scholarly journals Postoperative Pain in Children After Dentistry Under General Anesthesia

2015 ◽  
Vol 62 (4) ◽  
pp. 140-152 ◽  
Author(s):  
Michelle Wong ◽  
Peter E. Copp ◽  
Daniel A. Haas
Keyword(s):  
Postoperative Pain ◽  
General Anesthesia ◽  
Severe Pain ◽  
Correlation Coefficients ◽  
Cross Sectional Study ◽  
Pain Scale ◽  
Rank Test ◽  
Cross Sectional ◽  
Dental Procedures ◽  
American Society

The objective of this study was to determine the prevalence, severity, and duration of postoperative pain in children undergoing general anesthesia for dentistry. This prospective cross-sectional study included 33 American Society of Anesthesiology (ASA) Class I and II children 4–6 years old requiring multiple dental procedures, including at least 1 extraction, and/or pulpectomy, and/or pulpotomy of the primary dentition. Exclusion criteria were children who were developmentally delayed, cognitively impaired, born prematurely, taking psychotropic medications, or recorded baseline pain or analgesic use. The primary outcome of pain was measured by parents using the validated Faces Pain Scale-Revised (FPS-R) and Parents' Postoperative Pain Measure (PPPM) during the first 72 hours at home. The results showed that moderate-to-severe postoperative pain, defined as FPS-R ≥ 6, was reported in 48.5% of children. The prevalence of moderate-to-severe pain was 29.0% by FPS-R and 40.0% by PPPM at 2 hours after discharge. Pain subsided over 3 days. Postoperative pain scores increased significantly from baseline (P < .001, Wilcoxon matched pairs signed rank test). Moderately good correlation between the 2 pain measures existed 2 and 12 hours from discharge (Spearman rhos correlation coefficients of 0.604 and 0.603, P < .005). In conclusion, children do experience moderate-to-severe pain postoperatively. Although parents successfully used pain scales, they infrequently administered analgesics.

scholarly journals The Best Dentistry Professional Visual Acuity Measured under Simulated Clinical Conditions Provides Keplerian Magnification Loupe: A Cross-Sectional Study

2021 ◽  
Vol 9 (6) ◽  
pp. 69
Author(s):  
Iris Urlic ◽  
Josip Pavan ◽  
Zeljko Verzak ◽  
Zoran Karlovic ◽  
Dubravka Negovetic Vranic
Keyword(s):  
Visual Acuity ◽  
Dental Treatment ◽  
Operating Time ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Rank Test ◽  
Cross Sectional ◽  
Dental Procedures ◽  
Signed Rank Test ◽  
Clinical Conditions

Visual acuity plays an important role in dentists’ vision in their daily clinical routine. This study aimed to determine dental students’ visual acuity without optical aids and when using magnification devices in simulated clinical conditions. The participants were forty-six students at the School of Dental Medicine with a visual acuity of 1.0 in decimal values or 100% in percentage. The central visual acuity was tested using a miniature Snellen eye chart placed in the molar cavity of a dental phantom, in simulated clinical conditions under five different settings (natural visual acuity, by applying head magnifying glasses x1,5 and binocular magnifying devices using Galileo’s x2,5/350 mm, Keplerx3,3/450 mm and Keplerx4,5/350 mm optical system). The Wilcoxon Signed Rank test shows that the distribution of measurements of the visual acuity undertaken by the application of magnifying devices (VNL, VGA2,5, VKP3,3, VKP4,5) contained higher values of visual acuity than those received by the use of natural vision (VSC) (p < 0.001 for the comparison to the VNL, VGA2,5, VKP3,3 and VKP4,5 groups). The highest and statistically most significant increase in visual acuity is achieved using the Keplerian telescope x4.5/350 mm. The application of magnifying devices provided dentistry professionals with better visual acuity, improving detail detection in an oral cavity during dental procedures by magnifying the oral structure. The use of magnification devices means much more precise work, decreases the operating time, improves posture and reduces muscle pain in the shoulder during dental treatment.

scholarly journals Incidence of Dry Socket, Alveolar Infection, and Postoperative Pain Following the Extraction of Erupted Teeth

2010 ◽  
Vol 11 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Marcelo Carlos Bortoluzzi ◽  
Rafael Manfro ◽  
Bruna Eliza De Déa ◽  
Taísa Cristina Dutra
Keyword(s):  
Postoperative Pain ◽  
Postoperative Complications ◽  
Severe Pain ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Dental Student ◽  
Chi Square ◽  
Cross Sectional ◽  
Daily Work ◽  
Dry Socket

Abstract Aim The aim of this study was to determine the incidence of dry socket, alveolar infection, and postoperative pain following the routine extraction of erupted teeth. Methods and Materials Using a questionnaire, this prospective cross-sectional study evaluated 357 consecutive surgeries in which 473 erupted teeth were extracted by dental students under rigorous control of microbiologic contaminants during a 22-month period. The subject sample consisted of 210 (58.8%) male patients ranging in age from 11 to 79 years (mean 41 ± 16.3). The most prevalent self-reported ethnicity was Caucasian (78.2%). The questionnaire consisted of 60 questions directed to the patient and to the dental student who performed the surgical procedure. The questionnaires were completed before and within seven days after the surgery to obtain outcomes data. Forty-five questionnaires were excluded due to lack of information, inconsistencies, or lack of contact with the patient; however, none had indications of alveolar infection or dry socket. The data were analyzed using descriptive statistics, chi-square tests (x2), and an odds ratio (OR) as appropriate at the critical level of significance, set at p<0.05 (x2) or p<0.01 (x2, with the Monte Carlo simulation). Results The observed incidence was 0.6% (two cases each) for both alveolar infection and dry socket. Higher pain levels and pain persisting longer than two days were observed with more traumatic surgeries, or associated with postoperative complications. Smoking was found to be statistically associated with the development of postoperative complications. Conclusion The incidence of alveolar infection, dry socket, and severe pain were very low for the routine extraction of erupted teeth. Severe pain that persists for more than two days can represent a sign of a postoperative complication such as dry socket. Clinical Significance Dental extraction is part of the dentists‵ daily work and intercurrences like dry socket, infection, and pain can occur. This manuscript reports the incidence of these occurrences and search for its predisposing factors. Citation Bortoluzzi MC, Manfro R, De Déa BE, Dutra TC. Incidence of Dry Socket, Alveolar Infection, and Postoperative Pain Following the Extraction of Erupted Teeth. J Contemp Dent Pract [Internet]. 2010 Jan; 11(1):033-040. Available from: http://www.thejcdp.com/journal/ view/volume11-issue1-bortoluzzi.

scholarly journals Postoperative cognitive recovery in children after both general and locoregional anesthesia and surgery

2020 ◽  
Author(s):  
Jalal El Hammoumi ◽  
Abdelkader Dahchour ◽  
Elmehdi Chhiti ◽  
Saïd Benlamkadem ◽  
Mohamed-Adnane Berdai ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
General Anesthesia ◽  
Cognitive Performance ◽  
Cross Sectional Study ◽  
Trial And Error ◽  
Cross Sectional ◽  
Cognitive Recovery ◽  
Locoregional Anesthesia ◽  
Trial And Error Method ◽  
Error Method

Abstract Background and objectivesRecent researches have demonstrated that there is a progressive impairment in neurocognitive function following general anesthesia and surgery, and particularly, have evidenced that anesthetics impaired mechanisms of learning and memory, for days to months, in both adults and children.This study aimed to evaluate the influence of different types of anesthesia (General or Locoregional) on cognitive recovery by trial and error method, and also take into consideration other factors that would have an impact on the cognitive performance after anesthesia and surgery in children.MethodsIn the present cross-sectional study, 64 young children, aged between 10 and 15 years, have passed the CALM test (software based on trial and error method) 24h after their surgery, and the operating file filled by the anesthetist. The statistical analysis includes a descriptive part of our sample, a univariate, and multivariate analysis of the results of the CALM test and the various medical factors and lifestyles.Results and conclusionsThe cognitive performance of patients exposed to locoregional anesthesia (81.3%) was higher (p=0.01) when compared to patients under general anesthesia (34.4%). Both agitation (Neurological state) and postoperative pain significantly (p=0.02) altered the cognitive performance of patients. However, none of the other factors assessed such as gender, environmental living, schooling, pre-anesthetic consultation, and the type of intervention affects the postoperative cognitive performance of patients.Locoregional anesthesia has less effect on cognitive recovery when compared to general anesthesia. Both the postoperative pain and agitation alter cognitive performances of operated children.

Neurophysiologic Complexity in Children Increases with Developmental Age and Is Reduced by General Anesthesia

2021 ◽  
Author(s):  
Michael P. Puglia ◽  
Duan Li ◽  
Aleda M. Leis ◽  
Elizabeth S. Jewell ◽  
Chelsea M. Kaplan ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Spectral Power ◽  
Cross Sectional Study ◽  
Brain Network ◽  
Postoperative Recovery ◽  
State Transitions ◽  
Similar Reduction ◽  
Cross Sectional ◽  
Developmental Age ◽  
American Society

Background Neurophysiologic complexity in the cortex has been shown to reflect changes in the level of consciousness in adults but remains incompletely understood in the developing brain. This study aimed to address changes in cortical complexity related to age and anesthetic state transitions. This study tested the hypotheses that cortical complexity would (1) increase with developmental age and (2) decrease during general anesthesia. Methods This was a single-center, prospective, cross-sectional study of healthy (American Society of Anesthesiologists physical status I or II) children (n = 50) of age 8 to 16 undergoing surgery with general anesthesia at Michigan Medicine. This age range was chosen because it reflects a period of substantial brain network maturation. Whole scalp (16-channel), wireless electroencephalographic data were collected from the preoperative period through the recovery of consciousness. Cortical complexity was measured using the Lempel–Ziv algorithm and analyzed during the baseline, premedication, maintenance of general anesthesia, and clinical recovery periods. The effect of spectral power on Lempel–Ziv complexity was analyzed by comparing the original complexity value with those of surrogate time series generated through phase randomization that preserves power spectrum. Results Baseline spatiotemporal Lempel–Ziv complexity increased with age (yr; slope [95% CI], 0.010 [0.004, 0.016]; P &lt; 0.001); when normalized to account for spectral power, there was no significant age effect on cortical complexity (0.001 [–0.004, 0.005]; P = 0.737). General anesthesia was associated with a significant decrease in spatiotemporal complexity (median [25th, 75th]; baseline, 0.660 [0.620, 0.690] vs. maintenance, 0.459 [0.402, 0.527]; P &lt; 0.001), and spatiotemporal complexity exceeded baseline levels during postoperative recovery (0.704 [0.642, 0.745]; P = 0.009). When normalized, there was a similar reduction in complexity during general anesthesia (baseline, 0.913 [0.887, 0.923] vs. maintenance 0.851 [0.823, 0.877]; P &lt; 0.001), but complexity remained significantly reduced during recovery (0.873 [0.840, 0.902], P &lt; 0.001). Conclusions Cortical complexity increased with developmental age and decreased during general anesthesia. This association remained significant when controlling for spectral changes during anesthetic-induced perturbations in consciousness but not with developmental age. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

scholarly journals The effect of low dose pethidine and diazepam for sedation in Cesarean Section under Sub-Arachnoid Block on mothers’ satisfaction

1970 ◽  
Vol 24 (1) ◽  
pp. 10-13
Author(s):  
Dilip Kumar Saha ◽  
Mazibar Rahman ◽  
Paresh Chandra Sarkar ◽  
Debasish Banik ◽  
Quamrul Hudaak ◽  
...  
Keyword(s):  
Cesarean Section ◽  
General Anesthesia ◽  
Low Dose ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
American Society ◽  
Sedation Group

Objective: Cesarean Section (CS) is usually performed when a vaginal delivery would put the baby's or mother's life at risk. Regional anesthesia has the advantage over general anesthesia by allowing mother to remain awake during operation. However, some women prefer general anesthesia as they want to be asleep during the operation. Aim of our study was to see the effect of mild sedation on mothers' satisfaction during CS.Materials and methods: A prospective cross sectional study was undertaken in the department of Anesthesiology, Institute of Child and Mother Health from January 2009 to December 2009. Sixty patients of singletone pregnancy with ASA(American Society of Anesthesiology)-I were randomized into two groups I&II of which one group received sedation with low dose pethidine and diazepam and other group did not get any sedation.Results: Data were analyzed between the groups and within the groups using students'‘t' test and Chi-Square test. A p-value of <0.05 was considered as significant. Patient's parameters like heart rate and blood pressure were not statistically significant between groups, but SpO2 fall was statistically significant. Mother's satisfaction is significantly high (76%) in sedation group than non sedation group.Conclusion: By sedation with low dose pethidine and diazepam, mothers' satisfaction was better achieved without affecting the hemo-dynamic stability. Keywords: sedation; cesarean section; sub-arachnoid block; mothers' satisfaction. DOI: 10.3329/bjog.v24i1.6320 Bangladesh J Obstet Gynaecol, 2009; Vol. 24(1) : 10-13

scholarly journals Epilepsy as a Comorbidity in Polymyositis and Dermatomyositis—A Cross-Sectional Study

2021 ◽  
Vol 18 (8) ◽  
pp. 3983
Author(s):  
Ella Nissan ◽  
Abdulla Watad ◽  
Arnon D. Cohen ◽  
Kassem Sharif ◽  
Johnatan Nissan ◽  
...  
Keyword(s):  
Proportional Hazards ◽  
Cross Sectional Study ◽  
Cox Proportional Hazards ◽  
Categorical Variables ◽  
Rank Test ◽  
Control Group ◽  
Multivariable Logistic Regression Analysis ◽  
Positive Trend ◽  
Continuous Variables ◽  
Cross Sectional

Polymyositis (PM) and dermatomyositis (DM) are autoimmune-mediated multisystemic myopathies, characterized mainly by proximal muscle weakness. A connection between epilepsy and PM/DM has not been reported previously. Our study aim is to evaluate this association. A case–control study was conducted, enrolling a total of 12,278 patients with 2085 cases (17.0%) and 10,193 subjects in the control group (83.0%). Student’s t-test was used to evaluate continuous variables, while the chi-square test was applied for the distribution of categorical variables. Log-rank test, Kaplan–Meier curves and multivariate Cox proportional hazards method were performed for the analysis regarding survival. Of the studied 2085 cases, 1475 subjects (70.7%) were diagnosed with DM, and 610 patients (29.3%) with PM. Participants enrolled as cases had a significantly higher rate of epilepsy (n = 48 [2.3%]) as compared to controls (n = 141 [1.4%], p < 0.0005). Using multivariable logistic regression analysis, PM was found only to be significantly associated with epilepsy (OR 2.2 [95%CI 1.36 to 3.55], p = 0.0014), whereas a non-significant positive trend was noted in DM (OR 1.51 [95%CI 0.99 to 2.30], p = 0.0547). Our data suggest that PM is associated with a higher rate of epilepsy compared to controls. Physicians should be aware of this comorbidity in patients with immune-mediated myopathies.

scholarly journals Ethnicity-Specific Normative Models of Quadruple Test as a Screening Test for Down Syndrome

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 651
Author(s):  
Praetip Praikaew ◽  
Kuntharee Traisrisilp ◽  
Chanane Wanapirak ◽  
Ratanaporn Sekararithi ◽  
Theera Tongsong
Keyword(s):  
Quantile Regression ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Serum Biomarkers ◽  
Rank Test ◽  
Maternal Weight ◽  
Cross Sectional ◽  
Inhibin A ◽  
Thai Women ◽  
Normative Models

Background and Objectives: To establish normative models for median levels of serum biomarkers of the second trimester quad test (alpha-fetoprotein: AFP; free beta-human gonadotropins: hCG; inhibin-A; and unconjugated estriol: uE3) specific to Thai women and to compare multiples of the median (MoMs) derived from ethnicity-specific models and those derived from Caucasian models with ethnic correction. Materials and Methods: A cross-sectional study was undertaken in a tertiary, medical teaching center among low-risk pregnant Thai women between 14 and 21 weeks of gestation to measure the levels of the four serum biomarkers. The measured values of each biomarker were analyzed using the multivariable factorial polynomial technique for quantile regression as a function of gestational age and maternal weight. Results: The Thai-specific normative models for the four biomarkers were generated and available for use. The MoMs of all individuals generated from our models were significantly different from conventional (Caucasian) models with ethnic correction (Wilcoxon signed-rank test; p < 0.0001 for all biomarkers). The MoMs of AFP and hCG from both methods were in agreement, but those from Thai-specific models were significantly higher. However, those of inhibin-A and uE3 were markedly different and ethnic correction was unlikely to be useful. Conclusions: The Thai-specific normative models of the quad test as a function of gestational age and maternal weight were constructed using multivariable factorial polynomial models, better than simple quantile regression or log-linear regression used in earlier decades. The analysis of MoMs supports the use of ethnicity-specific models instead of Caucasian models with ethnic correction.

scholarly journals Waist circumference and waist circumference to height ratios of Kaingáng indigenous adolescents from the State of Rio Grande do Sul, Brazil

2012 ◽  
Vol 28 (11) ◽  
pp. 2053-2062 ◽  
Author(s):  
Teresa Gontijo de Castro ◽  
Laura A. Barufaldi ◽  
Michael Maia Schlüssel ◽  
Wolney Lisboa Conde ◽  
Maurício Soares Leite ◽  
...  
Keyword(s):  
Waist Circumference ◽  
Correlation Coefficients ◽  
Cross Sectional Study ◽  
Rio Grande Do Sul ◽  
Sectional Study ◽  
Cross Sectional ◽  
School Based ◽  
High Prevalence ◽  
Z Scores ◽  
Indigenous Adolescents

The aim of this study was to describe the distribution of waist circumference (WC) and WC to height (WCTH) values among Kaingáng indigenous adolescents in order to estimate the prevalence of high WCTH values and evaluate the correlation between WC and WCTH and body mass index (BMI)-for-age. A total of 1,803 indigenous adolescents were evaluated using a school-based cross-sectional study. WCTH values > 0.5 were considered high. Higher mean WC and WCTH values were observed for girls in all age categories. WCTH values > 0.5 were observed in 25.68% of the overall sample of adolescents. Mean WC and WCTH values were significantly higher for adolescents with BMI/age z-scores > 2 than for those with normal z-scores. The correlation coefficients of WC and WCTH for BMI/age were r = 0.68 and 0.76, respectively, for boys, and r = 0.79 and 0.80, respectively, for girls. This study highlights elevated mean WC and WCTH values and high prevalence of abdominal obesity among Kaingáng indigenous adolescents.

Hubungan Dukungan Orang Tua Terhadap Tingkat Kecemasan Anak Usia Remaja (12-18 Th) Pada Saat Pemasangan Infus Di Ruang IRD BRSUD Kabupaten Tabanan

2020 ◽  
Vol 3 (2) ◽  
pp. 32-40
Author(s):  
Desak Gede Yenny Apriani
Keyword(s):  
Family Relationships ◽  
Emotional Support ◽  
Family Relationship ◽  
Cross Sectional Study ◽  
School Age Children ◽  
Rank Test ◽  
Sectional Study ◽  
Cross Sectional ◽  
Financial Participation

Background: Children develop very traumatic and anxious experiences during the infusion process. The role of finance for children in hospitals is related to collaboration between family and nurses or doctors with financial participation in meeting children's needs and care by providing emotional support for children.Objective: This study discusses family relationships with children during infusion of teenage children (12-18 years).Method: The design of this study used a cross sectional study using observational. The samples used were school-age children 12-18 years old who were to take intravenous measures at the BRSU IRD Room in Tabanan Regency.Results: Most respondents who did not get anxious were 55 (38.8%) respondents and family recipients who received 107 (79.9%) respondents. Based on the results of the Spearman rank test the results of the r value are 0.604 and the value of p 0.000 means that there is a family relationship with the children during infusion in adolescents (12-18 years) in the BRSUD Room in Tabanan Regency.Conclusion: Family support provides a strong level of ability for children when installing IVs.

scholarly journals The Reliability of Iodine Concentration in Diaper-Retrieved Infant Urine Using Urine Collection Pads, and in Their Mothers’ Breastmilk

Biomolecules ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 295
Author(s):  
Kjersti Sletten Bakken ◽  
Ingvild Oma ◽  
Synne Groufh-Jacobsen ◽  
Beate Stokke Solvik ◽  
Lise Mette Mosand ◽  
...  
Keyword(s):  
Intraclass Correlation ◽  
Urinary Iodine ◽  
Correlation Coefficients ◽  
Iodine Concentration ◽  
Cross Sectional Study ◽  
Iodine Intake ◽  
Public Healthcare ◽  
Urinary Iodine Concentration ◽  
Childbearing Age ◽  
Cross Sectional

Mild to moderate iodine deficiency is common among women of childbearing age. Data on iodine status in infants are sparse, partly due to the challenges in collecting urine. Urinary iodine concentration (UIC) is considered a good marker for recent dietary iodine intake and status in populations. The aim of this study was to investigate the reliability of iodine concentration measured in two spot-samples from the same day of diaper-retrieved infant urine and in their mothers’ breastmilk. We collected urine and breastmilk from a sample of 27 infants and 25 mothers participating in a cross-sectional study at two public healthcare clinics in Norway. The reliability of iodine concentration was assessed by calculating the intraclass correlation coefficients (ICC) and the coefficient of variation (CV). The ICC for infants’ urine was 0.64 (95% confidence interval (CI) 0.36–0.82), while the ICC for breastmilk was 0.83 (95% CI 0.65–0.92) Similarly, the intraindividual CV for UIC was 0.25 and 0.14 for breastmilk iodine concentration (BIC). Compared to standard methods of collecting urine for measuring iodine concentration, the diaper-pad collection method does not substantially affect the reliability of the measurements.

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