Establishing dental recall interval for Pakistani children: a longitudinal study

Author(s):  
Muhammad Taqi ◽  
Jaffar Abbas Zaidi ◽  
Hafeez Shaikh ◽  
Adnan Sukkurwalla

Abstract Objective: This study aims to determine the caries increment rate in children of 12 years of age after 6, 12 and18 months to establish appropriate dental recall interval. Subjects and Methods: Prospective longitudinal study of 18 months duration was conducted from May 2016 to October 2017 in the Bhakkar city of Punjab, Pakistan. School children of 12-years-old were selected in this study using convenience sampling. The caries progression rate was measured using Modified Beck’s method or adjusted caries increment. Descriptive analysis was conducted to estimate the response rate at baseline and at each follow-up, to estimate the number of children who attended the examinations, mean DMFT/DMFS scores and mean caries increments. Repeated measure ANOVA with post hoc test using Bonferroni correction was used to compare baseline mean caries increment with caries increment on 6, 12 and 18 months. Results: In the last follow-up, 183 children were present, giving a response rate of 81%. Significantly high caries increment among cavitated lesions was observed at 6 months (0.49±1.45, p=0.0001), 12 months (0.66±2.35, p=0.0001), and 18 months (0.86±2.39, p=0.0001) when compared with baseline caries increment.  Continuous...  

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Jasmin Haj-Younes ◽  
Elisabeth Marie Strømme ◽  
Jannicke Igland ◽  
Bernadette Kumar ◽  
Eirik Abildsnes ◽  
...  

Abstract Background Forced migrants can be exposed to various stressors that can impact their health and wellbeing. How the different stages in the migration process impacts health is however poorly explored. The aim of this study was to examine changes in self-rated health (SRH) and quality of life (QoL) among a cohort of adult Syrian refugees before and after resettlement in Norway. Method We used a prospective longitudinal study design with two assessment points to examine changes in health among adult Syrian resettlement refugees in Lebanon accepted for resettlement in Norway. We gathered baseline data in 2017/2018 in Lebanon and subsequently at follow-up one year after arrival. The main outcomes were good SRH measured by a single validated item and QoL measured by WHOQOL-BREF. We used generalized estimating equations to investigate changes in outcomes over time and incorporated interaction terms in the models to evaluate effect modifications. Results In total, 353 subjects participated in the study. The percentage of participants reporting good SRH showed a non-significant increase from 58 to 63% RR, 95%CI: 1.1 (1.0, 1.2) from baseline to follow-up while mean values of all four QoL domains increased significantly from baseline to follow-up; the physical domain from 13.7 to 15.7 B, 95%CI: 1.9 (1.6, 2.3), the psychological domain from 12.8 to 14.5 B, 95%CI: 1.7 (1.3, 2.0), social relationships from 13.7 to 15.3 B, 95%CI: 1.6 (1.2, 2.0) and the environmental domain from 9.0 to 14.0 5.1 B, 95%CI: (4.7, 5.4). Positive effect modifiers for improvement in SRH and QoL over time include male gender, younger age, low level of social support and illegal status in transit country. Conclusion Our results show that good SRH remain stable while all four QoL domains improve, most pronounced in the environment domain. Understanding the dynamics of migration and health is a fundamental step in reaching health equity.


2019 ◽  
Vol 24 (1) ◽  
pp. 321-328
Author(s):  
Qing-Hai Gong ◽  
Si-Xuan Li ◽  
Si-Jia Wang ◽  
Yan-Hui Wu ◽  
Li-Yuan Han ◽  
...  

2004 ◽  
Vol 34 (2) ◽  
pp. 277-284 ◽  
Author(s):  
J. ADDINGTON ◽  
S. VAN MASTRIGT ◽  
D. ADDINGTON

Background. The duration of untreated psychosis has been postulated to be a predictor of clinical outcome in schizophrenia. Although several prospective studies support the relationship, some studies do not. These differences may be due to a number of methodological issues. The objectives of this study are: (i) to address many of the methodological limitations of earlier studies such as variations in sample size and selection, type of treatment provided, differences in measurement of DUP and outcome, and length of follow-up; and (ii) to examine the relationship between DUP and outcome in a prospective longitudinal study.Method. The DUP of 200 consecutive admissions to a first-episode programme was determined. The sample was followed over 2 years and pre-morbid functioning, symptoms, social and cognitive functioning and substance use were assessed longitudinally.Results. Two years after admission to the programme, longer DUP was significantly associated with high levels of positive symptoms and poor social functioning. Independently of other variables, DUP predicted positive symptoms and social functioning at 1 and 2 years.Conclusions. There is evidence that long DUP continues to have an influence on outcome up to 2 years. These results support ongoing efforts for early detection and intervention.


2021 ◽  
Vol 10 (10) ◽  
pp. 2142
Author(s):  
Ana Rita Santos ◽  
Luis Mendes ◽  
Maria Helena Madeira ◽  
Ines P. Marques ◽  
Diana Tavares ◽  
...  

Background: Analysis of retinal microaneurysm turnover (MAT) has been previously shown to contribute to the identification of eyes at risk of developing clinically significant complications associated with diabetic retinopathy (DR). We propose to further characterize MAT as a predictive biomarker of DR progression and development of vision-threatening complications. Methods: 212 individuals with type 2 diabetes (T2D; ETDRS grades 20 and 35) were evaluated annually in a 5-year prospective, longitudinal study, by color fundus photography and optical coherence tomography. Endpoints were diabetic macular edema (DME) or proliferative retinopathy (PDR). MAT analysis included determination of MA formation and disappearance rates, automatically assessed using the RetMarkerDR®. Retinopathy severity progression was evaluated using step increases in ETDRS severity levels. Results: Of the 212 individuals, 172 completed the 5-year follow-up study or developed an endpoint (n = 27). MAT calculated at 1 year showed a significant difference between groups of endpoint developments (p = 0.018), particularly MA disappearance rate (p = 0.007). MAT also showed a significant difference between eyes with different ETDRS severity progression in the 5-year period (p = 0.035). Conclusions: MAT is an indicator of the development of DME and/or PDR as well as of DR severity progression in T2D individuals with mild retinopathy.


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