Restoring a fractured incisor of a teenager with partial veneer

Since trauma is a common incident that adolescents are faced with, the post-traumatic therapeutic solution presents a challenge for the clinicians .This case report demonstrates how a young patient with minimal extended fracture of incisor was rehabilitated with non-invasive adhesive restoration known as partial veneer or chip with Feld spathic porcelain. Those restorations fit into the anatomy and shape of the teeth perfectly and restore only the fractured part which integrates in tissue economy dynamic. Feldspathic porcelain is the material that best reproduces the characteristics of enamel, in terms of surface properties, modulus of elasticity, resistance to fracture and the reproduction of the optical properties of the dental structure, especially at minimal thickness. In this paper we describe the details of the treatment and the final result which was aesthetic and surpass the patient’s expectation.

Analysis of Doctor–Patient Relationship in Post-COVID-19 Period: Perspective Differences Between Citizen and Medical Staff

To evaluate the current views on doctor–patient relationship (DPR) between citizens and medical staff in post-Corona Virus Disease 2019 (COVID-19) period and predict the possible factors of DPR, we distributed questionnaires by a online questionnaire platform--Questionnaire Star (https://www.wjx.cn) to evaluate DPR in post-COVID-19 period. Overall, 312 questionnaires for citizens and 421 questionnaires for medical staff were completed. Citizens felt that service attitude and communication with medical staff, and registering process have been improved. And their trust in doctors has increased by 86.8%. Majority of citizens (66.0%) preferred the tertiary hospitals. If doctor–patient contradictions occurred, 62.9% citizens preferred internal negotiation (with the doctor involved, 44.6%; with hospital management department, 18.3%). There was significant difference of views on the causes of medical violence incidents and the reasons for doctor–patient conflicts in the future between citizens and medical staff. The DPR score of medical staff was lower than citizens at each stage, and even showed a downward tendency in post-COVID-19 period. Furthermore, 20.4% medical staff believed that harmonious DPR would not be maintained, which was distinct from that of the citizens. Combating the COVID-19 provided an important opportunity to improve the DPR. However, unbalanced allocation of high-quality medical resources, gap between the actual treatment efficacy and patient’s expectation, fairness and efficiency issues, financial conflicts, and medical information symmetry were still the influencing factors of DPR.

Modern status of the problem of hallux valgus surgery HALLUX VALGUS (Review)

Summary. The problem of hallux valgus (HV) surgery remains actual. There are some unresolved social and medical issues in particular: great widening of HV, patient’s unsatisfaction of cosmetic and functional results, imperfection of classifications, discrepancy between surgeon’s and patient’s expectation from surgery. The possibility of Manchester Grading Scale using can correctly bypass the methodological imperfection of classifications grounded on scialogical parameters. The conclusion was done about the necessity of comparative studies concerning to the effectiveness of surgical methods.

KARAKTERITIK PASIEN TERKAIT KECEMASAN DALAM MENJALANI PROSEDUR KOLONOSKOPI

ABSTRAK Pendahuluan: Pasien yang menjalani prosedur kolonoskopi seringkali mengalami kecemasan. Perawat perlu mengetahui penyebab dan memberikan intervensi secara khusus untuk meningkatkan keberhasilan tindakan. Tujuan penelitian ini adalah mendeskripsikan karakteristik pasien yang menjalani kolonoskopi terkait kecemasan yang dirasakan. Metode: Desain penelitian ini adalah deskriptif kualitatif dengan pendekatan studi kasus. Lokasi penelitian di Unit Endoskopi RSUD dr Abdoer Rahem Situbondo dan RSD dr. Koesnadi Bondowoso, Jawa Timur. Rekruitmen partisipan dilakukan dengan purposive sampling sampai mencapai saturasi. Responden dalam penelitian ini berjumlah 9 partisipan. Wawancara mendalam dilakukan dengan menggunakan pedoman wawancara semi-struktur dan dilakukan perekaman. Analisis data secara deskriptif. Hasil: karakteritik 9 pasien yang menjalani kolonoskopi dapat dilihat dari usia, jenis kelamin, pekerjaan, indikasi, diagnosa awal, frekuensi dan kesiapannya. Hanya 3 orang pasien yang menyatakan siap dan mampu mengontrol kecemasan yang dirasakan. Karakteristik pasien tidak terkait secara langsung dengan kecemasan yang dirasakan. Diskusi: Kecemasan yang dirasakan oleh pasien tidak hanya terkait karakteritik pasien melainkan lebih dipengaruhi faktor psikologis, persepsi, dan harapan pasien terhadap tindakan kolonskopi, oleh karena itu perlu diberikan intervensi khusus untuk mengontrol kecemasan yang dialami sehingga tujuan pemeriksaan dapat tercapai dengan optimal. Kata kunci: Kecemasan, Kolonoskopi, Penelitian Kualitatif ABSTRACT Introduction: Patients undergoing colonoscopy procedures often experience anxiety. Nurses need to know the cause and give intervention specifically to improve the success of the action. The purpose of this research is to describe the characteristics of patients undergoing the perceived anxiety-related colonoscopy. Methods: The design of this research is a qualitative descriptive with a case study approach. Location of research in endoscopy Unit of RSUD Dr Abdoer Rahem Situbondo and RSD Dr. Koesnadi Bondowoso, East Java. Participants' recruitments are carried out purposive sampling until they reach saturation. Respondents in this study amounted to 9 participants. In-depth interviews were conducted using semi-structural interviews and performed recordings. Descriptive data analysis. Result: Characterizing 9 patients undergoing colonoscopy can be seen from age, gender, occupation, indications, preliminary diagnosis, frequency and readiness. Only 3 patients are said to be ready and able to control the perceived anxiety. Characteristics of patients not directly related to the perceived anxiety. Discussion: The anxiety felt by the patient not only related to the charactertic of the patient but rather more influenced by the psychological factors, perception, and patient's expectation of colonscopic action, therefore it is necessary to give special intervention to control The purpose of the examination can be achieved optimally. Keywords: Anxiety, colonoscopy, qualitative research

Measuring Service Quality of the Pain Clinic at Ramathibodi Hospital

Background: Evaluating gap between patient’s expectation and perception of service quality of the pain clinic through the service quality model is necessary to improve service quality, which will lead to patient’s satisfaction. Objective: To compare the difference between patient’s expectation and perception of service quality of the pain clinic at Ramathibodi Hospital. Methods: A survey of patients of the pain clinic at Ramathibodi Hospital using the service quality questionnaire. The sample consisted of 266 patients who received pain treatment services from August 11, 2016, to December 10, 2016. Results: Most patients were female (63.16%), married (61.28%), educational level lower than bachelor degree (57.52%), monthly income ≤ 30,000 Thai Baht (75.56%), attended treatment service more than 3 times (85.34%), and average age 56.47 ± 16.27 years. Overall expectation and perception and 4 subservice dimensions (tangible, reliability, responsiveness, and assurance) were not statistically significant. Empathy perceived higher than expectation. However, patients perceived the modern tool and equipment used in providing treatment services lower than expectation. Conclusions: Overall service quality and 4 sub service dimensions of tangible, reliability, responsiveness, and assurance of the pain clinic met expectation. Empathy was higher than expectation, while modern tool and equipment used in the clinic were lower than expectation.

Inpatient satisfaction survey with the communication and behavior of medical staffs in 7A Military Hospital, Ho Chi Minh City, Vietnam

Background: This study was done to determine the degree of inpatients’ satisfaction in the 7A Military Hospital (Ho Chi Minh City, Vietnam).Methods: A cross-sectional research has been designed to survey the satisfaction of 138 inpatients before discharge for 36 communication and behavior aspects of the hospital’s medical staff.Results: The average satisfaction score was very high (mean=4.27; SD=0.49). However, the percentage of unsatisfied inpatients was still quite high (8.3%).Conclusions: Very satisfied percentage 37.6%; satisfied 54.1%, somewhat satisfied 6.7%, not satisfied 1.2% and very unsatisfied 0.4%. It has been concluded that the nursing code of conduct issued by the Ministry of Health was relatively match with patient’s expectation and lead to high patients’ expectation when implemented closely. However, the hospital itself needed further improvement in administration and management to improve satisfaction further.

Bilateral Mandibular Posterior Edentulous Rehabilitation for Unstable Occlusion Patient with Bilateral Attachment Retained Mandibular Removable Partial Denture

A 62-year-old female patient came to the Dental Hospital of Universitas Airlangga to maintain her remaining teeth and make dentures for the missing teeth, and expressed that she expected a high aesthetic result. The patient had lost bilateral posterior mandibular teeth, resulting in unstable occlusion. To stabilize the occlusion, this patient was treated by temporary denture. After 3 months of follow up and confirmed adaptation with the new occlusion, prosthodontic treatment was done consisting of bilateral attachment retained mandibular removable partial denture, aimed at the patient’s expectation of acquiring good aesthetic results and functional rehabilitation.