scholarly journals The first dental visit - comparative analysis of two successive five-years periods

2019 ◽  
Vol 147 (3-4) ◽  
pp. 148-151
Author(s):  
Duska Blagojevic ◽  
Ljubica Pavlovic-Trifunovic ◽  
Milica Sipovac ◽  
Isidora Neskovic ◽  
Sanja Vujkov ◽  
...  

Introduction/Objective. An important moment in oral health care and preventive dentistry is the first dental visit, recommended to be undertaken between the child?s sixth and 12th month of life. Worldwide evidence shows a considerable delay. This study evaluates characteristics of the first dental visit in a public health care center in Novi Sad, Serbia, during 2006?2015 period, and changes in occurrence driven by the healthcare reform. Methods. The study design was retrospective, evaluating available data on age and the main reason for the first dental visit of 270 children, who come to the same dentist and pediatrician in a public health care center during the 2006?2015 period. Results. Collected data determined the third and the fourth year of life as the dominant age (45.8% of children) for the first dental visit in 2006?2010, initiated mostly by a dental check-up (53.8%). During the second period (2011?2015), most of the first visits (31.1%) were done by the age of one, while the main reason for 80.1% of the visits was dental check-up. Conclusion. Considerable progress regarding the first dental visit was made in the observed period, which is, at least partially, due to the health care reform and emphasized preventive versus curative measures, by means of advanced communication between parents and chosen medical staff in prenatal and pediatric clinics.

2005 ◽  
Vol 35 (2) ◽  
pp. 122-131 ◽  
Author(s):  
Ahmed Solomon ◽  
Berenice F. Christian ◽  
Patrick H. Dessein ◽  
Anne E. Stanwix

2018 ◽  
Vol 6 (1) ◽  
pp. 61
Author(s):  
Inka Kartika Ningsih

In 2013, DIY AIDS prevalence was 23,75 %. ODHA has touched 72,6%, based on age class 25-49 years old peak. PMTCT programs was done to prevent HIV to infect children from their mother. This research was qualitative descriptive research which have implement grounded theory. This research was conducted in Independent Midwifery Clinic in Kota Yogyakarta on March-June 2014. Research subject was  midwifes in Independent Midwifery Clinic, mother pregnancy patient of the Independent Midwifery Clinic, midwife coordinator of primary public health care center, and family health care sector in health care Department of Kota Yogyakarta. The first respondent has been taken a sample by snowball sampling. Research instrument was use manual interview  and the data were collect with in depth interview. Data analysis is done using content analysis and data validation using triangle source. Research result is that PMTCT in ANC doesn’t work effective in Independent Midwifery Clinic Yogyakarta because PMTCT couldn’t work their program without midwife and primary public health center. The mother pregnancy have been send to get ANC Terpadu in primary public health center. Counseling and bergaining about HIV diagnostic. Cadre and all of public sector of this region can involved in this program.  Keywords: antenatal care, HIV, PPIA


2019 ◽  
Vol 1 (2) ◽  
pp. 91-97
Author(s):  
Khafifah Leni Ashary

Health problems are affected by several factors, including lifestyle, diet, work environment factors, exercise, and stress. Changes in lifestyle can lead to an increase in the prevalence of degenerative diseases such as coronary heart disease, diabetes mellitus (DM), obesity, and high blood pressure. Risk factors that will occur due to increasing age include blood circulation disorders such as hypertension, blood vessel disorders, DM, and disorders of the joints. The purpose of this study was to determine the correlation between blood glucose levels and blood pressure in prolanis (Chronic Disease Management Program) members. The type and design of this study used an Analytical Observational design and a Cross Sectional design. The population in this study was 71 people with a sample of 35 respondents. The data in this study were secondary data obtained from data on blood glucose levels and blood pressure of prolanis members of the Somagede Public Health Care Center. The results of statistical tests showed that 11 people (31%) had high blood glucose levels, 18 people (52%) had normal blood glucose levels, and 6 people (17%) had low blood glucose levels. In addition, of these respondents, it was found that 11 people (31%) had high blood pressure, 24 people (63%) had normal blood pressure, and 2 people (6%) had low blood pressure. The analysis with the Pearson test showed that the value of p = 0.728, which means that H0 was accepted. Thus, there is no relationship between glucose levels and blood pressure in Prolanis members of the Somagede Public Health Care Center, Banyumas Regency. The null correlation between blood pressure and glucose levels might be because of the respondents' ability to control glucose levels, hence there are no complications that can increase blood pressure values.


2002 ◽  
Vol 55 (1-2) ◽  
pp. 19-22
Author(s):  
Sandra Stefan-Mikic ◽  
Ana Sabo ◽  
Ana Gobor-Fodor ◽  
Marija Vasovic

Man has been fighting diseases for centuries. One of the major battles is against microorganisms and diseases they cause. A health education course was organized on prescribing aminoglycoside antibiotics and postantibiotic effect. The aim of the course was to change the prescription habits in our colleagues. The postantibiotic effect of aminoglycoside antibiotics as well as impact of subinhibiting doses on duration of postantibiotic effect requires modification of previous therapeutic protocols. Single daily dose has the same or even greater effect than multiple daily doses. The toxicity of aminoglycosides is not increased and remains the same or smaller in single daily regimens. Results The single daily dose regimen of aminoglycosides has been used in 63.6% of cases in Clinic for Infectious Diseases of the Clinical Center of Novi Sad, 41.2% in Outpatient Health Care Center of Novi Sad "Liman" and this regimen has not been used in General Practice Department, Children's Health Care Department and Ear, Nose and Throat Clinic at all. The twice daily regimen has been used instead. Conclusion Doctors are aware of the postantibiotic effect, but vast majority are still bound to their old habits in regard to prescribing antibiotics. Our educational course failed to achieve its goal.


1993 ◽  
Vol 83 (6) ◽  
pp. 328-331 ◽  
Author(s):  
RC Henry

Many health professions schools have neglected the US population's health by emphasizing acutely ill patients in hospitals, biomedical research of disease, and high technology. Because most students will eventually fill practitioner roles in primary and secondary care, it is logical that the health professions must shift their curricula's focus to prepare practitioners for the health care needs of the community. The Community Partnership Model is one approach that focuses on public health care needs by educating students in multiprofessional teams in a new organizational structure known as the academic, community-based, primary health care center. This partnership between academic institutions and communities is designed to shift the educational and socializing activities of health professions training outside hospitals to the community setting where research, teaching, and service take place in one structure.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sávio Lima Sodré ◽  
Italo Antunes França Barbosa ◽  
Israel Emiliano Pacheco ◽  
Felipe de Queiroz Tavares Ferreira ◽  
Milton Agrizzi David ◽  
...  

Abstract Background Antiangiogenic therapy has proved to be an important therapeutic tool for many retinal vascular diseases; however, its availability is limited in developing countries. This study sought to describe the bevacizumab vial sharing process and to evaluate the impact of this repackaging system on the costs incurred in a Brazilian public hospital. Method This retrospective study compared the number and costs of intravitreal antiangiogenic injections approved via court order in the first year of the study (2015) to the number and costs of the bevacizumab injections provided through the use of vial sharing in the second year of the study (2016). Vial sharing consists of the traditional process used to repackage bevacizumab; in this case, however, the drug samples used were the residual volume from the preparation of bevacizumab for oncology patients. The hospital adhered to the guidelines established by the Brazilian Health Surveillance Agency (ANVISA). Results In the first year of the study and using medication obtained through court orders, 550 intravitreal injections were performed in the ophthalmology ambulatory care center. Based on local pricing tables, the total cost of the medication was BRL$1,036,056.25 (USD$267,546.58), and the average cost of each application was BRL$1883.74 (USD$486.45). In the second year of the study, 1081 intravitreal applications were performed at the same hospital using doses obtained through bevacizumab vial sharing. The total cost was BRL$21,942.49 (USD$5663.30) and the per-unit cost was BRL$20.30, or USD$5.23 (a savings of 97.88%). Conclusion This study found that bevacizumab vial sharing led to a significant reduction in public health care costs associated with antiangiogenic treatment and increased the availability of the drug to public health care patients. These results can be extrapolated to other types of drugs and health care systems.


Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.


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