scholarly journals SOCIO-DEMOGRAPHIC CORRELATES OF DENTAL ANXIETY AMONG PATIENTS ATTENDING A PUBLIC DENTAL CLINIC IN LAGOS, NIGERIA

2017 ◽  
Vol 6 ◽  
Author(s):  
Afolabi Oyapero ◽  
Ogunbanjo B Ogunbiyi

Aim: Dental anxiety is a subjective state of feelings that is associated with impending danger even when the stimulus or threat is not immediately present or readily identifiable. It has been ranked fifth among commonly feared situations. In Nigeria however, limited studies have been conducted in this field thus far with only one identified study using the Modified Dental Anxiety Scale. The aim of this study therefore was to assess the level of dental anxiety in dental patients attending the Lagos State University Teaching Hospital, Ikeja (LASUTH) using the Modified Dental Anxiety Scale (MDAS).Materials and Methods: This cross-sectional study was conducted at LASUTH. A structured interviewer administered questionnaire was used for data collection.Results: The prevalence of dental anxiety was 20.5% while the prevalence of extreme anxiety of 4.1%. Having a local anaesthetic (MDAS≥15 =24.6%) and having a tooth drilled (MDAS≥15=21.3%) were most associated with dental anxiety. The best predictors for dental anxiety from this study were, in descending order, age, education, marital status and gender.Conclusion: A rapid screening tool such as the MDAS could be routinely applied on prospective dental patients to determine their level of anxiety. Appropriate non-pharmacologic and pharmacologic strategies could then be targeted at vulnerable respondents to make their dental experience as pleasant as possible.

Author(s):  
Akinshola A. Ero-Phillips ◽  
Faosat O. Jinadu ◽  
Abimbola T. Ottun ◽  
Ayokunle M. Olumodeji

Background: Estimated foetal weight is very critical to decision making in the management of pregnant women. It is therefore important to evaluate the accuracy of ultrasound estimated foetal weight (USEFW) at term in our environment. We compared ultrasound estimated foetal weight at term with the actual foetal birth weight at delivery.Methods: This was a prospective, comparative cross-sectional study at the Lagos State University Teaching Hospital over a 6-month period. Four hundred and five pregnant women with normal singleton pregnancy, who had sonographic estimation of foetal weight at term, using the Hadlock IV formula, were followed up and had their actual birth weight (ABW) determined at delivery. Accuracy was determined by proportion of estimates within 10% of actual birth weight and mean absolute percentage error (MAPE). The p<0.05 was considered significant at 95% confidence interval.Results: The prevalence of macrosomia was 10.3%. At 10% margin of error, ultrasound accurately estimated the weights of 73.3% of babies. The mean USEFW was 3559.89±316.9g and mean ABW was 3477.42±422.9g with a mean difference of 82.44g (p<0.001) and MAPE of 7.11. There was positive correlation (r=0.669) between the EFW and ABW (p<0.001). The USEFW had a sensitivity of 66.7%, specificity of 91.5%, positive predictive value of 47.5% and negative predictive value of 96.0% in predicting macrosomia.Conclusions: Ultrasound estimation of foetal weight at term is reliably accurate in predicting actual birth weight in south-western Nigeria. 


2021 ◽  
Vol 10 (1) ◽  
pp. 218-223
Author(s):  
Kalio DGB ◽  
Eli S ◽  
Okagua KE ◽  
Allagoa DO

Background: Post-operative anaemia is often a reflection of pre-operative pre-operative work-up and pre-operative anaemia. In addition. Post-operative anaemia is also determined by co-morbidities of patients prior to surgery. The prevalence of post-operative anaemia varies based on surgical specialties and the experience of the surgeon; prevalence rates as high as 85% have been recorded in orthopaedic surgeries. Aim: To determine the prevalence of post-operative anaemic in surgical patients at the Rivers State University Teaching Hospital (RSUTH). Method: This was a six months cross sectional study of the post-operative anaemia of patients who had operation at the Surgery and Obstetrics/Gyaecology departments of The Rivers State University Teaching Hospital. The permission for the study was granted by the head of department of obstetrics and gynaecology in conjunction with the head of .the hospital management. The yard stick for anaemia was packed cell volume less than 33% in line with the World Health Organization (WHO). A structured proforma was used to obtain information from patient’s case notes and analyzed using SPSS version 25. Result: Three hundred and eigthy subjects were recruited for the study. Males subjects were 150 (39.5%) while females were 230 (60.5%) respectively. The mean age was 31 years. One hundred and ninety nine (52.4%) were obstetrics and gynaecological surgeries while 181 (47.6 %) were non-gynaecological surgeries. The commonest indication for surgery was caesarean section representing 130 (34.2%) of the subjects. Two hundred and sixty six of the subjects (70%) had PCV less than 33%. One hundred and fifty two (40%) women had PCV less than 33% while 114 (30%) of the men had PCV less than 33%. Conclusion: The study revealed that prevalence of post-operative anaemia amongst surgical patients at RSUTH was 70 %. The post-operative anaemia amongst women was worrisome. The need to optimize patients prior to surgery cannot be over-emphasized to prevent morbidities and mortalities post-operative.


2020 ◽  
Vol 10 (3) ◽  
pp. 1143 ◽  
Author(s):  
Cristiano Scandurra ◽  
Roberta Gasparro ◽  
Pasquale Dolce ◽  
Vincenzo Bochicchio ◽  
Benedetta Muzii ◽  
...  

The aim of this monocentric cross-sectional study was to evaluate the psychometric characteristics of the Italian version of the Level of Exposure-Dental Experiences Questionnaire (LOE-DEQ) in an Italian sample of 253 dental patients ranging from 18–80 years of age. The LOE-DEQ assesses 16 potential dental distressing experiences and 7 general traumatic life events through 4 subscales: (1) dentists’ behaviour and patients’ emotions (DBPE); (2) distressing dental procedures (DDP); (3) other distressing dental events (ODDE); and (4) general traumatic events (GTE). Confirmatory factor analysis showed that the original 4-factor model had adequate fit to the data obtained from the Italian sample. Criterion validity was partially confirmed as only DBPE and DDP positively correlated with dental anxiety. Similarly, convergent validity was also partially confirmed as DBPE, DDP, and ODDE correlated with negative beliefs towards the dentist and the dental treatment. Discriminant validity was fully confirmed, as all correlations were below 0.60. Finally, DDP was the factor most associated with high dental anxiety. This study offers evidence of the reliability and validity of the LOE-DEQ in the Italian context, providing Italian researchers and dentists with a tool to assess dental and general distressing experiences in dental patients.


e-GIGI ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Vivian C. Rehatta ◽  
Joyce Kandou ◽  
Paulina N. Gunawan

Abstrak: Masalah dalam pencabutan gigi yang sering timbul terutama pada pasien anak merupakan suatu tantangan yang tidak akan berakhir. Banyak anak merasa cemas jika harus berkunjung ke dokter gigi karena anak merasa bahwa alat-alat yang berada di dalam tempat praktek menakutkan dan mengakibatkan rasa nyeri. Kecemasan adalah suatu keadaan atau perasaan afektif yang tidak menyenangkan yang disertai dengan sensasi fisik yang memperingatkan orang terhadap bahaya yang akan datang. Hal ini menyebabkan pasien anak menjadi cemas sehingga memengaruhi kunjungan rutin pasien anak untuk ke dokter gigi. Kecemasan dalam praktek dokter gigi merupakan halangan yang sering memengaruhi perilaku pasien dalam perawatan gigi,  terutama prosedur pencabutan gigi merupakan penyebab kecemasan dental paling tinggi yang ditakutkan pada anak-anak. Berdasarkan latar belakang di atas, penulis tertarik untuk meneliti tentang gambaran kecemasan prosedur pencabutan gigi pada anak di Puskesmas Bahu. Metode penelitian yang dipakai bersifat deskriptif dengan menggunakan cross sectional study dan dilakukan wawancara pada orangtua beserta anak dengan menggunakan kuisoner. Rasa cemas pada penelitian ini diukur menggunakan Corah’s Dental Anxiety Scale (DAS). Hasil penelitian dari 55 sampel yang didapat, sebanyak 28 sampel ( 50,91 %) mengalami cemas berat. Sampel berjenis kelamin perempuan lebih banyak mengalami kecemasan daripada laki-laki. Penyebab kecemasan adalah cemas terhadap alat-alat yang berada di dalam tempat pratek menakutkan dan mengakibatkan rasa nyeri. Kata kunci: Kecemasan Anak, Pencabutan Gigi.     Abstract: Problems in tooth extraction which commonly occurs especially in children are one never ending challange. Most Children feel anxious to visit a dentist because they feel the equipment in the dentist office was very fraightened and causing pain.  Anxiety is an affective state or feeling of uncomfort accompanied by physical sensation that warn people of the danger ahead. This causing the children patients tend to anxious about his/her routin visit to the dentist. Anxiety in dental practice is the most common obstacle to the children patients behaviour in dental healthcare. Particularly tooth extraction is the most common dental anxiety to the children. based on the background above, the writer have enormous interest to study about the representation of anxiety in tooth extraction procedure in children at Bahu Community Healthcare Center. Rresearch method that was used is descriptive cross sectional study and inteview to the parents and children with questionaire. Anxiety feeling numbered using corah's Dental Anxiety Scale (DAS). The result 28 (50,91%) of 55 samples having hard anxiety. Sample with woman sex tend to felt more anxious compare to the man. The cause of anxiety is the fear of dental equipment in dental office and causing of feelinf pain. Keywords: Children Anxiety, Tooth Extraction.


2019 ◽  
Vol 5 (1) ◽  
pp. 20-29
Author(s):  
Marwansyah Marwansyah ◽  
Intan Batura Endo Mahata ◽  
Dewi Elianora

Kecemasan dental merupakan suatu kecenderungan merasakan cemas terhadap perawatan gigi dan mulut. Pada pasien anak kecemasan  menjadi hal yang wajar dikarenakan dengan situasi yang dihadapinya merupakan suatu hal yang baru. Tujuan dari penelitian adalah untuk mengetahui tingkat kecemasan pada anak terhadap perawatan gigi di Rumah Sakit Gigi dan Mulut Baiturrahmah Padang. Jenis penelitian adalah adalah deskriptif analitik dengan pendekatan cross sectional study. Populasi dari penelitian adalah  pasien anak yang berkunjung ke bagian paedodonti RSGM Universitas Baiturrahmah Padang pada tanggal 12-16 Januari 2018 dengan 80 sampel penelitian dengan metode simple random sampling. Alat ukur yang digunakan adalah kuesioner dengan metode pengukuran Corah dental anxiety scale, analisa data ditampilkan dengan tabel distribusi frekuensi. Hasil penelitian menunjukkan bahwa dari 80 responden diperoleh hasil anak mengalami kecemasan pada tingkat cemas sedang 65 (81,25%), tingkat kecemasan tinggi sebanyak 13 orang (16,25%) dan paling sedikit mengalami kecemasan phobia sebanyak 2 orang (2,5%).


Author(s):  
Abimbola T. Ottun ◽  
Chinonye H. Okoye ◽  
Adeniyi A. Adewunmi ◽  
Faosat O. Jinadu ◽  
Ayokunle M. Olumodeji

Background: Primary caesarean section (CS) has become a major driver of the steadily rising total caesarean rate. This study determined the primary CS rate, pattern and associated factors.Methods: It was a retrospective, hospital-based cross-sectional study of 645 pregnant women who had primary caesarean section over a 3-year period in Lagos state university teaching hospital, Lagos, Nigeria. Data obtained were expressed in frequency and percentages.Results: Primary CS accounted for more than 50% of all the CS done during the study period with a primary CS rate of 16.7% and total CS rate was 30.6%. Primary CS was commonest among women of age group 30-39years (50.1%) and women with no prior parous experience (58.6%). The commonest indication for primary CS was poor progress in labour due to cephalopelvic disproportion, which occurred in 170 women (26.4%), followed by suspected foetal distress in 94 women (14.6%) and hypertensive disease in pregnancy in 91 women (14.1%). Post-operative wound infection and/or dehiscence was the most prevalent post-operative complication occurring in 12.1% of women who had primary CS.Conclusions: Primary CS rate is increasing and relatively more common among primiparous women. Cephalopelvic disproportion, suspected foetal distress and hypertensive disorders of pregnancy are the leading indications for primary CS. 


2018 ◽  
Vol 13 (2) ◽  
Author(s):  
FM Akinlusi ◽  
TA Ottun ◽  
YA Oshodi

Aims: To determine the prevalence of urinary incontinence (UI); risk factors; impact on quality of life and symptom specific health seeking behaviour. Methods: A cross-sectional study of 395 women attending gynaecological clinic of the Lagos State University Teaching Hospital. UI was defined as the complaint of any involuntary leakage of urine in the previous six months. Socio-demographic characteristics, obstetrics, gynaecological, medical and surgical risk factors, impact on daily activities and treatment history were assessed. Univariate, bivariate and multivariable analyses were performed. Results: Participants age ranged from 25-67 years with a mean of 38.81 ± 10.1. Prevalence of UI was 32.9%.  Urge UI occurred in 18.0% of all respondents while the prevalence of stress and mixed incontinence was 7.3% and 7.6% respectively. Independent risk factors for urinary incontinence were age (OR= 0.49, 95%;CI = 0.26-0.92), higher body mass index (OR = 1.92; 95% CI =1.53-3.00) and history of constipation(OR = 2.11; 95% CI =1.30 - 3.43). About47%of those with UI admitted to having negative feelings such as despair, anxiety and depression while 45% had a cumulative moderate to severe affectation of their quality of life in all domains. Despite these, only 27.7% sought help. Conclusions: Despite thesubstantial impact of UI on the quality of life, majority do not seek help. Addressing modifiable risks factors, improving treatment seeking behaviour by correction of misconceptions and elimination of stigma will go a long way in reducing the prevalence of UI.


Author(s):  
Tenkeu A. Udofia ◽  
Faosat O. Jinadu ◽  
Abimbola T. Ottun ◽  
Ayokunle M. Olumodeji

Background: Polycystic ovarian syndrome (PCOS) is the most common endocrine cause of infertility affecting about 1 in 10 women of reproductive age. This study determined the proportion of infertile women with PCOS and compared clinical and sonographic features in infertile women with PCOS and without PCOS.Methods: This was a prospective comparative cross-sectional study at the Lagos State University Teaching Hospital over a 6 month period. One hundred and fifty two infertile women were recruited and had trans-vaginal ultrasonography for the presence and absence of polycystic ovaries. The diagnosis of PCOS was made using the Rotterdam criteria with other relevant socio-demographic and clinical data noted in the study proforma. Student t and chi-square tests were used as appropriate.Results: The prevalence of PCOS among infertile women was 32.9%. The mean age of infertile women diagnosed with PCOS and without PCOS was 33±4.90 and 32.71±5.00 years, respectively. Women with PCOS had significantly higher BMI than women without PCOS. Increased ovarian volume, peripheral follicular distribution and increased stromal echogenicity were observed in 60%, 74% and 94% of women with PCOS on trans-vaginal ultrasound compared to 11.8%, 2% and 2% of women without PCOS, respectively.Conclusions: The prevalence of PCOS among infertile women is high. Clinical characteristics of women with PCOS and women without PCOS are similar except in their BMI and features that constitute the diagnostic criteria for PCOS.


2018 ◽  
Vol 5 (2) ◽  
pp. 59-62
Author(s):  
Maritza Calle ◽  
Rodrigo Vallejo ◽  
Cristina Crespo ◽  
Cristina Domínguez

The aim of this study was to determine the degree of dental anxiety in the staff of the Municipality of Biblián, Ecuador. A cross-sectional study was carried out using the modified Corah dental anxiety scale in its Spanish version. A total of 159 employees, 72.3% men and 27.7% women, were included. The most prevalent level of dental anxiety was mild or none (37.1%), followed by moderate anxiety (35.6%), and severe anxiety or phobia (13.8%). The most prevalent degree of anxiety in men was mild or null (28.9%), and in women this was moderate at 8.8%. In relation to age, the group aged 31 to 50 years had the highest prevalence of severe dental anxiety or phobia (9.4%). The staff of the Municipality of Biblián presented a high prevalence of mild or no anxiety.


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