scholarly journals EPIDEMIOLOGICAL ANALYSIS OF PATIENTS SERVED IN A PUBLIC DENTAL SERVICE FOR PATIENTS WITH SPECIAL NEEDS IN BELÉM

2021 ◽  
Vol 1 (06) ◽  
Author(s):  
Natalia Silva e Silva ◽  
Anete Brito Cartágenes ◽  
Leida Favacho ◽  
Ivone Almeida ◽  
Juliana De Borborema Garcia Pedreira ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Special Needs ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Dental Service ◽  
Behavioral Disorder ◽  
Cross Sectional ◽  
Public Dental Service ◽  
Place Of Origin ◽  
Patients With Special Needs

Objective: In view of the scarcity of research aimed at patients with special needs in our region, this study aims to identify the pathologies, such as age, gender, place of origin and prevalence of caries and periodontal disease in patients enrolled in a public dental service in Belém aimed at the care of people with special needs. Method: Retrospective cross-sectional study, where the data collected in the medical records of the patients enrolled in SIDOPE-UFPA were analyzed. Results: At the end of the data collection, 219 medical records of patients eligible to participate in the study were divided into groups, such as Behavioral Disorder (27.85%), Non-Progressive Brain Encephalopathy (10.5%), Syndromes and malformations (8.7%), Intellective deficit (7.76%), among others. The prevalence of caries was 71.23% and Periodontal Disease was 23.7%; (61.6%) and Belém (62.5%) were the most prevalent place of origin. Conclusion: According to the research, most patients still need treatment, due to the high caries index found, and mainly preventive measures so that these numbers can be reduced in the future. It was also observed the complexity and variety of diseases in the patients enrolled, and the incidence of rare syndromes that should and should be studied more specifically, not only by dentistry, but also by professionals from other areas, emphasizing the importance of care multiprofessional approach to these patients.

scholarly journals Prevalence of the special needs of patients served in a type III CEO of a reference hospital in Brazil

2021 ◽  
Vol 10 (1) ◽  
pp. e58510112097
Author(s):  
Camila de Paula Rosendo ◽  
Niviane Marielly da Costa Oliveira ◽  
Rebeca Luiz de Freitas ◽  
Veronica Maria da Rocha Kozmhinsky ◽  
Viviane Colares
Keyword(s):  
Special Needs ◽  
Metabolic Diseases ◽  
Cross Sectional Study ◽  
Metropolitan Region ◽  
Caries Experience ◽  
Congenital Defects ◽  
Cross Sectional ◽  
Type Iii ◽  
Patients With Special Needs ◽  
Clinical Records

The aim of this study was to determine the prevalence of Patients with Special Needs seen at the pediatric outpatient clinic of a type III CEO.Method: Descriptive cross-sectional study carried out by surveying 1,384 clinical records of patients from 0 to 19 years of age, with confirmed diagnoses of some special need and attended from June to September 2018.  Information collected from medical records such as: the registration number, sex, age, origin, the type of special needs and the history of caries experience. Then, the classification was applied according to the diagnosed pathology, elaborated by Santos & Haddad. Results: Most patients were male (58.2%) and lived in the Metropolitan Region of Recife (51.4%). Regarding special needs, it was found that the highest percentages correspond to patients with Congenital Defects (27.4%), Chronic Systemic Diseases (21.1%), Special Physiological States (15.2%), Physical Defects (14, 7%), Sensory and Audio-communication Defects (8.5%), Behavioral Deviations (4.8%), Intelligence Deviations (4.3%), Endocrine-Metabolic Diseases (3.6%) and Deviations Psychic (0.2%).

Barriers to Oral health care in patients with special needs-A Cross-sectional study

2021 ◽  
pp. 2167-2171
Author(s):  
Nandhini Subramaniam ◽  
Arvind Muthukrishnan
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Special Needs ◽  
Dental Care ◽  
Dental Treatment ◽  
Oral Health Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patients With Special Needs

Aim- This cross-sectional study aimed to identify the barriers to receive oral care among patients with special health care needs. Materials and methods: This cross-sectional study was conducted among 50 patients seeking dental treatment in the special care unit of Oral medicine department. A self-administered questionnaire was employed for data collection. Results: It was found that nearly 56% of respondents listed fear towards dental treatment as an important barrier which in turn prevents them from gaining access to dental care. Around 52% of patients considered their underlying medical problem as a reason for not seeking dental care as their comorbid condition would increase their fear of dental treatment, 43% of patients considered physical barriers or in need of caretakers as a barrier to Dental care. 10% of the population stated that they do not have barriers to access Dental care. Conclusion: The major barriers to oral health care utilization among patients with special needs were fear-related and hence these patients need attention towards fear alleviation and make dental care painless and simple.

scholarly journals Clinical pattern and predictors of stroke treatment outcome among hospitalised patients who had a stroke at Felege Hiwot comprehensive specialised hospital, northwest Ethiopia: a retrospective cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040238
Author(s):  
Belayneh Kefale ◽  
Amien Ewunetei ◽  
Mulugeta Molla ◽  
Gobezie Temesgen Tegegne ◽  
Amsalu Degu
Keyword(s):  
Treatment Outcome ◽  
Treatment Outcomes ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Cross Sectional ◽  
Stroke Treatment ◽  
Clinical Pattern ◽  
Hospitalised Patients ◽  
Poor Treatment

ObjectivesThis study aimed to assess the clinical pattern and predictors of stroke treatment outcomes among hospitalised patients in Felege Hiwot comprehensive specialised hospital (FHCSH) in northwest Ethiopia.DesignA retrospective cross-sectional study.SettingThe study was conducted medical ward of FHCSH.ParticipantsThe medical records of 597 adult patients who had a stroke were included in the study. All adult (≥18 years) patients who had a stroke had been admitted to the medical ward of FHSCH during 2015–2019 were included in the study. However, patients with incomplete medical records (ie, incomplete treatment regimen and the status of the patients after treatment) were excluded in the study.ResultsIn the present study, 317 (53.1%) were males, and the mean age of the study participants was 61.08±13.76 years. About two-thirds of patients (392, 65.7%) were diagnosed with ischaemic stroke. Regarding clinical pattern, about 203 (34.0%) of patients complained of right-side body weakness and the major comorbid condition identified was hypertension (216, 64.9%). Overall, 276 (46.2%) of them had poor treatment outcomes, and 101 (16.9%) of them died. Patients who cannot read and write (AOR=42.89, 95% CI 13.23 to 111.28, p<0.001), attend primary school (AOR=22.11, 95% CI 6.98 to 55.99, p<0.001) and secondary school (AOR=4.20, 95% CI 1.42 to 12.51, p<0.001), diagnosed with haemorrhagic stroke (AOR=2.68, 95% CI 1.62 to 4.43, p<0.001) and delayed hospital arrival more than 24 hours (AOR=2.92, 95% CI 1.83 to 4.66, p=0.001) were the independent predictors of poor treatment outcome.ConclusionsApproximately half of the patients who had a stroke had poor treatment outcomes. Ischaemic stroke was the most predominantly diagnosed stroke type. Education status, types of stroke and the median time from onset of symptoms to hospitalisation were the predictors of treatment outcome. Health education should be given to patients regarding clinical symptoms of stroke. In addition, local healthcare providers need to consider the above risk factors while managing stroke.

scholarly journals Comparison of Prevalence of Periodontitis with Different Indices in Population of District Ghaziabad

2016 ◽  
Vol 04 (01) ◽  
pp. 023-030
Author(s):  
Vimal Kumar ◽  
Pallak Arora ◽  
Manish Khatri ◽  
Shivani Sharma ◽  
Sumit Malhotra ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Total Population ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Sample Population ◽  
Age Group ◽  
Cross Sectional ◽  
Multi Stage ◽  
Younger Age ◽  
Study Population

Abstract Objective: To estimate the prevalence of periodontal disease with different indices. Methods & materials: The study population consisted of multistage stratified random sample of 1300 subjects from total population of district Ghaziabad. A cross-sectional study was conducted with multi stage stratified random sampling techniques to select the sample population. The subjects were divided into different age groups and the periodontal assessment was made on the basis of CPITN index and ESI Index. Results: The CPITN has shown to estimate incorrect periodontal disease prevalence because of its underestimation of the disease severity. A huge difference was noticed in the prevalence rate of periodontitis when subjects were examined with ESI index. Conclusion Periodontal disease was found to be highly prevalent in the study population and severity of disease increased with age. More number of subjects in younger age group were found to be healthy.

scholarly journals Inadequate Gestational Weight Gain and Exposure to Second-Hand Smoke during Pregnancy Increase the Risk of Low Birth Weight: A Cross-Sectional Study among Full-Term Infants

2021 ◽  
Vol 18 (3) ◽  
pp. 1068
Author(s):  
Muliana Edi ◽  
Yit Chin ◽  
Fui Woon ◽  
Geeta Appannah ◽  
Poh Lim ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Second Hand Smoke ◽  
Sectional Study ◽  
Cross Sectional ◽  
Shs Exposure ◽  
At Home

Despite the advancement of the healthcare system, low birth weight (LBW) remains as one of the leading causes of under-five mortality. This cross-sectional study aimed to determine the prevalence of LBW and its associated factors among 483 third trimester pregnant women recruited from six selected public health clinics in the Federal Territory of Kuala Lumpur and the state of Selangor, Malaysia. Pregnant women were interviewed for information on socio-demographic characteristics, smoking behaviour, and second-hand smoke (SHS) exposure at home and in the workplace. Information on the obstetrical history and prenatal care visits history were retrieved from the maternal medical records, while infant’s birth outcomes were retrieved from infant medical records. The prevalence of LBW (<2.5 kg) in infants was 10.4%, with a mean birth weight of 3.0 [standard deviation (SD) 0.4] kg. Results from the multivariable logistic regression model showed that inadequate weight gained during pregnancy [odds ratio (OR) = 2.41, 95% confidence interval (CI) = 1.18–4.90] and exposure to SHS at home (OR = 1.92, 95% CI = 1.03–3.55) were significantly associated with LBW. In conclusion, pregnant women should monitor their rate of weight gain throughout pregnancy and avoid SHS exposure at home to reduce the risk of delivering LBW infants.

Ophthalmologists and WhatsApp: Teleophthalmology is already here

2021 ◽  
pp. 112067212110026
Author(s):  
Edward Barayev ◽  
Ofri Vorobichik Berar ◽  
Gad Dotan ◽  
Alon Skaat ◽  
Orly Gal-Or ◽  
...  
Keyword(s):  
Medical Records ◽  
Cross Sectional Study ◽  
Work Hours ◽  
Clinical Settings ◽  
Sectional Study ◽  
Cross Sectional ◽  
Policy Makers ◽  
Media Messages ◽  
Rapid Responses ◽  
Wide Availability

Purpose: To estimate the extent of WhatsApp utilization using text and media messages for inter-physician consultations among ophthalmologists (residents and specialists) at various clinical settings and its perceived benefits for ophthalmologists and their patients. We also aimed to detect obstacles that concern ophthalmologists when using WhatsApp as a consultation platform. Methods: This was a cross-sectional study using a self-administered survey through Google Forms, which was sent to 660 practicing ophthalmologists during April to May 2020. Results: One hundred and ninety-two ophthalmologists completed the questionnaire, 151 of which (78.6%) were specialists and 41 (21.4%) were residents. Most ophthalmologists reported using WhatsApp at least once a day for both personal and professional use. Residents reported lower rates of contacting patients using WhatsApp than specialists (1.51 ± 0.98 vs 2.72 ± 1.32, p < 0.001). Respondents reported WhatsApp consultations frequently replaced referrals of patients to other physicians, with a median of once a week. 97.8% of residents and 91.4% of specialists reported the ability to share media is a major advantage of WhatsApp over other medias, followed by rapid responses for consultations. Conclusion: Many ophthalmologists already use WhatsApp as a tool for professional consultations with other providers, mainly thanks to its simplicity and wide availability. Residents use it more frequently than specialists, and ranked it higher when asked how much WhatsApp has improved the clinical setting. Policy makers should address concerns brought up by physicians, such as documentation in medical records and proper compensation for consulting ophthalmologists during and after work hours.

scholarly journals Radiologic imaging of congenital gastrointestinal anomalies in infants

2012 ◽  
Vol 52 (6) ◽  
pp. 341
Author(s):  
Leny Zabidi ◽  
Gatot Irawan Sarosa ◽  
Farah Prabowo
Keyword(s):  
Medical Records ◽  
Cross Sectional Study ◽  
Duodenal Atresia ◽  
Congenital Megacolon ◽  
Time Data ◽  
Pyloric Atresia ◽  
Cross Sectional ◽  
Radiologic Findings ◽  
Radiologic Imaging ◽  
Congenital Gastrointestinal Anomalies

Background Congenital gastrointestinal anomalies may manifestsigns or symptoms in the first few days of life, most commonly inthe fonn of obstructions. Radiologic imaging plays an importantrole in diagnosis confirmation and surgical correction plans. Mostcases may be diagnosed by plain radiographs alone, but cr scansand MRI may be needed to make accurate diagnoses, especiallyin difficult cases.Objective To report radiologic imaging findings in infants Mthcongenital gastrointestinal anomalies.Methods For this retrospective, cross􀁊sectional study we tooksecondary data from medical records of infants 'With congenitalgastrointestinal anomalies in Dr. Kariadi Hospital, Semarang,Indonesia from January 2010 - June 2011. Diagnosis of congenitalanomalies was confirmed by clinical manifestation and radiologicimaging. Radiologic findings were reviewed by a single radiologiston duty at that time. Data is presented in the form of frequencydistribution.Results Subjects consisted of 50 males and 23 females. The mostcormnon complaints were vorrritingin 14 subjects (19%), alxlominaldistension in 31 subjects (43%), and fecal passage dysfunction in28 subjects (38%). Radiologic imaging of subjects with congenitalgastrointestinal anomalies revealed the folloMng conditions: analatresia in 28 subjects (38%), congenital megacolon in 21 subjects(29%), esophageal atresia in 14 subjects (19%), duodenal atresia in9 subjects (12%), and pyloric atresia in 1 subject (2%).Conclusion Using radiologic imaging of infants with congenitalgastrointestinal anomalies, the most to least common conditionsfound were anal atresia, congenital megacolon, esophagealatresia, duodenal atresia, and pyloric atresia. [Paediatr Indones.2012;52:341-5].

scholarly journals Mohs micrographic surgery: a study of 83 cases

2012 ◽  
Vol 87 (2) ◽  
pp. 228-234 ◽  
Author(s):  
Flavianne Sobral Cardoso Chagas ◽  
Bruno de Santana Silva
Keyword(s):  
Cell Carcinoma ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Cross Sectional ◽  
The Mean ◽  
Nasal Region ◽  
Cure Rates ◽  
Observation Period

BACKGROUND: Mohs micrographic surgery can achieve high cure rates in the treatment of skin cancer and remove a minimum of healthy tissue. OBJECTIVES: To characterize patients undergoing Mohs micrographic surgery and study issues related to the number of surgical stages. METHODS: A descriptive, retrospective, cross-sectional study was conducted in a micrographic surgery reference center for the period of 2004 to 2010. Data was collected from medical records of 79 patients (83 surgeries). RESULTS: We studied 43 women and 36 men. The mean age was 57.5 ± 14,6 years. Skin types II and III were the most frequent, accounting for 41% and 36.1%, respectively. The most frequent tumor was the basal cell carcinoma (89.1%), and the solid subtype was the most common (44.6%), followed by sclerodermiform histological subtype (32%).The most frequent location was the nasal region (44.6%). The large majority of the operated tumors were recurrent lesions (72.7%). Half of the tumors measured 2 cm or more. In 68.7% of the cases two or more surgical stages were necessary for the removal of the tumors. The observation period was 2 or more years in 75% of the tumors. There was 01 post-Mohs recurrence and 02 patients had metastases during the observation period (both with squamous cell carcinoma). CONCLUSION: The findings coincide with those of the literature, recurrent tumors and tumors larger than 2cm needed more surgical stages for their removal, although there was no statistic difference (p=0,12 and 0,44 respectively).

scholarly journals PROFILE OF PATIENTS RECEIVING TOTAL KNEE ARTHROPLASTY: A CROSS-SECTIONAL STUDY

2017 ◽  
Vol 25 (5) ◽  
pp. 202-205 ◽  
Author(s):  
MARCELO JOSÉ CORTEZ BEZERRA ◽  
IGOR MAGALHÃES BARBOSA ◽  
THALES GONÇALVES DE SOUSA ◽  
LARISSA MEIRELES FERNANDES ◽  
DIEGO LEONARDO MENEZES MAIA ◽  
...  
Keyword(s):  
Medical Records ◽  
Severe Disease ◽  
Functional Limitation ◽  
Cross Sectional Study ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Lequesne Index ◽  
Total Knee ◽  
Epidemiological Profile

ABSTRACT Objective: To describe the epidemiological profile, presented deformities, associated comorbidities, and impact on quality of life in patients with knee osteoarthritis. This study was conducted in a philanthropic hospital in Fortaleza from 2014 to 2015. Methods: Data were collected from medical records, epidemiological forms, and by applying the Lequesne index questionnaire, which contains several questions related to pain, discomfort and functional limitation to assess the severity of symptoms. Results: Females were more prevalent (76.7%), as were patients over 65 years of age (61.6%) and non-whites (81.6%). As for comorbidities, 83.3% had hypertension and 31.7% had diabetes. Of the total, 76.5% cases were genu varum, and 23.5% genu valgum. According to the Lequesne index findings, 61.6% cases were “extremely severe,” and women had higher scores. Conclusion: Females were more prevalent and whites were less prevalent. The most frequent comorbidity was hypertension. Female and elderly patients have more severe disease according to Lequesne index score, and these findings were statistically significant. Level of Evidence II, Prospective Study.

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