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1.
J Laryngol Otol ; 134(4): 316-322, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32281535

RESUMEN

BACKGROUND: Individuals on anticoagulation therapy are at increased risk of bleeding, including epistaxis. There is a lack of available reversal agents for novel oral anticoagulation therapy. OBJECTIVE: This paper reviews the current literature on epistaxis in the context of novel oral anticoagulation use, in order to recommend guidelines on management. METHOD: A comprehensive search of published literature was conducted to identify all relevant articles published up to April 2019. RESULTS: Patients on oral anticoagulation therapy are over-represented in individuals with epistaxis. Those on novel oral anticoagulation therapy were more likely to relapse compared to patients on classic oral anticoagulants or non-anticoagulated patients. Idarucizumab is an effective antidote for bleeding associated with dabigatran use. Recommendations for epistaxis management in patients on novel oral anticoagulation therapy are outlined. CONCLUSION: Clinicians need to be aware of the potential severity of epistaxis and the increased likelihood of recurrence. High-quality studies are required to determine the efficacy and safety of andexanet alfa and ciraparantag, as well as non-specific reversal agents.


Asunto(s)
Anticuerpos Monoclonales Humanizados/uso terapéutico , Antídotos/uso terapéutico , Epistaxis/tratamiento farmacológico , Administración Oral , Anciano , Anticuerpos Monoclonales Humanizados/administración & dosificación , Anticoagulantes/efectos adversos , Anticoagulantes/uso terapéutico , Antídotos/administración & dosificación , Antitrombinas/efectos adversos , Antitrombinas/uso terapéutico , Arginina/administración & dosificación , Arginina/análogos & derivados , Arginina/uso terapéutico , Concienciación , Dabigatrán/efectos adversos , Dabigatrán/uso terapéutico , Epistaxis/inducido químicamente , Epistaxis/epidemiología , Factor Xa/administración & dosificación , Factor Xa/uso terapéutico , Inhibidores del Factor Xa/efectos adversos , Inhibidores del Factor Xa/uso terapéutico , Primeros Auxilios/normas , Humanos , Masculino , Piperazinas/administración & dosificación , Piperazinas/uso terapéutico , Prevalencia , Proteínas Recombinantes/administración & dosificación , Proteínas Recombinantes/uso terapéutico , Rivaroxabán/efectos adversos , Rivaroxabán/uso terapéutico , Índice de Severidad de la Enfermedad
2.
Salud Publica Mex ; 62(2): 137-146, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32237556

RESUMEN

OBJECTIVE: To describe in a national sample 1) the prevalence, awareness, treatment and control of dyslipidemias 2) the prevalence of dyslipidemias through previous national surveys. MATERIALS AND METHODS: We analyzed data of the National Health and Nutrition Survey 2012, a representative cross-sectional study. Serum samples of 9 566 adults ≥20 years old with fasting ≥8 hours were analyzed for lipid fractions. Age-adjusted prevalences were calculated, by sociodemographic variables. Prevalence of awareness, treatment and control was estimated. A description of the dyslipidemia prevalence reported in previous surveys is reported. RESULTS: Hypoalphalipoproteinemia and elevated LDL-C are the most prevalent dyslipidemias in Mexican adults. One in four adults had hypercholesterolemia at the moment of the interview without previous diagnosis. Awareness, treatment and control of dyslipidemia were 12.6, 3.7 and 3.1%, respec- tively. CONCLUSIONS: Dyslipidemias are the most prevalent risk factor for cardiovascular diseases in Mexico. Public policies to increase awareness, access to therapy and sustained control are urgently needed.


Asunto(s)
Dislipidemias/epidemiología , Adulto , Concienciación , Dislipidemias/terapia , Humanos , Lípidos/sangre , México/epidemiología , Prevalencia , Adulto Joven
3.
Adv Exp Med Biol ; 1191: 451-464, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32002941

RESUMEN

Psychodynamic theory is founded on the idea that much, if not most, of human behavior is influenced by forces and experiences that lie outside of conscious awareness. It posits that despite what we may or may not recognize about our lived experience, an essential connection exists between unconscious processes and everyday psychological functioning. By extension, psychodynamic theory presumes that unconscious conflicts are pathognomonic of anxiety disorders and anxiety symptoms more generally. At the same time, the term "psychodynamic" refers not only to that which occurs within one's mind but also what happens between people and within families, groups, and systems. A comprehensive psychodynamic treatment of anxiety attempts to take into account these multiple domains of experience and functioning (including biological and genetic considerations) and applies a specific therapeutic approach to working with patients based in part on clinical techniques first developed by Sigmund Freud 100 years ago.


Asunto(s)
Trastornos de Ansiedad/psicología , Trastornos de Ansiedad/terapia , Ansiedad/psicología , Ansiedad/terapia , Psicoterapia Psicodinámica , Concienciación , Humanos
4.
Praxis (Bern 1994) ; 109(2): 97-103, 2020 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-32019458

RESUMEN

Fitness to Drive from a Neuropsychological Point of View Abstract. Driving a car is an important issue for many people concerning participation in social and professional life. On the other hand, there is the need of society for a high level of security in road traffic. Neuropsychological deficits as a result of different neurological diseases can affect the fitness to drive for a certain time or permanently. In this article, we first provide a brief description of the legal framework. In the following section we summarize aspects of the driving behavior of different neurological patient groups and give an overview of procedures of neuropsychological examination and evaluation of fitness to drive. Apart from the psychometric methods there will also be a focus on the meaning of compensation and awareness. Finally, various treatment options are presented.


Asunto(s)
Conducción de Automóvil , Determinación de la Elegibilidad , Pruebas Neuropsicológicas , Concienciación , Ejercicio Físico , Humanos , Psicometría
5.
J Bus Contin Emer Plan ; 13(3): 278-288, 2020 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-32093818

RESUMEN

This paper uses Endsley's three-level model of situational awareness to analyse the challenges faced by the Federal Emergency Management Agency (FEMA) when coordinating the relief efforts in Puerto Rico after Hurricane Maria made landfall. Most obviously, obtaining data about the impacted area was highly challenging, making it much harder to comprehend the magnitude of the event. In turn, this made it difficult to know where to focus recovery efforts as the event unfolded. The situation was further exacerbated by Puerto Rico's remote location with respect to the US mainland, and the fact that FEMA was not logistically prepared for Hurricanes Harvey, Irma and Maria to spread its resources so thin. The paper concludes that for US disaster responses to be successful, all levels of government and the private sector should pool resources in a complementary manner in order to streamline supply chain and inventory management practices.


Asunto(s)
Tormentas Ciclónicas , Planificación en Desastres , Concienciación , Desastres , Puerto Rico
6.
Nat Commun ; 11(1): 705, 2020 02 04.
Artículo en Inglés | MEDLINE | ID: mdl-32019940

RESUMEN

A challenge for neuroscience is to understand the conscious and unconscious processes underlying construction of willed actions. We investigated the neural substrate of human motor awareness during awake brain surgery. In a first experiment, awake patients performed a voluntary hand motor task and verbally monitored their real-time performance, while different brain areas were transiently impaired by direct electrical stimulation (DES). In a second experiment, awake patients retrospectively reported their motor performance after DES. Based on anatomo-clinical evidence from motor awareness disorders following brain damage, the premotor cortex (PMC) was selected as a target area and the primary somatosensory cortex (S1) as a control area. In both experiments, DES on both PMC and S1 interrupted movement execution, but only DES on PMC dramatically altered the patients' motor awareness, making them unconscious of the motor arrest. These findings endorse PMC as a crucial hub in the anatomo-functional network of human motor awareness.


Asunto(s)
Corteza Motora/fisiología , Adulto , Concienciación , Mapeo Encefálico , Estimulación Eléctrica , Femenino , Mano/fisiología , Humanos , Masculino , Persona de Mediana Edad , Actividad Motora , Corteza Motora/química , Estudios Retrospectivos , Estimulación Magnética Transcraneal , Conducta Verbal
7.
PLoS One ; 15(2): e0229356, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32092100

RESUMEN

Food allergy is an emerging clinical condition in pediatrics, so recommendations on its management have been widely published. Studying pediatricians' adherence to these clinical practice guidelines (CPG) and understanding the reasons for their non-compliance can help to promote better management of this condition. A cross-sectional study was conducted by a survey among Brazilian pediatricians, randomly selected during the 38th Brazilian Congress of Pediatrics, which took place in October, 2017. A validated questionnaire with 16 questions addressing knowledge and practice on food allergy, as well as self-reported adherence to international guidelines was applied. Of the total of 415 pediatricians from all regions of the country who were surveyed, only 69 (16.7%) had a satisfactory adherence rate (≥80%). Adequate adherence to the guidelines was associated with the variables: 'evaluating more than 10 children with suspected cow's milk allergy (CMA) per month'; 'having read the Brazilian consensus'; or 'being aware of any international food allergy guideline'. In 8 of the 10 questions that assessed conscious adherence, a minority of those surveyed (20.3-42.3% variation) stated that they knew that their response was in line with the guidelines. This finding was statistically significant (p<0.05) in 7 of these 8 questions. The self-reported adherence of Brazilian pediatricians to international food allergy guidelines was low. Pediatricians who evaluated a higher number of children with suspected CMA or who were aware of the recommendations, had a higher rate of adherence. The results of the survey found that lack of resource was the major reported barrier to guideline adherence but lack of awareness must be a relevant non perceived barrier. This study shows the pediatricians´ self-reported adherence to food allergy guidelines in a widely overview for the first time in Brazil. More studies are necessary to investigate adherence to guidelines by pediatricians in other countries and to develop strategies to improve adherence.


Asunto(s)
Hipersensibilidad a los Alimentos/terapia , Adhesión a Directriz/estadística & datos numéricos , Pediatras/estadística & datos numéricos , Pautas de la Práctica en Medicina/estadística & datos numéricos , Adulto , Concienciación , Brasil/epidemiología , Estudios Transversales , Femenino , Hipersensibilidad a los Alimentos/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Hipersensibilidad a la Leche/epidemiología , Hipersensibilidad a la Leche/terapia , Pediatras/normas , Pautas de la Práctica en Medicina/normas , Encuestas y Cuestionarios
8.
Zhonghua Liu Xing Bing Xue Za Zhi ; 41(1): 68-73, 2020 Jan 10.
Artículo en Chino | MEDLINE | ID: mdl-32062945

RESUMEN

Objective: To understand the awareness, treatment, and control of hypertension in residents aged 35-75 years in eastern China, analyze the treatment mode for antihypertensive agents while identifying those factors affecting awareness, treatment and control. Methods: The data collected in eastern China from the China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) Million Persons Project were used to obtain the information about the awareness, treatment and control of hypertension in the residents and the antihypertensive medication treatment mode in this area. Multilevel mixed-effects model was used to explore the association of the demographic characteristics of hypertension patients with the rates of awareness, treatment and control of hypertension. Results: A total of 640 539 participants aged 35-75 years, mean age (56.9±9.6) years, were included in the analysis, women accounted for 59.7% and 318 741 (49.8%) of the participants suffered from hypertension. Among those hypertensive patients, 46.5% were aware of their condition, 38.1% were taking prescribed antihypertensive medications, and 11.1% had achieved the control of hypertension, the differences were significant among provinces, between urban area and rural area and among different demographical groups. Calcium-channel blockers was the most commonly used medication (45.1%), and 78 735 hypertension patients (86.2%) took only one type of medication. Older age, higher household income, higher level of education, and histories of myocardial infarction, stroke and diabetes were associated with higher awareness, treatment and control of hypertension (P<0.05). Conclusions: The rates of awareness, treatment and control of hypertension were low in residents in eastern China. The differences in hypertension management were significant among provinces and between urban area and rural area. Further efforts are needed to enhance the system of hypertension prevention, screening, diagnosis and treatment.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Hipertensión , Adulto , Anciano , Antihipertensivos/uso terapéutico , Concienciación , Presión Sanguínea , China , Estudios Transversales , Femenino , Humanos , Hipertensión/tratamiento farmacológico , Persona de Mediana Edad , Prevalencia
9.
PLoS One ; 15(1): e0227973, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31945117

RESUMEN

BACKGROUND: Currently, various tools exist to evaluate knowledge and awareness of antibiotic use and antimicrobial resistance (AMR) and are applied by various organizations. Previous systematic reviews have focused mainly on study findings such as levels of knowledge and AMR awareness. However, the survey procedures and data instruments used ought to be scrutinized as well, since they are important contributors to credible results. This review aims to assess the study methods and procedures of existing population-based surveys and explore key components which determine the general population's levels of knowledge and awareness of antibiotic use and AMR. METHODS: We searched existing literature for population -based surveys which sought knowledge and awareness of antibiotic use or AMR in the general population. Databases searched included Ovid, MEDLINE and EMBASE, PsycINFO and Scopus, domestic journals and gray literature sources. Population-based cross-sectional studies published in English or Thai from January 2000 to December 2018 were included in the review. Quality assessment was conducted using the 'Appraisal Tool for Cross-Sectional Studies' (AXIS). RESULTS: All 22 studies included in the analysis had clear objectives focusing on assessing people's levels of knowledge, awareness, attitudes and behavior relating to antibiotic use and awareness of AMR. These studies had employed appropriate methodologies for population-based cross-sectional surveys relative to research questions. More than half of studies (14 out of 22) had scientifically soundly designed methodologies which captured the representativeness of the population; whereas the remaining studies had unclear sample size estimations, inappropriate sample frames and selection biases. Half of the studies had tested the validity and reliability of the questionnaire. The common questions used by these surveys were categorized into four themes: behavior related to antibiotic use, knowledge and awareness of antibiotic use, knowledge and awareness of AMR and others such as receiving information about antibiotic use and AMR or cross-cutting issues like self-medication. CONCLUSION: This review identified four key features of good practices in antibiotic use and awareness surveys: a) clear survey objective; b) scientifically sound sampling techniques ensuring representativeness; c) strategies for recruitment of samples and survey administration methods; and d) credible measurement to prevent non-sampling biases. During questionnaire design, the health systems context in terms of access to health services and antibiotics should be taken into account. In conclusion, to maximize the use of surveys, the application of findings in surveys and associated factors related to antibiotic use and AMR should primarily generate public health interventions and target specific groups to make progress in solving AMR problems.


Asunto(s)
Antibacterianos/uso terapéutico , Infecciones Bacterianas/tratamiento farmacológico , Farmacorresistencia Bacteriana/genética , Farmacorresistencia Microbiana , Antibacterianos/efectos adversos , Concienciación , Infecciones Bacterianas/epidemiología , Infecciones Bacterianas/microbiología , Bases de Datos Factuales , Conocimientos, Actitudes y Práctica en Salud , Humanos , Encuestas y Cuestionarios , Tailandia/epidemiología
10.
PLoS One ; 15(1): e0227871, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31978070

RESUMEN

Shanghai has experienced rapid urbanization and has a serious housing aging problem. The situation of urban housing safety management needs to be strengthened. However, in China, housing safety management (HSM) is just in its beginning stage and it lacks thorough research. Housing safety awareness is one of the most significant aspects of housing safety management. Therefore, in order to investigate the housing safety awareness of Shanghai residents, this paper investigates the safety attitudes of residents living in housing of different ages using consulting questionnaires and Statistical Package for Social Science (SPSS) software. The results show that in Shanghai, the residents lack an understanding of housing management law, policy, and awareness of safety use and have low willingness to buy commercial insurance. Based on these results, the factors that affect the safety awareness of Shanghai residents are summarized as follows: (1) asymmetric information; (2) assessment of the safety status of the premises; and (3) differences in house users.


Asunto(s)
Envejecimiento/psicología , Concienciación , Vivienda , Adulto , Anciano , China/epidemiología , Prestación de Atención de Salud/normas , Femenino , Humanos , Masculino , Persona de Mediana Edad , Seguridad/normas , Encuestas y Cuestionarios , Población Urbana
11.
J Dent Educ ; 84(1): 5-12, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31977099

RESUMEN

Prolonged and static postures among dental workforce personnel may lead to work-related musculoskeletal disorders (WMSDs). The aim of this study was to determine whether feedback involving photography and self-assessment would improve dental educators' postures and accuracy of ergonomic self-assessment. This study used a randomized control design. The Modified-Dental Operator Posture Assessment Instrument (M-DOPAI) was used for all ergonomic evaluations over a four-week period at one U.S. dental school. At week 1, all 30 participating dental educators were photographed and completed an M-DOPAI without viewing the photographs. In weeks 2 and 3, the educators in the control group (N=15) completed an M-DOPAI without any additional photographs. The educators in the training group (N=15) had additional photographs taken and used the photographs to complete an ergonomic self-assessment with the principal investigator. From week 1 to week 4, the ergonomics training utilizing photography resulted in improvements in the dental educators' ergonomic scores but not the accuracy of their ergonomic self-assessments. All participants strongly agreed it was important for both dental students and dentists to understand proper ergonomics, properly apply proper ergonomics, and have accurate ergonomic self-assessment skills in clinical practice. Although these dental educators valued ergonomic principles, they lacked training in applying these principles with dental students. Without additional training in ergonomics and self-assessment, the development of these skills in dental students will be affected.


Asunto(s)
Retroalimentación , Enfermedades Musculoesqueléticas , Enfermedades Profesionales , Concienciación , Ergonomía , Humanos , Postura , Autoevaluación , Estudiantes de Odontología
12.
Rev. neurol. (Ed. impr.) ; 70(1): 1-11, 1 ene., 2020. graf, tab
Artículo en Español | IBECS | ID: ibc-187122

RESUMEN

Introducción: La afectación de la conciencia de déficit es un síntoma habitual de los pacientes que sufren una lesión cerebral, que afecta al proceso rehabilitador y a los logros en términos de independencia funcional del paciente. Pacientes y métodos: Se realizó una revisión sistemática en las bases bibliográficas Scopus y PubMed de los trabajos científicos que han abordado la conciencia de déficit en pacientes con daño cerebral entre 2000 y 2019. Finalmente se revisaron 65 artículos. Resultados: La conciencia de déficit como proceso metacognitivo está ligada a otros procesos cognitivos de orden superior, como las funciones ejecutivas y la memoria. En los últimos años, se han diseñado e implementado programas de intervención específicos sobre conciencia de déficit que han demostrado su eficacia mediante la incorporación de diferentes técnicas (por ejemplo, psicoeducación y feedback). Ante la necesidad de evaluar el éxito de la intervención sobre la conciencia de déficit en términos de mejora funcional, algunos trabajos han estudiado la generalización y la trasferencia de los resultados de la intervención sobre la conciencia de déficit a las actividades de la vida diaria. Conclusiones: La investigación en conciencia de déficit en pacientes con daño cerebral se ha desarrollado de forma significativa en los últimos años, considerando los factores neuropsicológicos, psicológicos y sociales de este fenómeno. Su futuro prometedor apunta hacia su incorporación como cribado en los protocolos de evaluación y, en su caso, su intervención de forma específica, lo que contribuirá a una rehabilitación eficaz que repercuta en la calidad de vida de los pacientes


Introduction: Self-awareness impairment is a common symptom of patients after suffering acquired brain injury, affecting the rehabilitation process and achievements in terms of patients’s daily living functionality. Patients and methods: A systematic review was performed using Scopus and PubMed databases of scientific articles that address self-awareness in patients with brain injury between 2000 and 2019. Finally, 65 articles were reviewed. Results. As a metacognitive process, self-awareness is linked to other higher order cognitive domains such an executive functions and memory. In recent years, specific intervention programs for self-awareness have been developed and implemented, and have proved their effectiveness, by using different techniques (i.e. psychoeducation and feedback). Considering the importance of assessing the success of the self-awareness interventions in terms of functional improvement, some studies have explored the generalization and transfer of results from those interventions to activities of daily living. Conclusions: Research in self-awareness in patients with acquired brain injury has developed significantly in recent years, considering the neuropsychological, psychological and social factors of this phenomenon. The promising future of research in this field points at its inclusion as screening tool in the assessment protocols and, if applicable, its individualized intervention, contributing to an effective global rehabilitation that affects patient's quality of life


Asunto(s)
Humanos , Lesiones Encefálicas/rehabilitación , Trastornos de la Conciencia/complicaciones , Concienciación/fisiología , Cognición/fisiología , Autoimagen , Trastornos de la Conciencia/psicología , Metacognición , Neuropsicología/métodos
13.
Yakugaku Zasshi ; 140(1): 99-106, 2020.
Artículo en Japonés | MEDLINE | ID: mdl-31902890

RESUMEN

In this study, we conducted a web-based survey of 800 elderly people to clarify sex and regional differences in the usefulness of individual health consultations in community pharmacies for improving the health of elderly people. The results demonstrated that the health consultations were more useful for those with high health consciousness than those with low health consciousness and men living alone had the greatest need for health consultations. Among residents of urban areas, "physical activity and exercise" affected the usefulness of the health consultations for both men and women. In contrast, among residents of rural areas, "nutrition and dietary habits" affected the usefulness of the health consultations for both men and women. These results demonstrate that individual health consultations with elderly people focus on problems other than the side effects of medications. Therefore, it is expected that such consultations will continue to contribute substantially to the health of residents in the future. It is necessary for pharmacies to provide consultations on a more diverse range of issues and to be recognized by residents as providers of medical advice in the community.


Asunto(s)
Servicios Comunitarios de Farmacia , Promoción de la Salud/métodos , Farmacias , Derivación y Consulta , Anciano , Anciano de 80 o más Años , Concienciación , Ejercicio Físico , Femenino , Conductas Relacionadas con la Salud , Humanos , Masculino , Población Rural , Población Urbana
14.
Accid Anal Prev ; 136: 105404, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31927452

RESUMEN

Forklifts are among the machines involved with the highest levels of occupational fatalities. As many accidents involved with a forklift can be attributed to the low situation awareness (SA) of the operator, it is essential to understand the factors influencing a forklift operator's SA for reducing forklift accidents, especially of collision type. Against this background, this research aims to investigate how a forklift operator's SA about other people around can be influenced by the type of subtasks they are carrying out. In this research, a virtual reality (VR) environment is used as the experiment environment, in which subjects perform a series of subtasks, such as driving, turning, reversing, loading and unloading, with a VR forklift simulation model. A SAGAT-an established SA measurement technique based on a series of queries targeting Level 1, 2, and 3 SA-is used as the main method to collect data about subjects' SA in the experiment. The analysis of the data reveals that a forklift operator is likely to have a reduced SA about the workers around when he/she is performing a loading or unloading task due to attention narrowing, which occurs when a person concentrates on a cognitively demanding task. The findings provide insights into how forklift operator SA could be improved through an SA-oriented safety training program and also how sensing technologies might assist forklift operators with maintaining a good SA.


Asunto(s)
Accidentes de Trabajo/prevención & control , Concienciación , Realidad Virtual , Adulto , Femenino , Humanos , Masculino , Administración de la Seguridad/métodos
15.
J Vet Med Educ ; 47(1): 2-7, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30920944

RESUMEN

Cultural humility, with its concomitant understanding of the importance of the influences of diversity and inclusion, improves health outcomes in the human medical field. Recent changes to the American Veterinary Medical Association Council on Education requirements in veterinary medicine include teaching the impact of implicit bias on the delivery of veterinary medical services. Because overt enhancement of self-awareness is not fodder for traditional veterinary medical education delivery systems, in this article we review existing literature on the impact of recognition of implicit bias on health care and offer insights on ways to help veterinary students learn this skill, drawing on evidence from an inter-professional intervention called WisCARES (Wisconsin Companion Animal Resources, Education, and Social Services).


Asunto(s)
Sesgo , Competencia Cultural , Diversidad Cultural , Educación Médica , Educación en Veterinaria , Guías de Práctica Clínica como Asunto , Actitud del Personal de Salud , Concienciación , Competencia Cultural/educación , Curriculum , Educación en Veterinaria/normas , Humanos , Wisconsin
16.
Curr Diabetes Rev ; 16(2): 156-164, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31057116

RESUMEN

BACKGROUND AND OBJECTIVES: Diabetes mellitus has increased rapidly throughout the world. The objectives of our study were to assess the knowledge and awareness about oral manifestations of diabetes, among type 2 diabetes mellitus patients, their risk for developing oral diseases due to complications associated with diabetes mellitus, and at same time, to perform an oral examination to detect these oral symptoms, if present any, along with the recording of Decayed Missing Filled Teeth Index (DMFT) and Community Periodontal Index (CPI) index. METHODOLOGY: Structured questionnaires consisting of 12 different statements on the knowledge base of oral manifestations of diabetes mellitus were distributed to 447 Type 2 diabetes mellitus patients. Following this oral examination, brushing and dental visit history were noted, and CPI index and DMFT indices were recorded in all the patients. RESULTS: Results showed that the knowledge about oral manifestations of diabetes mellitus was poor with a mean value of 4.92 out of a possible score of 12. Among the study subjects, the average score of men was 4.42 while that of females, was 5.41. These scores, when subjected to statistical analysis, were highly significant. (P value- 0.005) Subjects also showed significantly high DMFT (P value <0.001) and CPI scores (P value- 0.270). CONCLUSION: Our study concluded that there is a significant lack of knowledge about oral manifestations of diabetes mellitus among patients and hence steps have to be taken to increase their awareness through various outreach programs. All health professionals need to work together for promoting better oral health so that oral complications of diabetes can be brought under control.


Asunto(s)
Diabetes Mellitus Tipo 2/complicaciones , Enfermedades de la Boca/prevención & control , Higiene Bucal , Enfermedades Dentales/prevención & control , Adulto , Concienciación , Estudios Transversales , Encuestas de Salud Bucal , Femenino , Conocimientos, Actitudes y Práctica en Salud , Estado de Salud , Humanos , Masculino , Persona de Mediana Edad , Enfermedades de la Boca/diagnóstico , Enfermedades de la Boca/etiología , Salud Bucal , Factores de Riesgo , Enfermedades Dentales/diagnóstico , Enfermedades Dentales/etiología
17.
Spec Care Dentist ; 40(1): 90-96, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31815303

RESUMEN

AIM: The present study was conducted with an aim to assess the awareness about existence of dental stem cells among dental professionals. MATERIALS AND METHODS: A total sample size of 100 dental professionals in the age group of 22-32 years, comprising of 28 interns, 46 postgraduate students, and 26 senior residents from various specialties was selected. A self-administered, hand-delivered, 10-point questionnaire was used to assess the awareness, knowledge, and attitude of dental professionals towards dental stem cells. Results were documented and statistically analyzed using chi-square test. RESULTS: A total of 72% dental professionals were aware about dental stem cells with dental curriculum books being the main source of information. Note that 81% of positive respondents were aware about the different types and a total of 28% were aware about the procedure to procure dental stem cells. Only 33.3% of positive respondents were aware about existence of dental stem cell banks in India. CONCLUSION: A high level of awareness about dental stem cells and its applications was noted during the course of this study. A significant association of age and type of practice with awareness of dental stem cells and knowledge regarding their use in developing nondental tissues was observed. A positive attitude towards recommending dental stem cell banking was seen.


Asunto(s)
Concienciación , Conocimientos, Actitudes y Práctica en Salud , Adulto , Estudios Transversales , Humanos , India , Células Madre , Adulto Joven
20.
Disabil Health J ; 13(1): 100789, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31495647

RESUMEN

BACKGROUND: It is critical to educate dental students on the essential aspects of oral care for persons with special health care needs (shcn) as they acquire more dental diseases and 80% not receiving routine dental care. OBJECTIVE/HYPOTHESIS: To evaluate awareness and knowledge of dental students concerning oral-health care for persons with shcn, and to assess the effectiveness of an educational intervention in improving their knowledge. METHODS: Students completed an evaluation in the form of pre-post questionnaires that were answered before and immediately after the 30- minute dvd educational intervention regarding the oral health care of persons with shcn. ancova test where used to adjust for the pre knowledge and dependent t-tests were used. RESULTS: The mean ±â€¯sd of pre-test scores of all students was 15.46 ±â€¯2.97, which increased to 18.09 ±â€¯3.37 on the post-test. the post knowledge scores by dental class (adjusted for the pre knowledge) showed weak-significate anacova f test p value was (p < 0.050) however there was weak significant difference between the combined five years when compared (p < 0.050). however multiple comparison test (scheffe test) showed weak significance between d2 and d3 (p < 0.067). in addition, there was weak significant difference between post scores for each year when compared (p < 0.05). CONCLUSIONS: The educational intervention was effective in providing all five levels of dental students with the basic instructive information needed to care for persons with shcn. about 62% of students from all five years rated their knowledge as being minimal and about 98% reported they would use the information provided in the educational intervention.


Asunto(s)
Atención Odontológica , Personas con Discapacidad , Educación en Odontología , Conocimientos, Actitudes y Práctica en Salud , Servicios de Salud para Personas con Discapacidad , Salud Bucal , Estudiantes de Odontología , Concienciación , Curriculum , Evaluación Educacional , Humanos , Masculino , Arabia Saudita , Encuestas y Cuestionarios
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