scholarly journals Development and Validation of Class I Preparation and Restoration Quality Assessment Methods

2021 ◽  
pp. 18-23
Author(s):  
Danielle Wajngarten ◽  
Júlia Margato Pazos ◽  
Tamíris da Costa Neves ◽  
Patricia Petromilli Nordi Sasso Garcia
Keyword(s):  
Quality Assessment ◽  
Composite Resin ◽  
Intraclass Correlation ◽  
Class I ◽  
Cavity Preparation ◽  
Experimental Laboratory ◽  
Composite Resin Restoration ◽  
Development And Validation ◽  
Descriptive Statistical Analysis

This study sought to develop and validate two methods of quality assessment, one for Class I cavity preparation and another for composite resin restoration. This was an experimental laboratory study. The methods are named Class I Cavity Preparation Assessment – COCA and Class I Cavity Restoration Assessment – COCRA. During the development of the methods, 5 items were elaborated for COCA and 10 items for COCRA. Each item should be classified as appropriate, partially appropriate, or inappropriate. For each method, after evaluation, all item values should be added with a maximum possible score of ten points. The reliability of the COCA and COCRA was estimated through intra-observer reproducibility. For the methods application, 80 Class I cavity preparation and restoration in first molars were evaluated. A descriptive statistical analysis was performed, and the intra-observer concordance was estimated using the intraclass correlation coefficient (ρ). As a result, it was possible to observe that the reproducibility for COCA of evaluator 1 (ρ=0.76) and evaluator 2 (ρ=1.00) was classified as good and excellent, respectively. The reproducibility for COCRA of evaluator 1 (ρ=0.99) and evaluator 2 (ρ=0.77) was classified as excellent and good, respectively. It was concluded that COCA and COCRA were valid and reliable for the assessment of quality of Class I cavity preparation and restoration.

scholarly journals The Effects of Magnification and Operator’s Experience on the Quality of Preclinical Dental Procedures

2021 ◽  
pp. 16-23
Author(s):  
Danielle Wajngarten ◽  
Júlia Margato Pazos ◽  
Patricia Petromilli Nordi Sasso Garcia
Keyword(s):  
Factor Analysis ◽  
Analysis Of Variance ◽  
Class I ◽  
Cavity Preparation ◽  
Response Variable ◽  
Naked Eye ◽  
Dental Procedures ◽  
Experimental Laboratory ◽  
Experienced Operator

Aims: This study evaluated the effect of magnification on the quality of preclinical class I cavity preparations according to operator’s experience. Methodology: This was an experimental laboratory study. The response variable was the quality of Class I cavity preparations evaluated by the Class I Cavity Preparation Assessment - COCA. Class I cavity preparations were performed in all artificial first molars under four conditions: unaided visualization, using a simple loupe, using a Galilean loupe, and using a Keplerian loupe (N=640). The two-factor analysis of variance was performed (α=0.05). Results: No interactions between operator’s experience and magnification device were found (p>0.05). Although, higher quality scores were given to cavity preparations in tooth #36 using the Galilean loupe compared to naked eye (p<0.01). The more experienced operator received higher quality scores for tooth #46 regardless of the magnification system used (µexperienced=7.0±2.3 and µinexperienced=5.4±2.4). Conclusion: The use of magnification devices did not influence the quality of class I cavity preparations performed on tooth #16, 26, 46. Galilean loupe was associated with improved quality of the cavity preparation performed on tooth #36, and the operator’s experience influenced the quality of the preparation on tooth #46.

scholarly journals Development and Validation of a Nutrition-Specific Set of Tools to Assess the Quality of Nutrition Studies

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1377-1377
Author(s):  
Karima Benkhedda ◽  
Stephen Brooks ◽  
Linda Greene-Finestone ◽  
Shannon Kelly ◽  
Amanda MacFarlane ◽  
...  
Keyword(s):  
Quality Assessment ◽  
Study Design ◽  
Systematic Reviews ◽  
A Priori ◽  
Reliability And Validity ◽  
Quality Appraisal ◽  
Case Control Studies ◽  
Perfect Agreement ◽  
Development And Validation

Abstract Objectives To develop and validate a set of 3 quality assessment instruments (QAls) for evaluating the quality of nutrition studies, for each of the commonly used study designs: (1) randomized controlled trials (RCTs), (2) prospective cohort, and (3) case-control studies. Methods The QAI development and validation process included 8 steps: 1) identify and evaluate existing general QAls for adaptation with nutrition-specific quality appraisal items; 2) scan the literature to identify nutrition-specific quality appraisal issues; 3) generate nutrition-specific items to be added to each of the general QAIs, adapt existing guidance for general items for nutrition applications and develop guidance for added nutrition items; 4) review, by two experts in clinical and population nutrition, of the modified general QAIs with added nutrition-specific items and guidance; 5) assess reliability and validity of the QAI for each study design; 6) improve the usability and feasibility, of the QAIs by considering feedback from the validation exercise to refine the wording of the guidance; 7) develop a worksheet to help evaluate, a priori, topic-specific methodology to address risk of bias; and  8) validate the final QAIs using five peer-reviewed studies identified from published systematic reviews with reported quality assessment. Agreement and reliability were determined for each QAI. Results Results of the validation show good to perfect agreement among evaluators for the overall study rating and across domains. When compared to the study quality assessment reported in the systematic review, nutrition- specific items had the greatest impact on study ratings, generally resulting in a downgrade of the overall rating. Conclusions A set of nutrition-specific QAls were developed to assess the quality and robustness of nutrition studies. These tools incorporate general quality issues of study design and conduct, as well as address recognised nutrition study-specific issues. They will improve consistency in how nutrition studies are assessed particularly in nutrition-related systematic reviews. This will contribute to the overall quality of assessment of diet and Funding Sources This work was supported by Health Canada.

scholarly journals Proposta de Uma Escala Portuguesa para a Avaliação da Qualidade do Aconselhamento Genético: Uma Nova Ferramenta para os Profissionais da Saúde

2018 ◽  
Vol 31 (6) ◽  
pp. 321 ◽  
Author(s):  
Milena Paneque ◽  
Catarina Costa ◽  
Carolina Lemos ◽  
Miguel Alves-Ferreira ◽  
Jorge Sequeiros ◽  
...  
Keyword(s):  
Quality Assessment ◽  
Genetic Counselling ◽  
Quality Of Healthcare ◽  
Psychometric Validation ◽  
International Studies ◽  
Five Dimensions ◽  
Counselling Practice ◽  
Definition Of ◽  
Development And Validation

Introduction: The lack of tools for quality assessment of genetic counselling is recognized in national and international studies. The correlation of quality of healthcare practice with greater satisfaction of patients and affected families is also well established. The present study describes the development and validation of the first Portuguese scale for quality assessment of genetic counselling practice. It encompasses a proposal of a new tool for the evaluation of the process by professionals.Material and Methods: The definition of an initial pool of items and their organization was based on a literature review and identification of the main genetic counselling dimensions as well as the theoretical dimensions of the Reciprocal Engagement Model. After a pre-test validation the scale was submitted to psychometric validation using a sample of 30 participants who evaluated 81 genetic counselling sessions.Results: Based on statistical and empirical criteria the best items were selected. The final 50 items- version comprises five dimensions: education, counselees’ characteristics and decision-making, therapeutic relationship, effects of the process on the counselees andservices organization.Discussion: Results showed consistent psychometric properties of the scale supported on theoretical and practice concepts of genetic counseling. The reduced number of participants involved in psychometric validation is a limitation of the study, which reflected thereduced number of professionals in genetic healthcare services.Conclusion: The scale proposed at this study is a novel and multidimensional instrument that aimed to contribute to the improvement of genetic counselling practice in Portugal.

scholarly journals Perawatan Saluran Akar Satu Kunjungan disertai Restorasi Resin Komposit dengan Pasak Parallel Self-Threading Gigi Molar Kedua Kanan Mandibula Pulpitis Ireversibel

2016 ◽  
Vol 1 (1) ◽  
pp. 63
Author(s):  
Gunawan Raharjo ◽  
Pribadi Santosa
Keyword(s):  
Root Canal ◽  
Composite Resin ◽  
Root Canal Treatment ◽  
Posterior Teeth ◽  
Second Molar ◽  
Reinforced Composite ◽  
Composite Resin Restoration ◽  
Male Patients ◽  
Irreversible Pulpitis

Perawatan saluran akar (PSA) satu kunjungan merupakan perawatan saluran akar dengan prinsip triad endodontik (cleaning and shaping, medikasi dan obturasi saluran akar) diselesaikan dalam satu kali kunjungan. Keuntungan perawatan adalah memperkecil risiko kontaminasi mikroorganisme dalam saluran akar antar kunjungan, menghemat waktu perawatan karena tidak dilakukan penggantian medikasi intrakanal tetapi tanpa mengurangi kualitas hasil perawatan. Pulpitis ireversibel merupakan salah satu indikasi perawatan saluran akar satu kunjungan. Gigi posterior pasca PSA dengan kehilangan jaringan sehat yang tidak terlalu banyak dapat dilakukan restorasi menggunakan bahan resin komposit dengan penguat pasak parallel self-threading. Tujuan laporan kasus ini untuk menunjukkan keberhasilan perawatan saluran satu kunjungan pada kasus pulpitis ireversibel dan restorasi akhir menggunakan resin komposit yang diperkuat pasak parallel self-threading. Pasien laki-laki 47 tahun dilakukan perawatan saluran akar pada gigi molar kedua kanan mandibula dengan diagnosa pulpitis ireversibel. Pada pemeriksaan radiograf terlihat kavitas yang melibatkan pulpa dan tidak terdapat area radiolusen pada daerah periapikal. Kasus ini dilakukan PSA satu kunjungan dilanjutkan restorasi resin komposit dengan penguat pasak parallel self-threading pada kunjungan berikutnya. Perawatan saluran akar satu kunjungan disertai restorasi resin komposit dengan penguat pasak parallel self-threading berhasil dilakukan pada kasus pulpitis ireversibel pada gigi molar kedua kanan mandibula. Abstract: One Visit Endodontic Followed with Parallel Self Threading Dowel Reinforced Composite Resin Restoration on The Irreversible Pulpitis of Mandibular Right Second Molar. One visit endodontic root canal treatment (RCT) which endodontic triad (cleaning and shaping, medication, and obturation of the root canal) were completed in one visit. The advantages treatment is to minimize the risk of microorganisms contamination in the root canal, that saves time. In this treatment there is no intracanal medication replacement without reducing the quality of treatment. Irreversible pulpitis is one of one visit endodontic’s indications. Parallel self-threading dowel reinforced composite resin can be performed at minimal destruction post endodontically treated posterior teeth. The purpose of this case report is to demonstrate the irreversible pulpitis were treated by one visit root canal treatment successfully and its restorations with parallel self-threading dowel reinforced composite resin. Male patients 47years old who diagnosed irreversible pulpitis was treated by one visit root canal treatment on the mandibular right second molars. The radiographs image showed cavity involving to the pulp and there was no radiolucent area in the periapical region. Endodontic treatment was done by one visit root canal treatment and followed with composite resin restoration with parallel self-threading dowel. One visit endodontic followed with restored using composite resin material that reinforced by parallel self-threading dowel successfully performed on the mandibular right second molar with irreversible pulpitis diagnosis.

Er:YAG Laser Cavity Preparation and Semi-Direct Composite Resin Restoration: A Microleakage Study

2008 ◽  
Vol 26 (5) ◽  
pp. 473-477 ◽  
Author(s):  
Marie-France Bertrand ◽  
Nathalie Brulat ◽  
Vulzio Lazzarini ◽  
Galdino Marcato ◽  
Samir Namour ◽  
...  
Keyword(s):  
Composite Resin ◽  
Er:Yag Laser ◽  
Laser Cavity ◽  
Cavity Preparation ◽  
Composite Resin Restoration

Development and validation of a patient self-assessed questionnaire on satisfaction with communication of the multiple sclerosis diagnosis

2010 ◽  
Vol 16 (10) ◽  
pp. 1237-1247 ◽  
Author(s):  
A. Solari ◽  
K. Mattarozzi ◽  
L. Vignatelli ◽  
A. Giordano ◽  
PM Russo ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Intraclass Correlation ◽  
Newly Diagnosed ◽  
Care Indicator ◽  
Sclerosi Multipla ◽  
Multiple Sclerosis Patients ◽  
Test Retest Reliability ◽  
Development And Validation ◽  
Multiple Sclerosis Diagnosis

Background: We describe the development and clinical validation of a patient self-administered tool assessing the quality of multiple sclerosis diagnosis disclosure. Method: A multiple sclerosis expert panel generated questionnaire items from the Doctor’s Interpersonal Skills Questionnaire, literature review, and interviews with neurology inpatients. The resulting 19-item Comunicazione medico-paziente nella Sclerosi Multipla (COSM) was pilot tested/debriefed on seven patients with multiple sclerosis and administered to 80 patients newly diagnosed with multiple sclerosis. The resulting revised 20-item version (COSM-R) was debriefed on five patients with multiple sclerosis, field tested/debriefed on multiple sclerosis patients, and field tested on 105 patients newly diagnosed with multiple sclerosis participating in a clinical trial on an information aid. The hypothesized monofactorial structure of COSM-R section 2 was tested on the latter two groups. Results: The questionnaire was well accepted. Scaling assumptions were satisfactory in terms of score distributions, item—total correlations and internal consistency. Factor analysis confirmed section 2’s monofactorial structure, which was also test—retest reliable (intraclass correlation coefficient [ICC] 0.73; 95% CI 0.54—0.85). Section 1 had only fair test—retest reliability (ICC 0.45; 95% CI 0.12—0.69), and three items had 8—21% missed responses. Conclusions: COSM-R is a brief, easy-to-interpret MS-specific questionnaire for use as a health care indicator.

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