scholarly journals Factors Related to Patient Expectation and Satisfaction among New and Existing Denture wearers with Complete Denture therapy

2020 ◽  
Vol 3 (2) ◽  
pp. 86-91
Author(s):  
A Pandey
Keyword(s):  
Patient Satisfaction ◽  
Social Life ◽  
Economic Status ◽  
Treatment Options ◽  
Complete Denture ◽  
P Value ◽  
Functional Rehabilitation ◽  
Patient’S Satisfaction ◽  
Significant Difference ◽  
Denture Status

Introduction: Edentulism is considered a debilitating condition with aging in which several dental and non-dental factors play a vital role in the success of prosthodontic treatment. Patient satisfaction is an important non-dental component. The dentist should aim for functional rehabilitation by satisfying the patient medically, functionally, and psychologically. Patient satisfaction depends on two factors: patient factor and dentist factor. From the patient’s view, satisfaction is guided by improved quality with factors like eating, easy communication, comfort, social life, economic status, and vocational opportunities. From dentist’s view, treatment options, treatment cost etc. affects the patient’s satisfaction. Materials and Methods: Experimental study conducted in Department of Prosthodontics, College of Medical Sciences, Bharatpur in patients receiving complete denture by convenience sampling in six months duration in sixty-five samples. Questionnaires regarding patient’s expectations and satisfaction in terms of retention, mastication, phonetics, esthetics, and comfort were used in both 1st-time denture wearer and existing denture wearer was recorded. Grading was rated with Visual Analog Scale (VAS) from 0 to 10 using the optimum cutoff values. Data were recorded in SPSS 21 and analyzed. Results: Independent t-test was carried out for expectation showing a statistically significant difference between retention, mastication, aesthetics, phonetics, comfort, and denture status with p value 0.036, 0.00, 0.001, 0.003, and 0.013 respectively. Statistically, a significant difference was found for satisfaction between aesthetics and denture status with a p-value of 0.01. Conclusions: Expectation and satisfaction were found to be more in first-time denture wearers than existing denture wearers. Experiences obtained beforehand with complete dentures could influence patient expectations and satisfaction.

scholarly journals Impact of Removable Partial Denture Type on Patient Satisfaction and Abutment Survival Rate-RCT

2019 ◽  
Vol 7 (15) ◽  
pp. 2513-2519
Author(s):  
Sherif A. Sadek ◽  
Dina Elawady
Keyword(s):  
Patient Satisfaction ◽  
Survival Rate ◽  
Dental Treatment ◽  
P Value ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Patient’S Satisfaction ◽  
Group Iii ◽  
Group I ◽  
Significant Difference

BACKGROUND: Patient’s satisfaction and the preservation of abutments is the most important outcomes that the clinician seeks during fabrication of any dental treatment, especially when it is concerned with removable prosthodontic rehabilitation. AIM: The present study evaluates three different Removable Partial Denture (RPD) types restoring mandibular class II modification I edentulous cases with regards to patient’s satisfaction and abutments survival. METHODS: Forty-two partially edentulous patients were divided into three groups (Group I rehabilitated with Vitallium RPD, Group II rehabilitated with Vitallium RPD where the modification area restored with the surveyed bridge, Group III rehabilitated with Thermopress RPD). The patients were followed up for twenty-four months. Using a questionnaire, prosthodontic maintenance required was documented at the delivery and after 3 months. RESULTS: There was a significant difference regarding patient satisfaction for group III (P-value <0.05) while for groups I and II there was a non-significant difference (P-value >0.05). Regarding the survival rate, there was a non-significant difference between the three groups (P-value >0.05) at the end of twenty-four months of follow up. CONCLUSION: Patient satisfaction and abutment survival were better with Thermopress RPD than conventional Vitallium RPD or Vitallium RPD with a surveyed bridge restoring the modification area. Although a non-statistically significant difference was found in the survival rate of abutments between groups, a clinically important result was revealed as no abutments failures were reported in the Thermopress group.

scholarly journals The Effect of New Patient Orientation to the Patient’s Satisfaction Level

2014 ◽  
Vol 1 (1) ◽  
pp. 024-029
Author(s):  
Widya Dwi Pratiwi ◽  
Yeni Kartika Sari
Keyword(s):  
Patient Satisfaction ◽  
Nursing Care ◽  
Design Research ◽  
Nursing Intervention ◽  
P Value ◽  
Satisfaction Level ◽  
Patient Orientation ◽  
Control Groups ◽  
Patient’S Satisfaction ◽  
Significant Difference

The rights of the patients can be fulfiled by nurses through orientation by nurses to new patients. The new patient orientation is a agreement between nurses and patients or families in providing nursing care. The agreement is needed to make a good relationship between nurses and patient or their family. The purpose of this study was to explain the effectiveness of the new patient orientation towards the satisfaction level of nursing care in Melati Room RSD Mardi Waluyo Blitar. Method: Research design was  experimental research with quasy experimental design Research sample was 30 new patients at Melati Room RSD Mardi Waluyo Blitar were devided equally into two group, namely treatment and control groups at May 24th until May 31st, 2012, its choosed with concecutive sampling. Analysis using Mann Whitney test. Results: The result showed that the level of patient satisfaction on nursing care of treatment groups were 67% satisfied and 33% very satisfied. While the level of patient satisfaction of nursing care of control groups was 80 % satisfied and 20% dissatisfied. There was significant difference in the level of satisfaction of new patients who did and did not the orientation with p-value  0.00.  Discussion: It is suggested for nurses to pay attention to the patient satisfaction of nursing care by giving orientation to new patients as nursing intervention.

The Concepts of Complete Denture Occlusion amongst Dental Fraternity

2021 ◽  
Vol 11 (02) ◽  
pp. 65-69
Author(s):  
Maria Shakoor Abbasi ◽  
Naseer Ahmed ◽  
Azad Ali Azad ◽  
Fatima Fouad ◽  
Humza Daudpota ◽  
...  
Keyword(s):  
Neuromuscular Disorder ◽  
Education Level ◽  
Complete Denture ◽  
P Value ◽  
Removable Partial Denture ◽  
Cross Sectional ◽  
Skeletal Class ◽  
Validated Questionnaire ◽  
Dental Practitioners ◽  
Significant Difference

Objectives: To assess the concepts of complete denture occlusion among dental fraternity. Study Design And Setting: Cross-sectional study conducted at various dental hospitals and institutes of Karachi, for a period of six months, from 1st June’2019 to 30th November’2019 Methodology: Total 849 dental practitioners who are currently practising were included. A well-structured and validated questionnaire was used for data collection. SPSS version 25 was used. Results: Bilateral balanced occlusion was an ideal occlusion by majority subjects i.e, 530(62.4%) in patients with wellformed ridges, followed by 464(54.7%) candidates with skeletal class 1, total 376(44.3%) chose it with uncontrolled diabetes mellitus, 365(43%) in single complete denture cases, 339(39.9%) with increased inter-arch space, 298(35.1%) with parafunction habits, 296(34.9%) in patients with history of neuromuscular disorder and 271(31.9%) where a complete denture opposes a removable partial denture. Furthermore, Lingualized occlusion was preferred by 341(40.25%) participants for patients with skeletal class 3. Total 316(37.2%) candidates chose it for patients with displaceable supporting tissue followed by 264(31.1%) who chose it for skeletal 2 and 260(30.6%) for cases of highly resorbed ridges. Lastly, 311(36.6%) chose canine guided occlusion with highly resorbed ridges accompanied by high aesthetic demand A significant difference between education level and knowledge of occlusal schemes was also found. Chi-square (73.87), df 6, p-value =0.000. Conclusion: Dental practitioners lack adequate knowledge of occlusal schemes in terms of prescription in complete denture patients. A significant difference between the education level and knowledge of occlusal schemes was found. Therefore, awareness of various occlusal schemes should be increased at undergraduate level.

scholarly journals Caesarean Section in Eclampsia and its Outcome in Bangladesh

KYAMC Journal ◽  
2017 ◽  
Vol 6 (1) ◽  
pp. 583-586
Author(s):  
MA Mazid ◽  
Shahida Akter
Keyword(s):  
Heart Failure ◽  
Pulmonary Embolism ◽  
Caesarean Section ◽  
Conservative Management ◽  
Causes Of Death ◽  
Post Partum ◽  
Economic Status ◽  
Treatment Options ◽  
Age Difference ◽  
Significant Difference

This prospective study was carried out on a total number of 58 eclamptic subjects during the period of July 2010 to June 2012 where 38 were undergone caesarean section (LUCS - Lower Uterine Caesarean Section) and 20 received conservative management. Mean (±SD) Age of the subjects who undergone Caesarean Section and conservative management (NVD) were 23.67±8.63 and 23.45±9.31 years respectively. Significant mean age difference was also present between these two groups. In 38 subjects of LUCS 34 subjects were recovered and rest 4 cases were died. Possible causes of death were due to heart failure and post partum pulmonary embolism. Among these 20 subjects who were treated conservatively 14 were recovered and 6 subjects were died. Causes of death in these groups were pulmonary embolism, Septic pneumonia, and HELLP syndrome. Significant difference was found between these two treatment options. It was observed that socio-demographic, economic status and BMI had significant effects on management outcome.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 583-586

The Patient-Pharmacist Interaction in Two Ambulatory Settings — It's Relationship to Patient Satisfaction and Drug Misuse

1977 ◽  
Vol 11 (2) ◽  
pp. 81-89 ◽  
Author(s):  
Judith Ann Ludy ◽  
Jean Paul Gagnon ◽  
Stephen M. Caiola
Keyword(s):  
Patient Satisfaction ◽  
Drug Misuse ◽  
Verbal Reports ◽  
Financial Status ◽  
Patient’S Satisfaction ◽  
Consultation Room ◽  
Significant Difference ◽  
Open Window ◽  
Patient Groups ◽  
Total Interaction

Seventy-five clinic outpatients were randomly assigned to a Satellite Pharmacy with a private consultation room or a centralized Traditional Pharmacy with an open-window setting. A comparison of the patient-pharmacist interaction and its relationship to the patient's satisfaction with pharmacy services and his drug-taking behavior was measured by the use of two questionnaires. A significant difference was found in the quantity of consultation activities performed by the pharmacists in the two settings. Patients were significantly more satisfied with the Satellite Pharmacy and seemed to favor the private setting over the open-window. Patient satisfaction was significantly correlated with the waiting time, the amount of time spent with the pharmacist, the total activities received during the interaction, and satisfaction with hospital services in general. Medication errors were not significantly different for the two patient groups when measured by verbal reports but compliance scores were significantly different for those patients taking drugs for which a tablet count could be done. Although analysis of the data showed a significant difference for only one measure of drug-taking behavior, improvement of drug use as a result of the interaction with the pharmacist in the Satellite Pharmacy was suggested. Compliance scores for regularly scheduled drugs correlated with the financial status of the patient, total interaction activities, and interaction time. Financial status, satisfaction with the drug, and the day of the second interview were significantly correlated with the PRN compliance scores.

scholarly journals Intestinal parasites in Meche community in relation to their socio-economic status

2019 ◽  
Vol 7 (1) ◽  
pp. 14-24
Author(s):  
N. Dhakal ◽  
Janak Raj Subedi
Keyword(s):  
Intestinal Parasites ◽  
Economic Status ◽  
Taenia Solium ◽  
Public Health Problem ◽  
Living Condition ◽  
P Value ◽  
Socio Economic Status ◽  
Significant Difference ◽  
Development Committee ◽  
Village Development Committee

Background and Objectives: Intestinal parasites still establishes one of the important causes of public health problem in world, especially in developing countries like Nepal. The aim of the study is to determine the prevalence of intestinal parasites in Meche community of Jalthal Village Development Committee of Jhapa district in relation to their socio-economic status. Material and Methods: Study was carried out during June to July 2017 in Meche community of Jalthal Village Development Committee of Jhapa district. A total of 150 human stool samples were randomly collected and examined using direct smear and concentration methods (sedimentation and flotation technique). Results: Among total samples the prevalence of intestinal parasites in Meche community was 27.33%. Prevalence rate in females were higher 32.47% than in males 21.91%. There was no significant difference in the distribution of parasites between male and female (χ2=1.6022, df=1, p value=0.2056). The prevalence of the parasites was maximum in the age group 21- 40 years (47.22%). Altogether 5 species of the intestinal parasites were detected. Among them Ascaris lumbricoides (19.33%) topped the list followed by Taenia solium (2.67%), Hookworm (2.67%), Entamoeba coli (2.67%) and Trichuris trichiura (2%). Conclusion: The high prevalence of infection in community seems directly related to un-hygienic living condition, unsafe drinking water, unhygienic food, lack of health education, poor sanitary condition and low socio-economic status help to increase the burden of the infection in the community.

scholarly journals Relationship of Migraine and Body Mass Index (BMI)

2016 ◽  
Vol 6 (2) ◽  
pp. 80-87
Author(s):  
Mohammed Momenuzzaman Khan ◽  
Md Nazmul Huda ◽  
Manabendra Bhattacharjee ◽  
Md Jalal Uddin ◽  
Mustofa Kamal Uddin Khan
Keyword(s):  
Social Life ◽  
Overweight And Obesity ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Increased Risk ◽  
Significant Difference ◽  
Associated Symptoms ◽  
Migraine Group ◽  
The Relationship

Background: Migraine is an important cause of headache and headache-related disabilities. It increases loss of working time, causes inability to carry out daily activities and disruption of family and social life. The pathophysiology of migraine is still poorly understood. On the other hand, the prevalence of obesity is constantly increasing worldwide. The consequence of overweight and obesity includes increased risk of diabetes mellitus, dyslipidemia, hypertension, cardiovascular disease and cancer.Objectives: This study was performed to assess the relationship between BMI and migraine by finding out the relationship between migraine frequency and duration in different BMI groups, comparing the socio-demographic variables in migraine and non-migraine patients and to find out the migraine related co-morbidities.Materials and Methods: This observational case-control study was conducted on 100 subjects aged 12–50 years in the Neurology Outpatient Department, Mymensingh Medical College Hospital, Mymensingh in the period of January 2011 to December 2012. Out of total subjects fifty migraine patients were selected as cases and fifty nonmigraineurs as controls. Subjects were then categorized in three groups based on BMI: <23, 23 to 25 and >25. Collected data were compiled and appropriate analyses were done by using computer based software, Statistical Package for Social Sciences (SPSS) version 16.0. For statistical analysis one way ANOVA tests were done for comparing means of quantitative data and Chi-square tests were done for qualitative data. A p value <0.05 was considered statistically significant.Results: In this study, majority (>95%) of the study subjects were between 10 and 35 years of age. Mean age of case group was found 25.55 ± 5.87 and that of control was 25.53 ± 4.22 years. Case group contained 10 (20%) males and 40 (80%) females whereas control group had 14 (28%) males and 36 (72%) females. Number of female cases and controls were higher than that of male. In control group 30 (60%) were unmarried and 20 (40%) were married. There was no significant difference in the financial condition between case and control groups. Students and housewives occupied the largest number of study subjects who were unemployed. Regarding residence, rural and urban patients were equal in case group and in control group 29 (58%) were urban and 21 (42%) rural. Mean duration of headache was 8.9 ± 7.5, 5.8 ± 6.7, 9.6 ± 14.3 years in different BMI groups (<23, 23–25, >25 respectively) in case group and 4.6 ± 5.3, 4.4 ± 3.4, 3.4 ± 1.4 years in control group respectively. There was significant difference in quality of headache. In migrainous group 58.6% in BMI <23, 30% in BMI 23–25, 36.4% in BMI >25 noted their headache as throbbing, in contrast most of the nonmigrainous described them as dull in nature. Mean frequency of headache per month was significantly higher in migraine group compared to non-migraine group (p=0.02). Regarding associated symptoms, nausea, vomiting, photophobia and phonophobia were observed significantly higher in migraine patients in BMI <23 group. Odd ratios (ORs) for vomiting, photophobia and phonophobia with 95% confidence interval (CI) were 23.385 (2.752–97.739), 16.500 (3.060– 88.971) and 13.000 (2.922–57.846) respectively. Smoking was found significantly higher in nonmigrainous group than migraine group in case of BMI <23.Conclusion: From the result of present study it can be concluded that there is statistically no significant relation of BMI with frequency of headache, but some relationship were observed for associated symptoms of migraine with low BMI.J Enam Med Col 2016; 6(2): 80-87

The utility of HCC screening among cirrhotics

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 15108-15108
Author(s):  
P. Niravath ◽  
T. Hayes ◽  
S. Hilsenbeck
Keyword(s):  
Statistical Analysis ◽  
Medical Center ◽  
Treatment Options ◽  
Hepatocellular Cancer ◽  
Veterans Affairs ◽  
P Value ◽  
Cancer Stage ◽  
Stage At Diagnosis ◽  
American Population ◽  
Significant Difference

15108 Background: Screening known cirrhotics for hepatocellular cancer (HCC) has long been a contentious topic. Studies to date have failed to conclusively prove or disprove the validity of AFP and hepatic ultrasound as screening mechanisms for HCC among cirrhotics, particularly in the American population. It is not clear whether these screening mechanisms provide any benefit in terms of reduced morbidity and mortality. Methods: The study examined all cirrhotics who developed HCC at the Houston Veterans Affairs Medical Center between 1999 and 2005. Those who were screened with AFP and/or imaging (either ultrasound, triphasic liver protocol CT, or MRI) were compared to those patients who were not screened at all. The screened and unscreened patients were compared in terms of Barcelona Clinic Liver Cancer Stage (BCLC) at the time of diagnosis. Results: Statistical analysis revealed a significant difference between the screened and unscreened groups in terms of BCLC stage at diagnosis, with the unscreened group being diagnosed at later stages than the screened group. Of the 155 patients observed, 26 were appropriately screened, and 129 were not. The BCLC stages at diagnosis for the two groups are shown in the table . The different trend in the two groups was found to be statistically significant with a p-value of 0.004. Furthermore, among the screened group, no particular method of screening (AFP vs. imaging vs. combination) was shown to be superior to another. Conclusions: Screening for HCC among cirrhotics using AFP and/or imaging every 6 months does correlate with HCC diagnosis at an earlier BCLC stage, thus portending better treatment options and improved prognosis. Therefore, screening all known cirrhotics for HCC may lead to decreased mortality. [Table: see text] No significant financial relationships to disclose.

Quality and reliability of online video information of breast cancer in Spanish.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 11039-11039
Author(s):  
Fernando Cristobal Diaz ◽  
Ismael Pavel Polo Perez ◽  
Dailis Barbara Corria Cedeno ◽  
Michael LaPelusa ◽  
Dave Patel ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Treatment Options ◽  
Reliable Information ◽  
Cáncer De Mama ◽  
P Value ◽  
High Quality ◽  
Spanish Speaking ◽  
Significant Difference ◽  
The Us ◽  
Quality And Reliability

11039 Background: Online health information is a central part of how patients learn about a cancer diagnosis. Involving patients in shared decision making is associated with better outcomes. Previous studies have identified a lack of high-quality, reliable online material related to cancer in English using validated tools. As the number of Spanish speaking people in the US, and globally, continues to grow, it is important that high-quality, reliable information is available in Spanish. No studies have evaluated online breast cancer informational videos in Spanish. Methods: A search using the phrase “cancer de mama” (translation: “breast cancer”) was conducted on YouTube. The first 200 video URLs were included for study with duplicates, non-Spanish, and non-informational videos excluded. The videos were characterized by several variables, including year of upload, country of origin, content discussed, views, likes, dislikes, and typology group (“Personal”, “Professional”, “Health Portal”, etc.). The quality and reliability of these videos were examined by measuring Global Quality Scale (GQS), a 5-point DISCERN score, and JAMA scores. Results: 173 videos met inclusion criteria in the study. The majority of the videos which discussed signs and symptoms were uploaded by a ‘commercial’ typology, risk factors mainly uploaded by ‘health portals’ (21%), and treatment options by ‘professionals’ (50%). Relatively few videos have discussed reconstruction, survivorship, and breast cancer in men. 57% of these videos were uploaded prior to 2017, 36% by different personnel followed by government/news agency (25%), and professionals (23%). There was no significant difference between number of views (p-value: 0.526) and likes (p-value: 0.122) among the five typology groups. Professional videos had the highest average GQS (2.55), DISCERN score (1.90), and JAMA score (2.05). Personal videos had the lowest average GQS (1.98) and DISCERN score (1.06). GQS, DISCERN, and JAMA scores were all statistically significantly different between each typology. Conclusions: The majority of online breast cancer videos in Spanish are older than 3 years and produced outside the US. They are generally of poor quality and reliability, although higher in professional videos. Given the lack of current, high-quality, and reliable informational videos available, needs assessments should be conducted to identify the most useful learning resources for Spanish-speaking patients. Specialists should consider uploading educational videos to improve the paucity of high-quality, reliable information online.

scholarly journals Comparison of General versus Spinal Anesthesia in Patients undergoing Percutaneous Nephrolithotomy: A Prospective Randomized Study

2016 ◽  
Vol 5 (1) ◽  
pp. 37-42
Author(s):  
Rupak Bhattarai ◽  
Chittarranjan Das ◽  
Bandana Paudel ◽  
Sailoj Jung Dangi
Keyword(s):  
Patient Satisfaction ◽  
Blood Loss ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Percutaneous Nephrolithotomy ◽  
P Value ◽  
Recovery Duration ◽  
Significant Difference ◽  
Hospital Stays ◽  
Surgical Duration

Background Percutaneous Nephrolithotomy, widely used procedure by urologists for removing renal stones nowadays. Generally, it is preferred in general anesthesia but here in our study we have compared it with spinal anesthesia to know its safety and efficacy.Material and Methods Sixty patients of either sex, aged between 20-60 years, ASA – Grade I and II, with stones size larger than 15 mm posted for Percutaneous Nephrolithotomy were randomly selected. Patient was divided in two groups 30 each, Spinal Anesthesia (S) and General Anesthesia (G). Patient’s stones sizes, numbers & location, Anesthesia duration, Surgical duration, Recovery duration, Blood loss and Blood transfusion, Analgesic demand, post-operative Nausea & Vomiting, Patient satisfaction, Hospital stays and Heart Rate and Mean arterial pressure between two groups were compared.Results There was no significant difference in terms of mean age, weight, stones sizes, and numbers and its location. The p value for Anesthesia duration and surgical duration were 0.144 and 0.22 which was insignificant. Recovery duration (p-value 0.007), Blood loss (p-value 0.004) were significantly lesser in spinal anesthesia group. There was no significant difference in nausea and vomiting, patient satisfaction when compared between two groups. But Analgesic demand, Blood Transfusion and Hospital stays significantly found to be decreased in spinal anesthesia groups (p<0.05). The mean of MAP showed no significant difference except in 10 and 20 minutes.Conclusion Spinal anesthesia tends to be as effective as general anesthesia for PCNL and beneficial in terms of recovery duration, blood loss, analgesic demands, hospital stays, hence decrease the cost of patient. Journal of Nobel Medical CollegeVolume 5, Number 1, Issue 8, January-July 2016, Page: 37-42

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