scholarly journals A Preliminary Study of the Treatment Outcomes of Paediatric Dental Patients Referred for General Anaesthesia or Sedation at a Regional Hospital in Trinidad

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 876
Author(s):  
Tricia Percival ◽  
Reshma Bhagoutie
Keyword(s):  
Treatment Outcomes ◽  
General Anaesthesia ◽  
Dental Health ◽  
Regional Hospital ◽  
Behaviour Management ◽  
Dental Patients ◽  
Mean Waiting Time ◽  
Receive Treatment ◽  
The University

General anaesthesia and sedation are known to be useful adjuncts in the care of paediatric dental patients. There are several challenges that prevent patients from receiving care. Aim: To assess the treatment outcomes of paediatric dental patients seen at an emergency facility who were referred for treatment under sedation or general anaesthesia at a regional hospital in Trinidad. Methods: Records of patients seen at the Child Dental Health Unit Emergency clinic at the University of The West Indies Dental School from 2012 to 2017 were assessed. The parents of children referred for general anaesthesia or sedation at the regional hospital were then interviewed via telephone. Results: Most children (53.4%) were younger than 6 years old and the most common reasons for referral were the treatment of multiple carious teeth and behaviour management. Furthermore, 66.1% of cases did not receive treatment and had a mean waiting time of 4.7 years, and 61.7% of referred cases needed emergency care while awaiting general anaesthesia or sedation. Limited access to these services and the high cost of treatment were the main reasons for non-treatment. Conclusion: There is significant need for the timely treatment of paediatric dental patients referred for general anaesthesia or sedation. Improved availability and accessibility of these services could improve patients’ quality of life.

Medical and Dental Electronic Health Record Reporting Discrepancies in Integrated Patient Care

2019 ◽  
Vol 5 (3) ◽  
pp. 278-283
Author(s):  
S. Adibi ◽  
M. Li ◽  
N. Salazar ◽  
D. Seferovic ◽  
K. Kookal ◽  
...  
Keyword(s):  
Health Care ◽  
Health Science ◽  
Medical Conditions ◽  
Science Center ◽  
University Of Texas ◽  
Dental Patients ◽  
Texas Health ◽  
Dental Records ◽  
The University

Introduction: Oral health mirrors systemic health; yet, few clinics worldwide provide dental care as part of primary medical care, nor are dental records commonly integrated with medical records. Objectives: To determine the degree to which misreporting of underlying health conditions poses problems for dental clinicians, we assessed misreporting of 2 common medical health conditions—hypertension and diabetes—at the time of dental examination and assessment. Methods: Using comparative chart analysis, we analyzed medical records of a diverse group of patients previously seen at the University of Texas Physician outpatient practice and then treated at the University of Texas Health Science Center at Houston School of Dentistry. Electronic health records of patients aged ≥18 y were extracted from 2 databases: Allscripts (University of Texas Physician) and axiUm (University of Texas Health Science Center at Houston). We identified 1,013 patients with the commonly occurring conditions of diabetes, hypertension, or both, with nonintegrated records contained in Allscripts and axiUm. We identified the percentage of those patients previously diagnosed with diabetes and/or hypertension by their physicians who failed to report these conditions to their dental clinicians. Results: Of those patients with diabetes, 15.1% misreported their diabetes condition to their dental clinicians, while 29.0% of patients with hypertension also misreported. There was no relationship between sex and misreporting of hypertension or diabetes, but age significantly affected reporting of hypertension, with misreporting decreasing with age. Conclusions: Because these conditions affect treatment planning in the dental clinic, misreporting of underlying medical conditions can have negative outcomes for dental patients. We conclude that policies that support the integration of medical and dental records would meaningfully increase the quality of health care delivered to patients, particularly those dental patients with underlying medical conditions. Knowledge Transfer Statement: Our study illustrates an urgent need for policy innovation within a currently fragmented health care delivery system. Dental clinicians rely on the accuracy of health information provided by patients, which we found was misreported in ~15% to 30% of dental patient records. An integrated health care system can close these misreporting gaps. Policies that support the integration of medical and dental records can improve the quality of health care delivered, particularly for dental patients with underlying medical conditions.

scholarly journals Blood-borne virus-related discrimination in dental services

1998 ◽  
Vol 21 (3) ◽  
pp. 92
Author(s):  
Sandra Meihubers ◽  
Phillip Godwin ◽  
Arie Rotem
Keyword(s):  
Dental Health ◽  
Dental Services ◽  
Family Services ◽  
Department Of Health ◽  
South Wales ◽  
Key Stakeholders ◽  
Geographical Regions ◽  
The University ◽  
Hiv Aids

While the risk of infection through occupational exposure to blood-borne viruses isa major concern of dental health care workers, the National HIV/AIDS Strategy and many health, AIDS and discrimination-related agencies have identified discrimination related to HIV/AIDS as a priority area for action. In 1995 the Commonwealth Department of Health and Family Services selected the School of Medical Education at the University of New South Wales to conduct a national project to reduce discrimination related to blood-borne viruses within dental services(Godwin, Meihubers & Rotem 1997). This paper provides an overview of the study and its major findings.The study focused on quality of care issues which may cause or manifest discrimination. Key stakeholders were invited to review policies, procedures,organisational arrangements and other systemic issues which influence the quality of oral health services to populations within selected geographical regions.

scholarly journals Predictable sedation: Safe administration of oral Midazolam and nitrous oxide gas for paediatric patients in the general dental practice

2021 ◽  
Vol 76 (08) ◽  
pp. 471-476
Author(s):  
Nicoline Potgieter ◽  
Günther Streit
Keyword(s):  
Nitrous Oxide ◽  
Dental Health ◽  
Review Literature ◽  
Health Providers ◽  
Behaviour Management ◽  
Dental Patients ◽  
Paediatric Patients ◽  
Oral Midazolam ◽  
Nitrous Oxide Oxygen ◽  
Hypnotic Agent

Behaviour management for anxious paediatric dental patients is challenging. Solutions include education and sedation. Various drugs have been used to effectively sedate paediatric patients during treatment. The aim of this study was to review literature on the sedation of paediatric patients. The study specifically looked at those reviews covering the combination of two sedation methods in case of more challenging paediatric patients. The study undertook a literature review focused on studies using nitrous oxide, Midazolam, or a combination of the two substances. An electronic search was done on EBSCOhost to source articles published from 1979 to 2019. A deeper form of sedation can be achieved for paediatric patients when using a combination of nitrous oxide, oxygen and a hypnotic agent such as Midazolam. Dealing with the anxiety levels of paediatric patients is a challenge for dental health providers. Two of the main strategies used to deal with anxious children are behaviour management and sedation. A critical review of journal articles on the use of nitrous oxide and oxygen in combination with Midazolam was therefore undertaken. The findings suggest that, in order to achieve a deeper form of sedation, the combination of nitrous oxide, oxygen and Midazolam works well to reduce discomfort, anxiety and/or pain in paediatric patients.

scholarly journals Quality Control of Emergency Dental Care in Mures County

2020 ◽  
Vol 70 (12) ◽  
pp. 4169-4174
Keyword(s):  
Emergency Treatment ◽  
Dental Health ◽  
Medical Procedures ◽  
Average Value ◽  
Dental Patients ◽  
Dental Office ◽  
Dental Diseases ◽  
Dental Emergency ◽  
Retrospective Questionnaire

Satisfaction of dental patients is an indicator of the quality of dental health care, and it is a patient-based outcome measure. The main objective of this four-year retrospective questionaire based study was to assess the satisfaction of patients who attended the Dental Emergency Medical Office at Mobile Emergency Service for Resuscitation and Extrication Tirgu Mures between 2014-2017. A total of 909 questionnaires were completed in the analyzed four-year period. The average value of staff scoring, waiting time to take over by the medical staff, doctor's time for consultation, the clarity of information received about investigations and medical procedures performed lead to a satisfaction percentage of 95.2% The score on the quality of the received medical services resulted in a satisfaction rate of 95.6% The results of the study confirmed the necessity of setting up this type of dental office that is available to all those affected by dental diseases requiring emergency treatment. Keywords: satisfaction, dental emergency treatment, retrospective questionnaire-based stud

scholarly journals Analysis of quality of life and dental health criteria components within the structure of complex expert assessment of the prosthetic treatment among patients with maxillofacial trauma in anamnesis

2020 ◽  
pp. 17-22
Author(s):  
P. P. Brekhlichuk
Keyword(s):  
Quality Of Life ◽  
Traffic Accidents ◽  
Dental Health ◽  
Prosthetic Rehabilitation ◽  
Traumatic Injuries ◽  
Dental Patients ◽  
Traumatic Lesions ◽  
History Of ◽  
Natural Teeth

Lesions of the dento-alvelolar system, which develop in cases of traffic accidents, domestic, industrial or other traumatic injuries, leads to a sharp decrease in dental health, and consequently to the decrease in quality of life associated with post-traumatic changes in dental status. Purpose of work – to analyze the indicators of the integrated quality of life criterion associated with the state of dental health among dental prosthetically-rehabilitated patients with a history of maxillofacial (MF) traumatic injuries. The study sample was formed on the basis of the University Dental Clinic from a cohort of patients who sought dental care with the need for comprehensive prosthetic rehabilitation. According to the analysis of medical records of dental patients, 66 persons with a history of maxillofacial traumatic injuries were selected. In order to assess the integrated criterion of quality of life associated with dental health, among dental patients with a history of maxillofacial traumatic injuries, who received appropriate prosthetic treatment, surveys were conducted taking into account all domains of OHIP-14 (abbreviated to 14 questions version of the Oral Health Impact Profile questionnaire). Mandibular fractures and traumatic injuries of individual teeth (dislocations, fractures) were the most prevalent among study sample and corresponded to 31.8 % and 27.3 %, respectively. The main causes of maxillofacial traumatic injuries were domestic injuries (43.9 %), road traffic accidents (RTA) (37.9 %), criminal injuries (10.6 %), industrial-associated (4.5 %) and sports-associated injuries (3.0 %). Prosthetic rehabilitation of the vast majority of patients, which correspond to 56 persons (84.8 %), was performed using different types of fixed prosthetic constructions, such as crowns, bridges supported by natural teeth, or installed dental implants. Majority of patients 84.9-95.5 % demonstrated high indicators of the integrated criterion of quality of life associated with changes in dental health, despite the fact of previous surgical treatment of maxillofacial traumatic lesions. Thus, in the absence of secondary deformities after surgical treatment of maxillofacial traumatic lesions, prosthetic rehabilitation of patients with the use of fixed types of prosthetic constructions supported by natural teeth or installed dental implants helps to achieve high quality of life associated with changes in dental health. The use of complete or partial removable dentures for a similar purpose provokes a relative decrease within the integral criterion of quality of life in the structure of such domains, as physical pain, psychological discomfort and social incapacity, which is due to the peculiarities of removable prosthetic construction exploitation, retention and functioning.

Epistemic and relational conflicts in sharing identical vs. complementary information during cooperative learning

2002 ◽  
Vol 61 (3) ◽  
pp. 139-151 ◽  
Author(s):  
Céline Darnon ◽  
Céline Buchs ◽  
Fabrizio Butera
Keyword(s):  
Cooperative Learning ◽  
Social Comparison ◽  
Positive Relationship ◽  
Learning Task ◽  
Control Group ◽  
Complementary Information ◽  
Relational Conflict ◽  
The Social ◽  
The University

When interacting on a learning task, which is typical of several academic situations, individuals may experience two different motives: Understanding the problem, or showing their competences. When a conflict (confrontation of divergent propositions) emerges from this interaction, it can be solved either in an epistemic way (focused on the task) or in a relational way (focused on the social comparison of competences). The latter is believed to be detrimental for learning. Moreover, research on cooperative learning shows that when they share identical information, partners are led to compare to each other, and are less encouraged to cooperate than when they share complementary information. An epistemic vs. relational conflict vs. no conflict was provoked in dyads composed by a participant and a confederate, working either on identical or on complementary information (N = 122). Results showed that, if relational and epistemic conflicts both entailed more perceived interactions and divergence than the control group, only relational conflict entailed more perceived comparison activities and a less positive relationship than the control group. Epistemic conflict resulted in a more positive perceived relationship than the control group. As far as performance is concerned, relational conflict led to a worse learning than epistemic conflict, and - after a delay - than the control group. An interaction between the two variables on delayed performance showed that epistemic and relational conflicts were different only when working with complementary information. This study shows the importance of the quality of relationship when sharing information during cooperative learning, a crucial factor to be taken into account when planning educational settings at the university.

Evaluation of the Academic Setting in Spain 1This study was financed by the University of Oviedo.

1995 ◽  
Vol 11 (2) ◽  
pp. 133-137 ◽  
Author(s):  
Juan Fernández ◽  
Miguel A. Mateo ◽  
José Muñiz
Keyword(s):  
Higher Education ◽  
Decision Making ◽  
Social Climate ◽  
Three Dimensions ◽  
Academic Setting ◽  
Teaching And Research ◽  
Evaluation Questionnaire ◽  
University Teachers ◽  
The University

The conditions are investigated in which Spanish university teachers carry out their teaching and research functions. 655 teachers from the University of Oviedo took part in this study by completing the Academic Setting Evaluation Questionnaire (ASEQ). Of the three dimensions assessed in the ASEQ, Satisfaction received the lowest ratings, Social Climate was rated higher, and Relations with students was rated the highest. These results are similar to those found in two studies carried out in the academic years 1986/87 and 1989/90. Their relevance for higher education is twofold because these data can be used as a complement of those obtained by means of students' opinions, and the crossing of both types of data can facilitate decision making in order to improve the quality of the work (teaching and research) of the university institutions.

Development of the University of Toronto Skull Base Inventory (UT-SBI) Quality-of-Life Questionnaire

Skull Base ◽  
2009 ◽  
Vol 19 (03) ◽  
Author(s):  
John de Almeida ◽  
Allan Vescan ◽  
Jolie Ringash ◽  
Patrick Gullane ◽  
Fred Gentili ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Skull Base ◽  
Life Questionnaire ◽  
Quality Of Life Questionnaire ◽  
University Of Toronto ◽  
The University

A Futures Study on the Quality Of Life from the Point Of View of Iranian Youth

2017 ◽  
Vol 14 (2) ◽  
pp. 1
Author(s):  
Sina Saeedy ◽  
Mojtaba Amiri ◽  
Mohammad Mahdi Zolfagharzadeh ◽  
Mohammad Rahim Eyvazi
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Mixed Model ◽  
Satisfaction With Life ◽  
Point Of View ◽  
Human Society ◽  
Futures Studies ◽  
The Social ◽  
The University

Quality of life and satisfaction with life as tightly interconnected concepts have become of much importance in the urbanism era. No doubt, it is one of the most important goals of every human society to enhance a citizen’s quality of life and to increase their satisfaction with life. However, there are many signs which demonstrate the low level of life satisfaction of Iranian citizens especially among the youth. Thus, considering the temporal concept of life satisfaction, this research aims to make a futures study in this field. Therefore, using a mixed model and employing research methods from futures studies, life satisfaction among the students of the University of Tehran were measured and their views on this subject investigated. Both quantitative and qualitative data were analysed together in order to test the hypotheses and to address the research questions on the youth discontentment with quality of life. Findings showed that the level of life satisfaction among students is relatively low and their image of the future is not positive and not optimistic. These views were elicited and discussed in the social, economic, political, environmental and technological perspectives. Keywords:  futures studies, quality of life, satisfaction with life, youth

Building research capacity and capabilities in Fiji: are we there yet?

2020 ◽  
Vol 21 (5) ◽  
pp. 265-271
Author(s):  
Jyotishna Mudaliar ◽  
Bridget Kool ◽  
Janice Natasha ◽  
Judith McCool
Keyword(s):  
Low Income ◽  
Research Capacity ◽  
Research Knowledge ◽  
Research Skills ◽  
Research Findings ◽  
Access And Quality ◽  
The University ◽  
Local Investigator ◽  
Research Capacity Development

Introduction: A barrier to local investigator-led research in low income settings, is the limited availability of personnel with appropriate research skills or qualifications to conduct the type of research required for evidence-informed policy making to improve access and quality of health care. In response to this, Fiji National University’s College of Medicine, Nursing and Health Sciences in Fiji, collaborated with academics based at the University of Auckland, New Zealand to deliver a series of research capacity development workshops in Fiji. Methods: Participants who attended any of the nine workshops (n=123) were contacted via email to take part in a brief survey regarding their perceptions of the effectiveness of the research capacity building workshops. Of the possible 123 participants, 80% (n=76) completed the questionnaire.  Results: Findings demonstrate that the majority of participants reported that they had gained research skills from the workshops (75%) including proposal development skills (68%) and knowledge of appropriate research methods (59%). Furthermore, 70% agreed that the workshops built their research confidence.  Since attending a workshop, 18% of respondents had successfully applied and received funding for research grants and/or fellowships.  Barriers to conduct research included workload (75%), lack of research knowledge, experience or skills (51%), and lack of institutional support (41%). Suggestions for future workshops included: more focus on data analysis, regular courses rather than ‘one offs’, and preparation of research findings (e.g. publications). Conclusion: Our findings indicate that research workshops of this nature may increase individual research capabilities but sustained, locally led initiatives, backed by institutional and supplementary technical support are essential.

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