scholarly journals Barriers to access dental care services among adult population: A systematic review

2020 ◽  
Vol 3 ◽  
pp. 54-62
Author(s):  
Lakshmi Krishnan ◽  
Aarthy C. S. ◽  
Parangimalai Diwakar Madan Kumar
Keyword(s):  
Systematic Review ◽  
Dental Care ◽  
Access To Health Care ◽  
Adult Population ◽  
Final Analysis ◽  
Health Care Facilities ◽  
Google Scholar ◽  
Cross Sectional ◽  
Care Services ◽  
Meta Analyses

Objective: This systematic review was done with the aim of assessing the barriers faced in utilizing dental care services by general population in age group between 20 and 60 years in India as these findings would provide evidence for making appropriate decisions in our National Oral Health Policy which could further improve access to dental care services for people across India. This was a systematic review. Materials and Methods: For this review, PubMed, TRIP database, Cochrane, and Google Scholar were the electronic databases searched based on the PICO. Preferred Reporting Items for Systematic Reviews and Meta- Analyses guidelines were followed for the final inclusion of articles. Results: The search generated a total of 91 articles from four different electronic bases: PubMed, TRIP database, Cochrane, and Google Scholar. Based on the inclusion criteria, 14 articles made it to the final analysis. All 14 studies reported a lack of time and nonavailability of dentists as major barriers in accessing dental care services. Conclusion: The cross-sectional studies of this review were assessed for quality using a modified Newcastle- Ottawa Scale, proposed by Egger et al. in 2003. Even though the available literature forms a lower standard of evidence, further evaluation of barriers using a standardized questionnaire is recommended using better-designed studies to substantiate the unequal access to health-care facilities to Indian Population.

Adverse Effects of Natural Products: A Brief Pre-Systematic Review

2020 ◽  
Vol 01 ◽  
Author(s):  
Carla Pires ◽  
Ana Fernandes
Keyword(s):  
Systematic Review ◽  
Adverse Event ◽  
Natural Products ◽  
Adverse Events ◽  
In Vitro Study ◽  
Google Scholar ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Meta Analyses

Background: Natural products are commonly used for treating health problems. These products may be associated with adverse events, which are defined as "noxious and unintended response to a medicinal product" by the European Medicine Agency. Objectives: To identify studies describing at least one adverse event (or with potential to promote an adverse event) related to the use of natural products, as well as to describe the involved product(s) and adverse event(s). Methods: A pre-systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. Keywords: "natural product(s)" and ["adverse drug reaction(s)" or "adverse effect(s)"]. Screened databases: PubMed, SciELO, DOAJ and Google Scholar. Inclusion criteria: papers describing at least one adverse event associated with the use of natural products and published between 2017 and 2019. Exclusion criteria: Repeated studies, reviews and papers written in other languages than English, Portuguese, French or Spanish. Results: 104 studies were identified (20 PubMed; 0 SciELO; 2 DOAJ; 82 Google Scholar), but only 10 were selected (4 PubMed and 6 Google Scholar): 1 in-vitro study; 2 non-clinical studies, 1 study reporting in-vitro and clinical data and 5 studies were cases reports. Globally, 997 reports of adverse drug reactions with natural products were identified, mainly non-severe cases. Conclusion: Since a limited number of studies was found, we conclude that adverse events due to natural products may be underreported, or natural products may have a good safety profile. This review contributes for assuring the safety of natural products consumers, by evaluating the knowledge/information on the potential adverse events and interactions of these products.

Impact of restricting access to health care services on Syrian refugees in Jordan: evidence from cross-sectional surveys

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ibraheem Khaled Abu Siam ◽  
María Rubio Gómez
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Cost ◽  
Syrian Refugees ◽  
Cross Sectional ◽  
Content Type ◽  
Care Access ◽  
Care Services

Purpose Access to health-care services for refugees are always impacted by many factors and strongly associated with population profile, nature of crisis and capacities of hosing countries. Throughout refugee’s crisis, the Jordanian Government has adopted several healthcare access policies to meet the health needs of Syrian refugees while maintaining the stability of the health-care system. The adopted health-care provision policies ranged from enabling to restricting and from affordable to unaffordable. The purpose of this paper is to identify the influence of restricted level of access to essential health services among Syrian refugees in Jordan. Design/methodology/approach This paper used findings of a cross-sectional surveys conducted over urban Syrian refugees in Jordan in 2017 and 2018 over two different health-care access policies. The first were inclusive and affordable, whereas the other considered very restricting policy owing to high inflation in health-care cost. Access indicators from four main thematic areas were selected including maternal health, family planning, child health and monthly access of household. A comparison between both years’ access indicators was conducted to understand access barriers and its impact. Findings The comparison between findings of both surveys shows a sudden shift in health-care access and utilization behaviors with increased barriers level thus increased health vulnerabilities. Additionally, the finding during implementation of restricted access policy proves the tendency among some refugees groups to adopt negative adaptation strategies to reduce health-care cost. The participants shifted to use a fragmented health-care, reduced or delayed care seeking and use drugs irrationally weather by self-medication or reduce drug intake. Originality/value Understanding access barriers to health services and its negative short-term and long-term impact on refugees’ health status as well as the extended risks to the host communities will help states that hosting refugees building rational access policy to protect whole community and save public health gains during and post crisis. Additionally, it will support donors to better mobilize resources according to the needs while the humanitarian actors and service providers will better contribute to the public health stability during refugee’s crisis.

scholarly journals Sex-specific differences in prevalence and in the factors associated to the search for health services in a population based epidemiological study

2014 ◽  
Vol 17 (2) ◽  
pp. 323-340 ◽  
Author(s):  
Suzana Alves de Moraes ◽  
Daniele Almeida Lopes ◽  
Isabel Cristina Martins de Freitas
Keyword(s):  
Epidemiological Study ◽  
Associated Factors ◽  
Access To Health Care ◽  
Health Care Services ◽  
Economic Indicator ◽  
Population Based ◽  
Cross Sectional ◽  
Women Health ◽  
Care Services ◽  
Health Related

Objectives: To identify the access to health care services and associated factors in adults living in the city of Ribeirão Preto, São Paulo, Brazil, in 2007. Methods: A cross-sectional population-based epidemiological study with a sample developed in three stages. The variability introduced in the third sampling fraction was corrected by the attribution of weights, resulting in a sample of 2,471 participants. The outcome prevalence was estimated according to socio-demographic, behavioral and health-related variables. In order to identify associated factors, the regression of Poisson was used, obtaining crude and adjusted prevalence ratios. All estimates were calculated taking into account the effect of the sampling design. Results: The outcome prevalence increased according to the age, being higher in female individuals. A different set of variables remained in the final models, considering each gender separately. Among men, the monthly income > R$ 1,400.00; scores > 823.6 to the Economic Indicator of Ribeirão Preto (IERP) and daily average of sitting down time (154.4 - 240 min/day) constituted themselves into protective factors, whereas the increase of age and scholarship, hospitalization, diabetes and hypertension constituted risk factors for the use of the services. Among women, health self-reported as regular, hospitalization, diabetes and hypertension characterized factors positively associated to the outcome at matter. Conclusions: The results indicate the need for planning actions aimed at capturing male individuals, as well as the revaluation of detection and control of diabetes and hypertension programs, aimed at the primary prevention of terminal cardiovascular events.

scholarly journals Resource Use, Availability and Cost in the Provision of Critical Care in Tanzania: A Systematic Review

2021 ◽  
Author(s):  
Joseph Kazibwe ◽  
Hiral A. Shah ◽  
August Kuwawenaruwa ◽  
Carl Otto Schell ◽  
Karima Khalid ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Resource Use ◽  
Unit Cost ◽  
Scale Up ◽  
Urban Settings ◽  
Care Services ◽  
Rural And Urban ◽  
Registration Number ◽  
Meta Analyses

Abstract IntroductionCritical care is essential in saving lives of critically ill patients, however, provision of critical care across lower resource settings can be costly, fragmented and heterogenous. Despite the urgent need to scale-up the provision of critical care, little is known about its availability and cost. Here, we aim to systematically review and identify reported resource use, availability and costs for the provision of critical care and the nature of critical care provision in Tanzania. Methods The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines; PROSPERO registration number: CRD42020221923. We searched Medline, Embase and global health databases. We included studies that reported on provision of critical care, cost and availability of resources used in the provision of critical care published after 2010. Costs were adjusted and reported in 2019 USD and TZS using the world bank GDP deflators. ResultsA total 31 studies were found to fulfil the inclusion and exclusion criteria. Critical care identified in Tanzania was categorised into: ICU delivered critical care and non-ICU critical care. The availability of ICU delivered critical care was limited to urban settings whereas non-ICU critical care was found in rural and urban settings. 15 studies reported on the costs of services related to critical care yet no study reported an average or unit cost of critical care. Costs of medication, equipment (e.g. oxygen, PPE), services, and human resources were identified as inputs to specific critical care services in Tanzania. ConclusionThere is limited evidence on the resource use, availability and costs of critical care in Tanzania. There is a strong need for further empirical research on critical care resources availability, utilization and costs across specialties and hospitals of different level in LMICs like Tanzania to inform planning, priority setting and budgeting for critical care services.

scholarly journals Pengetahuan, Sikap dan Keterampilan Perawat tentang Oral Care pada Pasien Tidak Sadar

2020 ◽  
Vol 11 (2) ◽  
pp. 133
Author(s):  
Endah Fitriasari ◽  
Elly L. Sjattar ◽  
Kusrini S. Kadar
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Oral Care ◽  
Oral Health Care ◽  
Google Scholar ◽  
Cross Sectional ◽  
Care Services ◽  
Randomized Intervention ◽  
Intervention Trials ◽  
Unconscious Patients

Background: Providing oral care for adults who are hospitalized with dependency is a nursing responsibility and is an important component of providing nursing care services, as an effort to maintain general health. Objective: To observe nurses' knowledge, attitudes and skills about oral care in unconscious patients. Methods: Using an database to search for articles from journals that had been published through PubMed, Google Scholar, and Proquest. Results: Six articles that discussed oral health care knowledge, attitudes and skills were included in the review. There were three articles with cross-sectional designs and one article each for descriptive, non-randomized intervention trials and mixed methods. Conclusion: Efforts to renew knowledge, attitudes and improve oral health care skills can be done through training or through oral health programs. Keywords: knowledge; attitudes; nurse skills; oral care; unconscious patients ABSTRAK Latar Belakang: Memberikan oral care untuk orang dewasa yang dirawat di rumah sakit dengan ketergantungan adalah tanggung jawab keperawatan dan merupakan komponen penting dari pemberiaan layanan asuhan keperawatan, sebagai upaya menjaga kesehatan secara umum. Tujuan: Untuk melihat pengetahuan, sikap dan keterampilan perawat tentang oral care pada pasien tidak sadar. Metode: Menggunakan basis data elektronik dalam mencari artikel dari jurnal yang telah dipublikasikan melalui PubMed, Google scholar, dan Proquest. Hasil: Enam artikel yang membahas tentang pengetahuan, sikap dan keterampilan perawatan kesehatan mulut dimasukkan dalam tinjauan. Terdapat tiga artikel dengan desain cross- sectional serta masing- masing satu artikel untuk deskriptif, non-randomized intervention trial dan mixed method. Kesimpulan: Upaya memperbaharui pengetahuan, sikap dan meningkatkan keterampilan perawatan kesehatan mulut dapat dilakukan dengan pelatihan ataupun melalui program kesehatan mulut. Kata kunci: pengetahuan; sikap; keterampilan perawat; oral care; pasien tidak sadar

scholarly journals Integrality of care for hemodialysis patient in Brazil: an analysis of access to dental care

2020 ◽  
Vol 25 (2) ◽  
pp. 533-540
Author(s):  
Bruna Mara Ruas ◽  
Lia Silva Castilho ◽  
Natália Cristina Ruy Carneiro ◽  
Natália Mendes de Matos Cardoso ◽  
Augusto Barbosa Reis ◽  
...  
Keyword(s):  
Dental Caries ◽  
Dental Care ◽  
Formal Education ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Southeastern Brazil ◽  
Cross Sectional ◽  
Care Services ◽  
Access To Dental Care ◽  
Belo Horizonte

Abstract The present study aimed to analyze factors associated with access of dental care services by Brazilian hemodialysis patients. A cross-sectional study was carried out with 467 hemodialysis patients aging from 19 to 90 years in two renal therapy centers located in the cities of Contagem and Belo Horizonte, Southeastern Brazil. Data were collected through an oral clinical examination of the patients and the application of a structured questionnaire. The dependent variable was the access to dental care, measured by the question "Have you consulted with a dentist in last six months?". The mean age of participants was 49.9 years. The average number of teeth present in the mouth was 19.3. An average of 1.5 teeth with dental caries cavities lesion was diagnosed among hemodialysis patients. One-third of the sample had gone to the dentist in the last six months (27.8%). The access to dental care was associated with formal education (OR = 1.5 [1.1-2.4]), professional advising to consult with a dentist (OR = 2.1 [1.2-3.8]) and prevalence of dental caries (OR = 2.1 [1.3-3.2]). Hemodialysis patients with eight or more years of formal education, who received professional advising to consult with a dentist and without dental caries cavities had higher chances obtaining access to dental care.

scholarly journals Magnesium and mood disorders: systematic review and meta-analysis

BJPsych Open ◽  
2018 ◽  
Vol 4 (4) ◽  
pp. 167-179 ◽  
Author(s):  
Danny Phelan ◽  
Patricio Molero ◽  
Miguel A. Martínez-González ◽  
Marc Molendijk
Keyword(s):  
Systematic Review ◽  
Mood Disorders ◽  
Symptom Severity ◽  
Odds Ratio ◽  
Potential Role ◽  
Meta Analysis ◽  
Blood Levels ◽  
Cross Sectional ◽  
Bodily Fluids ◽  
Meta Analyses

BackgroundMagnesium (Mg2+) has received considerable attention with regards to its potential role in the pathophysiology of the mood disorders, but the available evidence seems inconclusive.AimsTo review and quantitatively summarise the human literature on Mg2+intake and Mg2+blood levels in the mood disorders and the effects of Mg2+supplements on mood.MethodSystematic review and meta-analyses.ResultsAdherence to a Mg2+-rich diet was negatively associated with depression in cross-sectional (odds ratio = 0.66) but not in prospective studies. Mg2+levels in bodily fluids were on average higher in patients with a mood disorder (Hedge'sg = 0.19), but only in patients treated with antidepressants and/or mood stabilisers. There was no evident association between Mg2+levels and symptom severity. Mg2+supplementation was associated with a decline in depressive symptoms in uncontrolled (g = −1.60) but not in placebo-controlled trials (g = −0.21).ConclusionOur results provide little evidence for the involvement of Mg2+in the mood disorders.Declaration of interestNone.

scholarly journals Is Sensory Loss an Understudied Risk Factor for Frailty? A Systematic Review and Meta-analysis

2020 ◽  
Vol 75 (12) ◽  
pp. 2461-2470
Author(s):  
Benjamin Kye Jyn Tan ◽  
Ryan Eyn Kidd Man ◽  
Alfred Tau Liang Gan ◽  
Eva K Fenwick ◽  
Varshini Varadaraj ◽  
...  
Keyword(s):  
Systematic Review ◽  
Risk Factor ◽  
Longitudinal Studies ◽  
Meta Analysis ◽  
Sensory Loss ◽  
Cross Sectional ◽  
Sensory Impairments ◽  
Subgroup Analyses ◽  
Meta Regression ◽  
Meta Analyses

Abstract Background Age-related sensory loss and frailty are common conditions among older adults, but epidemiologic research on their possible links has been inconclusive. Clarifying this relationship is important because sensory loss may be a clinically relevant risk factor for frailty. Methods In this systematic review and meta-analysis, we searched 3 databases for observational studies investigating 4 sensory impairments—vision (VI), hearing (HI), smell (SI), and taste (TI)—and their relationships with frailty. We meta-analyzed the cross-sectional associations of VI/HI each with pre-frailty and frailty, investigated sources of heterogeneity using meta-regression and subgroup analyses, and assessed publication bias using Egger’s test. Results We included 17 cross-sectional and 7 longitudinal studies in our review (N = 34,085) from 766 records. Our cross-sectional meta-analyses found that HI and VI were, respectively, associated with 1.5- to 2-fold greater odds of pre-frailty and 2.5- to 3-fold greater odds of frailty. Our results remained largely unchanged after subgroup analyses and meta-regression, though the association between HI and pre-frailty was no longer significant in 2 subgroups which lacked sufficient studies. We did not detect publication bias. Longitudinal studies largely found positive associations between VI/HI and frailty progression from baseline robustness, though they were inconclusive about frailty progression from baseline pre-frailty. Sparse literature and heterogenous methods precluded meta-analyses and conclusions on the SI/TI–frailty relationships. Conclusions Our meta-analyses demonstrate significant cross-sectional associations between VI/HI with pre-frailty and frailty. Our review also highlights knowledge gaps on the directionality and modifiability of these relationships and the impact of SI/TI and multiple sensory impairments on frailty.

scholarly journals Dietary Patterns and Quality of Life in Older Adults: A Systematic Review

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 971 ◽  
Author(s):  
Thara Govindaraju ◽  
Berhe Sahle ◽  
Tracy McCaffrey ◽  
John McNeil ◽  
Alice Owen
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Older Adults ◽  
Dietary Patterns ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Set Inclusion ◽  
Demographic Shifts ◽  
Meta Analyses

Dietary patterns may be related to quality of life (QoL) of older adults, although evidence from literature is conflicting. The demographic shifts toward ageing populations in many countries increases the importance of understanding the relationship between diet and QoL in older adults. This review was designed to investigate associations between dietary patterns and QoL in older adults. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eight electronic databases were searched to identify articles published in English from January 1975 to March 2018 that investigated associations between dietary patterns and QoL in older adults. Relevant studies were identified based on set inclusion and exclusion criteria, data were extracted and analysed to examine the relationships and possible implications for public health recommendations. The systematic review included 15 articles (One randomized control trial, six prospective cohorts and eight cross sectional). The studies looked at correlations between different dietary patterns and/or adherence to particular dietary patterns and self-reported QoL or self-rated health status. Excluding two studies which showed no significant association, healthy dietary patterns were associated with better self-rated health and QoL in one or more domains, and adherence to healthy dietary patterns like the Mediterranean diet were significantly associated with improvement in at least one of the QoL domains.

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