scholarly journals COVID-19 Pandemic-Adapted Radiotherapy Guidelines: Are They Really Followed?

2021 ◽  
Vol 28 (5) ◽  
pp. 3323-3330
Author(s):  
Elena Galofaro ◽  
Claudio Malizia ◽  
Ilario Ammendolia ◽  
Andrea Galuppi ◽  
Alessandra Guido ◽  
...  

Background: In our department, we provided guidelines to the radiation oncologists (ROs) regarding the omission, delay, or shortening of radiotherapy (RT). The purpose was to reduce the patients’ exposure to the hospital environment and to minimize the departmental overcrowding. The aim was to evaluate the ROs’ compliance to these guidelines. Methods: ROs were asked to fill out a data collection form during patients’ first visits in May and June 2020. The collected data included the ROs’ age and gender, patient age and residence, RT purpose, treated tumor, the dose and fractionation that would have been prescribed, and RT changes. The chi-square test and binomial logistic regression were used to analyze the correlation between the treatment prescription and the collected parameters. Results: One hundred and twenty-six out of 205 prescribed treatments were included in this analysis. Treatment was modified in 61.1% of cases. More specifically, the treatment was omitted, delayed, or shortened in 7.9, 15.9, and 37.3% of patients, respectively. The number of delivered fractions was reduced by 27.9%. A statistically significant correlation (p = 0.028) between younger patients’ age and lower treatment modifications rate was recorded. Conclusion: Our analysis showed a reasonably high compliance of ROs to the pandemic-adapted guidelines. The adopted strategy was effective in reducing the number of admissions to our department.

2019 ◽  
Vol 3 (2) ◽  

Radiographic Mandibular Indices serve as easy and relatively cheap tools for evaluating bone mineralization. Objectives: To examine the effect of age and gender on three mandibular indices: the panoramic mandibular index (PMI), the mandibular ratio (MR) and the mandibular cortical index (MCI), among Libyan population. Methods: The three indices were measured on 317 digital (OPGs) of adult humans (155 males, 162 females). The sample was divided into six age groups (from 18-25 years through 56-65 years). The measurements were analyzed for interactions with age and sex, using SPSS (Statistical Package for Social Studies) software version no. 22. The tests employed were two way ANOVA, the unpaired T-test and chi-square test. Results: The mean PMI fluctuated between 0.37 s.d. 0.012 and 0.38 s.d. 0.012. among the sixth age groups. One-way ANOVA statistical test revealed no significant of age on PMI. On the other hand gender variation has effect on PMI, since independent sample t-test disclosed that the difference between the male and female PMI means statistically significant. ANOVA test showed that the means of MR among age groups showed a negative correlation i.e. MR mean declined from 3.01 in 18-25 age groups to 2.7 in 55-65 age groups. In contrary, the gender showed no effect on MR according two sample t-test at p> 0.05. In regards with MCI, statistical analysis showed that it affected by age that is C1 was decreasing by age while C2 and C3 were increased by age. Using chi square test the result indicated that there is a significant difference among the different age group and the two genders in MCI readings. Conclusion: PMI was influenced significantly by age but minimally by the gender. MR is not affected by gender but has a negative correlation with age. MCI is affected by both age and gender


2020 ◽  
pp. 1-3
Author(s):  
Sargam R. Parate ◽  
Jaishree Chahande ◽  
Rahul Gandhi

Aim: To compare and evaluate clinical experience and graphoanalysis, using House’s classification in assessing the emotional status of completely edentulous patients in success of complete denture. Settings and Design: Comparative analytical study. Methods and Material: 50 completely edentulous patients of age above 45 years (M/F) were taken as subjects. Literate patients were included in the study while incompetent patients and illiterate patients were excluded. Patients were asked to express their expectations regarding the treatment on paper in their handwritings using vernacular language. Subjects were categorized on the basis of age and gender. The handwriting samples were collected and graphoanalysis was done. Statistical analysis used: The resultant data was subjected to statistical analysis using chi square test and spearman's rank correlation test. Results: Considering age, on graphoanalysis (P-18, I-14, E-14, H–4) were found, when compared to Clinical experience (P-23, I-12, E -13, H- 2). While considering gender, on GA (P-18, I-14, E-14 and H-4) were found when compared to CE (P-23, I-12, E-13 and H-2). Chi-square test showed CE and GA were independent of age and gender. Spearman’s rank correlation between CE and GA was 0.217. Conclusions: Clinical experience and graphoanalysis of complete denture patient are independent of Age and Gender. There was a significant correlation between CE and GA, so graphoanalysis can be used for ascertaining the mental attitude of completely edentulous patient.


2016 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Evis Fili

Aim: To explore the differences in age and gender on emotional and behavioral broad band scales of children 10-12 years old. It was hypothesized that there will be differences between girls and boys and between ages. Methods: We used CBCL (6-18 years) the 2001 edition (Achenbach - Rescorla, 2001) to collect the data. Descriptive statistics, chi-square test, Pearson correlation, T-test, and ANOVA were used to explore and analyse the differences. The sample included 236 children (123 or 52.1% boys and 113 or 47.9% girls), with a mean age of 11 years (SD .835). From 236 parents participated in the study, 92 of them or 39.0 % were mothers, while only 144 of them or 61.0 % were fathers. The parents voluntarily completed the questionnaire. Results: There were found no differences on broad band scales of emotional and behavioral problems, regarding the age and gender of children.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1581-1586
Author(s):  
Mulumoodi Rama Sowmya ◽  
Delphine Priscilla Antony S ◽  
Adimulapu Hima Sandeep

The aim of the present study was to assess the association of age and gender of patients with the type of tooth resorption treated. The data was retrieved from the patient records and analyzed the data of tooth resorption treated patients between June 2019 to March 2020, after approval from the Institutional Review board of Saveetha Dental College. It is an institutional based retrospective study. The data was tabulated into excel sheets under the headings age, gender, type of tooth resorption treatment, tooth number. The data was analyzed by Chi-square test using SPSS software. The probability value obtained after performing Chi-square test was P>0.05 indicating that there is a statistically insignificant difference between the age, gender, teeth of patients who have undergone treatment for tooth resorption. Within the limitations of the study, the frequency of internal tooth resorption cases was higher compared to external tooth resorption cases. Male population of the age group 20 to 25 years have most frequently undergone treatment for internal tooth resorption.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 679-685
Author(s):  
Mulumoodi Rama Sowmya ◽  
Raghu Sandhya ◽  
Adimalupu Hima Sandeep

The aim of this study was to determine the frequency and distribution of mandibular teeth treated by single visit root canal treatment (RCT) and multi-visit RCT in a group of the Indian population. With the approval of the Institutional Review Board of Saveetha Dental college, the data of 3887 patients between June 2019 to March 2020 were retrieved and analysed. Data was collected from 3887 patients and were divided into the criteria of a single visit and multi-visit RCT. The data were tabulated into excel sheets under the headings age, gender, teeth, type of treatment. It was an Institutional based Retrospective study. It was observed that there was a statistically significant association in the age and gender of patients who underwent single visit and multi-visit RCT in mandibular teeth. The probability value P<0.05 was obtained after performing a Chi-square test, showing that multi-visit RCT cases (59.9%)were higher than single visit RCT (40.56%). Within the limitations of the study, it was concluded that the frequency of multi-visit RCT was higher in mandibular teeth compared to single visit RCT. Frequency of multi-visit RCT was higher in mandibular molars followed by second premolars in comparison to single visit RCT. The frequency of multi-visit RCT was higher in both males and females compared to single visit RCT.


Revista CEFAC ◽  
2019 ◽  
Vol 21 (4) ◽  
Author(s):  
Laís Flavia Souza ◽  
Weslania Viviane Nascimento ◽  
Leda Maria Tavares Alves ◽  
Ana Cristina Viana Silva ◽  
Rachel Aguiar Cassiani ◽  
...  

ABSTRACT Objective: to assess the difficulty in swallowing medications and correlate it with age and gender in healthy adults and elderly. Methods: a total of 439 asymptomatic healthy volunteers (270 females and 169 males), who were not taking any medication on a regular basis, aged from 20 to 84 years, were questioned as for dysphagia, by using the Eating Assessment Tool (EAT-10). Question number five of the EAT-10, specifically, approached the difficulty in swallowing drugs, considering zero as “no swallowing problem” and 1 to 4 as “some degree of difficulty” (4 as great difficulty).The chi-square test (x2) was used for the statistical analysis. Results: a total of 365 (83%) volunteers reported having no difficulty in swallowing medications (89% of men and 80% of women), whereas 74 (17%) reported some degree of difficulty (11% of men and 20% of women)(p = 0.01). These represented 20% of those aged between 20 and 49, and 9% of those aged 50 and over (p = 0.02). Conclusion: in this study, it was observed that both age and gender influence on medication swallowing, a difficulty more frequent among women and young adults. Some degree of difficulty was reported by 17% of the volunteers.


2018 ◽  
Vol 08 (04) ◽  
pp. 254-257
Author(s):  
Daud Mirza ◽  
Saima Mazhar ◽  
Sameer Quraeshi ◽  
Usman Mahmood ◽  
Nasir Jamal Baig ◽  
...  

Objective: The aim of this study was to determine the frequency and shape of torus palatinus and to assess its gender and age-related differences in the population of Karachi, the metropolitan city of Pakistan. Methodology: This was a cross sectional study with non-probability convenience sampling method conducted at Bahria University Medical & Dental College (BUMDC), Karachi. The presence of tori was observed by clinical examination and palpation. The shape was also investigated by presence or absence and classified as flat, spindle and nodular shaped tori. The data was analyzed by using Statistical Package for Social Science version 23. The Chi-square test was used to test for group differences of sex and age association with the prevalence of tori. Difference between groups with P <0.05 was considered significant. Results: A total of 1203 patients were screened in which torus palatinus was found in 141 (11.7%) patients. Present study findings showed torus palatinus was more prevalent in males 76 (53.9%). It was dominant in 31-60 years of age group (47.5%) with significant P=0.000. Shapes of torus palatinus were compared with gender in which flat shape was more frequent in both male and female with significant P-value of 0.015. Conclusion: Torus Palatinus is a rare bony exostosis of the oral cavity. Even though, it is an asymptomatic anatomical variation it expresses itself in unique shapes and patterns. The prevalence varies with respect to age and gender.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1725-1730
Author(s):  
Sam John Koshy ◽  
Madhulaxmi M ◽  
Sivakumar

Oral and pathology infers all the diseases of the mouth and structures related to the mouth inclusive of salivary glands, joints (TMJ), facial muscles and skin. Management of oral and pathology remains one of the most universally performed procedures by oral and surgeons. Lesions of the oral and region are a group of heterogeneous diseases with a wide spectrum of characteristics. Predictability of lesions helps in rightly predicting, diagnosing, treating and eliminating that arise in the oral cavity. The aim of this study is to determine the frequency of oral and encountered in a single institution. This is a single retrospective study done from June 2019 – March 2020. Sixty-five patients who were diagnosed with a pathology pertaining to the oral and region were considered. Lesions were grouped as a cyst, tumors, infections, salivary gland and others for better understanding and interpretation. The parameters examined and processed with relevance to oral and pathology were type of lesion, age and gender of the patient. IBM SPSS Version 20 was used for statistical analysis. Out of a total of 65 patients considered with oral and pathological lesion requiring surgical management, the most common type of pathology was a cyst (40.0%) followed by tumors (21.5%). Gender predilection for oral and pathology was evident with greater incidence among males (63.1%) with p value = 0.049 &lt; 0.05, by chi square test and in an age group of 21-30 years (30.8%) with p value = 0.044 &lt; 0.05 by chi square test. This study concludes to establish the predominance of oral and that arise in the age group of 21-30 years with a gender preference to males over females. The most common pathology was cysts, followed by tumors with cyst (53.8%) and (35.7%) being most common in their respective pathological genre.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Palanivel Chinnakali ◽  
Kalaiselvi Selvaraj ◽  
Pruthu Thekkur ◽  
Gomathi Ramasamy ◽  
Mahalakshmy Thulasingam ◽  
...  

Background and Objectives. Low counts are more difficult to find in microscopic sputum examination and thus are more likely to be missed. In this study, we aimed to estimate the proportion of low-count grading and assessing any age and gender differences in sputum smear grading in a low HIV prevalence setting. Materials and Methods. From the tuberculosis laboratory register information on sputum positivity including the grading of smears, age and gender were extracted for January 2011–December 2011. Smears were examined using Ziehl-Neelsen technique and graded as per the Program Guidelines. Positive smears were classified into low grade positive smears (scanty and 1+) and high grade positive smears (2+ and 3+). Differences in grading of smear based on gender and age were analysed using chi square test. Results. Of 9000 smears examined, 8210 (91.2%) were collected as diagnostic smears from tuberculosis suspects. Low grade positivity was 37.5% among diagnostic smears and 69.6% among follow-up smears. Sputum smears from female examinees had higher proportions of low grade positive smears (P=0.003). Stratification of age and sex within TB suspects had clearly demonstrated the observance of higher low grade positivity among female TB suspects at extremes of age.


2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S402-S402
Author(s):  
Clifford P Martin ◽  
Robin H Dretler ◽  
Jorge R Bernett ◽  
Barry Statner ◽  
Thomas K Sleweon ◽  
...  

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic dramatically affected the provision of healthcare in the U.S. with sharp declines in routine and elective healthcare services. Outpatient clinic visits declined nearly 60% in the early pandemic. We investigated how COVID-19 impacted the provision of OPAT at various Infectious Disease (ID) POICs nationwide. Methods Patient (pt) records were evaluated from Jan 2019 – July 2019 and compared to Jan 2020 – July 2020. Data collected included new OPAT pts, demographics, infection type, location prior to OPAT and therapy characteristics. Statistical analysis was performed using Chi-square test with p&lt; 0.05 considered statistically significant. Results Fourteen POICs reported data with a total of 2410 new OPAT pts in 2019 and 1807 in 2020, representing a decrease of 25%. Table 1 shows the comparison of OPAT characteristics between 2019 and 2020. Mean age and gender were similar, but there was a significantly higher percentage of pts ≥65 years treated in 2020 (43% vs. 36%, p&lt; 0.001). Infection type and location prior to OPAT were consistent between 2019 and 2020. Primary antimicrobial use was comparable with the exception of cefepime, which showed a greater use in 2020 (14% vs. 11%, p=0.006). OPAT management differed significantly from 2019 to 2020 with fewer pts completing therapy as prescribed in 2020 (85.9% vs. 88.3%, p=0.021), driven largely by more early discontinuations and switches to oral therapy. Other reasons for those not completing therapy were also significant and due primarily to transfer of care to other settings, most commonly the home (1.9% vs. 2.9%, p=0.029). Overall length of therapy was comparable. Table 1. Comparison of OPAT in 2019 (Pre-COVID) and 2020 (Post-COVID) Conclusion OPAT provided through ID POICs experienced a substantial decrease in pts treated during the first half of 2020 compared to 2019. This was expected with the decline in healthcare services, especially elective procedures. Most pt and treatment characteristics were comparable between years, but interestingly, more elderly received OPAT during the pandemic and fewer completed therapy as planned. Further analysis of these differences can help determine effects of the pandemic on overall health outcomes in the OPAT population. Disclosures Lucinda J. Van Anglen, PharmD, Merck & Co. (Research Grant or Support)


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