scholarly journals Incidence of Acute Odontogenic Maxillofacial Infections in Lithuania

2015 ◽  
Vol 25 (2) ◽  
pp. 103-107
Author(s):  
Rūta Rastenienė ◽  
Alina Pūrienė ◽  
Jolanta Aleksejūnienė
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Medical Service ◽  
Total Population ◽  
Treatment Facility ◽  
Odontogenic Infections ◽  
Odontogenic Origin ◽  
Life Threatening ◽  
Treatment Facilities ◽  
Maxillofacial Infections

Despite achievements in Lithuanian health care system and good accessibility to medical service, life threatening infections of odontogenic origin are still prevalent in Lithuania. Aim of the study: To analyse the prevalence of odontogenic maxillofacial infections and to examine distribution of treatment facilities accepting patients with acute odontogenic infections in Lithuania. Methods: A five-year (2009-2013) retrospective study included information about all patients treated in outpatient (N=482) or inpatient (N=61) treatment facilities in Lithuania, Adjusted Inci- dence Ratios of acute odontogenic maxillofacial infections were calculated separately for each type of infection and for each year, and each type of treatment facility. Results: High annual incidence of acute odontogenic maxillofacial infections, i.e. ~1% of a total population was diagnosed.

scholarly journals Alcohol and other drug treatment experiences of hepatitis C-positive and negative clients: implications for hepatitis C treatment

2009 ◽  
Vol 33 (1) ◽  
pp. 100 ◽  
Author(s):  
Loren Brener ◽  
Carla J Treloar
Keyword(s):  
Health Care ◽  
Hepatitis C ◽  
Drug Treatment ◽  
Health Care Workers ◽  
Differential Treatment ◽  
Treatment Facility ◽  
Hcv Treatment ◽  
Treatment Uptake ◽  
Care Workers ◽  
Treatment Facilities

To assess whether HCV-positive clients perceive that alcohol and other drug (AOD) staff discriminate against them, this study compared the treatment experiences of 120 HCV-positive clients with those of 120 HCV-negative clients attending the same AOD treatment facility. Despite the overall findings of favourable attitudes of HCV-positive clients toward their health care workers, these attitudes were less positive than those of their HCV-negative counterparts. Clients with HCV also rated their interpersonal treatment by their health care workers less favourably. These findings suggest that HCV-positive clients? attitudes towards their health care workers and their experiences of differential treatment by these health care workers might be a barrier to HCV treatment uptake in AOD treatment facilities.

scholarly journals An insight on management of odontogenic orbital infections: report of two cases

2021 ◽  
Vol 27 (3) ◽  
pp. 41
Author(s):  
Ankit Sharma ◽  
Snehal Ingole ◽  
Mohan Deshpande ◽  
Pallavi Ranadive ◽  
Sneha Sharma ◽  
...  
Keyword(s):  
Sinus Thrombosis ◽  
Orbital Cellulitis ◽  
Treatment Modalities ◽  
Intracranial Abscess ◽  
Odontogenic Infections ◽  
Orbital Abscess ◽  
Odontogenic Origin ◽  
Life Threatening ◽  
Insight Into ◽  
Maxillary Sinuses

Odontogenic infections are common and very often spread to potential spaces of head and neck. The spread of such infection to adjacent maxillary sinuses or distant sites such as the orbits are a rare occurrence and may develop periorbital and orbital cellulitis. Unfortunately once orbital cellulitis and subsequently orbital abscess develops it can give rise to serious complications such as complete blindness or even more serious and life-threatening situations as cavernous sinus thrombosis, intracranial abscess or even death. Two cases are presented to demonstrate the differences between the two conditions and the necessary management in either case. This article provides an insight into the clinical behaviour of orbital infections of odontogenic origin with contemporary diagnostic and treatment modalities that will help in reducing morbidity and mortality associated with these conditions.

scholarly journals Tratamento cirúrgico de abscesso odontogênico em nível hospitalar

2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Leonardo Perez Faverani ◽  
Gabriel Ramalho Ferreira ◽  
Idelmo Rangel Garcia Junior ◽  
Francisley Avila Souza ◽  
Gabriela Marian Flud Ibrahim ◽  
...  
Keyword(s):  
Case Report ◽  
Retrospective Study ◽  
Public Hospital ◽  
Review Article ◽  
Sinus Lift ◽  
Odontogenic Infections ◽  
Implant Placement ◽  
Oral Pain ◽  
Cost Impact ◽  
Maxillofacial Infections

A infecção odontogênica é um grave problema de saúde pública. O atendimento hospitalar fica basicamente direcionado a atenção aos casos mais graves que requerem tratamento imediato de antibioticoterapia endovenosa bem como remoção urgente da causa. Sendo assim, o objetivo é apresentar um caso de paciente de 43 anos de idade, sexo feminino, queixando-se de dor em região de dente 24 com aumento volumétrico evidente assim como drenagem espontânea de exsudato via sulco gengival. O tratamento após exames complementares de rotina foi a exodontia do elemento dentário sob anestesia local em atenção hospitalar associado a drenagem da coleção purulenta. Após eliminação da causa bem como a drenagem, 48 horas destas a paciente recebeu alta hospitalar com retorno programado. Segue sem queixas e sem outras afecções semelhantes.Descritores: Abscesso Periapical; Cirurgia; Terapêutica.ReferênciasMardini S, Gohel A. Imaging of Odontogenic Infections. Radiol Clin North Am. 2018;56(1):31-44.DeAngelis AF, Barrowman RA, Harrod R, Nastri AL. Review article: Maxillofacial emergencies: oral pain and odontogenic infections. Emerg Med Australas. 2014;26(4):336-42. Vasconcelos BEC, Cauás M, Albert DGM, Nascimento GJF, Holanda GZ. Disseminação de infecção odontogênica através das fáscias cervicais profundas: relato de caso clínico. Rev Cir Traumat Bucomaxilofac. 2002;2(1):21- 25.Ramos S, Ramos RF, Ramos HF, Ramos BF. O Uso da Tomografia Computadorizada no Diagnóstico do Abscesso Peritonsilar Arq Int. Otorrinolaringol/Intl Arch Otorhinolaryngol. 2006;10(1):67-70.Wang J, Ahani A, Pogrel MA. A five-year retrospective study of odontogenic maxillofacial infections in a large urban public hospital. Int J Oral Maxillofac Surg. 2005;34(6):646-49.Manor Y, Garfunkel AA. Brain abscess following dental implant placement via crestal sinus lift - a case report. Eur J Oral Implantol. 2018;11(1):113-17.Lima FGGP, Rios LGC, Cunha LTMQ, Rocha LF, Batista JD. Abordagem clínico-cirúrgica de infecção complexa em região maxilo-facial: relato de caso. Rev Odontol Bras Central. 2018;27(81): 112-16.Jundt JS, Gutta R. Characteristics and cost impact of severe odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114(5):558-66.

scholarly journals Prevalence of odontogenic deep neck space infections (DNSI): a retrospective analysis of 76 cases of DNSI

2015 ◽  
Vol 1 (1) ◽  
pp. 11 ◽  
Author(s):  
Gaurav Kataria ◽  
Aditi Saxena ◽  
Sanjeev Bhagat ◽  
Baldev Singh ◽  
Isha Goyal ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Surgical Intervention ◽  
Neck Swelling ◽  
Poor Oral Hygiene ◽  
Adequate Nutrition ◽  
Odontogenic Infections ◽  
Odontogenic Origin ◽  
Life Threatening ◽  
Common Clinical Presentation ◽  
Deep Neck Space Infections

<p class="abstract"><strong>Background:</strong> Deep Neck Space Infections (DNSI) are serious diseases that involve several spaces of neck. Commonest sources of DNSI are dental and oropharyngeal infections. With widespread use of antibiotics, the prevalence of DNSI has been reduced but odontogenic DNSI are still common due to poor oral hygiene. Management mainly comprises of airway management, antibiotic therapy and surgical intervention. This study was conducted to find out the prevalence, distribution, presentation, sites involved, bacteriology and management of odontogenic DNSI.</p><p class="abstract"><strong>Methods:</strong> This retrospective study was done from October 2010 to January 2013 and included 76 patients with DNSI. Then, etiological factors of DNSI were studied and prevalence of odontogenic DNSI was calculated. All parameters including age, sex, co-morbidities, presentation, site, bacteriology and interventions required in odontogenic DNSI cases were studied.</p><p class="abstract"><strong>Results:</strong> Odontogenic infections were the most common etiological factor in DNSI, with a prevalence of 34.21% among DNSI. Toothace was commonest symptom, followed by neck swelling, pain and odynophagia. Submandibular space involvement (42.30%) was the most common clinical presentation of odontogenic DNSI patients, followed by Ludwig’s angina and masticator abscess.</p><strong>Conclusions:</strong> DNSI are common and life threatening infections. For management, early diagnosis is essential. In developing countries majority of DNSI are of odontogenic origin. In our country lack of adequate nutrition, poor orodental hygiene, tobacco and beetle nut chewing and smoking has increased the prevalence of odontogenic DNSI. So, prevention of odontogenic DNSI can be achieved by making population aware of oral and dental hygiene and by conducting regular check-up camps at community level.

Breech Presentation: Vaginal Delivery or Caesarean Section?

2016 ◽  
Vol 2 (1) ◽  
pp. 153
Author(s):  
Tomescu Cezar Laurentiu ◽  
Rodica Sîrbu ◽  
Emin Cadar ◽  
Brezeanu Dragos ◽  
Aneta Tomescu
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Vaginal Delivery ◽  
Total Population ◽  
Population Sample ◽  
Breech Presentation ◽  
Current Paper ◽  
Clinical Hospital ◽  
Obstetrics And Gynaecology ◽  
Number Of Patients

The incidence of breech presentation is approximately 3,97%. Breech presentation is considered as being “borderline eutocic” and it requires carefully monitoring both the foetus and the mother. The aim of the current paper is to evaluate the preffered method of delivery in case of breech presentation. The paper presents a retrospective study performed in the Obstetrics and Gynaecology Departments of the County Emergency Clinical Hospital “Sf. Apostol Andrei” in Constanta, during a period of 5 years (2010-2014). The methods of birth were analyzed for a lot of 1104 patients with breech presentation with ages ranging between 16 and 44 years old. The total number of patients who gave birth through vaginal delivery was of 139 patients, amounting to 12.59% of the total population sample. The number of patients that gave birth through C-section was 965, which amounts to 87.4% of the total population sample. Birth through C-section is preferred by both obstetricians and patients alike, due to the fact that vaginal delivery is associated with a higher foetal risk in breech presentation.

scholarly journals Comparison of prevalence and risk factors of somatization between Chinese health care workers and non-health care workers during COVID-19 outbreak

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiuli Song ◽  
Yongjie Zhou ◽  
Wenwang Rao ◽  
Xiangyang Zhang
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care Workers ◽  
Online Survey ◽  
Medical Service ◽  
Multiple Logistic Regression Analysis ◽  
Related Factors ◽  
Dimension Score ◽  
Care Workers ◽  
High Prevalence

Abstract Background This study aimed to compare prevalence and risk factors of somatization (SOM) between health care workers and non-health care workers during COVID-19 outbreak in China. Methods From 14 February to 29 March 2020, an online survey was performed in both 605 health care workers and 1151 non-health care workers. Based on the somatization dimension score of the Symptom Checklist-90, participants were divided into non-SOM group and SOM group. Results Health care workers had higher prevalence rate of SOM (p < 0.001) than non-health care workers, with an OR of 1.70 (95% CI, 1.22–2.36, p = 0.002). Multiple logistic regression analysis revealed that in non-health care workers, the risk factors of SOM included other ethnicities, insomnia, and suicide, while in health care workers, the risk factors included working 6–8 h per day, and working ≥10 h per day during COVID-19 outbreak. Conclusions Our research suggests that both non-health care workers and health care workers have a relatively high prevalence of somatization. However, the related factors for somatization in both groups are significantly different, showing that medical service-related factors are associated with somatization in health care workers, while demographic and clinical factors are associated with somatization in non-health care workers.

Designing, Implementing, and Managing a National Emergency Medical Service in Sierra Leone

2020 ◽  
pp. 1-6
Author(s):  
Luca Ragazzoni ◽  
Marta Caviglia ◽  
Paolo Rosi ◽  
Riccardo Buson ◽  
Sara Pini ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Medical Service ◽  
Sierra Leone ◽  
Low Income ◽  
Medical Service ◽  
Joint Venture ◽  
National Level ◽  
Emergency Medical ◽  
National Emergency ◽  
Operation Center

Abstract Sierra Leone is one of the least developed low-income countries (LICs), slowly recovering from the effects of a devastating civil war and an Ebola outbreak. The health care system is characterized by chronic shortage of skilled human resources, equipment, and essential medicines. The referral system is weak and vulnerable, with 75% of the country having insufficient access to essential health care. Consequently, Sierra Leone has the highest maternal and child mortality rates in the world. This manuscript describes the implementation of a National Emergency Medical Service (NEMS), a project aiming to create the first prehospital emergency medical system in the country. In 2017, a joint venture of Doctors with Africa (CUAMM), Veneto Region, and Research Center in Emergency and Disaster Medicine (CRIMEDIM) was developed to support the Ministry of Health and Sanitation (MOHS) in designing and managing the NEMS system, one of the very few structured, fully equipped, and free-of-charge prehospital service in the African continent. The NEMS design was the result of an in-depth research phase that included a preliminary assessment, literature review, and consultations with key stakeholders and managers of similar systems in other African countries. From May 27, 2019, after a timeframe of six months in which all the districts have been progressively trained and made operational, the NEMS became operative at national level. By the end of March 2020, the NEMS operation center (OC) and the 81 ambulances dispatched on the ground handled a total number of 36,814 emergency calls, 35,493 missions, and 31,036 referrals.

scholarly journals The implementation of a mobile application to support community-based health workers

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A C F Martins ◽  
P L Pereira ◽  
A C C N Mafra ◽  
J L Miraglia ◽  
C N Monteiro ◽  
...  
Keyword(s):  
Health Care ◽  
Mobile Application ◽  
Total Population ◽  
Health Workers ◽  
Data Entry ◽  
Population Data ◽  
Administrative Staff ◽  
Economic Data ◽  
Process Change ◽  
Community Based

Abstract Issue Real-time access to up-to-date population information is essential to the strategic planning of primary health care (PHC). In the Brazilian public health system community-based health workers (CHWs), working as part of PHC teams, collect health, demographic and socio-economic data from individuals mainly through paper-based forms that are later entered manually into electronic information systems. Mobile applications could help to improve the quality and speed of this process facilitating the CHWs day-to-day work while improving the access to the collected information. Description of the Problem During September of 2019, a mobile application installed in tablets for the collection of health, demographic and socio-economic data was deployed for 432 CHWs of 87 PHC teams in the southern region of São Paulo, Brazil, serving a total population of 283,324 individuals. During implementation, the acceptability and challenges faced by CHWs were evaluated and the time taken to complete data entry. Results Seventy-two hours of training were offered to CHWs and other 139 professionals including managers, nurses and administrative staff (AS). Some CHWs reported concerns about the process change and fear of not being able to operate the application, especially those unfamiliar to the technology. With training and team support, fear was transformed into satisfaction with the realization of the benefits of the system. The main infrastructure challenge was the need for installation of Wi-Fi routers in some health care units, in addition to the replacement 4.4% of damaged tablets. In four months 97.6% of the total population was registered in the application. Lessons A WhatsApp group was created to clarify AS doubts, receive suggestions and disseminate guidelines. AS remained as the reference point at healthcare units and data completeness still needs to be reinforced. Key messages A mobile application was well-accepted by CHWs and could facilitate the collection of population data. A tablet app proved to be a useful tool to generate information for the PHC teams.

scholarly journals Characteristics, Treatment, and Outcomes of Patients With Severe or Life-threatening COVID-19 at a Military Treatment Facility—A Descriptive Cohort Study

2021 ◽  
Author(s):  
Brian P Elliott ◽  
Gregory M Buchek ◽  
Matthew T Koroscil
Keyword(s):  
Severe Disease ◽  
Ambient Air ◽  
Active Duty ◽  
Urban Setting ◽  
Arterial Oxygen ◽  
Treatment Facility ◽  
Blood Oxygen Saturation ◽  
Life Threatening ◽  
Military Treatment Facility ◽  
Active Duty Personnel

ABSTRACT Introduction The treatment of severe and life-threatening COVID-19 is a rapidly evolving practice. The purpose of our study was to describe the characteristics and outcomes of patients with severe or life-threatening COVID-19 who present to a Military Treatment Facility (MTF) with an emphasis on addressing institutional adaptations to rapidly changing medical evidence. Materials and Methods A single-center retrospective study conducted on a prospectively maintained cohort. The MTF is a 52-bed hospital within an urban setting. Patients were included in the cohort if they had laboratory-confirmed severe or life-threatening COVID-19 with positive SARS-CoV-2 reverse transcription polymerase chain reaction. Severe disease was defined as dyspnea, respiratory frequency ≥30/min, blood oxygen saturation ≤93% on ambient air, partial pressure of arterial oxygen to fraction of inspired oxygen ratio &lt;300, or lung infiltrates involving &gt;50% of lung fields within 24-48 hours. Life-threatening COVID-19 was defined as respiratory failure, septic shock, or multiple organ dysfunction. The cohort included patients admitted from June 1 through November 13. Data were collected retrospectively via chart review by a resident physician. Results In total, our MTF saw 14 cases of severe or life-threatening COVID-19 from June 1 to November 13. Patients had a median age of 70.5 years, with 7% being active duty personnel, 21% dependents, and 71% retired military members. The median time to dexamethasone, remdesivir, and convalescent plasma administration was 4.7, 6.3, and 11.2 hours, respectively. The 28-day in-hospital mortality was 0%. Conclusions Patients who present to an MTF with severe or life-threatening COVID-19 are largely retirees, with only a small fraction comprising active duty personnel. The institution of order sets and early consultation can help facilitate prompt patient care for COVID-19.

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