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1.
Biomed Res Int ; 2022: 3750556, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35909481

RESUMO

Objective: Teledentistry is considered to be a technological advancement in providing dental care to patients while effectively addressing the time management. Furthermore, the pandemic of COVID-19 has been here for quite long now, forcing the dental practitioners to ponder upon other methods of healthcare delivery apart from the traditional in-office direct clinical examination. The aim of this study was to explore the perceptions of dental professionals of Malaysia regarding teledentistry, which can act as a future pedestal for improvements in virtual dental practice and patient care. Materials and Methods: It was a descriptive, cross-sectional study involving an electronic survey of a sample of dental professionals of Malaysia. A prevalidated, 26-item, 5-point Likert-scale questionnaire was used in assessing the perceptions of dental professionals regarding teledentistry in four domains: existing concerns about teledentistry use, the potential of teledentistry in improving practice, usefulness of teledentistry for dental practice, and its usefulness for patients. Statistical analyses involved descriptive statistics which included frequency distributions. Results: An overall response rate of 31.0% was observed with 310 dental practitioners participating in the survey. More than 60% of respondents agreed that teledentistry would benefit the dental practice through enhancement of communication with peers, guidance, and new patients' referral. However, a substantial proportion of practitioners (70-80%) expressed uncertainty with accuracy of diagnosis, technical reliability, and privacy. Conclusion: Generally, the results of this study point towards the readiness of dental professionals of Malaysia to engage in teledentistry practice. However, further work needs to be done to assess the commercial feasibility of teledentistry, not only in Malaysia but also in other parts of the world. To start with, directed campaigns in reference to teledentistry are necessary to educate dentists and the public about the technology and its potential.


Assuntos
COVID-19 , Telemedicina , COVID-19/epidemiologia , Estudos Transversais , Odontólogos , Humanos , Malásia/epidemiologia , Papel Profissional , Reprodutibilidade dos Testes , Telemedicina/métodos
2.
Artigo em Inglês | MEDLINE | ID: mdl-35805267

RESUMO

BACKGROUND: For the past two and half years, dentists all across the world, along with their patients, have faced numerous challenges. In this context, the aim of this integrative review was to assess if dentists' and patients' attitudes regarding teledentistry (TD) have changed since the COVID-19 outbreak, and if the use of TD will continue to rise, even in the post-pandemic period; (2) Methods: A literature search was performed between August 2021 and January 2022. The PubMed, Scopus, and Science Direct databases were searched for articles published between 2012 and 2022 using a combination of the following Mesh terms: "COVID-19", "pandemic", "oral telemedicine", "teledentistry"; (3) Results: Among the 52 included papers, nine papers were published between 2011 and 2019, and 43 articles were published after 2020 (12 were published in 2020, 29 papers were published in 2021, and two in 2022). Among the articles published before 2020, seven out of nine included papers were reviews, and two were original research. Among the 43 papers published after 2020, 18 were reviews and 25 original research. (4) Conclusions: Based on the results of this integrative review, there is clear evidence that the interest in teledentistry and teleassistance in the dental field has increased rapidly, especially in the context of the COVID-19 pandemic. Therefore, while dental practitioners should be encouraged to keep themselves updated about new technologies, patients should also be constantly informed about their options for receiving special oral health care.


Assuntos
COVID-19 , Telemedicina , COVID-19/epidemiologia , Odontólogos , Humanos , Pandemias , Papel Profissional , Telemedicina/métodos
3.
J Med Life ; 15(5): 669-674, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35815092

RESUMO

An inferior alveolar nerve block is a usual practice by a dental practitioner. Panoramic radiography is a widely used technique in dentistry to get a clear and comprehensive view before planning any treatment. The study aimed to compare the morphometric localization of mandibular foramen (MF) on dry bones and orthopantomogram. The study was designed in two phases: a morphometric study on dry human mandibles (phase I) and orthopantomograms of the same dry human mandibles (phase II). The study materials were 200 dry north Indian human mandibles belonging to unknown sex obtained from the Department of Anatomy. Descriptive statistics, including range, mean±standard deviation, paired t-test to compare dry bones and orthopantomogram, Pearson's correlation coefficient, and measurement error, were used. T-test was applied separately to compare the right and left sides of dry bones. The distance of mandibular foramen from the posterior border and lower border is shorter on the right side than on the left. Its distance from the anterior border and the mandibular notch was greater on the right side. On panoramic radiographs, the distance of MF from nearby anatomical landmarks on the mandible was highly unreliable except for the mandibular notch. Our findings demonstrate a statistically significant difference between distances on dry bone and OPG but no statistically significant difference between MF-notch on both sides and MF-AB on the right side. As a result, a surgeon can rely upon a mandibular notch to locate mandibular foramen during clinical procedures. Magnification is an inbuilt property of OPG; for precise localization of MF, it is advisable to proceed with advanced three-dimensional techniques to protect viable anatomical structures.


Assuntos
Odontólogos , Cirurgiões , Humanos , Mandíbula/diagnóstico por imagem , Papel Profissional , Radiografia Panorâmica
4.
PLoS One ; 17(7): e0268544, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35834530

RESUMO

BACKGROUND: Improvement in practitioners' consultation skills (CSs) can be driven by patient feedback, however, to date, no study has been conducted with reference to pharmacy consultations. The Interpersonal Skills Questionnaire (ISQ) is potentially appropriate for collecting patient feedback on pharmacists' CSs. This study aims to explore the feasibility of collecting patient feedback on hospital pharmacists' CSs using the ISQ, to identify the acceptability of the feedback process, and to identify methods to enhance the process in the future. METHODS: The study was conducted in a teaching hospital, United Kingdom, between 2018 and 2019. A diverse sample of pharmacists with patient-facing roles was purposively selected. The study comprised three phases. Pharmacists collected feedback from patients following their consultation using the ISQ utilising a third person whenever possible (phase-1). Data analysis and individual report writing was conducted by a private company. Interviewing a sample of patient participants by telephone (phase-2), and interviewing pharmacists face-to-face after receiving feedback reports (phase-3). All interviews were transcribed verbatim and thematically analysed. The study received approval by the NHS Health Research Authority. RESULTS: Six pharmacists were included. Of the 119 distributed ISQs, 111 were returned (response rate 93%). Patients were mostly recruited by their consulting pharmacists (72%, n = 80). All pharmacists and 14 patients were interviewed. Participants were positive about patient feedback and its role in enhancing CSs. Most did not encounter any problem with the process, however, some pharmacists struggled to find a third person. The ISQ was mostly viewed suitable to assessing pharmacy consultations. Some reports highlighted areas to improve (e.g. protecting patient's privacy). CONCLUSIONS: Collecting feedback is feasible, acceptable and may enhance CSs, however, the process was associated with challenges such as finding a third person. Several measures should be considered to make the process more feasible within the hospital pharmacy setting.


Assuntos
Serviços Comunitários de Farmácia , Farmacêuticos , Atitude do Pessoal de Saúde , Estudos de Viabilidade , Retroalimentação , Hospitais , Humanos , Papel Profissional , Encaminhamento e Consulta , Habilidades Sociais , Inquéritos e Questionários
5.
Artigo em Inglês | MEDLINE | ID: mdl-35886614

RESUMO

BACKGROUND: Pandemic preparedness of healthcare providers helps to mitigate future threats such as spread and fatality rates, as well as the management of the disease. Pharmacists are key partners with public health agencies, and the role of community pharmacists is becoming increasingly recognised in this COVID-19 pandemic. The study aimed to explore the emergency preparedness of community pharmacists (CPs) for COVID-19. METHODS: A cross-sectional study was performed among community pharmacists using cluster sampling followed by convenient sampling. A self-administered questionnaire was formulated using references from the previous literature and the WHO preparedness checklist. Descriptive analysis was undertaken for the participants' socio-demographic characteristics. All the data collected were entered into the Statistical Package for Social Sciences version 24 (SPSS V.24), (IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: IBM Corp.) for analysis. RESULTS: Most of the CPs had five or fewer years of practice experience, and they had all the mandatory information relating to the needs of their communities regarding the disease. The participants knew where to acquire these resources whenever needed. They were able to recognise the signs and symptoms of the disease. Most participants felt that they were confident to provide patient education and carry out their duties during these challenging times. There was a strong position correlation between preparedness and the perceived response of the participants. CONCLUSION: The community pharmacists in Malaysia are prepared enough for COVID-19 pandemic management and perceive that they can respond during any unprecedented situations, such as COVID-19. Community pharmacists were aware of the challenges that they need to face in their community regarding COVID-19.


Assuntos
COVID-19 , Defesa Civil , Serviços Comunitários de Farmácia , COVID-19/epidemiologia , Estudos Transversais , Humanos , Malásia/epidemiologia , Pandemias , Farmacêuticos , Papel Profissional , Determinantes Sociais da Saúde
6.
Br Dent J ; 233(1): 45-51, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35804130

RESUMO

Can an interprofessionally designed and facilitated learning event change the way professionals understand each other's roles, enable them to better work with each other and improve patient care? Pharmacy and dental professionals are contractors to the NHS, providing services to the public. The way both professions are funded encourages them to generally work in isolation from the wider NHS, in contrast to other areas of healthcare and NHS systems. This study explores how working collaboratively at all stages of design, development, facilitation and engagement of a learning event impacts on the professionals taking part. It also explores how learning interprofessionally can change the way dental and pharmacy professionals work together, suggesting this way of learning is beneficial to improving working relationships between the sectors.The study explored the ways that shared learning between professions could be approached and encouraged. Pharmacy professionals expressed that they felt more informed and confident giving dental advice to patients. Dental professionals recognised that pharmacy professionals could help support and manage patients. All professionals could see the importance of multidisciplinary working to improve understanding of the other professionals' role. The workshops showed that shared learning is an important aspect to help engage and integrate healthcare systems.


Assuntos
Farmácias , Farmácia , Humanos , Relações Interprofissionais , Aprendizagem , Papel Profissional
8.
Folia Med (Plovdiv) ; 64(1): 127-133, 2022 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-35851890

RESUMO

INTRODUCTION: Understanding children's behaviour and development is crucial in managing and treating paediatric dental patients. Dental practitioners are expected to be aware of the behaviour management techniques which will facilitate routine dental treatment of the child dental patient.


Assuntos
Odontólogos , Odontopediatria , Atitude do Pessoal de Saúde , Criança , Comportamento Infantil , Humanos , Odontopediatria/métodos , Papel Profissional
9.
Br Dent J ; 233(2): 129-133, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35869214

RESUMO

Introduction The quality of endodontic treatment worldwide is variable despite clear clinical guidelines being available.Aims Identify the factors that affect the quality of endodontic treatment in general dental practice in Scotland and how to overcome the barriers identified.Methods Four online focus group interview sessions were conducted in which a total of 16 participants were recruited, including general dental practitioners, endodontic specialists and educationalists. Topics for facilitated discussion were based on healthcare system theory and included education/training, patient factors, resources and equipment factors; themes were identified via template analysis.Results A number of themes and subthemes affecting the quality of care are reported, including aspects to do with remuneration, time, education, training, support from secondary care and the impact of COVID-19.Conclusion Findings support: increase practical experience for undergraduates; access to postgraduate mentoring and training; development of a managed clinical network to facilitate access to appropriately trained specialists; and increased remuneration to allow sufficient time and adequate equipment to achieve clinical standards.


Assuntos
COVID-19 , Odontólogos , Grupos Focais , Odontologia Geral , Humanos , Papel Profissional
10.
Br Dent J ; 233(2): 149-153, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35869217

RESUMO

The British Dental Journal has been the go-to place for jobseekers in general dental practice for many years. Using a selected sample of these advertisements from each decade from 1950 to the present, a brief history of general dental practice is described, from the post-war development of the NHS to the dental performer status 70 years later. The paper highlights some of the changes in practice over time and shows the continuing commitment of dental practitioners to the business of dentistry.


Assuntos
Odontólogos , Veteranos , Publicidade , Odontologia Geral , Humanos , Papel Profissional
11.
BMJ Open ; 12(7): e061352, 2022 07 28.
Artigo em Inglês | MEDLINE | ID: mdl-35902196

RESUMO

INTRODUCTION: Traditional and complementary medicines (T&CM) are predominantly self-selected from retail outlets including pharmacies as part of self-care practices. Concerns about the appropriate and safe use of T&CM products raises questions about 'should' and 'how' pharmacists could adopt professional responsibilities. There lacks a consensus about the scope of these responsibilities, or the initiatives required to execute them. The aim of this study is to identify an international set of core responsibilities that support pharmacists' contribution to ensuring the quality and safe use of T&CMs to promote public health. METHODS AND ANALYSIS: An international cross-sectional e-survey of pharmacists representing the six WHO regions will be conducted over a 12-month period. Pharmacists will be invited via representative organisations and professional networks within their respective country. Survey responses to statements about the relevance of T&CM to day-to-day practice; opinions about the bioethical and practice responsibilities; and support required to build their scope of practice associated with T&CM will be collected centrally via the online survey platform Survey Monkey and analysed using the Statistical Package for Social Sciences V.27 software for Windows. Bivariate statistical analysis will be conducted to examine the associations between agreement to statements within each section with key demographic variables, country of practice, pharmacy type, age, gender, qualification and years in practice. Cronbach's alpha will be used to test the internal consistency of items from certain sections of the survey and evince their clarity to respondents of the questionnaire. ETHICS AND DISSEMINATION: Ethics approval has been obtained from the University of Macau (approval number SSHRE21-APP068-ICMS-01). The results of this survey will be used to inform key discussion points in a consensus process and a step towards developing an agreed and defined professional role for pharmacists in T&CMs.


Assuntos
Serviços Comunitários de Farmácia , Farmacêuticos , Atitude do Pessoal de Saúde , Estudos Transversais , Humanos , Papel Profissional , Inquéritos e Questionários
12.
Swiss Med Wkly ; 152: w30199, 2022 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-35816630

RESUMO

BACKGROUND: The complex care needs of people with chronic illnesses and multimorbidity pose a significant challenge to the Swiss primary care system. Ensuring efficient, high-quality care will require new care models. Internationally, the integration of advanced practice nurses (APNs) into primary care models has shown promising results. The current study investigates how general practitioners (GPs) in Switzerland experience the integration of APNs into their primary care teams with respect to their own professional roles. METHODS: We used a qualitative, social-constructivist approach, focusing on six individual interviews with general practitioners within the frame of a larger study including GPs and APNs in a Swiss multiprofessional primary care practice. Data were analysed following Braun and Clarke's approach for reflexive thematic analysis. SETTING AND PARTICIPANTS: The study took place between August 2019 and February 2020 in a Swiss multiprofessional primary care practice that had been working with APNs for nine years. Participants included six general practitioners. RESULTS: We identified three main themes characterising Swiss GPs' experiences with the integration of APNs into their primary care team: (1) trust as foundation for collaboration with APNs; (2) build-up of the APN role by delegation, teaching, and supervision, investing time particularly at the beginning of their collaboration with the APN - a time investment that declined significantly as the APNs' competencies grew - and (3) synergies of partnership-based collaboration with APNs. Physicians who were experienced teachers and supervisors, and who delegated tasks based on who would be able to fulfil them most efficiently and effectively, experienced not only a broad range of synergies, but also possibilities to further develop the range of their own activities. Comprehensive, high-quality patient care was perceived as a particular added value. CONCLUSION: Our analysis revealed that GPs experienced interprofessional synergies when working collaboratively with APNs. These were rooted in trust and relied on abilities in teaching, supervision and delegation to achieve maximum impact. Capitalising on the integration of APNs into primary care, this new care model can be adapted to diverse individual settings. We conclude this article by highlighting the potential of working collaboratively with APNs, who play increasingly important roles in the primary care of polymorbid patients with complex needs.


Assuntos
Prática Avançada de Enfermagem , Atenção Primária à Saúde , Prática Avançada de Enfermagem/organização & administração , Clínicos Gerais , Humanos , Atenção Primária à Saúde/organização & administração , Papel Profissional , Pesquisa Qualitativa , Suíça
13.
BMC Health Serv Res ; 22(1): 903, 2022 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-35820839

RESUMO

BACKGROUND: Most patients are insufficiently physically active during their hospital stay, and this is associated with poor health and delayed recovery. Hospital-based multifaceted interventions aim to encourage patients to engage in physical activity. Ban Bedcentricity is one such intervention. Its value - and that of others similar to it - for healthcare professionals has not been studied yet. Whether an intervention looks and feels right, and whether it does the job well, is important for healthcare professionals and thus its use. Understanding value for healthcare professionals seems crucial for the long-term adoption and implementation of interventions. Therefore, we studied healthcare professionals' perceptions of value in terms of the implementation of a multifaceted intervention that aimed at improving physically active behaviour in patients during their hospital stay. METHODS: Using Ban Bedcentricity as a case study to focus on healthcare professionals' perceptions about multifaceted interventions, we conducted a qualitative study between November 2019 and September 2020. Semi-structured interviews were conducted with purposefully selected physicians, physiotherapists, and nurses (assistants) until theoretical data saturation was reached. Inductive thematic analysis was used to identify key themes and develop a conceptual model. RESULTS: We interviewed 15 healthcare professionals and formulated six key themes from these interviews. The participants said that Ban Bedcentricity empowered them in their beliefs about the importance of physical activity for hospitalized patients (theme 1). They also indicated that it made them more aware of the value of physical activity (theme 2) and skilled to promote physical activity as part of their professional role (theme 3). Similarly, they noted that it enabled them to shift from providing hands-on support to verbal coaching (theme 4). Other aspects that the participants valued were the increased possibilities for teamwork (theme 5) and the routinized physical activity promotion in usual care (theme 6). The challenges discussed by the participants were prioritizing activities that promoted physical activity, especially because of a high workload, and avoiding relapses of new routinized work practices related to physical activity promotion if insufficient long-term support and training were provided. CONCLUSIONS: Our conceptual model shows that the implementation of a hospital-based multifaceted intervention by healthcare professionals empowers their beliefs, and improves their awareness, skills, professional roles, teamwork, and work routinization. These values are typically overlooked, despite potentially being important facilitators for long-term implementation.


Assuntos
Atitude do Pessoal de Saúde , Fisioterapeutas , Hospitais , Humanos , Papel Profissional , Pesquisa Qualitativa
14.
BMC Oral Health ; 22(1): 308, 2022 07 26.
Artigo em Inglês | MEDLINE | ID: mdl-35883074

RESUMO

BACKGROUND: Satisfaction with dental services can provide valuable insights into aspects of quality including access as well as changes in this over time. In the UK publicly funded dental services are ostensibly delivered by private sector general dental practitioners for whom private patients represent an opportunity cost to the provision of care to public patients. This study examined changes in satisfaction as economic circumstances and policy changed in Britain between 1998 and 2019. METHODS: Data were taken from successive waves of the British Social Attitudes Survey a representative cross-sectional survey of the population between 1998 and 2019. Descriptive statistics and a series of logistic regression analyses were used to examine the relationships between satisfaction and a range of socio-demographic characteristics over time. RESULTS: 37,328 usable responses were extracted from the survey spanning 21 years of data. Over the course of the survey approximately 71% of the sample was very satisfied, satisfied or neither satisfied nor dissatisfied with publicly funded dental services. Satisfaction fell at the outset of the study period but rose following the economic downturn from 2008 which coincided with increased use of publicly funded services. Differences were evident in satisfaction between older versus younger respondents, more affluent versus less affluent respondents and better educated versus less well-educated respondents. Satisfaction did not appear to change in response to policy changes. CONCLUSION: Satisfaction is an important outcome of service provision. Policies aiming to improve satisfaction with publicly funded dental care in the UK must take account of the competing demands on dentists' time from private patients. At times of economic expansion or when supply has been disrupted, these may be particularly acute and require specific interventions to improve access for those who depend on public services.


Assuntos
Odontólogos , Satisfação Pessoal , Estudos Transversais , Assistência Odontológica , Humanos , Papel Profissional , Reino Unido
15.
PLoS One ; 17(6): e0270051, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35727762

RESUMO

BACKGROUND: Practice-integrated education and professional development programs (also known as residencies), have been available to pharmacists in America and the United Kingdom for many years. In 2016, the Society of Hospital Pharmacists of Australia launched Australia's novel Foundation Residency Program to support the development of early-career pharmacists, and has been implemented across many hospitals nationally. This model was adopted by the South Australian (SA) public hospital pharmacy statewide service and was granted full accreditation. The study aimed to explore key stakeholders' expectations and early perceptions of the structure, role and impact of the SA program and in that process, to identify key influencing factors and strategies informing future program planning and design. METHODS: Purposeful sampling was adopted to recruit participants who oversee preceptors and residents, across all employment levels and pharmacy service sites. Stakeholders participated in individual semi-structured interviews. Each interview was audio-recorded and transcribed verbatim. The transcribed dataset was managed using NVivo softwareTM (version 10) and analysed using reflexive thematic analysis through the lens of the PRECEDE-PROCEED logic model framework. RESULTS: Thirty-three staff consented to participate. Participants were de-identified with a randomly assigned code number. Three key themes were identified using reflexive thematic analysis; alignment of program goals and visions, culture shift to prioritising workforce development as core business, program structure supports focused workforce development. CONCLUSIONS: Participants view the residency as beneficial for development of the residents, preceptors, and the hospital pharmacy workforce. The multisite structure was a strength of the program. Whilst it was acknowledged that the rotations, cross-site rotations, and research project presented challenges, they were deemed worth the investment. Overall, it was felt that incremental increases in program capacity will occur over time, as culture changes, and as investing in workforce development becomes core business. The findings have led to several key recommendations to guide program expansion.


Assuntos
Internato e Residência , Farmacêuticos , Austrália , Hospitais , Humanos , Papel Profissional , Recursos Humanos
16.
PLoS One ; 17(6): e0269038, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35671262

RESUMO

BACKGROUND: Whilst multidimensional assessment enables the detection of treatable traits in severe asthma and has the potential to improve patient outcomes, healthcare disparities exist, and little is known about the factors influencing optimal management in severe asthma. This study aimed to explore perceived barriers, and enablers to implementing personalised care in severe asthma, from the healthcare professionals' perspective. METHODS: A descriptive, qualitative study involving a single focus group (n = 7) and semi-structured interviews (n = 33) with multidisciplinary healthcare professionals involved in severe asthma care was conducted. A hybrid thematic and content analysis was undertaken to identify themes, which were then deductively mapped to the Theoretical Domains Framework (TDF). RESULTS: Overall, three emergent themes were identified: (1) Barriers- (2) Enablers- to optimal management; (3) Desired model of care. Across all TDF domains, 6 constructs influenced development and implementation of optimal care: (1) belief about consequences, (2) environmental context and resources, (3) belief about capabilities, (4) social/professional role and identity, (5) goals and (6) knowledge. CONCLUSION: Implementation of personalised care in severe asthma is complex and non-linear. The use of a theory-based approach effectively demonstrated how a variety of behaviours could be targeted to optimise and promote personalised care in different clinical setting.


Assuntos
Asma , Ciência Translacional Biomédica , Asma/terapia , Pessoal de Saúde , Humanos , Papel Profissional , Pesquisa Qualitativa
17.
PLoS One ; 17(6): e0268878, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35687540

RESUMO

This study aimed to evaluate the community pharmacists' knowledge of tackling the issue of inadvertent doping in Malaysia. A cross-sectional survey was conducted among 384 community pharmacists working in Malaysia using a self-administered questionnaire. All the respondents were pharmacists fully registered with the Pharmacy Board of Malaysia and had been working in the community setting for at least one year. Of the 426 community pharmacists approached, 384 community pharmacists participated in this study, giving a response rate of 90.14%. The majority of the respondents were females (63.5%), graduated from local universities (74.9%), with median years of practising as a community pharmacist of six years (interquartile range, IQR = 9 years). The respondents were found to have moderate levels of doping-related knowledge (median score of 52 out of 100). Anabolic steroids (95.8%), stimulants (78.6%) and growth factors (65.6%) were recognised as prohibited substances by most of the respondents. Around 65.9% did not recognise that inadvertent doping is also considered a doping violation. Most of them (90%) also have poor levels of knowledge of doping scenarios in the country. Community pharmacists in Malaysia have limited knowledge in the field of doping. More programmes and activities related to doping and drugs in sports should be held to enhance the community pharmacists' knowledge on the issue of inadvertent doping.


Assuntos
Serviços Comunitários de Farmácia , Doping nos Esportes , Assistência Farmacêutica , Atitude do Pessoal de Saúde , Estudos Transversais , Doping nos Esportes/prevenção & controle , Feminino , Humanos , Masculino , Farmacêuticos , Papel Profissional , Inquéritos e Questionários
18.
BMC Oral Health ; 22(1): 250, 2022 06 22.
Artigo em Inglês | MEDLINE | ID: mdl-35733162

RESUMO

AIM: Molar incisor hypomineralization (MIH) is a prevalent oral health condition whose knowledge by dentists is key to the best clinical outcome. This study aimed to evaluate the knowledge, perceptions and clinical experiences of MIH among Portuguese dentists. METHODS: A cross-sectional structured questionnaire was distributed nationally through a web-based survey platform. Data concerning demographic variables, years of experience, dental specialty, MIH prevalence, diagnosis, severity, training demands and clinical management of MIH were collected. We calculated a knowledge score (KS), and compared data between Pediatric Dentists (PDs), General Dental Practitioners (GDPs) and other dental specialties (ODS). RESULTS: Overall, 2.2% of Portuguese dentists (n = 257) answered the questionnaire. Most participants reported having identified MIH in their practice (82.5%), with PD reporting the prevalence appeared to have increased, and practically all (91.7%) considered it a public health problem. Resin composite was often the used material to restore MIH teeth (56.0%), however PDs indicated glass ionomer cements as the preferred and preformed crowns a better option. The average KS on MIH was 41.3 (± 5.7), with GDPs having a similar score than PDs. Most respondents (94.9%) reported a lack of information about MIH and were willing to receive appropriate clinical training. CONCLUSIONS: The average knowledge on MIH was considered low among Portuguese dentists. Respondents perceived an increased incidence of MIH, despite the lack of prevalence data in Portugal. The material of choice was Glass Ionomer and performed crowns, by PDs, while GDPs and ODS reported poor confidence to manage MIH. These results may serve future programs to increase knowledge, perceptions and clinical experiences towards MIH.


Assuntos
Hipoplasia do Esmalte Dentário , Odontólogos , Criança , Estudos Transversais , Hipoplasia do Esmalte Dentário/diagnóstico , Hipoplasia do Esmalte Dentário/epidemiologia , Hipoplasia do Esmalte Dentário/terapia , Humanos , Dente Molar , Percepção , Portugal/epidemiologia , Prevalência , Papel Profissional
19.
Rev. urug. enferm ; 17(1): 1-13, jun. 2022.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1361874

RESUMO

O estudo objetiva identificar a percepção do significado do papel do agente comunitário de saúde na visão dos próprios agentes e dos profissionais da Estratégia Saúde da Família. Realizou-se pesquisa descritiva qualitativa, no município de Quixeré, Ceará - Brasil. Participaram desse estudo nove agentes de saúde e nove profissionais das equipes (três médicos, três enfermeiros e três odontólogos). Para a coleta de dados foi utilizada a técnica grupo focal e teve como método de análise o discurso o sujeito coletivo. Os resultados demostraram discursos baseados no papel do agente comunitário com o significado de doação, abnegação e vínculo. A construção de vínculos aparece nas dimensões da comunidade e da equipe de saúde, com satisfação e também com sofrimento, uma vez que o agente não se considera preparado para a escuta qualificada das demandas, demonstrando lacunas existentes em sua formação e a necessidade de interprofissionalidade. O vínculo foi fortemente enaltecido, sendo esse um princípio inerente ao trabalho do agente, que, para além da empatia com os usuários, necessitam de uma formação que balize o seu processo de trabalho, trazendo respostas concretas que os subsidiem em suas condutas junto à comunidade, ressignificando o papel da categoria e valorizando suas práticas. Apesar da produção científica relevante no país em relação a essa temática, esses sentidos merecem uma investigação mais aprofundada, como forma de legitimar práticas e reconhecer seu papel na comunidade e nos serviços de saúde.


El estudio tiene como objetivo identificar la percepción del significado del rol del agente comunitario de salud en la mirada de los agentes y profesionales de la Estrategia Salud de la Familia. Se realizó una investigación descriptiva cualitativa en el municipio de Quixeré, Ceará - Brasil. En este estudio participaron nueve agentes de salud y nueve profesionales del equipo (tres médicos, tres enfermeras y tres dentistas). Para la recolección de datos se utilizó la técnica de grupos focales y el sujeto colectivo como método de análisis. Los resultados mostraron discursos basados en el rol del agente comunitario con el significado de donación, abnegación y vinculación. La construcción de vínculos aparece en las dimensiones de la comunidad y del equipo de salud, con satisfacción y también con sufrimiento, ya que el agente no se considera preparado para la escucha calificada de las demandas, demostrando vacíos en su formación y la necesidad de interprofesionalidad. El vínculo fue muy elogiado, siendo este un principio inherente al trabajo del agente, quien además de la empatía con los usuarios, necesita una formación que oriente su proceso de trabajo, aportando respuestas concretas que los apoyen en su conducta con la comunidad. un nuevo significado al papel de la categoría y la valoración de sus prácticas. A pesar de la relevante producción científica en el país en relación a este tema, estos significados merecen una mayor investigación, como una forma de legitimar las prácticas y reconocer su rol en la comunidad y en los servicios de salud.


The study aims to identify the perception of the meaning of the role of the community health agent in the view of the agents and professionals of the Family Health Strategy. Qualitative descriptive research was carried out in the municipality of Quixeré, Ceará - Brazil. Nine health agents and nine team professionals participated in this study (three doctors, three nurses and three dentists). For data collection, the focus group technique was used and the collective subject was used as the method of analysis. The results showed speeches based on the role of the community agent with the meaning of donation, abnegation and bonding. The construction of bonds appears in the dimensions of the community and the health team, with satisfaction and also with suffering, since the agent does not consider himself prepared for the qualified listening of the demands, demonstrating gaps in his training and the need for interprofessionality. The bond was highly praised, this being a principle inherent in the work of the agent, who, in addition to empathy with users, need training that guides their work process, bringing concrete answers that support them in their conduct with the community. , giving a new meaning to the role of the category and valuing its practices. Despite the relevant scientific production in the country in relation to this theme, these meanings deserve further investigation, as a way of legitimizing practices and recognizing their role in the community and in health services.


Assuntos
Humanos , Brasil , Agentes Comunitários de Saúde , Relações Comunidade-Instituição , Papel Profissional , Estratégias de Saúde Nacionais
20.
Gen Dent ; 70(4): 44-47, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35749246

RESUMO

A solitary fibrous tumor (SFT) is an uncommon mesenchymal tumor characterized by spindle cell proliferation that rarely affects the oral cavity. The clinical and histopathologic features of an oral SFT are described for the benefit of dental practitioners who may encounter one of these rare cases. A 25-year-old man presented with a slow-growing swelling in the left buccal mucosa. A painless, exophytic, and well-circumscribed submucosal lesion was detected, and an excisional biopsy was performed. The biopsy specimen was submitted for histologic and immunohistochemical staining and subsequent microscopic analysis. The histopathologic examination revealed variable cellularity areas that included spindle- and star-shaped cell proliferation. These cells were immersed in a collagenized stroma containing branching vessels with a staghorn arrangement. According to immunohistochemical analysis, the tumor was characterized by STAT6, CD34, ß-catenin, and Bcl-2 expression. Diagnosis of oral SFTs is challenging given that their microscopic characteristics can mimic those of malignant mesenchymal neoplasms.


Assuntos
Mucosa Bucal , Tumores Fibrosos Solitários , Adulto , Biomarcadores Tumorais/análise , Odontólogos , Humanos , Imuno-Histoquímica , Masculino , Mucosa Bucal/patologia , Papel Profissional , Tumores Fibrosos Solitários/diagnóstico , Tumores Fibrosos Solitários/metabolismo , Tumores Fibrosos Solitários/cirurgia
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