatment ◽  
Medical Condition ◽  
Medication Use ◽  
Extended Period ◽  
Health Condition ◽  
Medical Conditions ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
Western Australian

Abstract Background: Individuals seeking dental treatment often present with medical conditions which may affect dental treatment provision. The purpose of this study was to determine the prevalence of medical conditions and medication use among individuals attending dental clinics at a Western Australian tertiary institution.Methods: This observational study examined the general demographics, medical and social histories of 873 subjects presenting for a general dental examination at a Western Australian Tertiary Institution between March 2018 and February 2019. Individual recruited were those presenting to the clinics either as new patients to the Centre or returning patients after an extended period of absence.Results: Presence of a medical condition was reported by 86% of the participants, with males more commonly affected (p=0.0448). Medication use was noted by 80% of the participants. Cardiovascular disease (37.9%), allergy (32.3%), mental health disorders (29.4%), musculoskeletal (23.0%), endocrine (22.4%) and respiratory disease (17.8%) were the most common conditions identified. Women were significantly more likely to report allergy (p=0.0002) or a mental health condition (p=0.0368). Conclusions: Medical comorbidities are common among individuals presenting for student dental treatment in Western Australia, highlighting the importance of knowledge and teaching of internal medicine and its application to the dental setting.

scholarly journals Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study

2021 ◽  
Vol 10 (1) ◽  
pp. e001161
Author(s):  
Jane de Lemos ◽  
Peter Loewen ◽  
Cheryl Nagle ◽  
Robert McKenzie ◽  
Yong Dong You ◽  
...  
Keyword(s):  
Observational Study ◽  
Adverse Drug Events ◽  
Healthcare Providers ◽  
Medication Use ◽  
Learning System ◽  
Chronic Obstructive ◽  
Action Plans ◽  
Medical Conditions ◽  
Cross Sectional ◽  
Medication Changes

ObjectivesTo identify root causes of preventable adverse drug events (pADEs) contributing to hospital admission; to develop key messages which identify actions patients/families and healthcare providers can take to prevent common pADEs found; to develop a surveillance learning system for the community.MethodsCross-sectional observational study; 120 patients and families, 61 associated healthcare providers were interviewed then root cause analysis was performed to develop key learning messages and an electronic reporting tool was designed. Most common pADE-related medical conditions and their root causes and most common pADE root causes of entire cohort are reported.ResultsMost common pADE-related medical conditions: chronic obstructive pulmonary disease/asthma (13.3%), bleeding (12.5%), hypotension (12%), heart failure (10%), acute kidney injury (5%) and pneumonia (5%). Most common root causes were: providers not confirming that the patient/family understands information given (29.2%), can identify how a medication helps them/have their concerns addressed (16.7%), can identify if a medication is working (14.1%) or causing a side effect (23.3%); can enact medication changes (7.5%); absence of a sick day management plan (12.5%), and other action plans to help patients respond to changes in their clinical status (10.8%); providers not assessing medication use and monitoring competency (19.2%). Ten key learning messages were developed and a pADE surveillance learning system was implemented.ConclusionsTo prevent pADEs, providers need to confirm that patients/families understand information given, how a medication helps them, how to recognise and respond to side effects, how to enact medication changes and follow action plans; providers should assess patient’s/families’ medication use and monitoring competency.

scholarly journals Meaningful activities during COVID-19 lockdown and association with mental health in Belgian adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cruyt Ellen ◽  
De Vriendt Patricia ◽  
De Letter Miet ◽  
Vlerick Peter ◽  
Calders Patrick ◽  
...  
Keyword(s):  
Mental Health ◽  
General Health Questionnaire ◽  
Health Condition ◽  
Daily Activities ◽  
The Internet ◽  
Cross Sectional ◽  
Daily Lives ◽  
Living Space ◽  
Resilience Scale

Abstract Background The spread of COVID-19 has affected people’s daily lives, and the lockdown may have led to a disruption of daily activities and a decrease of people’s mental health. Aim To identify correlates of adults’ mental health during the COVID-19 lockdown in Belgium and to assess the role of meaningful activities in particular. Methods A cross-sectional web survey for assessing mental health (General Health Questionnaire), resilience (Connor-Davidson Resilience Scale), meaning in activities (Engagement in Meaningful Activities Survey), and demographics was conducted during the first Belgian lockdown between April 24 and May 4, 2020. The lockdown consisted of closing schools, non-essential shops, and recreational settings, employees worked from home or were technically unemployed, and it was forbidden to undertake social activities. Every adult who had access to the internet and lived in Belgium could participate in the survey; respondents were recruited online through social media and e-mails. Hierarchical linear regression was used to identify key correlates. Results Participants (N = 1781) reported low mental health (M = 14.85/36). In total, 42.4% of the variance in mental health could be explained by variables such as gender, having children, living space, marital status, health condition, and resilience (β = −.33). Loss of meaningful activities was strongly related to mental health (β = −.36) and explained 9% incremental variance (R2 change = .092, p < .001) above control variables. Conclusions The extent of performing meaningful activities during the COVID-19 lockdown in Belgium was positively related to adults’ mental health. Insights from this study can be taken into account during future lockdown measures in case of pandemics.

scholarly journals Self-reported suboptimal sleep and receipt of sleep assessment and treatment among persons with and without a mental health condition in Australia: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alexandra P. Metse ◽  
Caitlin Fehily ◽  
Tara Clinton-McHarg ◽  
Olivia Wynne ◽  
Sharon Lawn ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Physical Health ◽  
Health Condition ◽  
Community Dwelling ◽  
Mental Health Condition ◽  
Cross Sectional ◽  
Sleep Assessment ◽  
Assessment And Treatment ◽  
Sleep Parameters

Abstract Background Poor sleep and poor mental health go hand in hand and, together, can have an adverse impact on physical health. Given the already disproportionate physical health inequities experienced by people with a mental health condition worldwide, the need to consider and optimise sleep has been highlighted as a means of improving both physical and mental health status. Sleep recommendations recently developed by the United States’ National Sleep Foundation incorporate a range of sleep parameters and enable the identification of ‘suboptimal’ sleep. Among community-dwelling persons with and without a 12-month mental health condition in Australia, this study reports: [1] the prevalence of ‘suboptimal’ sleep and [2] rates of sleep assessment by a health care clinician/service and receipt of and desire for sleep treatment. Methods A descriptive study (N = 1265) was undertaken using self-report data derived from a cross-sectional telephone survey of Australian adults, undertaken in 2017. Results Fifteen per cent (n = 184) of participants identified as having a mental health condition in the past 12 months. Across most (7 of 8) sleep parameters, the prevalence of suboptimal sleep was higher among people with a mental health condition, compared to those without (all p < 0.05). The highest prevalence of suboptimal sleep for both groups was seen on measures of sleep duration (36–39% and 17–20% for people with and without a mental health condition, respectively). In terms of sleep assessment and treatment, people with a mental health condition were significantly more likely to: desire treatment (37% versus 16%), have been assessed (38% versus 12%) and have received treatment (30% versus 7%). Conclusions The prevalence of suboptimal sleep among persons with a mental health condition in Australia is significantly higher than those without such a condition, and rates of assessment and treatment are low for both groups, but higher for people with a mental health condition. Population health interventions, including those delivered as part of routine health care, addressing suboptimal sleep are needed.

Interactive effect between depression and chronic medical conditions on fall risk in community-dwelling elders

2012 ◽  
Vol 24 (9) ◽  
pp. 1409-1418 ◽  
Author(s):  
Senyeong Kao ◽  
Yun-Chang Wang ◽  
Ya-Mei Tzeng ◽  
Chang-Kuo Liang ◽  
Fu-Gong Lin
Keyword(s):  
Elderly People ◽  
Fall Risk ◽  
Medical Condition ◽  
Reference Group ◽  
Interactive Effect ◽  
Depression Scale ◽  
Community Dwelling ◽  
Medical Conditions ◽  
Cross Sectional ◽  
Depression Status

ABSTRACTBackground: It is well documented that fall risk among elderly people is associated with poor health and depression. In this study, we set out to examine the combined effects of medical condition and depression status on fall incidents among community-dwelling elderly people.Methods: A cross-sectional study was carried out to investigate the fall history of community-dwelling elders involving 360 participants. Those who had experienced at least two falls over the previous year, or one injurious fall, were defined as “fallers.” The Geriatric Depression Scale-15 was used as a screening instrument for depression status.Results: Based on a multivariate logistic regression and stratification analysis, depression was found to interact with various medical conditions on fall risk. In comparison with the non-depressive reference group, a six-fold fall risk was discernible among depressed elders with polypharmacy, while a five-fold risk was found among depressive elders using ancillary devices, along with a four-fold risk among depressive elders with diabetes or cardiovascular disease. Finally, arthritis was found to produce a nine-fold risk of falls among such populations.Conclusions: These findings suggest that greater emphasis should be placed on the integration of depression screening as an element of fall risk assessment in elderly people.

Dental health of community-living older people attending secondary healthcare: a cross-sectional comparison between those with and without diagnosed mental illness

2009 ◽  
Vol 22 (3) ◽  
pp. 417-425 ◽  
Author(s):  
Nitin Purandare ◽  
Eva Woods ◽  
Sue Butler ◽  
Julie Morris ◽  
Martin Vernon ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Older People ◽  
Dental Treatment ◽  
Dental Health ◽  
Oral Pathology ◽  
Community Living ◽  
Health Examination ◽  
Medical Group ◽  
Cross Sectional

ABSTRACTBackground: Mental illness and cognitive impairment are risk factors for poor dental health.Methods: We conducted a cross-sectional study to compare the dental health of older patients attending out-patient clinics and day hospitals of old age psychiatry services (the psychiatry group, n = 103) with those attending general/geriatric medical services (the medical group; n = 99). Those living in care homes, and those with diagnosed mental illness (in the medical group) were excluded. A registered mental health nurse assessed mental and general health using validated and previously published instruments. A registered dentist made an independent assessment of dental health (examination to assess oral pathology, status of remaining teeth, and dentures) and made an overall judgment about whether the patient needed any dental treatment (a “normative” need).Results: The normative need for dental treatment was significantly higher among the psychiatry group compared to the medical group (85% vs 52%; p<0.001); even after taking account of the effect of age, gender, teeth status, physical comorbidity, cognition, depressive symptoms, and overall mental and social health [adjusted odds ratio, OR (95% confidence interval): 4.32 (2.09, 8.91)]. The presence of any natural remaining teeth [OR: 4.44 (2.10, 9.42)] and Barthel Index [OR: 0.96 (0.93, 0.99)] were the two other independent predictors of the need for treatment.Conclusion: Dental problems are common in community-living older people, especially those with some natural remaining teeth and those with mental illness. There is a need to develop integrated mental health and dental care services for older people with emphasis on prevention of dental problems.

Knowledge and Practices of Hypertensive/Diabetic Patients with Hyperlipidaemia in a Secondary Care Setting in Ebute Metta, Lagos State.

2020 ◽  
Vol 1 (5) ◽  
pp. 1-11
Author(s):  
E.I. Akinyemi ◽  
◽  
B.A, Aina
Keyword(s):  
Medical Condition ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Medical Conditions ◽  
Cross Sectional ◽  
Significance Level ◽  
Lifestyle Choices ◽  
Lagos State ◽  
Secondary Care Setting

Background: Hypertension and diabetes are two chronic medical conditions which require aggressive management. When both diseases coexist with hyperlipidaemia, it poses a greater risk for cardiovascular disease than with either of the diseases alone. Self-management, a pillar of chronic disease management, is unachievable if patients are unaware or inadequately informed about their medical condition. Adequate information about a disease and its management will empower patients to manage their medical conditions better Objective: To assess hyperlipidaemia knowledge and practices among hypertensive/diabetic patients with hyperlipidaemia. Method: This study was conducted in a secondary healthcare facility in Lagos State. A cross-sectional study design was used. Data collection was done using researcher-administered questionnaires. An educational intervention was thereafter carried out. Verbal feedback on impact of intervention was received from all respondents. Frequency distribution and cross tabulations were generated using SPSS version 23.0 at significance level set at p<0.05. The knowledge-related questions were scored and converted to percentages. Scores below 50% were considered poor, while scores of 50 % and above were considered good. Results: The overall knowledge scoring revealed that more than half of the patients had poor knowledge of hyperlipidaemia. A significant association was observed between gender and knowledge of hyperlipidaemia (p<0.05); males having better knowledge. Patients had good practices such as good level of medication adherence and appropriate dietary and lifestyle choices necessary for effective hyperlipidaemia management. Conclusion: This study showed that knowledge of hyperlipidaemia is poor in this patient population, especially among the females though patients emonstrated good hyperlipidaemia practices.

Prevalence of parental mental health conditions among children aged 0–16 years in Denmark: A nationwide register-based cross-sectional study

2021 ◽  
pp. 140349482110454
Author(s):  
Amanda M.S. Christesen ◽  
Camilla K. Knudsen ◽  
Kirsten Fonager ◽  
Martin N. Johansen ◽  
Signe Heuckendorff
Keyword(s):  
Mental Health ◽  
Geographical Variation ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Sectional Study ◽  
Parental Mental Health ◽  
Cross Sectional ◽  
Mental Health Conditions

Aim: Parental mental health conditions adversely affect the children. Information on the prevalence of parental mental health conditions is needed to help policymakers allocate resources appropriately. Therefore, the aim of this study was to estimate the prevalence of children with parental mental health conditions in Denmark and further estimate the age-specific prevalence and geographical variation. Methods: In this nationwide register-based cross-sectional study, we included all children born between 2000 and 2016 if they resided in Denmark on 31 December 2016. Information on both maternal and paternal mental health conditions was retrieved from primary and secondary healthcare registers. Parental mental health conditions were categorised in three severity groups: minor, moderate, and severe. We estimated the proportion of children with parental mental health conditions on 31 December 2016. Results: Of the 1,106,459 children aged 0–16 years, 39.1% had at least one parent with a mental health condition. The prevalence increased with age of the children until the age of six years. Geographical variation in the prevalence ranged from 29.0% to 48.3% in the 98 municipalities. Minor parental mental health conditions (23.5%) were more common than moderate (13.5%) and severe parental mental health conditions (2.2%). Hospital-diagnosed parental mental health conditions were prevalent in 12.8% of the children. Conclusions: Two in five children aged 0–16 years in Denmark have parents with a mental health condition and geographical variation exists. The high prevalence of children with parental mental health conditions is an important public health challenge, which calls for attention.

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