Digital Literacy: A Counteractive Measure to Thwart the Fallacies of Infodemic.

Education and literacy provided through the recent media have been abundantly flowing information on the digital platforms. However, the so-called digital channels have been a source of misinformation, myths, misconceptions, creating chaos, and panic in the world. The same platforms can be utilised to counter the effects of infodemic through the multiple strategies like stagnating and filtrating the misinformation, eliminating the stigmatic beliefs of the people through the use of social media and education. Scientific research and psychological help can be the strategies to cope with mental pressure and help in mentoring the traumatised individuals through the digital education.   Key Words: Infodemic, Digital literacy, Education.

The theory of reasoned action in describing tongue cleaning adherence among college going students of Indie: A model guided study.

Background: Just mere brushing of teeth is not enough for maintaining good oral health. Regular cleaning of tongue is equally important for maintaining good oral hygiene and to escape social embarrassment and personal discomfort, which could arise as a result of halitosis. Objective: To test the variables of Theory of Reasoned Action to explain the behavior of tongue cleaning among college going students of Udaipur city, Rajasthan, India. Material and methods: A descriptive cross-sectional survey was conducted amongst 756 college going students of Udaipur city, India using an online self-administered structured questionnaire which was designed based on our study objectives. Logistic regression analysis and structural equation modelling (SEM) were employed for statistical analysis. Confidence level and level of significance were set at 95% and 5% respectively. Results: Logistic regression analysis showed that with one unit increase in subjective norm, the tongue cleaning behavior odds increased significantly by 1.124. Also, the tongue cleaning behavior odds was 1.77 times significantly greater among those brushing their teeth twice a day than those brushing once a day. Structural Equation modelling also evidenced the significant direct effect of subjective norm on tongue cleaning behavior (ß = 0.2, p≤0.05). Conclusion: Our results highlighted the importance of subjective norms in espousing tongue cleaning preventive behaviour habit. It is thus recommended to highpoint the role of significant others in changing tongue cleaning behaviour.

Assessment of Oral Health-related Quality of Life among Expatriate Working Population, Saudi Arabia: A Cross-sectional Study.

BACKGROUND: The expatriate workers (foreign workers) come from various countries having different languages, cultures, and tradition to work in Kingdom of Saudi Arabia (KSA); here they adopt to local customs, traditions, and work ethics in this new environment. How they perceive their oral health-related quality of life (OHRQoL) is important for health-care provider for understanding and planning in patient management. The data of expat workers and their OHRQoL in KSA are meager; hence, assessment of OHRQoL among expatriate working population in Al Zulfi, Saudi Arabia was planned. MATERIALS AND METHODS: A cross-sectional study was conducted on adult expat working population of various nationalities who were working in Al Zulfi, KSA. The study sample comprised 600 adult expats. OHRQoL was analyzed by using 14-Item Oral Health Impact Profile (OHIP-14) questionnaire as instrument. Clinical examination for oral health status was carried out using decayed, missing, and filled teeth (DMFT) index and Oral Hygiene Index simplified (OHI-S). Student's t test and analysis of variance (ANOVA) were used to compare data using Statistical Package for the Social Sciences (SPSS) software program, version 20.0 with significance at P ≤ 0.05. RESULTS: The age of the sample population ranged from 19 to 60 years. No significant difference was observed in oral health status among expats of different nationalities. Age and education were significantly related to OHRQoL as well as oral health status. The mean cumulative scores of OHIP-14 showed that expats from different nationalities had statistically significant differences. CONCLUSION: Overall the impact of OHRQoL was less among working expat population in Al Zulfi. Physical pain was the common dimension seen among all nationalities. Psychological discomfort and handicap dimensions of OHIP-14 were significant among the study sample.

Self-Assessment of Psychological and Mechanical Factors Affecting Oral Hygiene Among Indian College-Going Students: A Model-Guided Study.

Good oral hygiene is the foundation for a healthy mouth. This study was aimed to determine the efficacy of oral health education based on an integrated model on oral hygiene attitude and behavior among the college students of Udaipur city. An intervention study was conducted among 156 college students in Udaipur city. The questionnaire based on the new integrated model was tested for validity and reliability. Paired t test and multinomial regression analysis were employed for statistical analysis. Significant differences were observed regarding all the indicators of oral hygiene practices, perceived susceptibility, seriousness, benefits, barriers, self-efficacy, and external locus of control. Odds ratio was significantly greater among undergraduate regarding oral hygiene practices. Also odds ratio of perceived susceptibility and seriousness was more among male population. The educational intervention was successful in conveying the message regarding the importance of oral hygiene practices.

Association of sugary foods and drinks consumption with behavioral risk and oral health status of 12- and 15-year-old Indian school children.

AIM: This study aims to assess the association of sugary foods and drinks consumption with behavioral risk and oral health status of 12- and 15-year-old government school children in Udaipur. MATERIALS AND METHODS: A descriptive cross-sectional study was conducted among of 12- and 15-year-old government schoolchildren of Udaipur. A survey pro forma designed based on HBSC (Health behaviour in School-aged Children) study protocol and WHO Oral Health Assessment Form for Children (2013) was used. Chi-Square test, Independent Sample t-test, and Multinomial Logistic Regression analysis were used with 95% confidence interval and 5% significance level. RESULTS: Out of 710 participants, 455 (64.1%) were males and 255 females (35.9%). Majority of 15 years age (57.3%) consumed more soft drinks than 12-year-old. Males showed a comparatively greater tendency to have sugar sweetened products than females. The decayed, missing, and filled teeth (dmft) and DMFT scores were relatively higher for subjects who consumed sugary substances more than once/day than who had less than once/day. Gingivitis was associated with high sugar diet. CONCLUSION: Sugary foods and drinks consumption is significantly associated with behavioral habits of children and is a clear behavioral risk for oral health.

Perception of sexual ramification among women toward male doctors in today's Indian society.

The objective of the study was to assess the perception of women patients toward attitude of health professionals who have undergone physical examination.A descriptive cross-sectional study was conducted among 1,257 women. A self-administered structured questionnaire comprising of 16 questions was designed to assess perception of patients toward attitude of health professionals.Mean perception scores of the study population were 19.79 ± 1.78. Women in the age group of 29-38 years had a greater perception (20.34 ± 1.54) that they had been a subject or could be a subject to sexual exploitation by a doctor. Graduate and above group participants had a greater perception (19.54 ± 1.86) when compared to primary and secondary education level (19.52 ± 1.85, 18.35 ± 1.5). Data were analyzed using ANOVA.Women had mixed perception of sexual gratification toward male doctors. It is necessary to educate the doctors regarding the respect, dignity, and values for female patients, which could reduce occupational defamation.

A comparative assessment of caries risk using cariogram among smokers and smokeless tobacco users in india - a cross-sectional study.

BACKGROUND: A dearth of literature exists concerning utilization of the unique cariogram model for caries risk assessment in tobacco users. OBJECTIVE: To assess & compare caries risk among smokers & smokeless tobacco users using Cariogram model. METHODS: A descriptive cross sectional study was conducted among smokers and smokeless tobacco users of Udaipur for 3 months. Caries risk assessment was done by employing a survey proforma based on the Cariogram model. Statistical analysis included descriptive statistics, Chi-square test followed by Marascuilo procedure and Stepwise multiple linear regression with 95% confidence interval and 5% significance level. RESULTS: Majority of the smokers (56%) portrayed high caries risk (less chance to avoid new caries) followed by smokeless Tobacco users (34%). Only 40% smokeless tobacco users had relatively high chances (>60%) of avoiding future new caries. The susceptibility sector of the cariogram model contributed primarily to caries risk in the study population. CONCLUSION: The study findings from the different cariogram elements converged to indicate that smokers were at maximum caries risk, followed by smokeless tobacco users and therefore Cariogram model could be a useful tool to represent caries risk among smokers and smokeless tobacco users.

Knowledge and practices of Indian dental students regarding the prescription of antibiotics and analgesics.

BACKGROUND AND AIM: Making a diagnosis and prescribing medicine is the most important skill required by any doctor in the colleges, hospitals or clinical practice. Prescribing is the intervention that has the greatest influence on patients' health requiring complex series of sub-competencies like making a diagnosis, setting a therapeutic goal, choosing the approach, choosing the best drug, route and frequency of administration, duration of therapy, writing the prescription, patient information, monitoring drug effects and, lastly, review the prescription.The aim of this research is to assess the knowledge and practices of Indian dental students regarding the prescription of antibiotics and analgesics. METHODS: A cross-sectional study was conducted among 870 Undergraduate and Post-graduate dental students of Udaipur city. A close ended, pretested questionnaire was administered to students. The data were analyzed using the student's t -test and one-way ANOVA with post hoc Bonferroni test. RESULTS: A total of 870 students participated in the study. Most of them were females and were pursuing undergraduate studies. Post graduate students had greater medication prescription knowledge than the undergraduate students. Nevertheless, practice of medication prescription among these two was found adequate. CONCLUSION: Undergraduate dental students have lower knowledge about medication prescription as compared to post-graduate students. Also, knowledge of prescription of medicines in males were higher in comparison to females, though prescription practices of all the dental students was found almost similar.

Relationship between Parental Bonding and Tobacco Specific Practices as Predictors of Tobacco Usage in Adults.

INTRODUCTION: Parents influence their child's conduct and adolescence hostility either directly or indirectly. Similarly children can acquire a particular behaviour by observing and intentionally imitating their parents in order to simply copy them without understanding the positive or negative outcome. AIM: To assess and compare the association between parental tobacco usage and parental bonding with participants tobacco usage habits. MATERIALS AND METHODS: A descriptive cross-sectional study was conducted among 130 adults. Information pertaining to demographics, parental bonding (using parental bonding index) and behavioural habits (e.g., smoking, alcohol) of both participants and their parents was collected with the use of a questionnaire-based interview. Tobacco usage was measured as categorical variable as ever chewer and never chewer. Chi-square test, independent sample t-test, multinomial logistic regression and rotated factor loadings was used to analyse the data. RESULTS: Majority of the participants were males with a mean age of 30.4±8.5 years. Tobacco use was prevalent among less educated males. Parental smokeless tobacco use, paternal alcohol and maternal paan chewing was significantly associated with participants adverse habits. Multinomial logistic regression showed a significant association between parental and participant's tobacco usage. Perceived parental bonding were also significantly associated with participant's tobacco usage habit. CONCLUSION: Parental bonding measures and tobacco usage was significantly associated with the participant's tobacco use. Hence, interventional and educational efforts to weaken intergenerational influences should target parents. In addition to parents, the smoking behaviour of adults should also be targeted for prevention efforts.

Influence of sleep disturbance, fatigue, vitality on oral health and academic performance in indian dental students.

BACKGROUND: Oral health and academic performance are important contributing factors for a student's professional life. Countless factors affect both, among which sleep, vitality and fatigue are less explored areas that also have a strong impact. OBJECTIVE: The objective of the study was to assess the association of sleep disturbances, fatigue and vitality with self reported oral health status, oral hygiene habits and academic performance of dental students of Udaipur. METHODS: A descriptive cross-sectional study was conducted among undergraduate and postgraduate dental students of Udaipur. Self-administered structured questionnaire was used to assess the psychological factors, vitality, sleep quality, fatigue, self reported oral health status, habits and academic performance. Analysis of variance and stepwise multiple linear regression were utilized for statistical analysis with 95% confidence level and 5% level of significance. RESULTS: Of the 230 participants, 180 (78.3%) were undergraduates and 50 (21.7%) were postgraduates. Among them, females showed higher scores in disturbed sleep index (2.69±2.14) as compared to males (2.45±1.91). Respondents who had "Poor" dental health, scored more in disturbed sleep index (3.15±1.64) and fatigue scale (20.00±4.88). Subjects who flossed "everyday", were found to have good sleep and more energy (p=0.01) and those who assessed themselves as excellent students scored more in the Vitality Scale (p=0.01) and less in the Sleep index (p=0.01). CONCLUSION: The present study confirms that disturbed sleep, aliveness and fatigue, all are interlinked with each other and are imperative factors having the potential to alter the oral health status, habits and academics of dental students.

Assessment of satisfaction levels of patients during dental outreach programs in rural part of Udaipur, India.

BACKGROUND: The community-based dental outreach programs play a very crucial role in declining discovery-delivery disconnect by introducing awareness through health education and dental adumbrating services to the community members. However, the success of any oral health programme depends largely on how it meets the needs and expectations of the target community. Therefore, the present study was designed for the assessment of patient satisfaction at various rural outreach dental camps conducted over a period of 2 months. MATERIALS AND METHODS: The present study was conducted on patients visiting weekly and monthly outreach dental programmes organised by the Department of Public Health Dentistry. Data were obtained from a total of 298 patients using a pre-tested questionnaire as a survey instrument. The questionnaire consisted of nine questions, measuring the patient satisfaction levels on a five-point Likert scale. RESULTS: The highest mean satisfaction score (4.97 ± 0.59) was observed for the question on the overall performance of camp, whereas waiting time for treatment, quality of the treatment and explanation of need for referral exhibited lowest mean scores. The mean satisfaction scores for the monthly camp (4.55 ± 0.52) were significantly higher as compared to the weekly camps (4.38 ± 0.55) (P = 0.013). CONCLUSION: The results of the study showed that the patient satisfaction scores were satisfactory to good for various aspects of the weekly and monthly dental outreach programmes. Such programmes should be conducted on regular basis, and comprehensive oral care should be provided.

Effect of Training School Teachers on Oral Hygiene Status of 8-10 Years Old Government School Children of Udaipur City, India.

INTRODUCTION: Provision of oral health knowledge to the children by their teachers at the school level can prove to be more fruitful because it is the time period during which the children begin to learn the basic oral hygiene practices and are most prone to dental caries. AIM: This study was carried out to assess the effect of training school teachers on oral hygiene status of 8-10 years old government school children of Udaipur city, India. MATERIALS AND METHODS: A total of nine school teachers and 279, 8-10 year old school children from two government schools were included in the study. The questionnaire on oral health knowledge and practice contained 17 questions to evaluate the knowledge and practice of children towards oral hygiene before and after the teachers training program. Baseline and six months post training data on oral health knowledge and practice was obtained by the questionnaire method. Baseline and six months post training data on oral hygiene status was obtained by OHI-S Index. Statistical analysis was done using software SPSS 22, the test used were McNemar's test, paired t-test. RESULTS: Pre and post training data were compared and it was found that there was a significant improvement in oral health knowledge and practices of school teachers and children. Also oral hygiene status of school children was significantly improved after the program. CONCLUSION: Results of the present study suggest that experiential learning is an effective school based oral health education method for improvement of oral hygiene in primary school children.

Assessment of Dental Nutrition Knowledge among Nutrition/Dietetics Students.

INTRODUCTION: Diet and nutrition plays an important role in signifying the health of an individual. Oral health is the most important aspect of the body when it comes to food intake and its health benefits. It is important for the nutrition/dietetics students to be aware of the health modalities related to oral aspect. AIM: The aim of the present study was to assess knowledge towards the effect of diet and nutrition on oral health among nutrition/dietetics students of Udaipur city, Rajasthan, India. MATERIALS AND METHODS: A descriptive cross-sectional study was conducted among all the nutrition and dietetics students of Udaipur city. A self-administered, pretested 14 item questionnaire was given to 180 students to assess their knowledge about dietary factors related to caries, anti-cariogenic foods, frequency and duration of sugar intake etc. One-way analysis of variance and independent sample t-test were utilized for statistical analysis. Confidence level and level of significance were set at 95% and 5%, respectively. RESULTS: The mean score for knowledge was 28.92±1.72. Mean knowledge scores for III, II and I year students were 29.91±1.94, 29.56±1.27 and 27.30±1.66 respectively. When post-hoc Bonferroni test was applied, mean knowledge score was found to be at a higher end among III year as compared to I year (p=0.03) students. CONCLUSION: This study highlights about low dental nutrition knowledge among nutrition/dietetics students. Health profess-ionals should have more information outside their immediate fields. Inter-professional team members should work in collaboration with each other to improve patient outcomes.

Assessment of oral hygiene habits, oral hygiene practices and tooth wear among fertilizer factory workers of Northern India: A Cross sectional study.

BACKGROUND: The association between oral hygiene habits & practices and severity of tooth wear lesion varies from community to community and also from occupation to occupation. The present study was conducted with to assess oral hygiene habits & practices and tooth wear among fertilizer factory workers of Punjab, India. MATERIAL AND METHODS: A descriptive cross sectional survey was conducted among 965 male workers who were aged between 19-58 years, who were the workers of fertilizers factory of Bathinda, India. An interview on the demographic profile, oral hygiene practices, and adverse habits followed a clinical examination for recording the Tooth Wear (Smith and Knight Index 1984) using Type III examination. The Chi-square test and a Stepwise multiple linear regression analysis were used for the statistical analysis. Confidence interval and p-value set at 95% and ≤ 0.05 respectively. RESULTS: In the present study majority (47.2%) of the study population used chew sticks for cleaning their teeth. Overall prevalence of adverse habits was reported (92.4%). Study population showed higher prevalence of tooth wear (77.1%). Best predictors identified for Tooth Wear were oral hygiene practices, adverse habits, years of work experience and age respectively. CONCLUSIONS: Considerable percentages of fertilizer factory workers have demonstrated a higher prevalence of tooth surface loss. This may be useful in designing the investigations that aim to further explore the causes for these findings and more importantly to plan oral health promotion program implementing both preventive and curative strategies. KEY WORDS: Tooth wear, smith & knight index, fertilizer factory.

Assessment of Fluoride Concentration of Soil and Vegetables in Vicinity of Zinc Smelter, Debari, Udaipur, Rajasthan.

BACKGROUND: As of late, natural contamination has stimulated as a reaction of mechanical and other human exercises. In India, with the expanding industrialization, numerous unsafe substances are utilized or are discharged amid generation as cleans, exhaust, vapours and gasses. These substances at last are blended in the earth and causes health hazards. OBJECTIVE: To determine concentration of fluoride in soils and vegetables grown in the vicinity of Zinc Smelter, Debari, Udaipur, Rajasthan. MATERIALS AND METHODS: Samples of vegetables and soil were collected from areas situated at 0, 1, 2, 5, and 10 km distance from the zinc smelter, Debari. Three samples of vegetables (i.e. Cabbage, Onion and Tomato) and 3 samples of soil {one sample from the upper layer of soil (i.e. 0 to 20 cm) and one from the deep layer (i.e. 20 - 40 cm)} at each distance were collected. The soil and vegetable samples were sealed in clean polythene bags and transported to the laboratory for analysis. One sample each of water and fertilizer from each distance were also collected. RESULTS: The mean fluoride concentration in the vegetables grown varied between 0.36 ± 0.69 to 0.71 ± 0.90 ppm. The fluoride concentration in fertilizer and water sample from various distances was found to be in the range of 1.4 - 1.5 ppm and 1.8 - 1.9 ppm respectively. CONCLUSION: The fluoride content of soil and vegetables was found to be higher in places near to the zinc smelter.

Assessment of Tooth Wear Among Glass Factory Workers: WHO 2013 Oral Health Survey.

BACKGROUND: Glass factory workers are often exposed to the hazardous environment that leads to deleterious oral health and subsequently, general health. We planned to determine the effects of the particulates present in the milieu on the tooth wear among workers. AIM: To assess tooth wear among glass factory workers in Jaipur, Rajasthan, India. SETTINGS AND DESIGN: A descriptive cross-sectional survey was conducted among 936 glass workers in Jaipur, Rajasthan, India from January-June 2014. MATERIALS AND METHODS: A survey proforma was designed for tooth wear evaluation with the help of WHO Oral Health Assessment form 2013 (for adults). Information regarding oral health practices, adverse habits and dietary habits, demographic details was gathered and clinical parameters were recorded. STATISTICAL ANALYSIS: The Chi-square test, t-test, One-way Analysis of Variance and a Stepwise multiple linear regression analysis. RESULTS: The most prevalent form of erosion was enamel erosion (589, 62.93%) with few subjects of deeper dentinal erosion and the difference was statistically significant (p=0.001). Dental erosion was found to be higher among males compared to females. Years of experience and educational status were identified as best predictors for dental erosion. CONCLUSION: It was concluded that there was considerable evidence of dental erosion found among the factory workers. Due to ignorance on social, cultural and health aspects, professional approach with regular dental care services for detection of early symptoms and planning of preventive strategies is warranted.

Utilization of services and referrals through dental outreach programs in rural areas of India. A two year study.

BACKGROUND: Oral health care services are often sparse and inconsistent in India therefore it is often difficult for poor people to get access to the oral health care services. The approach by dental institutions with the help of community outreach programs is a step ahead in overcoming this situation. OBJECTIVES: The study was conducted to evaluate the number of patients, disease pattern and the services provided in the outreach programmes and also effectiveness of patient referral. METHODS: A retrospective study was conducted and the data were obtained from records of outreach programs conducted, in last 2 years by Pacific Dental College and Hospital. The data were analysed using descriptive statistics for the computation of percentages Chi-square test was applied to know the association of effectiveness of referral with age and gender. Confidence level and level of significance was fixed at 95% and 5% respectively. RESULTS: A total of 22982 individuals in the age group of 4-80 years attended the outreach program. Dental caries (42.3%), periodontal diseases (63.2-69.0%) and dental fluorosis (33.7-35.0%) were commonly observed diseases. Effectiveness of referral was significantly high among the middle age adults and females (P<0.05). The effectiveness of referral was highly improved in 2013 after establishment of certain guidelines and strategies. CONCLUSION: The approaches by dental institutions with the help of community outreach programs can spread awareness and disseminate treatment and thereby enhancing access to care and eliminating access to care within the rural communities.

The antiplaque efficacy of propolis-based herbal toothpaste: A crossover clinical study.

BACKGROUND: In recent years, herbal products have been suggested as an economic, safe and probably effective alternative for prevention and control of various oral diseases. But still there are some products which need to be evaluated. Of lately, Propolis is one such product. To assess and compare the efficacy of herbal dentifrice containing Propolis with Miswak and Colgate total toothpastes in controlling plaque formation. MATERIALS AND METHODS: A double blind, randomized, crossover study design was conducted among thirty healthy dental students. After oral prophylaxis all subjects were given a washout product for one week period. Subjects were then made to brush with (washout product) for 1 minute followed by 1 minute brushing with assigned test product. The baseline MGMPI plaque scores were recorded. Subjects were then refrained from oral hygiene for 24 hours, and were recalled to be re-disclosed and re-measured for plaque formation. This procedure was repeated according to crossover design after a washout period of (2 week). Statistical tests used were Krukalwallis and Wilcoxon sign rank test. RESULTS: There was a significant difference in 24 hour score between the test products evaluated. When the change from baseline to 24 hours was analyzed, the test product Propolis resulted in a consistently and significantly (p < 0.05) lower MGMPI mean scores than the Colgate Total and Miswak toothpastes. CONCLUSION: Propolis was found to be safe and effective in reducing plaque accumulation when compared to Miswak and Colgate total toothpaste.

Knowledge and attitude toward informed consent among private dental practitioners in bathinda city, punjab, India.

OBJECTIVES: A study was conducted with the purpose to assess the knowledge and attitude towards informed consent among private dental practitioners in Bathinda City, Punjab, India. METHODS: A cross-sectional survey was conducted among all private dental practitioners in Bathinda City. A self-administered structured questionnaire consisting of 14 items was used to assess their knowledge and attitude regarding informed consent. The response format was based on a 3-point Likert scale. One-way analysis of variance, independent sample t test, and stepwise multiple linear regression analysis were utilized for statistical analysis. Confidence level and level of significance were set at 95% and 5%, respectively. RESULTS: The mean scores for knowledge and attitude were 19.37 ± 31.82 and 9.40 ± 1.72, respectively. Analysis revealed that qualification and years of experience was statistically significant among both dependent variables (p ≤ 0.05). CONCLUSION: An unbalanced knowledge of informed consent among the current dentists has suggested the need for awareness programs to fill the knowledge gaps and instill positive attitudes.