scholarly journals Patients’ Satisfaction as a Tool of Dental Setting and Dental Services Assessment in the Dental College of Mangalore

2018 ◽  
Vol 45 (2) ◽  
pp. 36-44
Author(s):  
A. Shetty ◽  
P. Hegde ◽  
A. Madiyal ◽  
R. Bhandary ◽  
B. Thomas
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Dental Treatment ◽  
Healthcare Services ◽  
Dental Students ◽  
Care Quality ◽  
Fisher Exact Test ◽  
Multiple Time ◽  
Cross Sectional ◽  
Exact Test

Abstract Provision of quality health services to population of the rural areas with limited access to dental treatment and educating dental students in high standard of professional conduct when delivering health services to the population, represents the main reason for the foundation of a dental college in an area like Mangalore. The purpose of this study was to assess the satisfaction of patients visiting the dental college clinics. A cross-sectional study was conducted between May 1 and July 31, 2017. A questionnaire, covering 4 items: patient-dentist relationship; efficiency of the general clinic; patients perception of dental care quality; college healthcare opinion, was distributed to 400 patients visiting the dental clinic. Data were treated statistically using overall percentage distributions and Fisher exact test. The mean percentage of agreement for the 4 items was 85.86 ± 24.51% denoting a high level of satisfaction. Fisher exact test showed (p < 0.01) statistically important difference between first time and multiple time visitors answers. Majority of the patients were satisfied with the clinical settings and the benefits of the fast delivered treatment. The quality of the services was appreciated by the majority of visitors. The attitude of the providers of healthcare was perceived as very friendly and gentle. The assessment of patients’ contentment and perception of healthcare services could be an efficient tool to evaluate the overall activity of an educational healthcare institution.

scholarly journals PERCEPTIONS OF UNDERGRADUATE DENTAL STUDENTS AND GRADUATE DENTISTS TOWARDS BEHAVIOURAL GUIDANCE TECHNIQUES IN PAEDIATRIC DENTISTRY: A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 5 (4) ◽  
Keyword(s):  
Dental Treatment ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Paediatric Dentistry ◽  
Working Environment ◽  
Cross Sectional ◽  
Significance Level ◽  
Exact Test ◽  
Child Patient

Objectives: This study aimed to evaluate perceptions of undergraduate dental students and graduate dentists towards behaviouralguidance techniques in paediatric dentistry. Materials & Methods: 225 subjects with previous experience in treating paediatricpatient were identified and invited to fill up a Likert-style questionnaire with 15 questions in total. The data was evaluated for descriptive analysis and statistical analysis using Pearson’s chi-square test and Fisher’s exact test(significance level, p<0.05). Results: 158 respondents were included in this study. 47.4% think that communication is the most effective non-pharmacological method of behavioural guidance, 62.6% and 45.6% think that tell-show-do is the most practical and most successful behaviour shaping techniques, respectively. 43.7% responded neutral to the use HOME or physical restraints in controlling child patient, 81.0% almost never used HOME method. 87.3% had explained procedures of dental treatment to child patientsduring treatment, 89.2% had used euphemism on the child. 40.5% of child patientssometimes struggled when receiving their treatment. 33.5% required some effort to get their child patient treated. 79.1% had never usedprotective stabilization method. 75.9% think that their working environment is favourable and conducive for child patients. 39.2% think that desensitization is the most effective method to reduce dental fear and anxiety in child patient. 59.5% preferpresence of parents during treatment. 56.35% of frightened cry was most commonly seen clinically. 73.4% would not consider further studies in paediatric dentistry. Conclusion: Generally, the respondents demonstrated satisfactory knowledge and acceptance of various behavioural guidance techniques in paediatric dentistry, but with some deficiencies.

scholarly journals Perceived Barriers to Mental Health Services among the Elderly in the Rural of Vietnam: A Cross Sectional Survey in 2019

2021 ◽  
Vol 14 ◽  
pp. 117863292110260
Author(s):  
Nguyen Hang Nguyet Van ◽  
Nguyen Thi Khanh Huyen ◽  
Mai Thi Hue ◽  
Nguyen Thanh Luong ◽  
Pham Quoc Thanh ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Areas ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Perceived Barriers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Important Indicator

While the burden of neurological and mental disorders has been drastically increased in Vietnam, the current mental healthcare services do not meet the public demand. In order to determine perceived barriers to the use of mental health services, we conducted a cross-sectional study on 376 elderly people from a rural district in Hanoi, Vietnam. We found that depression may be an important indicator of the need for formal and informal community and home care mental health services. Barriers to mental healthcare access were categorized into 7 groups namely stigma, emotional concerns, participation restrictions, service satisfaction, time constraints, geographic and financial conditions, and availability of services. The most significant barriers are the limited availability of and accessibility to health professionals and services in rural areas. Our study highlights the urgent efforts that need to be made in order to enhance availability of mental healthcare services in rural areas of Vietnam.

scholarly journals Healthcare services utilization among international students in Ankara, Turkey: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abednego Nzyuko Masai ◽  
Bahar Güçiz-Doğan ◽  
Polet Njeri Ouma ◽  
Israel Nyaburi Nyadera ◽  
Victor Kipkoech Ruto
Keyword(s):  
International Students ◽  
Health Services ◽  
Healthcare Access ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Exact Test ◽  
Services Utilization

Abstract Background While international students form an increasing population of higher education students in Turkey, there is limited empirical evidence about their health services utilization. The study aim was to investigate healthcare access among a group of international students studying in Ankara city and identify potential barriers that affect full healthcare utilization. Method A total of 535 international students from 83 countries completed an online-based questionnaire. The survey was conducted from September until October 2020. Variables between groups within the study sample were compared using ANOVA and Chi-square tests (with Fisher’s exact test). Logistic regression analysis was used to evaluate the relationships between variables related to access to health services. Results Of the study population, 80.6% accessed the general practitioner (GP), 40% accessed the student health centres, and 11.4% were admitted to the hospital at least once. About 80% of international students reported changing their views to access healthcare more because of the COVID-19 pandemic. Conclusion Lack of awareness of healthcare support systems, perceived stigma associated with mental health services, and language barriers were the main barriers affecting healthcare access by international students. Implications Study findings indicate the need for education of international students on available healthcare, targeted health promotion, and training of health providers on effective communication.

scholarly journals Risk Factors Associated with Cusp Fractures in Posterior Permanent Teeth—A Cross-Sectional Study

2021 ◽  
Vol 11 (19) ◽  
pp. 9299
Author(s):  
Susana Morimoto ◽  
Wilma K. C. Lia ◽  
Flavia Gonçalves ◽  
Denis Yudi Nagase ◽  
Thais Gimenez ◽  
...  
Keyword(s):  
Risk Factors ◽  
Dental Treatment ◽  
Cross Sectional Study ◽  
Endodontic Treatment ◽  
Permanent Teeth ◽  
Fisher Exact Test ◽  
Sectional Study ◽  
Cross Sectional ◽  
Exact Test ◽  
Factors Associated

Objectives: This cross-sectional study aimed to evaluate the frequency and risk factors associated with cusp fractures in posterior permanent teeth. Methods: Patients presented cusp fractures on posterior permanent teeth, clinically assessed in up to 7 days after the event, and requesting dental treatment at two public services were included in this cross-sectional study. Fractured teeth already treated, with antagonist absence, or with prosthesis (total or removable) were excluded. Demographic and clinical data were collected to draw the patient profiles and establish how teeth were affected individually. Statistical analysis was performed by the Fisher exact test, and uni- and multivariate logistic regression (α = 0.05). Results: One hundred and seventy-seven (177) patients from 16 to 66 years old (±41.56), from 1998 to 2016, were included in this study. Non-functional and lingual cusps presented a higher fracture than functional and buccal cusps, respectively. Fractures were more common in teeth with isthmus wider than 1/3 of the intercuspid distance and/or more than three restored surfaces. Teeth with endodontic treatment presented a higher subgingival fracture. On lingual cusps, fracture type and location were significantly associated, being that total fractures were 3.2 times more likely to occur than partial fractures, and subgingival were 3.62 times more likely to occur than supragingival fractures. Conclusion: Indications of classic protection on functional cusps (LUBL) was refuted since, generally, nonfunctional cusps fractured more than the functional cusps. However, upper pre-molars showed more fractures in functional cusps and lower molars presented more fractures on the nonfunctional cusps. In general, lingual cusps were the most fractured and were associated with a higher prevalence of severe fractures (total fractures at the subgingival level). Fractures were more common in teeth where the restoration had an isthmus wider than 1/3 of the intercuspid distance and/or involved more than three restored surfaces. Most of the patients did not show previous symptoms and signs. Overall, teeth with endodontic treatment presented a higher subgingival fracture.

scholarly journals Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abeer Alharbi ◽  
Joharah Alzuwaed ◽  
Hind Qasem
Keyword(s):  
Saudi Arabia ◽  
Health Services ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Advanced Technology ◽  
Sectional Study ◽  
Cross Sectional ◽  
Technical Problems ◽  
Significant Difference ◽  
Ease Of Access

Abstract Background The Ministry of Health in Saudi Arabia is expanding the country’s telemedicine services by using advanced technology in health services. In doing so, an e-health application (app), Seha, was introduced in 2018 that allows individuals to have face-to-face visual medical consultations with their doctors on their smartphones. Objective This study evaluated the effectiveness of the app in improving healthcare delivery by ensuring patient satisfaction with the care given, increasing access to care, and improving efficiency in the healthcare system. Methods A cross-sectional study design was used to assess the perceptions of users of the Seha app and non-users who continued with traditional health services. The data were collected using an online survey via Google Forms between June 2020 and September 2020. Independent t tests and chi-square (χ2) tests were conducted to answer the research questions. Results There was a significant difference between users and non-users in terms of ease of access to health services (t =  − 9.38, p < 0.05), with app users having a higher mean score (4.19 ± 0.91) than non-users (3.41 ± 1.00); satisfaction with health services (t =  − 6.33, p < 0.05), with users having a higher mean score (3.96 ± 0.91) than non-users (3.45 ± 0.94); and efficiency (only one visit needed for treatment) (t =  − 3.20, p < 0.05), with users having a higher mean score (3.71 ± 0.93) than non-users (3.45 ± 0.93). There were significant associations between the use of the Seha app and age (χ2 = 8.79, p < 0.05), gender (χ2 = 22.19, p < 0.05), region (χ2 = 19.74, p < 0.05), and occupation (χ2 = 22.05, p < 0.05). There were significant relationships between the three items (on access, satisfaction, and efficiency) and experiencing technical issues (t = 4.47, t = 8.11, and t = 3.24, respectively, p < 0.05), with users who faced technical problems having significantly lower mean scores for all three items. Conclusion This study provided evidence that the Seha app improved the delivery of healthcare in Saudi Arabia. Users of the app had a better health experience in terms of their perceived ease of access to healthcare services; their satisfaction with healthcare services; and the efficiency of the system, measured by the number of required doctor visits. Other factors that appeared to influence the use of the app included age, gender, usual source of care, and technical difficulties.

A year of hepatocellular carcinoma at a glance. Demographics, biochemical and radiological characteristics and treatment modalities from a specialized facility of Pakistan

2021 ◽  
pp. 1-6
Author(s):  
Laima Alam
Keyword(s):  
Hepatocellular Carcinoma ◽  
Cross Sectional Study ◽  
Treatment Modalities ◽  
Fisher Exact Test ◽  
Tumour Staging ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Team Meetings ◽  
Contrast Enhanced Ct

Objectives:Relation of demographics of hepatocellular-carcinoma with the aetiology.Tumour characteristics in relation to anti-viral therapy and presence of viral-DNA/RNATreatment modalities offeredMethods: This cross-sectional study enrolled all the patients aged 18-70 years with diagnosed hepatocellular carcinoma either through Triphasic Contrast-Enhanced-CT scan and/or Magnetic Resonance Imaging or biopsy presenting to the Outpatient-Department or multi-disciplinary-team meetings for the year 2019. Demographic variables, biochemical analysis including liver profile and stage of cirrhosis, viral-status, tumour staging and the treatment modalities offered were all noted. ANOVA (normal) and Kruskal-Wallis (non-normal) tests were used to compare quantitative data whereas chi-square-test and fisher-exact-test were used to compare qualitative-data.Results: Out of 195 patients with hepatocellular carcinoma, 76% were males in their fifth to sixth decades of life, 96% had cirrhosis, 94% corresponded to viral hepatocellular-carcinoma (82% Hepatitis-C-Virus, 9% Hepatitis-B-Virus and 3% coinfection), 60% of the cirrhotics landed in Child-Pugh A category with tumour staging BCLC-B being the predominant one (43.6%) and single and multiple bilateral nodules were the commonest lesions encountered. Platelets and Alanine-Transaminase had a significant relation across aetiological groups. Lymph-nodes were the most common extra-hepatic organs for metastasis and the presence of viral PCR had a significant impact on the tumour aggressiveness. Thirty-two percent of the patients were amenable to curative treatment.Conclusion: Viral infection is the main cause of rising prevalence of this tumour in Pakistan. Treatment modalities are expensive and expertise are lacking. A nationwide cancer registry is required for the exact disease burden and tumour behaviour for our population. Continuous....

scholarly journals Future Living Arrangement for Aging Parents and Its Associated Factors

2019 ◽  
Vol 14 (3) ◽  
Author(s):  
Rahmi Setiyani ◽  
Made Sumarwati ◽  
Dian Ramawati
Keyword(s):  
Older People ◽  
Marital Status ◽  
Associated Factors ◽  
Living Arrangement ◽  
Well Being ◽  
Cross Sectional Study ◽  
Family Type ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Exact Test

Background: Shift in demographic structure in Indonesia has raised concern over number of issues, including change in living arrangement of older people. Objectives: The purpose of this study is to examine adult children’s choice of future living arrangement for elderly parent and its associated factors. Methods: A cross sectional study was conducted among 300 young adults in Central Java, Indonesia. Descriptive statistics, Chi-Square and Fisher exact test were used to analyze the data. Results: Majority of respondents (97.3%) preferred parents to live at home, in multi-generational household with children and/or grandchildren (84.5%) in their old age. The choice was significantly influenced by children gender, marital status of parent, and family type (p=0.00; p=0.05, and p=0.05 respectively). Conclusions: In certain circumstances, living in multigenerational household still became a favorable option of living arrangement for elderly parents. Children gender, parent’s marital status and family type were likely to influence the choice. Further researches are needed to investigate which best living arrangement that support older people well-being.

scholarly journals Analisis faktor kejadian wasting pada anak balita 12-59 bulan di Puskesmas Bulili Kota Palu: Studi cross sectional

2021 ◽  
Vol 6 (2) ◽  
pp. 111
Author(s):  
Hepti Muliyati ◽  
Menis Mbali ◽  
Hadidja Bando ◽  
Riana Pangestu Utami ◽  
Opyn Mananta
Keyword(s):  
Public Health ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Public Health Problem ◽  
Sampling Technique ◽  
P Value ◽  
Fisher Exact Test ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Exact Test

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.

scholarly journals Pengaruh perilaku pedagang es campur terhadap penggunaan bahan kimia

2018 ◽  
Vol 3 (1) ◽  
pp. 82
Author(s):  
Fajriansyah Fajriansyah
Keyword(s):  
Negative Impact ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Exact Test ◽  
Food Dyes ◽  
Chemical Content ◽  
Cross Sectional Design ◽  
Counseling And Guidance ◽  
Rhodamin B ◽  
Banda Aceh

Es campur merupakan salah satu makanan jajanan yang sangat umum dimasyarakat. Es campur yang dijual bebas dipasar mempunyai kandungan zat warna yang sangat berbahaya bagi masyarakat. Rendahnya pengetahuan pedagang serta tindakan mereka berdampak negatif bagi konsumen. Penelitian ini bertujuan untuk mengukur hubungan pengetahuan dan tindakan pedagang es campur terhadap penggunaan bahan kimia di Kota Banda Aceh. Penelitian menggunakan desain potong lintang yang dilakukan pada 23 pedagang es campur di Kota Banda Aceh. Data yang dikumpulkan meliputi data pengetahuan, tindakan dan data penggunaan bahan kimia. Pengumpulan data dlakukan secara wawancara dan pengujian laboratorium. Uji statistik yaitu fisher ecxact test pada CI95%. Hasil penelitian menunjukan rendahnya pengetahuan (60,9%) dan tindakan (69,6%) pada pedagang, serta tingginya kandungan Rhodamin pada es campur (52,2%). Pengentahuan dan tindakan pedagang mempunyai hubungan signifikan dengan tingginya kandungan bahan kimia pada es campur (p < 0,05). Kesimpulan, rendahnya pengetahuan dan kurang baiknya tindakan pedagang sangat signifikan terhadap tingginya kandungan bahan kimia Rhodamin B pada es campur. Saran, perlu penyuluhan dan pembinaan secara rutin kepada pedagang tentang bahaya zat warna non pangan dan akibatnya terhadap kesehatan. Kata Kunci : Pengetahuan, tindakan, Rhodamin B, es campur  Ice mix is one of the most common food snacks in the community. The mixed free-mixed ice on the market has a very dangerous dye content for the community. The low knowledge of traders, as well as their actions, have a negative impact on consumers. This study aims to measure the correlation of knowledge and action of the merchant of mixed ice against the use of chemicals in Banda Aceh. The study used a cross-sectional design performed on 23 ice-mix traders in Banda Aceh City. The data collected includes data on knowledge, action, and data on the use of chemicals. Data collection was conducted by interview and laboratory testing. The statistical test is Fisher exact test at CI95%. The results showed low knowledge (60.9%) and action (69.6%) on traders, as well as the high content of Rhodamine on mixed ice (52.2%). Trader's knowledge and actions have a significant relationship with the high chemical content in the mixed ice (p <0.05). Conclusion, low knowledge and lack of merchant action are very significant to the high content of Rhodamin B chemicals on the mixed ice. Advice, need counseling and guidance on a regular basis to the trader about the dangers of non-food dyes and the consequences on health. Keywords: Knowledge, action, Rhodamine B, mixed ice

scholarly journals Hubungan Penerapan Perilaku Kadarzi (Keluarga Sadar Gizi) dengan Status Gizi Balita di Kabupaten Tulungagung

2017 ◽  
Vol 1 (4) ◽  
pp. 379
Author(s):  
Santik Wijayanti ◽  
Triska Susila Nindya
Keyword(s):  
Vitamin A ◽  
Nutritional Status ◽  
Vitamin A Deficiency ◽  
Fisher Exact Test ◽  
Height Measurement ◽  
Cross Sectional ◽  
Exact Test ◽  
Children Under Five ◽  
Under Five ◽  
Nutritional Status Of Children

 Background: Family conscious nutrition (Kadarzi) is an Indonesia government program that aims to address the nutrition problem. The family expected to be able to independently giving the best nutrition to improve health. Each Kadarzi indicator has an important role to resolve and prevent the occurrence of utrition problem as indicator of vitamin A supplementation is used to resolve vitamin A deficiency.  Nutrition problems can be seen by using nutritional status. Children under five years are age-prone to experiencenutritional problem such as underweight, stunting, and wasting. Objective: The purpose of this study was to analyze the relationship between the application of Kadarzi behavior with the nutritional status of children under five (WAZ, HAZ, and WHZ). Method: The research was an analytic obsevation research, using cross sectional design. The sample consist of 72 toddlers in Salakkembang Village, Kalidawir Subdistrict, Tulungagung Regency. The data were collected by using weight and height measurement, also Kadarzi bahavior questionnaire. The data were analyzed using Fisher Exact test. Result: The results of the study showed that there was a correlation between Kadarzi behavior with nutitional status of toddlers based on WAZ (p=0.010), and HAZ (p=0.000) but not with WHZ (p=0.368). Conclusion: The better apllication of Kadarzi behavior, the better the nutritional status of toddlers WAZ and HAZ. Mothers should apply Kadarzi behavior to prevent toddlers from nutritional problems. ABSTRAK Latar belakang: Keluarga Sadar Gizi (Kadarzi) merupakan program pemerintah Indonesia yang bertujuan mengatasi masalah gizi. Keluarga diharapkan dapat secara mandiri mewujudkan keadaan gizi yang sebaik-baiknya untuk meningkatkan kesehatan. Setiap indikator Kadarzi memiliki peran penting untuk mengatasi dan mencegah terjadinya masalah gizi seperti indikator pemberian suplemen vitamin A digunakan untuk mengatasi kekurangan vitamin A. Masalah gizi dapat dilihat salah satunya dengan menggunakan status gizi. Balita merupakan usia yang rawan mengalami masalah gizi seperti underweight, stunting, dan wasting.Tujuan: Tujuan dari penelitian ini adalah menganalisis hubungan antara penerapan perilaku Kadarzi dengan status gizi balita (BB/U, TB/U, dan BB/TB).Metode: Penelitian ini merupakan penelitian observasinol analitik, dengan desain penelitian cross sectional. Sampel terdiri dari 72 balita di Desa Salakkembang, Kecamatan Kalidawir, Kabupaten Tulungagung. Pengumpulan data menggunakan penimbangan berat badan, tinggi badan, dan kuesioner perilaku Kadarzi. Data dianalisis menggunakan Fisher Exact test. Hasil: Hasil dari penelitian menunjukkan terhadap hubungan antara perilaku Kadarzi dengan status gizi balita BB/U (p=0,010) dan TB/U (p=0,000) namun tidak dengan BB/TB (p=0,368).Kesimpulan: Semakin baik penerapan perilaku Kadarzi maka semakin baik status gizi balita BB/U dan TB/U. Ibu dan seluruh anggota keluarga seharusnya menerapkan perilaku Kadarzi agar balita terhindar dari masalah gizi.

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