scholarly journals Assessment of professional competency and need of smoking cessation counseling for dental students

2014 ◽  
Vol 11 ◽  
pp. 26 ◽  
Author(s):  
Rajani A. Dable ◽  
Pradnya B. Wasnik ◽  
Babita R. Pawar ◽  
Sujit S. Bopardikar ◽  
Sunilkumar N. Nagmode
Keyword(s):  
Smoking Cessation ◽  
Age Groups ◽  
Tobacco Consumption ◽  
Dental Students ◽  
Smoking Cessation Counseling ◽  
Chi Square ◽  
Attitudes And Practices ◽  
Before And After ◽  
The Difference ◽  
Tobacco Education

Purpose: The aim of this study was to analyze the smoking prevalence among dental students and to assess the need for promoting tobacco education and intervention by exploring their knowledge about smoking related risk factors. The study also examined the attitudes and practices of the students toward tobacco consumption, and their responsibilities toward the community. Methods: In total, 53 male students participated in the study (21 juniors and 32 seniors). The training program was divided into three modules, and the questionnaire was administered before and after the counseling sessions, which provided the comparative data on the students’ views about smoking cessation. Results: The most commonly practiced mode of tobacco consumption was found to be cigarette smoking (90.6 %), while a few consumed Gutkha (9.4%). All the junior students (100%) reported to have been benefitted by the counseling program, while 68.8% of the students from the senior group reported the same. Bivariate statistical analysis was conducted using the Pearson’s chi-square test for testing the difference across the age groups. P-values less than 0.05 were considered statistically significant. Conclusion: Curbing tobacco influence on dental students in their initial days can ensure a smoke-free life for them, as well as prevents them from feeling embarrassed or experiencing a lack of confidence while seeing their patients. Thus, tobacco education and intervention programs can motivate the students and increase their potential to be credible advisors regarding smoking cessation.

scholarly journals Psychotherapy can be effective in prolonging periods free of depression in early senescent

2016 ◽  
Vol 15 (1) ◽  
pp. 118-122
Author(s):  
Vidya Bhagat
Keyword(s):  
Medical Science ◽  
Age Groups ◽  
Sampling Technique ◽  
Age Group ◽  
Chi Square ◽  
Significant Difference ◽  
Before And After ◽  
The Difference ◽  
To Come ◽  
Level Of Significance

Background: The Psychotherapy can be effective in prolonging periods free of depression in early senescent has been focused on the study. People refused medication agreed to come for psychotherapy are treated to get free from their depressive symptom. The main objective of the study was therefore using psychotherapy as a treatment module to stretch time free of depression. Further psycho education to give more information on depression and increase patient flexibility for the combination of anti-depressant with psychotherapy when needed.Methodology: The subjects selected for the study were 60 patients from ‘Nitte Rural Psychiatry Clinic’ Nitte Mangalore Karnataka, India. They were selected by random sampling technique. Medico-Psychological questionnaire for general neuroticism was administered to find out the extent of depression before and after psychotherapy. To find the difference between the age and depression before and after psychotherapy Carl Pearson’s Correlation coefficient method was carried out.Results: The results reveal that a non-significant difference between age groups with extent of depression in different age group of early senescent before and after psychotherapy (Chi-square=1.7913, p>0.05) at the 5 % level of significance and (Chi-square=2.4485, p>0.05) at the 5 % level of significance respectively. Further the Comparison of extent of depression before and after psychotherapy in 50-55, 56-60 age groups and as a total by Wilcoxon matched pairs test has been administered and the result reveals that significant differences between extent of depression before and after psychotherapy in 50-55yrs of age group (Z=2.5205, p<0.05) at the 5 % level of significance, 56-60yrs of age group (Z=2.2014, p<0.05) at the 5 % level of significance. It means that, the significant means that, the significance of 15.7%, 10.5%depression was decreased before and after psychotherapy respectively. A significant difference was observed between extent of depression before and after psychotherapy in 50-60yrs of age group (Z=3. 2958, p<0.05) at the 5 % level of significance. It means that, the significance of 13.0% depression was decreased after psychotherapy.Conclusion: The implication of this study was to develop insight and understanding among the clinicians that importance psychotherapy as treatment of depression.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.118-122

scholarly journals Comparison of efficacy and safety profiles of epidural analgesia and opioid analgesia in Chinese patients with thoracic trauma: A preliminary report

2021 ◽  
Vol 19 (12) ◽  
pp. 2683-2689
Author(s):  
Xiaoping Yang ◽  
Danjie Zhang ◽  
Deling Kong ◽  
Jin Zhang ◽  
Bingwen Dang
Keyword(s):  
Epidural Analgesia ◽  
Thoracic Trauma ◽  
Rating Scale ◽  
Safety Data ◽  
Chinese Patients ◽  
Opioid Analgesia ◽  
Efficacy And Safety ◽  
Chi Square ◽  
Before And After ◽  
The Difference

Purpose: To compare the efficacy and safety profiles of epidural analgesia (EA) and opioid analgesia (OA) in Chinese patients with thoracic trauma (TT). Methods: Patients with confirmed diagnosis of thoracic trauma were given either EA (via a catheter) or slow-release OA. The following efficacy variables were assessed in the two treatment groups: pain score, and changes in cytokine and catecholamine levels from baseline after treatment. Moreover, respiratory parameters were determined before and after treatment. The safety associated with each anesthesia was also evaluated. Quantitative data were analyzed either with Student’s t-test or MannWhitney test, while  categorical data were analyzed using Fisher exact or Chi-square test, based on data size. Results: A total of 200 patients completed the study (100 patients in each group). Pain, as assessed by verbal rating scale (VRS), was slightly lower in patients after treatment with EA, when compared to the patients treated with OA. However, the difference was not statistically significant (p < 0.05). Maximum inspiratory force (cmH2O) and tidal volume (liters) were slightly improved in patients  treated with EA, when compared to OA-treated patients, although the difference was not statistically significant (p < 0.05). Moreover,  the two treatments produced comparable levels of cytokines and catecholamines. Conclusion: The efficacy and safety data for EA and OA in Chinese non-obese patients with TT indicate numerically favorable outcome for EA, when compared to OA. Keywords: Epidural analgesia, Opioid analgesia, Chinese patients, Thoracic trauma

scholarly journals Knowledge and ability to manage medical emergencies among dental students

2021 ◽  
Vol 7 (3) ◽  
pp. 161-166
Author(s):  
Chitturi Prashanthi ◽  
Prashant B Patil ◽  
Vajendra Joshi ◽  
Kiran Kumar K R ◽  
Shilpa R T
Keyword(s):  
Life Support ◽  
Dental Students ◽  
Medical Emergency ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Square Test ◽  
Medical Emergencies ◽  
The Difference

: An emergency can be encountered anytime and anywhere. Minimal knowledge about medical emergency and their etiology, primary protocol for management must be known to avoid potential consequences. Hence, the present study was undertaken to compare the knowledge, and ability to handle the medical emergencies among the dental students. A cross-sectional survey was conducted among 100 randomly selected dental students (post-graduate students and interns) comprising of two groups of students those who had underwent training and those who did not. The data obtained was analyzed using the SPSS for windows version 22.0 released 2013. Independent chi square test was used for comparison of responses and independent student t-test was used for the comparison of mean scores. The significance level was set at p&#60;0.001. : The average mean knowledge and ability score was 68% & 61.4% respectively among the participants. On further comparison of mean knowledge & ability scores between the participants with & without basic life support training, participants with BLS training showed better knowledge than those without training and the difference was statistically significant between the two groups (p&#60;0.001%). The study found deficiencies in the knowledge and ability of untrained graduates to deal with medical emergencies as compared to trained.

Comparision of histologic distribution of RCC in young and older patients: Results from the SEER database.

2013 ◽  
Vol 31 (6_suppl) ◽  
pp. 419-419 ◽  
Author(s):  
Michael R. Daugherty ◽  
Stephen Blakely ◽  
Oleg Shapiro ◽  
Gennady Bratslavsky
Keyword(s):  
Renal Cell ◽  
Clear Cell ◽  
Collecting Duct ◽  
Cell Cancer ◽  
Age Groups ◽  
Genetic Mutations ◽  
Chi Square ◽  
Younger Patients ◽  
The Difference ◽  
Chi Square Analysis

419 Background: Renal cell cancer (RCC) incidence is relatively low in younger patients, encompassing 3-5% of all RCC tumors. These tumors tend to be due to hereditary syndromes and genetic mutations that predispose to cancer development. Patients with hereditary renal cancer (HRC) are at a higher risk of multiple tumors and bilateral disease. We hypothesize that there is a difference in histologic distribution in the younger patients and that the younger distribution contains more aggressive histologic subtypes. Methods: SEER 18-registries database was queried for all patients ≥20 years old that were surgically treated for renal cell carcinoma between the years 2001 and 2008. Patients with unknown race, grade, stage, or histology were excluded from the study. Histologies selected were clear cell, papillary, chromophobe, sarcomatoid, and collecting duct. Three cohorts were created with the ages 20-44, 45-64, and ≥65 year olds that contained 3,926, 19,661, and 16,323 patients respectively. Chi-square analysis was used to compare the histologic distributions between the cohorts. Results: There was no difference in the incidence of clear cell RCC between the three cohorts (p = 0.63). The histology distribution was not different in the 45-64 year olds compared to those ≥65 (p = 0.47). The non-clear cell histologies were different between the 3 age groups (p < 0.001). There were a larger percentage of patients in the younger patients that had chromophobe tumors compared to all non-clear cell histologies (p< 0.001). Conclusions: The difference in the non-clear cell histologic distribution between the groups is most likely due to genetic mutations predisposing these patients to chromophobe RCC. There has been limited data on HRCs, due in large part to its low incidence. Although the HRCs are known to have a most common histology, it is likely that this information is incomplete, as younger patients have undiagnosed genetic mutations that led to development of chromophobe tumors. [Table: see text]

scholarly journals Cryotherapy as A Prophylaxis of Mucositis in Children with Cancer Undergoing Chemotherapy at Dr. M. Djamil General Hospital

2021 ◽  
Vol 15 (4) ◽  
pp. 183
Author(s):  
Hidayatul Hasni ◽  
Mayetti Mayetti ◽  
Dwi Novrianda
Keyword(s):  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
Children With Cancer ◽  
Chi Square ◽  
Control Group Design ◽  
Severe Problem ◽  
Oral Cryotherapy ◽  
Before And After ◽  
The Difference

Background: Mucositis is one of the side effects of chemotherapy, which can be a severe problem for children with cancer. Cryotherapy can cause vasoconstriction and decrease blood flow to the oral mucosa, resulting in lower concentrations of chemotherapy agents to prevent mucositis. This study aims at determining the effectiveness of oral cryotherapy as prophylaxis mucositis in children with cancer undergoing chemotherapy.Methods: This quasi-experiment study with a pretest-posttest control-group design involved 45 respondents (22 in the intervention group and 23 in the control group) selected using consecutive sampling. The data collection instrument was the WHO mucositis scale. Results: Of the 45 children undergoing chemotherapy, 24 (53.3%) were of school age, 25 (55.6%) were male, 33 (73.3%) had good nutritional status, and 17 (37.8%) had mild neutropenia before undergoing chemotherapy. All respondents (100%) did not experience mucositis, but after chemotherapy, 9 children (40.9%) in the intervention group had mucositis, and 19 children (82.6%) experienced mucositis in the control group. The data were analyzed using the Wilcoxon test to see the difference between the intervention group and the control group and the Chi-Square test with Yates’s correction to see the effect of cryotherapy on the prevention of mucositis. The results showed that there was a difference in the incidence of mucositis between before and after intervention in the intervention group (p = 0.003) and the control group (p = 0.000), and cryotherapy was effective in preventing mucositis (p = 0.01).Conclusions: Cryotherapy is effective against the prevention of mucositis. Nurses and families need to be able to apply oral cryotherapy and other evidence-based treatment as a method to prevent mucositis 

scholarly journals Practice and Awareness Regarding Tobacco Consumption among Residents of the Hilly area of Eastern Region of Nepal

2016 ◽  
Vol 14 (1) ◽  
pp. 33-39
Author(s):  
Ram Bilakshan Shah ◽  
Laxmi Subedi ◽  
Nilambar Jha
Keyword(s):  
Tobacco Use ◽  
Tobacco Consumption ◽  
Cross Sectional Study ◽  
Eastern Region ◽  
Chi Square ◽  
Cross Sectional ◽  
Face To Face ◽  
Chi Square Test ◽  
The Difference ◽  
Structured Questionnaire

Introduction: Tobacco use is a global socio-economic hazard and medical malady. The incidence of tobacco is persisting and spreading in all walks of our modern society.Methods: The cross-sectional study was conducted among residents of Dhankuta Municipality where 205 households were taken as subjects. Pretested semi-structured questionnaire was administered to the study subjects and face to face interview was conducted. Chi-square test was applied to find out the association between pattern of tobacco use and awareness of tobacco use among residents of Dhankuta municipality.Results: The awareness towards tobacco use among residents of Dhankuta municipality was found to be 41 %. The awareness of tobacco consumption was significantly higher among the female (49 %) in gender and those whose education were School Leaving Certificate (SLC) and above (44.6 %) (P<0.05). The respondents consuming tobacco have forty times lesser chances of having aware as respondents not consuming tobacco (OR=0.025). The respondents consuming tobacco for more than 20 years (12.1 %) and more than 20 sticks per day (20 %) were more aware of tobacco consumption but the difference was not significant.Conclusions: The awareness towards tobacco use among residents of Dhankuta municipality was found to be less. Male in gender, lack of education and poor occupation like famer, housewife was found to be less aware of tobacco consumption. 

scholarly journals Students working against tobacco: A novel educational program to improve Canadian medical students’ tobacco counselling skills

2018 ◽  
Vol 9 (2) ◽  
pp. e72-78
Author(s):  
Deanna Lammers ◽  
Zach Zhang ◽  
Iuliia Povieriena ◽  
Andrew Pipe
Keyword(s):  
Smoking Cessation ◽  
Medical Students ◽  
Smoking Prevention ◽  
School Students ◽  
Smoking Cessation Counseling ◽  
Smoking Cessation Counselling ◽  
Important Health ◽  
Medical Undergraduates ◽  
Tobacco Education ◽  
Important Health Issue

Background: Medical professionals should be appropriately trained in the field of smoking cessation counseling and be familiar with related tobacco-control issues. Sadly, Canadian medical students receive little education regarding smoking cessation.Methods: University of Ottawa medical students created Students Working Against Tobacco (SWAT), a program that provides its members with tobacco education and opportunities to discuss tobacco use, smoking prevention and cessation with elementary-school students. Surveys assessing student knowledge and confidence in addressing tobacco issues were administered to the participating students at the start of the program and following their delivery of a school presentation.Results: Students initially lacked knowledge, skills and experience in addressing tobacco issues and discussing smoking prevention and cessation counselling. Following their involvement in the SWAT program, students’ smoking cessation counselling knowledge and skills improved, and they expressed confidence in becoming more engaged in this important preventive health issue.Conclusion: Until smoking cessation is incorporated into undergraduate medical education programs, gaps will remain in the preparation of tomorrow's physicians regarding the provision of effective smoking cessation counselling and their broader understanding of this important health issue. Currently, there are constraints limiting the number of medical undergraduates that SWAT is able to involve and influence.

scholarly journals Psychophysiological methods and criteria for the selection of individual metered loads in athletes of taekwondo section

2014 ◽  
Vol 18 (6) ◽  
pp. 54-62
Author(s):  
G. V. Ohromiy ◽  
N.U. Makarova ◽  
A.M. Kasyuha
Keyword(s):  
Nervous System ◽  
Exercise Tolerance ◽  
Age Groups ◽  
Physical Endurance ◽  
Before And After ◽  
Motor Mode ◽  
The Difference ◽  
Definition Of ◽  
Very High ◽  
Selection Of

Purpose: scientific rationale approaches Express-diagnostics for athletes of taekwondo section by psychophysiological parameters. Material: Total surveyed 84 people, including 68 boys and 16 girls. Were defined backup capabilities, exercise tolerance and selection of adequate individual dose of loads in preparation for the international competition, participants - taekwondo athletes. Was attended by representatives of Ukraine, Russia and Lithuania. Age groups of participants: 6 - 16 years. Athletes have different levels and different schools of training. Results: evaluation of exercise tolerance and definition of an adequate level of motor mode in taekwondo athletes in terms of the difference of lability (DL) before and after training, revealed: high and very high nervous system (NS) lability. These figures correspond to high and very high tolerance to physical loads. The respondents who had difference of liability (DL) <0, were well-trained athletes and their high points of strength of nervous system testified about good backup capabilities (withstand great and continuous loads). In 78 % of the tested load was chosen adequately. Less than 20% of the respondents noted the average backup capabilities. They need individual correction dose loads to increase adaptive capacity. Insignificant 10%, the share of respondents had low exercise tolerance at the average values NS strength, which indicates a good backup capabilities. The direct dependence: respondents with high levels on state of health, activity and mood - low levels of anxiety, frustration, aggression and rigidity. Conclusions The proposed optimized approach Express-diagnostics according to psychophysiological parameters allow you to determine the level of physical endurance, speed adaptation athletes in the sections taekwondo and adequate response to the loads.

scholarly journals Knowledge, attitudes, and practices toward rabies in three provinces of Indonesia

2021 ◽  
pp. 2518-2526
Author(s):  
Saifur Rehman ◽  
Fedik Abdul Rantam ◽  
Abdul Rehman ◽  
Mustofa Helmi Effendi ◽  
Aamir Shehzad
Keyword(s):  
Rural Areas ◽  
Odds Ratio ◽  
Age Groups ◽  
Clinical Signs ◽  
Study Data ◽  
Dog Bite ◽  
Chi Square ◽  
Attitudes And Practices ◽  
Urban And Rural Areas ◽  
Knowledge Attitudes And Practices

Background and Aim: Rabies is an important viral zoonotic disease that is mostly transmitted through the bite of a rabid dog. Despite serious efforts regarding its control, rabies is still endemic in many provinces of Indonesia. The study aims to assess the knowledge, attitudes, and practices (KAP) related to rabies in urban and rural areas in three provinces of Indonesia. Materials and Methods: A total of 432 respondents of different age groups, educational levels, geographical areas, and occupations participated in this study. Data were collected using a pre-designed questionnaire with online and offline modes to assess the KAP of rabies among the respondents. A series of Chi-square tests and frequency distribution analyses were performed to determine associations between response variables. Results: Of the 432 participants, 56.9% were aware of the clinical signs of rabies. Excepting for people at high risk of contracting the disease (e.g., veterinarians), most respondents (83.1%) were not vaccinated against rabies. Surprisingly, 79.4 % of those who were bitten by an infected dog did not seek medical care from the doctor and approximately 71.8% had poor knowledge of rabies control and vaccine campaigns. Of all respondents, 64% (p<0.05, odds ratio=1.63) were vaccinated after an infected dog bite. Similarly, 32% (p<0.05, odds ratio=1.59) were aware of surveys and vaccinations in their areas. In contrast, 20.7% (p<0.05, odds ratio=0.593) reported that rabid dogs were killed in their areas. The majority (89.60%) of the respondents were aware of the fact that rabies can cause death. Most of the respondents (93%) knew that rabies is caused by an infected dog bite. The overall levels of KAP among the respondents were good. Conclusion: The findings of the current study generally show that participants had good knowledge about clinical signs based on their frequency percentage, but lacked knowledge regarding medical treatment and surveys for awareness and vaccination of rabies. Overall, a significant (p<0.05, odds ratio>1) relationship was found among the KAP of participants. This depicts that the majority of the population is aware of rabies and factors involved in its transmission.

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