scholarly journals The Intake of Pain Medication among Dentists and Dental Assistants with Musculoskeletal Disorders in Germany

2021 ◽  
Vol 11 (18) ◽  
pp. 8771
Author(s):  
Yvonne Haas ◽  
Antonia Naser ◽  
Eileen M. Wanke ◽  
Jasmin Haenel ◽  
Laura Fraeulin ◽  
...  
Keyword(s):  
Drug Therapy ◽  
Musculoskeletal Disorders ◽  
Neck Region ◽  
Pain Medication ◽  
Body Region ◽  
Online Questionnaire ◽  
Occupational Groups ◽  
Frequency Of Use ◽  
Medical Therapies ◽  
Dental Assistants

Background: Dentists (Ds) and dental assistants (DAs) have a high lifetime prevalence of musculoskeletal disorders (MSDs). In this context, it is assumed that they have an increased intake of substances such as pain medication. Currently, there exist no data on the use of medication among Ds and DAs with MSDs in Germany. Methods: The online questionnaire (i.e., the Nordic Questionnaire) analysed the medical therapies used by 389 Ds (240 f/149 m) and 406 DAs (401 f/5 m) to treat their MSDs. Results: Ds (28.3–11.5%) and DAs (29.4–10.3%) with MSDs took medication depending on the affected body region. A trend between the Ds and DAs in the intake of drug therapy and the frequency was found for the neck region (Ds: 21.1%, DAs: 28.7%). A single medication was taken most frequently (Ds: 60.0–33.3%, DAs: 71.4–27.3%). The frequency of use varied greatly for both occupational groups depending on the region affected. Conclusion: Ds and DAs perceived the need for medical therapies because of their MSDs. Painkillers such as ibuprofen and systemic diclofenac were the medications most frequently taken by both occupational groups. The intake of pain killers, most notably for the neck, should prevent sick leave.

scholarly journals Prevalence of self-reported musculoskeletal disorders of the hand and associated conducted therapy approaches among dentists and dental assistants in Germany

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241564
Author(s):  
Yvonne Haas ◽  
Antonia Naser ◽  
Jasmin Haenel ◽  
Laura Fraeulin ◽  
Fabian Holzgreve ◽  
...  
Keyword(s):  
Musculoskeletal Disorders ◽  
The Self ◽  
Therapeutic Options ◽  
Online Questionnaire ◽  
Occupational Groups ◽  
Professional Groups ◽  
Reported Data ◽  
Hand Region ◽  
Dental Assistants ◽  
Dental Professionals

Background Dental professionals are subjected to higher risks for musculoskeletal disorders (MSDs) than other professional groups, especially the hand region. This study aims to investigate the prevalence of hand complaints among dentists (Ds) and dental assistants (DAs) and examines applied therapies. Methods For this purpose, an online questionnaire analysed 389 Ds (240female/149male) and 406 DAs (401female/5male) working in Germany. The self-reported data of the two occupational groups were compared with regard to the topics examined. The questionnaire was based on the Nordic Questionnaire (self-reported lifetime, 12-month and 7-day MSDs prevalence of the hand, the conducted therapy and its success), additional occupational and sociodemographic questions as well as questions about specific medical conditions. Results 30.8% of Ds affirmed MSDs in the hand at any time in their lives, 20.3% in the last twelve months and 9.5% in the last seven days. Among DAs, 42.6% reported a prevalence of MSDs in the hand at any time in their lives, 31.8% in the last 12 months and 15.3% in the last seven days. 37.5% of the Ds and 28.3% of the DAs stated that they had certain treatments. For both, Ds and DAs, physiotherapy was the most frequently chosen form of therapy. 89.7% of Ds and 63.3% of DAs who received therapy reported an improvement of MSDs. Conclusion Although the prevalence of MSDs on the hand is higher among DAs than among Ds, the use of therapeutic options and the success of therapy is lower for DAs compared to Ds.

scholarly journals Prevalence of Muscular Skeletal Disorders among Qualified Dental Assistants

2020 ◽  
Vol 17 (10) ◽  
pp. 3490 ◽  
Author(s):  
Daniela Ohlendorf ◽  
Yvonne Haas ◽  
Antonia Naser ◽  
Jasmin Haenel ◽  
Laura Maltry ◽  
...  
Keyword(s):  
Health Risks ◽  
Musculoskeletal System ◽  
Body Region ◽  
Online Questionnaire ◽  
Affected Area ◽  
Lower Back ◽  
Skeletal Disorders ◽  
Dental Assistants ◽  
Very High ◽  
Dental Work

The occupation of dental assistants (DAs) involves many health risks of the musculoskeletal system due to static and prolonged work, which can lead to musculoskeletal disorders (MSDs). The aim of the study was to investigate the prevalence of MSDs in DAs in Germany. Methods: For this purpose, an online questionnaire analyzed 406 (401 female participants and 5 male participants, 401w/5m) DAs. It was based on the Nordic Questionnaire (lifetime, 12-month, and seven-day MSDs’ prevalence separated into neck, shoulder, elbow, wrist, upper back, lower back, hip, knee, and ankle), and occupational and sociodemographic questions as well as questions about specific medical conditions. Results: 98.5% of the participants reported complaints of at least one body region in their lives, 97.5% reported at least one complaint in the last 12 months and 86.9% affirmed at least one complaint in the last seven days. For lifetime, 12-month and seven-day prevalence, the neck was the region that was most affected followed by the shoulder, the upper back and the lower back. Conclusion: The prevalence of MSDs among German (female) DAs was very high. The most affected area is the neck, followed by the shoulder, the lower back, and the upper back. It, therefore, seems necessary to devote more attention to ergonomics at the working practice of DAs as well in education and in dental work.

scholarly journals Musculoskeletal Disorders, Pain Medication and In-Hospital Mortality among Patients with COVID-19 in South Korea: A Population-Based Cohort Study

2021 ◽  
Vol 18 (13) ◽  
pp. 6804
Author(s):  
Tak-Kyu Oh ◽  
In-Ae Song ◽  
Joon Lee ◽  
Woosik Eom ◽  
Young-Tae Jeon
Keyword(s):  
South Korea ◽  
Hospital Mortality ◽  
Musculoskeletal Disorders ◽  
Multivariate Logistic Regression Analysis ◽  
Population Based ◽  
Pain Medication ◽  
Multivariate Logistic Regression ◽  
Lower Back ◽  
Inflammatory Drugs ◽  
Strong Opioids

We aimed to investigate whether comorbid musculoskeletal disorders (MSD)s and pain medication use was associated with in-hospital mortality among patients with coronavirus disease 2019 (COVID-19). Adult patients (≥20 years old) with a positive COVID-19 diagnosis until 5 June 2020 were included in this study, based on the National Health Insurance COVID-19 database in South Korea. MSDs included osteoarthritis, neck pain, lower back pain, rheumatoid arthritis, and others, while pain medication included paracetamol, gabapentin, pregabalin, glucocorticoid, nonsteroidal anti-inflammatory drugs (NSAIDs), opioids (strong and weak opioids), and benzodiazepine. Primary endpoint was in-hospital mortality. A total of 7713 patients with COVID-19 were included, and in-hospital mortality was observed in 248 (3.2%) patients. In multivariate logistic regression analysis, no MSDs (p > 0.05) were significantly associated with in-hospital mortality. However, in-hospital mortality was 12.73 times higher in users of strong opioids (odds ratio: 12.73, 95% confidence interval: 2.44–16.64; p = 0.002), while use of paracetamol (p = 0.973), gabapentin or pregabalin (p = 0.424), glucocorticoid (p = 0.673), NSAIDs (p = 0.979), weak opioids (p = 0.876), and benzodiazepine (p = 0.324) was not associated with in-hospital mortality. In South Korea, underlying MSDs were not associated with increased in-hospital mortality among patients with COVID-19. However, use of strong opioids was significantly associated with increased in-hospital mortality among the patients.

scholarly journals Musculoskeletal disorders among rice farmers in Phimai District, Nakhon Ratchasima Province, Thailand

2019 ◽  
Vol 33 (6) ◽  
pp. 494-503
Author(s):  
Ekarat Sombatsawat ◽  
Titaporn Luangwilai ◽  
Parichat Ong-artborirak ◽  
Wattasit Siriwong
Keyword(s):  
Musculoskeletal Disorders ◽  
Work Experience ◽  
Rank Correlation ◽  
Agricultural Practices ◽  
Farm Size ◽  
Body Region ◽  
Cross Sectional ◽  
Content Type ◽  
Rice Farmers ◽  
Body Regions

Purpose The purpose of this paper is to explore the prevalence of musculoskeletal disorders (MSDs) and determine factors influencing MSDs among rice farmers. Design/methodology/approach A cross-sectional study was carried out among 156 rice farmers from 14 villages in Tarnlalord sub-district, Phimai district, Nakhon Ratchasima province, Thailand, from February 2017 to March 2017. Face-to-face interviews, including demographics, work characteristics and musculoskeletal pain, were conducted using a modified standardized Nordic questionnaire. Findings The results revealed that both 78 males and 78 females participated in the study to which the average of age and body mass index (BMI) was 45.5±11.4 years and 24.9±4.0 kg/m2, respectively. All rice farmers reported MSDs in at least one body region during the six months preceding the interview. The highest prevalence of MSDs showed 86.5 percent in the lower back area, followed by 85.9 percent in the neck, and 80.7 percent in the shoulders. The analysis of binary logistic regression and Spearman’s rank correlation showed that factors such as gender, age, BMI, work experience and farm size influence MSDs’ occurrence, and pain severity in one or more body regions (p < 0.05). Originality/value Musculoskeletal injuries are a significant health problem in rice farmers. The study indicated that appropriate agricultural practices such as working posture, equipment size selection and carrying loads should be recommended to prevent MSDs. Thus, the occupational health and safety services in agricultural workers are needed.

scholarly journals Playing-Related Musculoskeletal Disorders, Risk Factors, and Treatment Efficacy in a Large Sample of Oboists

2022 ◽  
Vol 12 ◽  
Author(s):  
Heather M. Macdonald ◽  
Stéphanie K. Lavigne ◽  
Andrew E. Reineberg ◽  
Michael H. Thaut
Keyword(s):  
Risk Factors ◽  
Musculoskeletal Disorders ◽  
Risk Groups ◽  
The Body ◽  
Upper Extremities ◽  
Online Questionnaire ◽  
Severe Injuries ◽  
Instrument Choice ◽  
Linear Relationships ◽  
The Right

ObjectivesDuring their lifetimes, a majority of musicians experience playing-related musculoskeletal disorders (PRMD). PRMD prevalence is tied to instrument choice, yet most studies examine heterogeneous groups of musicians, leaving some high-risk groups such as oboists understudied. This paper aims to (1) ascertain the prevalence and nature of PRMDs in oboists, (2) determine relevant risk factors, and (3) evaluate the efficacy of treatment methods in preventing and remedying injuries in oboe players.MethodsA 10-question online questionnaire on PRMDs and their treatments was completed by 223 oboists. PRMDs were compared across gender, weekly playing hours, career level, age, and years of playing experience.ResultsOf all respondents, 74.9% (167/223) reported having had at least one PRMD in their lifetime. A majority of these injuries (61.9% of all respondents) were of moderate to extreme severity (5 or higher on a scale of 1 to 10). Females (mean = 5.88) reported significantly more severe injuries than males. No significant effects of career level (i.e., professional vs. student vs. amateur), age, or years of playing experience were observed. We found significant non-linear relationships between weekly playing hours and PRMD prevalence and severity. Injuries were most commonly on the right side of the body, with the right thumb, wrist, hand, and forearm being most affected in frequency and severity. Of those injuries for which recovery information was provided, only 26.1% of injuries were “completely recovered.” The perceived effectiveness of a few treatments (physical therapy, rest, stretching, occupational therapy, massage) tended to be ranked more highly than others.ConclusionThe oboists in this study experienced high rates of PRMD, particularly in the right upper extremities. Females and those playing 7-9 and 16-18 h per week reported a significantly higher severity of injuries than other groups.

scholarly journals Musculoskeletal disorders among nurses compared with two other occupational groups

2014 ◽  
Vol 64 (8) ◽  
pp. 601-607 ◽  
Author(s):  
H. Harcombe ◽  
G. P. Herbison ◽  
D. McBride ◽  
S. Derrett
Keyword(s):  
Musculoskeletal Disorders ◽  
Occupational Groups

scholarly journals Listening Skills: Important but Difficult to Learn

2021 ◽  
Author(s):  
Jwahir Alzamil
Keyword(s):  
English Language ◽  
Speech Rate ◽  
Background Information ◽  
Listening Skills ◽  
Online Questionnaire ◽  
Spoken English ◽  
Positive Attitudes ◽  
Frequency Of Use ◽  
Students Attitudes ◽  
Learning To Listen

This study of 87 Saudi female university students aimed to discover whether they experience difficulties learning to listen to spoken English. Acknowledging that listening is an important part not just of learning a new language but also of day-to-day communication, data was collected using an online questionnaire. Participants were asked to respond to a series of statements designed to test four constructs relating to their attitudes to learning English language skills in general (a); learning listening skills specifically (b); their attitudes towards listening activities (c); and (d) their attitudes towards improving their listening skills. The results showed that most of participants felt that speaking and listening were the most important skills to learn, but listening was also the most challenging. Reading was felt to be the most effortless skill to learn, as well as the most commonly used, suggesting that frequency of use contributes to students’ perceptions of the ease of learning a skill. Participants’ difficulties with learning to listen to English were associated with speech rate, pronunciation, nervousness, limited vocabulary, and lack of background information. However, students also expressed positive attitudes towards improving their listening skills. Understanding students’ attitudes to listening skills and their problems with listening may help teachers improve the way they teach these skills. This may in turn improve students’ listening comprehension not only in universities but also in schools.

scholarly journals THE FREQUENCY OF USE OF COMBINATIONS OF ANTIHYPERTENSIVE DRUGS IN PATIENTS WITH DIFFICULT-TO-CONTROL HYPERTENSION ON THE BACKGROUND OF BIOFEEDBACK AND PACED BREATHING AND HEART RATE VARIABILITY

2018 ◽  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Drug Therapy ◽  
Arterial Hypertension ◽  
Antihypertensive Effect ◽  
Antihypertensive Drugs ◽  
Basic Subgroup ◽  
Paced Breathing ◽  
Frequency Of Use

The frequency of administration of combinations of antihypertensive drugs and its changes at different stages of observation was studied in 60 patients with difficult-to-control arterial hypertension (DTCAH) (32 men and 28 women) aged 59.0 ± 9.4. All patients were randomly divided into two subgroups: biofeedback (BFB) in the loop of paced breathing (PB) and heart rate variability (HRV) (33 patients) – basic subgroup, subgroup of comparisons (27 patients). Determined that patients with DTCAH in the subgroup of patients with the BFB in the loop of PB there has been a reduction of four-component antihypertensive therapy to three-component and in the subgroup of comparisons the frequency of the appointment of a four-component therapy was increased. At the same time, it was found that the addition of drug therapy with regular BFB sessions in the loop of PB contributed to the potentiation of the antihypertensive effect in patients with DTCAH. It is concluded that the BFB in the loop of PB and HRV can be used as a technology to improve the efficiency of control of blood pressure in patients with DTCAH.

scholarly journals Hubungan Faktor Risiko Dental Ergonomi dengan Keluhan Subjektif Musculoskeletal Disorders (MSDs) pada Dental Assistant

2021 ◽  
Vol 3 (2) ◽  
pp. 50-57
Author(s):  
Dhidit Kresno Waskito ◽  
Sutrisno Sutrisno ◽  
Aryani Widayati ◽  
Siti Sulastri
Keyword(s):  
Risk Factors ◽  
Musculoskeletal Disorders ◽  
P Value ◽  
Kendall’S Tau ◽  
Cross Sectional ◽  
Kendall's Tau ◽  
Dental Assistant ◽  
Subjective Complaints ◽  
Dental Assistants ◽  
B Test

One of the hazards in dentistry is dental ergonomic. A working problem that can be caused by ergonomic hazards is Musculoskeletal Disorders (MSDs). The dental assistant is one of the jobs that have a risk for the occurrence of abnormalities in the musculoskeletal system. Based on the preliminary study on dental assistants that work in Pontianak City showed that 85% of people had musculoskeletal complaints on the legs, 71,4% had complaints on the calf, and 57,1% had complaints on the shoulder and upper back. The aim of this research is to find out the correlation between risk factors of dental ergonomics and subjective complaints of Musculoskeletal Disorders (MSDs) on dental assistants. The type of this research was a quantitative study with an analytical observational approach using a cross-sectional design. The research was conducted in Pontianak City in August 2021. The population of this research is 48 respondents and the samples were chosen using the total sampling technique. The instrument that used in this research were collected from the risk factors of dental ergonomics and Nordic Body Map (NMB) questionnaires which were later analyzed using Kendall's tau-b test. The result of this research is risk factors of dental ergonomics in the low category is 54,20%. The subjective complaints of Musculoskeletal Disorders (MSDs) in the low category is 68,80%. Based on Kendall's tau-b test showed that P. Value is 0,601 > 0,05 it means that there is no correlation between risk factors of dental ergonomics and subjective complaints of Musculoskeletal Disorders (MSDs). The conclusion of this research is there is no correlation between risk factors of dental ergonomics and subjective complaints of Musculoskeletal Disorders (MSDs) on dental assistants. For further research is expected to examine other risk factors that can cause subjective complaints of Musculoskeletal Disorders (MSDs). Salah satu unsur bahaya dalam dunia kedokteran gigi adalah dental ergonomi. Masalah kerja yang dapat ditimbulkan akibat bahaya ergonomi adalah Musculoskeletal Disorders (MSDs). Pekerjaan dental assistant merupakan salah satu pekerjaan yang memiliki risiko untuk terjadinya keluhan pada sistem musculoskeletal. Hasil studi pendahuluan pada dental assistant yang bekerja di wilayah Kota Pontianak menunjukkan bahwa 85% responden mengalami keluhan musculoskeletal pada bagian kaki, 71,4% pada bagian betis, dan 57,1% pada bagian bahu dan punggung atas. Tujuan penelitian ini adalah untuk mengetahui hubungan antara faktor risiko dental ergonomi dengan keluhan subjektif Musculoskeletal Disorders (MSDs) pada dental assistant. Jenis penelitian ini adalah penelitian  kuantitatif dengan pendekatan observasional analitik menggunakan rancangan cross-sectional. Penelitian ini dilakukan di Kota Pontianak pada bulan Agustus 2021. Populasi dalam penelitian ini adalah 48 responden dan pengambilan sampel menggunakan teknik total sampling. Instrumen dalam penelitian ini menggunakan kuesioner faktor risiko dental ergonomi dan kuesioner Nordic Body Map (NBM). Analisis data menggunakan uji Kendall’s Tau-B. Hasil dari penelitian ini adalah faktor risiko dental ergonomi berada pada kategori rendah (54,20%). Keluhan subjektif Musculoskeletal Disorders (MSDs) berada pada kategori rendah (68,80%). Hasil analisis data menunjukkan nilai P. Value sebesar 0,601 > 0,05 sehingga tidak terdapat hubungan antara faktor risiko dental ergonomi dengan keluhan subjektif Musculoskeletal Disorders (MSDs). Kesimpulan dari penelitian ini adalah tidak terdapat hubungan yang bermakna antara faktor risiko dental ergonomi dengan keluhan subjektif Musculoskeletal Disorders (MSDs) pada dental assistant. Penelitian selanjutnya diharapkan dapat mengkaji faktor-faktor risiko lain yang dapat menyebabkan keluhan subjektif Musculoskeletal Disorders (MSDs).  

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