scholarly journals Upon Rejection: Psychiatric Emergencies of Failed Asylum Seekers

2018 ◽  
Vol 15 (7) ◽  
pp. 1498 ◽  
Author(s):  
Georgios Schoretsanitis ◽  
Dinesh Bhugra ◽  
Sarah Eisenhardt ◽  
Meret Ricklin ◽  
David Srivastava ◽  
...  
Keyword(s):  
Asylum Seekers ◽  
High Stress ◽  
Well Being ◽  
Chi Square ◽  
Significance Level ◽  
Common Diagnosis ◽  
The Status ◽  
Chi Square Test ◽  
The University ◽  
Mental Well Being

Background: The status of a refugee or asylum seeker is only recognised after legal processes. The uncertainty of these procedures or the rejection itself may severely impact mental well-being. Methods: We surveyed the patterns of psychiatric services used by patients whose applications for asylum had been rejected. In a retrospective investigation of admissions to the University Emergency Department in Bern, Switzerland between 1 March 2012 and 28 February 2017, we studied patients receiving a psychiatric consultation after their applications had been rejected. The primary endpoint was based on the comparison of these individuals with controls who were asylum seekers with pending asylum applications using the Mann-Whitney U test and the chi-square test (χ2) with a significance level of 0.05. Results: Thirty-eight cases were identified. There were more men than women and the mean age was 30.08 ± 9.62 years. Patients predominantly presented as walk-in patients (n = 16, 42.1%), most frequently due to suicidal ideation (n = 16, 42.1%). Stress-related disorders were the most common diagnosis (n = 29, 76.3%) and patients were mainly referred to inpatient treatment (n = 28, 73.7%). Patients with rejected applications were less likely to be living in reception centres than patients with a pending application (χ2 = 17.98, p < 0.001). Conclusion: The profile of asylum seekers whose applications had been rejected reflects individuals with high-stress levels, potentially aggravated by the negative asylum decision.

scholarly journals Improve Management of Mental Well-being and Empathy in Chinese Medical Students: A Randomized Controlled Study

2021 ◽  
Author(s):  
Rong Rong ◽  
Wei Chen ◽  
Zihao Dai ◽  
Jingli Gu ◽  
Weiying Chen ◽  
...  
Keyword(s):  
Medical Students ◽  
Self Efficacy ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Chi Square ◽  
Chinese Medical Students ◽  
Chi Square Test ◽  
Interventional Group ◽  
Mental Well Being

Abstract Background: The Chinese medical students suffer from high prevalent mental health-related issues and low empathy. Effective strategies to improve the situations are lacking. This study aims to investigate the efficacy of the well-designed interventional courses to enhance the mental health and empathy of the senior Chinese medical students. Methods: A total of 146 3rd and 4th year medical students were randomized to intervention group (n=74) and control group (n=72). A pilot study including 5 pre-clinical students and 5 interns was first carried out to determine the themes and contents of the interventional courses. The designed courses were delivered in the intervention group once a month for three times, while the control group had no specific intervention. Five self-assessment questionnaires including the General Self-Efficacy (GSE), Medical Outcomes Study Short Form 8 (SF-8), Patient Health Questionnaire-9 (PHQ-9), Maslach Burnout Inventory (MBI), and Jefferson Scale of Empathy-Health Care Provider Student version (JSE-HPS) that separately evaluated the level of self-efficacy (SE), quality of life (QoL), depression, burnout, and empathy were completed by the students before and one month after the courses. Qualitative data were collected via e-mails two year after the intervention.Results: Compared to the control group, the interventional group showed significantly higher scores of the empathy (111.0 [IQR 102.0, 118.0] vs 106.0 [IQR 93.0, 111.5]; P = .01) and QoL (32.0 [IQR 28.0, 35.0] vs 29.5 [IQR 26.0, 34.0]; P = .04). The rate of depression was significantly decreased in the interventional group compared to that in the control group (13.5% vs 29.2%; Chi-square test, P = .02). However, no significant differences of self-efficacy (25.6 ± 4.8 vs 24.3 ± 6.3; P = .16) and burnout (27.0% vs 34.7%; Chi-square test, P = .31) were observed between the two groups.Conclusions: The well-designed interventional courses had a positive impact on the mental well-being and empathy in senior Chinese medical students, which may help provide novel information for incorporation into the medical school curriculum.

scholarly journals Satisfação de puérperas acerca da assistência ao parto e nascimento

2020 ◽  
Vol 14 ◽  
Author(s):  
Rafaela Camila Freitas da Silva ◽  
Flávia Westphal ◽  
Ana Carolina Belmonte Assalin ◽  
Maria Izabel Mota da Silva ◽  
Rosely Erlach Goldman
Keyword(s):  
Well Being ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Natural Childbirth ◽  
Significance Level ◽  
Skin Contact ◽  
Chi Square Test ◽  
Las Mujeres ◽  
Quantitative Descriptive

Objetivo: avaliar a satisfação e o bem-estar de puérperas na assistência ao parto e nascimento. Método: trata-se de um estudo quantitativo, descritivo e transversal, com 78 puérperas, ao ser utilizado um questionário para a caracterização sociodemográfica e obstétrica, analisado pela estatística descritiva e testes de associações, por meio do teste Qui-quadrado, adotando-se um nível de significância de 95%. Resultados: verificou-se a média de idade de 28,4 anos, destacando-se que 98,7% das pesquisadas realizaram pré-natal, 73,1% receberam alguma orientação profissional no hospital e 93,6% tiveram a presença de um acompanhante. Registra-se, sobre a escala, que 62,8% das mulheres apresentaram ótimo bem-estar. Informa-se que os domínios III e V foram os mais bem avaliados e o domínio IV, o pior. Negou-se a relevância estatística nas correlações entre os níveis de bem-estar e os dados do parto. Conclusão: avaliou-se que as mulheres apresentaram ótimo bem-estar na parturição. Elencam-se o contato pele a pele e a presença de acompanhante como fatores importantes. Considera-se necessário incorporar a empatia e a gentileza na assistência para se reduzir os níveis de mal-estar. Descritores: Bem-Estar Materno; Satisfação do Paciente; Trabalho de Parto; Parto Normal; Enfermagem Obstétrica; Empatia.    AbstractObjective: to evaluate the satisfaction and well-being of puerperal women in childbirth and birth care. Method: this is a quantitative, descriptive and cross-sectional study, with 78 puerperal women, when using a questionnaire for sociodemographic and obstetric characterization, analyzed by descriptive statistics and association tests, using the Chi-square test, adopting significance level of 95%. Results: there was a mean age of 28.4 years, highlighting that 98.7% of those surveyed performed prenatal care, 73.1% received some professional guidance in the hospital and 93.6% had the presence of a companion. It is registered, on the scale, that 62.8% of women showed excellent well-being. It is reported that domains III and V were the best evaluated and domain IV, the worst. Statistical relevance in the correlations between well-being levels and delivery data was denied. Conclusion: it was evaluated that women had excellent well-being in parturition. Skin-to-skin contact and the presence of a companion are important factors. It is considered necessary to incorporate empathy and kindness in care to reduce levels of malaise. Descriptors: Maternal Welfare; Patient Satisfaction; Labor; Natural Childbirth; Obstetric Nursing; Empathy.ResumenObjetivo: evaluar la satisfacción y el bienestar de las mujeres puerperales en el cuidado del parto y nacimiento. Método: se trata de un estudio cuantitativo, descriptivo y transversal, con 78 mujeres puerperales, al utilizar un cuestionario para caracterización sociodemográfica y obstétrica, analizado mediante estadística descriptiva y pruebas de asociación, utilizando la prueba de Chi-cuadrado, adoptando nivel de significancia del 95%. Resultados: hubo una edad promedio de 28.4 años, destacando que el 98.7% de los encuestados realizó atención prenatal, el 73.1% recibió alguna orientación profesional en el hospital y el 93.6% tuvo la presencia de un compañero. Se registra, en la escala, que el 62.8% de las mujeres mostraron un excelente bienestar. Se informa que los dominios III y V fueron los mejor evaluados y el dominio IV, el peor. Se denegó la relevancia estadística en las correlaciones entre los niveles de bienestar y los datos del parto. Conclusión: se evaluó que las mujeres tenían un excelente bienestar en el parto. Se notó que el contacto piel con piel y la presencia de un compañero son factores importantes. Se considera necesario incorporar empatía y amabilidad en la atención para reducir los niveles de malestar. Descriptores: Bienestar Materno; Satisfacción del Paciente; Trabajo de Parto; Parto Normal; Enfermería Obstétrica; Empatía.

scholarly journals HUBUNGAN STRES KERJA DENGAN PRODUKTIVITAS KERJA PERAWAT DI RSU GMIM BETHESDA TOMOHON

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Astari Bella Andini ◽  
B H Ralph Kairupan ◽  
Lenny Gannika
Keyword(s):  
Work Stress ◽  
High Stress ◽  
Work Productivity ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Square Test ◽  
Patient Responses ◽  
The Impact

Absract : Stress is an epidemic that spreads throughout around the world. The job of a nurse is a job that has a high stress, because in working nurses relate directly to patients with different disease diagnoses and patient responses. the impact of stress of work can have an impact on the productivity of the work of nurses. The purpose of the study was to determine the relationship between stress of work with Work Productivity of nurse at RSU GMIM Bethesda Tomohon. Method in this research uses descriptive analytic research design with cross sectional approach. The sample in this study was nurses in the room of residence care of the RSU GMIM Bethesda Tomohon, with a population is 61 nurses. Results of the study used the chi square test at a significance level of 95%, significant for stress of work with Work Productivity of nurse ( p value 0,0013 ; α 0,05). Conclusion, work stress is significantly related with Nurse Work Productivity at RSU GMIM Bethesda TomohonKeywords : Work Stress, Work ProductivityAbstrak : Stres merupakan epidemi yang menyebar ke seluruh dunia. Pekerjaan seorang perawat merupakan pekerjaan yang memiliki stres yang tinggi karena dalam bekerja perawat berhubungan langsung dengan berbagai macam pasien dengan diagnosa penyakit dan respon yang berbeda-beda. Dampak dari stres kerja tersebut dapat berdampak pada produktivitas kerja perawat. Tujuan penelitian Untuk diketahui adanya Hubungan stres kerja dengan produktivitas kerja perawat di RSU GMIM Bethesda Tomohon. Metode penelitian ini menggunakan desain penelitian dekriptif analitik korelasi dengan pendekatan cross sectional. Sampel penelitian ini adalah perawat di ruang rawat inap RSU GMIM Bethesda Tomohon, dengan jumlah populasi adalah 61 perawat.. Hasil penelitian dengan menggunakan uji chi square pada tingkat kemaknaan 95%, signifikan untuk stres kerja dengan produktivitas kerja perawat (nilai p 0,0013 ; α 0,05).Kata Kunci : Stres Kerja, Produktivitas Kerja.

scholarly journals Cross-Cultural Comparison of How Mind-Body Practice Affects Emotional Intelligence, Cognitive Well-Being, and Mental Well-Being

2021 ◽  
Vol 12 ◽  
Author(s):  
Ofra Walter ◽  
Vered Shenaar-Golan ◽  
Surekha Routray
Keyword(s):  
Emotional Intelligence ◽  
Pearson Correlation ◽  
Well Being ◽  
Cross Cultural ◽  
Self Report ◽  
Future Research ◽  
Chi Square ◽  
Cross Cultural Differences ◽  
Chi Square Test ◽  
Mental Well Being

The study tested cross-cultural differences between Israeli and Indian participants in the outcomes of mind-body practice (MBP) on emotional intelligence (EI), cognitive well-being, and mental well-being, as well as the predictive role of gender and MBP on cognitive and mental well-being. It drew on a sample of 699 Indian and Israeli participants (ages 18–65) from urban settings and used questionnaires to measure cognitive well-being, demographics, EI, and mental well-being. EI was assessed using the Self Report Emotional Intelligence (SREIT); cognitive well-being was assessed using the Personal Well-being Index; mental well-being was assessed using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS). The effect of demographic variables was tested using the two-sample T-test or the Chi-square test. The associations between EI, mental, and cognitive subscales were evaluated using the Pearson correlation coefficient and linear regression with stepwise selection. Results indicated MBP affected EI in both cultures, but Indian participants showed higher EI, and Israeli participants showed lower EI. Israelis also reported higher mental well-being. Future research should examine EI as ability (we examined it as a trait) thus contributing to a better understanding of the similarities and differences between trait and ability EI in different cultures. Future work should also probe gender differences.

scholarly journals Improvement of the management of mental well-being and empathy in Chinese medical students: a randomized controlled study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rong Rong ◽  
Wei Chen ◽  
Zihao Dai ◽  
Jingli Gu ◽  
Weiying Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Self Efficacy ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Chi Square ◽  
Chinese Medical Students ◽  
Chi Square Test ◽  
Mental Well Being

Abstract Background Among Chinese medical students, there is a high prevalence of mental health-related issues and low empathy. Effective strategies to improve this situation are lacking. This study aims to investigate the efficacy of the intervention courses designed to enhance the mental health and empathy of senior Chinese medical students. Methods A total of 146 3rd - and 4th -year medical students were randomized to an intervention group (n = 74) and a control group (n = 72). A pilot study including 5 pre-clinical students and 5 interns was first carried out to determine the themes and content of the intervention courses. The designed courses were delivered in the intervention group once a month three times, while the control group had no specific intervention. Five self-assessment questionnaires, including the General Self-Efficacy (GSE) scale, Medical Outcomes Study Short Form 8 (SF-8), Patient Health Questionnaire-9 (PHQ-9), Maslach Burnout Inventory (MBI), and Jefferson Scale of Empathy-Health Care Provider Student version (JSE-HPS), were completed by the students before and one month after the courses to evaluate their levels of self-efficacy (SE), quality of life (QoL), depression, burnout, and empathy, respectively. Qualitative data were collected via e-mail two years after the intervention. Results Compared to the control group, the intervention group showed significantly higher scores for empathy (111.0 [IQR 102.0, 118.0] vs. 106.0 [IQR 93.0, 111.5]; P = .01) and QoL (32.0 [IQR 28.0, 35.0] vs. 29.5 [IQR 26.0, 34.0]; P = .04). The rate of depression was significantly lower in the intervention group than in the control group (13.5 % vs. 29.2 %; chi-square test, P = .02). However, no significant differences in self-efficacy (25.6 ± 4.8 vs. 24.3 ± 6.3; P = .16) or burnout (27.0 % vs. 34.7 %; Chi-square test, P = .31) were observed between the two groups. Conclusions The intervention courses had a positive impact on mental well-being and empathy in senior Chinese medical students, which might help provide novel information for their incorporation into the medical school curriculum. Trial registration ClinicalTrials.gov Identifier: NCT02645643; Date of registration: 05/01/2016.

HUBUNGAN ANTARA UMUR IBU DAN JARAK KEHAMILAN DENGAN KEJADIAN PERDARAHAN POSTPARTUM DI RUANG KEBIDANAN RSUD KOTA PRABUMULIH TAHUN 2016

2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Desti Widya Astuti Desti Widya Astuti
Keyword(s):  
General Hospital ◽  
Post Partum ◽  
District General Hospital ◽  
Study Data ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Square Test ◽  
Post Partum Bleeding

ABSTRAK   Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang  (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK   Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people  (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.

Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti
Keyword(s):  
Medical Records ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Face ◽  
Chi Square Test ◽  
The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

scholarly journals A Randomized, Controlled, Parallel-Group, Trial on the Effects of Melatonin on Fatigue Associated with Breast Cancer and Its Adjuvant Treatments

2021 ◽  
Vol 20 ◽  
pp. 153473542098834
Author(s):  
Abdolazim Sedighi Pashaki ◽  
Kamal Mohammadian ◽  
Saeid Afshar ◽  
Mohammad Hadi Gholami ◽  
Abbas Moradi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Adjuvant Chemotherapy ◽  
Intervention Group ◽  
Chi Square ◽  
Significance Level ◽  
Severe Fatigue ◽  
Before And After ◽  
Brief Fatigue Inventory ◽  
Chi Square Test ◽  
Student’S T

Objective: Fatigue associated with malignant conditions and their treatments is a disabling condition. This trial assessed the anti-fatigue effects of melatonin coadministration during adjuvant treatment of patients with the breast cancer. Material and Methods: Patients with breast cancer were randomly assigned to receive melatonin or placebo during adjuvant chemotherapy and radiotherapy. Thirty-seven patients were randomly enrolled in each group. The mean ages of patients in the intervention and control groups were 50.47 ± 10.79 and 46.05 ± 10.55 years, respectively ( P = .223). The intervention group received oral melatonin (18 mg/day) from 1 week before until 1 month after the adjuvant radiotherapy. The level of fatigue was assessed before and after intervention using Brief Fatigue Inventory (BFI) in both groups. To analyze data, the Student’s t-test and the Chi-square test were used at a significance level of P ≤ .05. Results: The BFI score was similar before the intervention in both groups, however, after the intervention, it was significantly lower in the melatonin group ( P < .001). Moreover, the frequency of severe fatigue in the melatonin group was significantly lower than in the placebo group after intervention (42.1% vs 83.3%, P < .001). Conclusion: Coadministration of melatonin during adjuvant chemotherapy and radiotherapy of women with breast cancer decreased the levels of fatigue associated with the malignant condition and its treatments.

scholarly journals Gender Differences in Witnessing and the Prevalence of Intimate Partner Violence from the Perspective of Children in Finland

2021 ◽  
Vol 18 (9) ◽  
pp. 4724
Author(s):  
Johanna Hietamäki ◽  
Marjukka Huttunen ◽  
Marita Husso
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Well Being ◽  
Intimate Partner ◽  
Clinical Samples ◽  
Chi Square ◽  
Child Victim ◽  
Chi Square Test ◽  
And Gender ◽  
Gender Variations

Background—Intimate partner violence (IPV) has both direct and longer-term effects on children’s well-being. Much of the research thus far has relied on caregiver reports of IPV and clinical samples of children. By contrast, minimal research has examined violence between parents from the perspective of children using nationwide samples. Objective—This study explored the frequency of IPV witnessed by children and gender variations regarding the victims, perpetrators, and witnesses. Methods—The data were derived from a sample of 11,364 children from the Finnish Child Victim Survey 2013. The children were between 11 and 17 years old and were enrolled in the Finnish school system. The main methods of analysis included crosstabulation and the chi-square test. Results—The results indicate that children witnessed more IPV against their mother (4.9%) than their father (3.5%). Girls reported having witnessed more violence against both their mother (7.0%) and father (5.1%) than boys did (mothers 2.7%, fathers 1.8%). Girls’ reports of IPV against both parents were twice or more than twice as common as boys’ reports. Conclusions—The above differences might result from gendered expectations and boys’ and girls’ different relationships to violence, as well as differences in the recognition and interpretation of violent incidents. Therefore, practitioners should adopt a gender-sensitive approach as a precondition and practice for working with children in social and health care.

Dentists’ knowledge of fluoride cariostatic mechanisms

2018 ◽  
Vol 23 (3) ◽  
Author(s):  
Urszula Kaczmarek ◽  
Wojciech Kowalczyk ◽  
Dariusz Gozdowski ◽  
Dorota Olczak-Kowalczyk
Keyword(s):  
Rank Correlation ◽  
Bone Fragility ◽  
Caries Prevention ◽  
Water Fluoridation ◽  
Chi Square ◽  
Significance Level ◽  
Spearman’S Rank Correlation ◽  
Spearman’S Rank Correlation Coefficient ◽  
Chi Square Test ◽  
Almost All

Introduction. The use of age- and risk-adjusted caries prevention requires up-to-date knowledge on the cariostatic effects of fluoride, as well as the methods and safety of fluoride prophylaxis. Aim. The aim of the study was to assess dentists’ knowledge of the safety and mechanism of anticaries effects of fluoride. Material and methods. An anonymous questionnaire was conducted among 212 dentists participating in dental training. The questions included in the questionnaire related to knowledge about water fluoridation, fluoride cariostatic mechanisms and the safety of fluoride prophylaxis. The chi-square test and the Spearman’s rank correlation coefficient were used for statistical analysis. A significance level of 0.05 was used. Results. Incorrect knowledge about water fluoridation was demonstrated by 26.9% of respondents in the country and 16.0% of respondents in Europe. Most respondents (80.7%) reported higher efficacy of exogenous vs endogenous anticaries approaches, and more than half of respondents (59.0%) considered the processes of remineralisation and demineralisation as the most important anticaries activity. Almost all respondents (95.7%) agreed that the use of fluoride for caries prevention is controversial, mainly due to its dose-dependent therapeutic or toxic effects (85.4%). According to about 20% of respondents, cariostatic fluoride doses have adverse effects on the general health, mainly in the form of bone fragility (10.4%). Conclusions. Lack of correct knowledge about the dominant cariostatic effects of fluoride may result in the choice of an inappropriate preventive method or avoiding local application of fluoride preparations for fear of adverse systemic effects, which may in turn lead to increased caries prevalence in a given population.

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