scholarly journals Evaluation of the Most Common Dental Procedural Errors Leading to Lawsuits and the Relevant Reasons in Three Dental Clinics in Tehran

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Mohsen Yazdanian ◽  
Esmail Rafiei ◽  
Aghil Rahmani ◽  
Elahe Tahmasebi ◽  
Abbas Hajiesfandiari
Keyword(s):  
Clinical Data ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Job Experience ◽  
Dental Clinics ◽  
Present Cross Sectional Study ◽  
Dental Practitioners

One of the most important occupational stresses that dentists encounter in their profession is patients’ lawsuits. The present study aimed to evaluate common procedural errors that lead to lawsuits in dentistry. In the present cross-sectional study, all the patient files of three large dental clinics in Tehran were evaluated from 2014 to 2019, in which a dentist’s negligence had been confirmed by the specialty dental committee. Files with incomplete clinical data, without the dentist’s name, and the type of the lawsuit were excludeda and Finally, 107 lawsuit files were confirmed and entered the study.  After extraction of the data from the existing files and completing the relevant checklist, data were analyzed with SPSS 23. Most lawsuits were of the therapeutic type (88 cases, 82%), with 34 cases (31.9%) , 26 cases (24.2%)  and 19 cases (17.6%) related to prosthodontics, endodontics, and surgery, respectively. Most plaintiffs were 30–49 years of age (56 cases ,52%), and most were women (70 cases, 65%). Over half of the lawsuits had been filed against dentists with a job experience of <10 years and against general dental practitioners (81 cases, 76%). One of the most important ways to prevent errors leading to lawsuits is to increase dentists’ knowledge about previous lawsuits. Knowledge about the most common lawsuits and the provision of organizational guidelines will help manage and decrease such lawsuits.

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

scholarly journals Hypertension and its Relation with Waist to Hip Ratio in Women Referred to Bojnurd Urban Health Centers in 2014

2019 ◽  
Vol 11 (1) ◽  
pp. 1-5
Author(s):  
Hossein Lashkardoost ◽  
Fateme Hoseyni ◽  
Elham Rabbani ◽  
Farzane Q Moqadam ◽  
Leila Hosseini ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Waist To Hip Ratio ◽  
Significant Relationships ◽  
Present Cross Sectional Study

Introduction: North Khorasan province has one of the highest rates of hypertension. One of the main causes of hypertension is obesity. Obesity is one of the most important public health problems around the world as a risk factor for non-communicable diseases. Since a similar study was not conducted in Bojnurd, we examined the relationship between waist to hip ratio with hypertension. Methods: The present cross-sectional study was conducted on women referring to Bojnurd health centers. To analyze the data, we used t-test, chi-square, multiple logistic regression and Pearson correlation in Stata 12 software. Results: In this cross-sectional study, the prevalence of systolic blood pressure was 14.78% and diastolic blood pressure was 15.65%. So waist to the hips showed the highest correlation with the changes in hypertension. Conclusion: There are significant relationships between the age and the number of pregnancies with the risk of hypertension. Since a significant percentage of people are unaware of the existence of hypertension, changing diet and having regular physical activity along with social support is an important strategy.

scholarly journals Assessment of knowledge and attitude regarding management of patients with substance usage in dental clinics in Modinagar- A cross-sectional study

2019 ◽  
Vol 8 (11) ◽  
pp. 3683
Author(s):  
Divyangi Goel ◽  
Basavaraj Patthi ◽  
Ashish Singla ◽  
Ravneet Malhi ◽  
PankajKumar Chaudhary ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Knowledge And Attitude

scholarly journals Prenatal and Postnatal Hair Steroid Levels Predict Post-Partum Depression 12 Weeks after Delivery

2019 ◽  
Vol 8 (9) ◽  
pp. 1290 ◽  
Author(s):  
Leila Jahangard ◽  
Thorsten Mikoteit ◽  
Saman Bahiraei ◽  
Mehrangiz Zamanibonab ◽  
Mohammad Haghighi ◽  
...  
Keyword(s):  
Post Partum ◽  
Cross Sectional Study ◽  
Hair Cortisol ◽  
Sectional Study ◽  
Cross Sectional ◽  
Post Partum Depression ◽  
Present Cross Sectional Study ◽  
Before And After ◽  
Stress Responsivity ◽  
Time Point

Background: Within three to six months after delivery, 13%–19% of women suffer from post-partum depression (PPD), understood as a dysfunctional adaptation to the postpartum condition and motherhood. In the present cross-sectional study, we compared the hair steroid levels of women 12 weeks before and after delivery and with or without PPD. Method: The present study was a cross-sectional study conducted twelve weeks after delivery. At that time, 48 women (mean age: 25.9 years) with PPD and 50 healthy controls (mean age: 25.2 years) completed questionnaires on depressive symptoms. Further, at the same time point, 6 cm lengths of hair strands were taken, providing samples of hair steroids 12 weeks before and 12 weeks after delivery in order to analyze hair steroids (cortisol, cortisone, progesterone, testosterone, and dehydroepiandrosterone (DHEA)). Results: Compared to those of women without PPD, hair steroid levels (cortisol, cortisone, progesterone) were significantly lower in women with PPD both before and after delivery. Lower prenatal cortisone and progesterone levels predicted higher depression scores 12 weeks after delivery. Lower prenatal levels of cortisol and progesterone and higher levels of DHEA, and postnatal lower levels of cortisol, cortisone, and progesterone, along with higher levels of DHEA predicted PPD-status with an accuracy of 98%. Conclusions: PPD is associated with blunted hair cortisol, cortisone, and progesterone secretions both pre- and postpartum. Such blunted steroid levels appear to reflect a stress responsivity that is less adaptive to acute and transient stressors. It follows that prenatally assessed low hair cortisol and progesterone levels, along with high DHEA levels, are reliable biomarkers of post-partum depression 12 weeks after delivery.

scholarly journals Reported Growth Following Mountaineering Expeditions: The Role of Personality and Perceived Stress

2016 ◽  
Vol 49 (8) ◽  
pp. 933-955 ◽  
Author(s):  
N. Smith ◽  
F. Kinnafick ◽  
S. J. Cooley ◽  
G. M. Sandal
Keyword(s):  
Psychological Adjustment ◽  
Perceived Stress ◽  
Well Being ◽  
Cross Sectional Study ◽  
Psychological Resilience ◽  
Sectional Study ◽  
Cross Sectional ◽  
Present Cross Sectional Study ◽  
The Impact

Results from previous studies suggest that stressful environmental conditions such as those faced on expedition may result in psychological growth. Building on previous research, the present cross-sectional study examined the role of personality and perceived stress in relation to post-expedition growth. Eighty-three participants who had completed a mountaineering expedition responded to measures of stress, personality, growth, well-being, and resilience. Findings implicate perceived stress, and personality dimensions of agreeableness and openness, in post-expedition growth. Growth was associated with well-being but distinct from psychological resilience, highlighting the need to consider growth and resilience independently. Present findings support the proposition that stressful expedition environments may promote positive psychological adjustment and identify factors that may influence this change. Research is needed to delineate the impact of other variables, such as coping, on changes that occurs during the post-expedition phase. Such research holds relevance for maintaining health following immersion in extreme and unusual environments.

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