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Socio-demographic, economic and behavioral determinants of loss to follow-up status among human immunodeficiency virus-infected patients in southern Benin in 2020 2020 年贝宁南部人体免疫缺陷病毒感染者失去随访状态的社会人口、经济和行为决定因素
Pub Date : 2023-12-08 DOI: 10.18203/2394-6040.ijcmph20233828
Charles Sossa-Jerome, Lamidhi Salami, Rebecca Adjaffon, Moussiliou N. Paraiso
Background: The recurrence of cases lost to follow-up constitutes a major concern for human immunodeficiency virus (HIV) care programs, particularly in Africa. The present study was carried out to determine the economic and socio-behavioral factors associated with the status of loss to follow-up among HIV-infected patients followed at the Suru Lere Zonal Teaching Hospital Center in Benin.Methods: This was a case-control study carried out with 41 cases selected for convenience and 82 controls retained according to a reasoned choice. Matching was done on the variables age (±5 years), sex and year of initiation of treatment. The data collected using questionnaires and counting sheets then entered using the Epi data 3.1 software were analyzed using the STATA 11 software. A multiple conditional logistic regression model at the 5% threshold was used to determine factors associated with “lost to follow-up” status.Results: In the sample, the average age of the people surveyed was 41±9 years for both cases and controls and women were predominantly represented (63.41%). The factors associated with the status of loss to follow-up were the non-existence of a means of transport (p=0.008), the lack of nutritional support (p=0.01), incorrect knowledge about antiretroviral treatment such as “ARVs cure HIV/AIDS” (p=0.002) or “treatment can be stopped when you feel better” (p=0.014).Conclusions: This study revealed the significant association of “lost to follow-up” status with socio-demographic, economic and behavioral factors among people on ARV treatment. These results will lead to better guide the care of these patients and improve the performance of the AIDS control program.
背景:失访病例的复发是人类免疫缺陷病毒(HIV)治疗方案的主要关注点,特别是在非洲。本研究旨在确定在贝宁Suru Lere地区教学医院中心随访的艾滋病毒感染患者中丧失随访状况的相关经济和社会行为因素。方法:采用病例-对照研究,为方便选择41例,经合理选择保留82例对照。对年龄(±5岁)、性别和开始治疗的年份进行匹配。采用问卷和计数表收集数据,然后使用Epi数据3.1软件录入,使用STATA 11软件进行分析。采用5%阈值下的多条件逻辑回归模型来确定与“失访”状态相关的因素。结果:样本中,病例和对照组的平均年龄均为41±9岁,女性占63.41%。与失去随访状态相关的因素是没有交通工具(p=0.008),缺乏营养支持(p=0.01),对抗逆转录病毒治疗的错误认识,如“抗逆转录病毒治疗可以治愈艾滋病毒/艾滋病”(p=0.002)或“当你感觉好些时可以停止治疗”(p=0.014)。结论:本研究揭示了抗逆转录病毒治疗人群中“失访”状况与社会人口、经济和行为因素的显著相关性。这些结果将有助于更好地指导这些患者的护理,提高艾滋病控制项目的绩效。
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引用次数: 0
Emerging bacterial and fungal pathogens in healthcare and the threat of drug resistance 医疗保健领域新出现的细菌和真菌病原体以及耐药性的威胁
Pub Date : 2023-12-08 DOI: 10.18203/2394-6040.ijcmph20233831
Khaled Swailem Alzahrani, Khulood Majed Almutairi, A. Alsulami, Abdulrhman Mohmmed Aseeri, Mohammed Ahmed Alqarni, Arwa Ahmad Haffah, Muhannad Fahad Alqahtani, Mohammed Fahad Almistadi, Saad Ali Bin Muaddi, H. A. Ayoub
Managing the treatment of fungal infections, in healthcare facilities is extremely important as drug resistance continues to rise. It's crucial to have programs that oversee the use of antibiotics which can help reduce the emergence of resistance. Rapid diagnostic tools like polymerase chain reaction and next generation sequencing (PCR and NGS) are helpful in targeting treatment plans. Implementing rigorous infection control protocols can effectively reduce the transmission of infections, within healthcare facilities. Collaborative efforts between specialists ensure customized treatment plans that address resistance profiles. Combating evolving drug resistance involves approaches such as combination therapy and immunotherapies. Educating healthcare workers and patients about infection prevention and control is essential. Surveillance and epidemiology play a role in tracking resistance patterns, which in turn guide interventions. International cooperation is crucial due to travel patterns. Continuous research and innovation are essential for management providing insights into treatment effectiveness and mechanisms of resistance. The clinical implications of drug resistance such as increased severity, treatment failures and limited options underscore the need, for an approach. In conclusion, it is imperative to have clinical management strategies to tackle the challenges posed by emerging drug pathogens while safeguarding patient outcomes and public health.
由于耐药性持续上升,在卫生保健设施中管理真菌感染的治疗极为重要。制定监督抗生素使用的计划至关重要,这有助于减少耐药性的出现。快速诊断工具,如聚合酶链反应和下一代测序(PCR和NGS)有助于制定靶向治疗计划。实施严格的感染控制协议可以有效地减少卫生保健设施内的感染传播。专家之间的合作努力确保针对耐药性概况的定制治疗计划。对抗不断演变的耐药性涉及联合治疗和免疫治疗等方法。对卫生保健工作者和患者进行感染预防和控制教育至关重要。监测和流行病学在追踪耐药性模式方面发挥作用,从而指导干预措施。由于旅行模式,国际合作至关重要。持续的研究和创新对于提供治疗有效性和耐药性机制的管理至关重要。耐药性的临床意义,如严重程度增加、治疗失败和选择有限,强调了采取一种方法的必要性。总之,必须制定临床管理策略,以应对新出现的药物病原体带来的挑战,同时保障患者的预后和公共卫生。
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引用次数: 0
Orthopedic sports injuries: advanced imaging modalities, return-to-play criteria, and injury prevention 骨科运动损伤:先进的成像模式、重返赛场标准和损伤预防
Pub Date : 2023-12-08 DOI: 10.18203/2394-6040.ijcmph20233829
A. F. Aborukbah, Hisham A. Elbashir, Mohammad R. Alajmi, Faten S. B. Milhah, Y. K. Shagdar, N. A. Albadrani, Mohammed M. Ashoor, Aminah H AlAli, Shahad A. Aldohayan, Abdulaziz M. Alqahtani, Abdulaziz M. Asiri
Orthopaedic sports injuries encompass a wide range of musculoskeletal conditions resulting from the physical demands of athletic activities. These injuries can vary from acute, such as sprains and fractures, to chronic overuse syndromes like tendinopathies. Prevalent due to the global enthusiasm for sports, they affect bones, muscles, tendons, ligaments, and joints. The etiology of these injuries is multifactorial, stemming from biomechanical stressors, training methods, genetics, and environmental conditions. Advanced imaging modalities like magnetic resonance imaging and Computed tomography have revolutionized the assessment and diagnosis of these injuries, aiding in treatment decisions and return-to-play criteria. Injury prevention is paramount and involves understanding intrinsic (athlete-related) and extrinsic (environmental) risk factors. Strategies include pre-participation screening, strength and conditioning programs, biomechanical analysis, neuromuscular training, proper equipment use, rule changes, education, and creating a safety-conscious culture. Effective prevention reduces the burden of these injuries. Treatment strategies range from conservative approaches to surgery, depending on the type and severity of the injury. Emerging trends in sports medicine, including biologic therapies and telemedicine, offer promising avenues for improved diagnosis and recovery. The holistic approach to orthopaedic sports injuries encompasses prevention, diagnosis, and treatment, ensuring athletes' well-being and longevity in their chosen sports.
骨科运动损伤包括由体育活动的身体需求引起的广泛的肌肉骨骼状况。这些损伤可以是急性的,如扭伤和骨折,也可以是慢性的过度使用综合症,如肌腱病。由于全球对运动的热情而流行,它们会影响骨骼、肌肉、肌腱、韧带和关节。这些损伤的病因是多因素的,源于生物力学压力源、训练方法、遗传和环境条件。磁共振成像和计算机断层扫描等先进的成像技术已经彻底改变了这些损伤的评估和诊断,有助于制定治疗决策和恢复标准。伤害预防是至关重要的,包括了解内在(运动员相关)和外在(环境)的风险因素。策略包括参与前筛选、力量和调节计划、生物力学分析、神经肌肉训练、适当的设备使用、规则改变、教育和创造安全意识文化。有效的预防可以减轻这些伤害的负担。根据损伤的类型和严重程度,治疗策略从保守方法到手术。运动医学的新兴趋势,包括生物疗法和远程医疗,为改善诊断和康复提供了有希望的途径。骨科运动损伤的整体方法包括预防,诊断和治疗,确保运动员在他们选择的运动中健康和长寿。
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引用次数: 0
Nursing role and strategy in pain management in palliative care 姑息治疗中疼痛管理的护理角色和策略
Pub Date : 2023-12-08 DOI: 10.18203/2394-6040.ijcmph20233830
Fatimah A. Alghamdi, Zahrah A. Alahmed, Safa Y. Sowadi, Zahraa A. Alkhulaif, Sakinah W. Bubshait, Laila M. Alsiyahi, Abdulrahman H. Alqarni, Fatimah H. Alhajji, Hamed B. Aljameeli, Abdullah S. Alharbi
Palliative care plays a role in meeting the needs of individuals facing life limiting illnesses. One of the aspects of this specialized healthcare approach is effectively managing pain. Understanding types of pain from nociceptive to neuropathic is essential in navigating the nature of pain within a palliative care setting. Nursing strategies for pain management adopt an approach that addresses sources and aspects of pain. Alongside medication management, including opioids and complementary medications, non-pharmacological interventions such as therapy, massage and music therapy are utilized. Continuous monitoring, collaboration, patient education and addressing dimensions are crucial elements in nursing strategies. Nurses also serve as advocates, in navigating considerations related to pain management while ensuring autonomy and shared decision making. This exploration highlights the multifaceted contributions that nurses make in managing pain. It underscores the importance of research, education and fostering an organizational culture. Efforts, like these play a role in improving the efficiency of nursing practices in the changing field of palliative care. To sum up nursing shines as a guiding light, in providing evidence-based care greatly enhancing the quality of life for individuals confronting illnesses with limited time.
姑息治疗在满足面临生命限制疾病的个人的需求方面发挥着作用。这种专业医疗方法的一个方面是有效地管理疼痛。理解从伤害性疼痛到神经性疼痛的类型对于在姑息治疗环境中导航疼痛的本质是必不可少的。疼痛管理的护理策略采用一种解决疼痛来源和方面的方法。除了药物管理,包括阿片类药物和补充药物外,还利用非药物干预措施,如治疗、按摩和音乐疗法。持续监测、合作、患者教育和解决维度是护理战略的关键要素。护士也可以作为倡导者,在确保自主权和共同决策的同时,引导与疼痛管理相关的考虑因素。这一探索突出了护士在管理疼痛方面的多方面贡献。它强调了研究、教育和培养组织文化的重要性。在不断变化的姑息治疗领域,这些努力在提高护理实践的效率方面发挥了作用。总之,护理作为一盏指路明灯,在提供循证护理方面,极大地提高了在有限时间内面对疾病的个体的生活质量。
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引用次数: 0
Investigating the link between vitamin d deficiency and depression and anxiety in medical students at Jazan university: a cross-sectional study 调查贾赞大学医学生维生素 d 缺乏症与抑郁和焦虑之间的联系:一项横断面研究
Pub Date : 2023-12-06 DOI: 10.18203/2394-6040.ijcmph20233825
Omar Oraibi, Mohammed Somaili, Essa Jaawna, Sarah Alfaraj, Jalal Majhali, Alhanouf H Zuqayl, Abdulrahman Hadadi, Ruba Ageeli, Khawla Modawi, Alaa Najmi, Abdullah Majrashi, Luai Alhazmi, Bassem Oraibi, Eman Bahkali
Background: Numerous studies have assessed the prevalence of vitamin D insufficiency among Saudi individuals and correlated depression and anxiety with vitamin D deficiency. However, studies have not looked at these factors in Saudi Arabia's Jazan medical students. The current study aimed to clarify the relationship between low vitamin D levels, depression, anxiety, and academic performance.Methods: A cross-sectional study was conducted among medical students at Jazan university. The dependent variables were depression and anxiety, and their association with covariates, including sex, marital status, GPA, BMI, vitamin D level, and physical exercise, was evaluated. The 21-item depression, anxiety, and stress scale, which has been validated, was utilized.Results: Of 252 students, the prevalence of vitamin D deficiency was 54.4%; anxiety, 62.3%; and depression 68.7%. Comparatively, more female students than male students were vitamin D deficient. Stress was found to be substantially related to vitamin D deficiency (p<0.001). Anxiety was also significantly related to vitamin D deficiency (p<0.001), wherein the students with anxiety had a considerably higher prevalence of vitamin D deficiency than those without anxiety (84% vs. 32.5%). Similarly, depression was significantly associated with vitamin D deficiency (p<0.001), wherein students with depression were much more likely to get vitamin D deficiency than students without depression (86.7% vs. 27.5%)-no significant association otherwise with other variables.Conclusions: Stress, depression, and anxiety are associated with vitamin D deficiency. This finding highlights the importance of mental health promotion among medical students owing to its link to quality of life and academic performance.
背景:许多研究已经评估了沙特人维生素D缺乏的患病率,以及抑郁和焦虑与维生素D缺乏的相关性。然而,研究并没有在沙特阿拉伯的吉赞医学院学生中观察这些因素。目前的研究旨在澄清低维生素D水平、抑郁、焦虑和学习成绩之间的关系。方法:对吉赞大学医学生进行横断面调查。因变量为抑郁和焦虑,并评估其与协变量(包括性别、婚姻状况、GPA、BMI、维生素D水平和体育锻炼)的相关性。采用经验证的21项抑郁、焦虑、压力量表。结果:252名学生中,维生素D缺乏症患病率为54.4%;焦虑,62.3%;抑郁症占68.7%。相比之下,女生的维生素D缺乏症多于男生。研究发现压力与维生素D缺乏密切相关(p<0.001)。焦虑与维生素D缺乏也显著相关(p<0.001),其中焦虑的学生维生素D缺乏的患病率明显高于无焦虑的学生(84%对32.5%)。同样,抑郁症与维生素D缺乏显著相关(p<0.001),其中抑郁症学生比没有抑郁症的学生更容易患维生素D缺乏症(86.7%比27.5%),与其他变量无显著关联。结论:压力、抑郁和焦虑与维生素D缺乏有关。这一发现强调了促进医学生心理健康的重要性,因为它与生活质量和学习成绩有关。
{"title":"Investigating the link between vitamin d deficiency and depression and anxiety in medical students at Jazan university: a cross-sectional study","authors":"Omar Oraibi, Mohammed Somaili, Essa Jaawna, Sarah Alfaraj, Jalal Majhali, Alhanouf H Zuqayl, Abdulrahman Hadadi, Ruba Ageeli, Khawla Modawi, Alaa Najmi, Abdullah Majrashi, Luai Alhazmi, Bassem Oraibi, Eman Bahkali","doi":"10.18203/2394-6040.ijcmph20233825","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233825","url":null,"abstract":"Background: Numerous studies have assessed the prevalence of vitamin D insufficiency among Saudi individuals and correlated depression and anxiety with vitamin D deficiency. However, studies have not looked at these factors in Saudi Arabia's Jazan medical students. The current study aimed to clarify the relationship between low vitamin D levels, depression, anxiety, and academic performance.\u0000Methods: A cross-sectional study was conducted among medical students at Jazan university. The dependent variables were depression and anxiety, and their association with covariates, including sex, marital status, GPA, BMI, vitamin D level, and physical exercise, was evaluated. The 21-item depression, anxiety, and stress scale, which has been validated, was utilized.\u0000Results: Of 252 students, the prevalence of vitamin D deficiency was 54.4%; anxiety, 62.3%; and depression 68.7%. Comparatively, more female students than male students were vitamin D deficient. Stress was found to be substantially related to vitamin D deficiency (p<0.001). Anxiety was also significantly related to vitamin D deficiency (p<0.001), wherein the students with anxiety had a considerably higher prevalence of vitamin D deficiency than those without anxiety (84% vs. 32.5%). Similarly, depression was significantly associated with vitamin D deficiency (p<0.001), wherein students with depression were much more likely to get vitamin D deficiency than students without depression (86.7% vs. 27.5%)-no significant association otherwise with other variables.\u0000Conclusions: Stress, depression, and anxiety are associated with vitamin D deficiency. This finding highlights the importance of mental health promotion among medical students owing to its link to quality of life and academic performance.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An overview of implant overdenture attachment systems 种植覆盖义齿附着体系统综述
Pub Date : 2023-11-10 DOI: 10.18203/2394-6040.ijcmph20233538
Razin Hassan Subahi, Nouf Abduallah Al Sultan, Raghdan Adel Hafiz, Abdullah Hussain Alasmari, Sabirin Habeeb Almahdi, Ali Obaid Al Harbi, Talal Suliman Alsobhi, Mohammad Abdulrahman Algamdi, Naif Fahhad Alshammari, Nora Mohammed Khashab, Haneen Ali Al-Qahtani
Implant-retained overdentures have revolutionized dental prosthetics, addressing the limitations of traditional removable dentures. These overdentures rely on attachment systems to anchor them to dental implants or abutments, improving stability, retention, and functionality. Common attachment systems include locator attachments, bar attachments, magnets, Hader clips, ERA attachments, telescopic crowns, and OT equator attachments. Each offers unique benefits and retention levels. Implant survival rates are influenced by various factors, including attachment type, but overall, attachment choice may not be the primary determinant of implant success. Attachment systems that evenly distribute forces, like bar attachments, contribute to implant stability. Marginal bone loss can affect implant stability and is influenced by attachment systems. Precision attachments, such as telescopic crowns, have shown reduced marginal bone loss in practice. Soft tissue complications, including inflammation and mucositis, vary by attachment but can be managed with proper oral hygiene. Retention, crucial for function, varies with attachment type and implant number. More implants generally improve retention, although it may decrease over time. Bar attachments typically provide superior retention. Maintenance is essential, with some debate over whether bar or stud designs entail more upkeep. Patient satisfaction is high with both bar and ball attachments, while magnets may pose retention issues. The choice of attachment depends on patient needs and clinical factors, with regular follow-up and maintenance essential for long-term success.
种植保留覆盖义齿彻底改变了口腔修复术,解决了传统可移动义齿的局限性。这些覆盖假牙依靠附着系统将其固定在牙种植体或基台上,从而提高稳定性、固位和功能。常见的附件系统包括定位附件、杆附件、磁铁、Hader夹、ERA附件、伸缩冠和OT赤道附件。每个都提供独特的好处和留存水平。种植体成活率受多种因素影响,包括附着体类型,但总体而言,附着体选择可能不是种植体成功的主要决定因素。像棒状附着物一样均匀分配力的附着物系统有助于植入物的稳定性。边缘骨丢失会影响种植体的稳定性,并受附着系统的影响。精密附着物,如伸缩冠,在实践中已经显示出减少边缘骨丢失。软组织并发症,包括炎症和粘膜炎,因附着物而异,但可以通过适当的口腔卫生来控制。固位对功能至关重要,因附着体类型和植入物数量而异。更多的种植体通常可以改善固位,尽管随着时间的推移可能会减少。酒吧附件通常提供优越的保留。维护是必不可少的,有一些关于杆或螺柱设计是否需要更多的维护的争论。患者对棒状和球状附着物的满意度都很高,而磁铁可能会造成固位问题。依恋的选择取决于患者的需要和临床因素,定期随访和维护对长期成功至关重要。
{"title":"An overview of implant overdenture attachment systems","authors":"Razin Hassan Subahi, Nouf Abduallah Al Sultan, Raghdan Adel Hafiz, Abdullah Hussain Alasmari, Sabirin Habeeb Almahdi, Ali Obaid Al Harbi, Talal Suliman Alsobhi, Mohammad Abdulrahman Algamdi, Naif Fahhad Alshammari, Nora Mohammed Khashab, Haneen Ali Al-Qahtani","doi":"10.18203/2394-6040.ijcmph20233538","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233538","url":null,"abstract":"Implant-retained overdentures have revolutionized dental prosthetics, addressing the limitations of traditional removable dentures. These overdentures rely on attachment systems to anchor them to dental implants or abutments, improving stability, retention, and functionality. Common attachment systems include locator attachments, bar attachments, magnets, Hader clips, ERA attachments, telescopic crowns, and OT equator attachments. Each offers unique benefits and retention levels. Implant survival rates are influenced by various factors, including attachment type, but overall, attachment choice may not be the primary determinant of implant success. Attachment systems that evenly distribute forces, like bar attachments, contribute to implant stability. Marginal bone loss can affect implant stability and is influenced by attachment systems. Precision attachments, such as telescopic crowns, have shown reduced marginal bone loss in practice. Soft tissue complications, including inflammation and mucositis, vary by attachment but can be managed with proper oral hygiene. Retention, crucial for function, varies with attachment type and implant number. More implants generally improve retention, although it may decrease over time. Bar attachments typically provide superior retention. Maintenance is essential, with some debate over whether bar or stud designs entail more upkeep. Patient satisfaction is high with both bar and ball attachments, while magnets may pose retention issues. The choice of attachment depends on patient needs and clinical factors, with regular follow-up and maintenance essential for long-term success.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135141796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Restorative approaches for managing dental anomalies 处理牙齿畸形的修复方法
Pub Date : 2023-11-09 DOI: 10.18203/2394-6040.ijcmph20233529
Waleed Abdulrahim Aljehani, Nouf Abdullah Alsultan, Abdulaziz Ali Altwirki, Abdulrahman Ibrahim Ibrahim, Mohammed Saud Almutarrid, Lama Abdullah Alshahrani, Mayada Fahad Alolayan, Manar Ali Assiri, Naif Awdhah Alzahrani, Afaf Saleh Bu Essa, Renad Ahmed Faden
Dental anomalies, which stem from a complex interplay of genetic and environmental factors during the phases of tooth development, can have multifaceted effects on the appearance, function, and alignment of teeth within the upper and lower jaw. These anomalies are primarily categorized into four main types based on the variations in the number, size, shape, and eruption timing of teeth. They manifest in diverse forms, such as missing teeth, supernumerary teeth, malformed teeth, and irregular tooth positioning. Restorative dentistry serves as a crucial avenue to rectify these anomalies, aiming to not only enhance the functionality but also the aesthetics of affected teeth, thus bolstering the overall oral health and quality of life of patients. It is of particular significance to consider temporary restorative treatments for children with dento-facial abnormalities, not only to address physical concerns but also to mitigate potential psychological trauma and bullying. Additionally, dental anomalies can heighten the susceptibility to dental caries, periodontal diseases, and occlusal irregularities, potentially necessitating intricate and costly dental interventions over time. The research project, initiated on October 12th, 2023, stems from a comprehensive exploration of existing academic literature, encompassing databases such as PubMed, web of science, and Cochrane. Restorative treatment options in modern dentistry offer a comprehensive approach to addressing structural, functional, and aesthetic irregularities in teeth. Prosthodontic solutions, including crowns, bridges, dental implants, and veneers, restore form and function while enhancing aesthetics. Endodontic and operative procedures, such as root canal therapy and dental fillings, preserve teeth, alleviate discomfort, and prevent complications. Orthodontic treatments like braces and Invisalign correct misalignments, improving both function and aesthetics. Surgical approaches, such as orthognathic surgery and impacted tooth removal, are reserved for severe cases. Treatment choices depend on the specific anomaly, emphasizing early intervention for improved oral health and overall well-being.
牙齿畸形是牙齿发育过程中遗传和环境因素复杂相互作用的结果,对上下颌牙齿的外观、功能和排列有多方面的影响。根据牙齿数量、大小、形状和出牙时间的变化,这些异常主要分为四种类型。其表现形式多种多样,如缺牙、多牙、畸形牙、牙位不规则等。修复牙科是矫正这些异常的重要途径,旨在不仅增强功能,而且改善受影响牙齿的美观,从而增强整体口腔健康和患者的生活质量。特别重要的是考虑对牙齿-面部异常的儿童进行临时修复治疗,不仅可以解决身体问题,还可以减轻潜在的心理创伤和欺凌。此外,牙齿异常会增加龋齿、牙周病和咬合不规则的易感性,随着时间的推移,可能需要复杂而昂贵的牙科干预。该研究项目于2023年10月12日启动,源于对现有学术文献的全面探索,包括PubMed、web of science和Cochrane等数据库。在现代牙科修复治疗方案提供了一个全面的方法来解决结构,功能和美观不规则的牙齿。修复解决方案,包括牙冠、牙桥、种植体和贴面,在增强美观的同时恢复形状和功能。牙髓治疗和手术治疗,如根管治疗和牙齿填充物,可以保护牙齿,减轻不适,防止并发症。正畸治疗,如牙套和Invisalign矫正错位,改善功能和美观。手术方法,如正颌手术和阻生牙的去除,保留给严重的病例。治疗选择取决于具体的异常,强调早期干预,以改善口腔健康和整体福祉。
{"title":"Restorative approaches for managing dental anomalies","authors":"Waleed Abdulrahim Aljehani, Nouf Abdullah Alsultan, Abdulaziz Ali Altwirki, Abdulrahman Ibrahim Ibrahim, Mohammed Saud Almutarrid, Lama Abdullah Alshahrani, Mayada Fahad Alolayan, Manar Ali Assiri, Naif Awdhah Alzahrani, Afaf Saleh Bu Essa, Renad Ahmed Faden","doi":"10.18203/2394-6040.ijcmph20233529","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233529","url":null,"abstract":"Dental anomalies, which stem from a complex interplay of genetic and environmental factors during the phases of tooth development, can have multifaceted effects on the appearance, function, and alignment of teeth within the upper and lower jaw. These anomalies are primarily categorized into four main types based on the variations in the number, size, shape, and eruption timing of teeth. They manifest in diverse forms, such as missing teeth, supernumerary teeth, malformed teeth, and irregular tooth positioning. Restorative dentistry serves as a crucial avenue to rectify these anomalies, aiming to not only enhance the functionality but also the aesthetics of affected teeth, thus bolstering the overall oral health and quality of life of patients. It is of particular significance to consider temporary restorative treatments for children with dento-facial abnormalities, not only to address physical concerns but also to mitigate potential psychological trauma and bullying. Additionally, dental anomalies can heighten the susceptibility to dental caries, periodontal diseases, and occlusal irregularities, potentially necessitating intricate and costly dental interventions over time. The research project, initiated on October 12th, 2023, stems from a comprehensive exploration of existing academic literature, encompassing databases such as PubMed, web of science, and Cochrane. Restorative treatment options in modern dentistry offer a comprehensive approach to addressing structural, functional, and aesthetic irregularities in teeth. Prosthodontic solutions, including crowns, bridges, dental implants, and veneers, restore form and function while enhancing aesthetics. Endodontic and operative procedures, such as root canal therapy and dental fillings, preserve teeth, alleviate discomfort, and prevent complications. Orthodontic treatments like braces and Invisalign correct misalignments, improving both function and aesthetics. Surgical approaches, such as orthognathic surgery and impacted tooth removal, are reserved for severe cases. Treatment choices depend on the specific anomaly, emphasizing early intervention for improved oral health and overall well-being.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135291327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of burnout among medical students in Saudi Arabia universities 沙特阿拉伯大学医学生的职业倦怠患病率
Pub Date : 2023-11-09 DOI: 10.18203/2394-6040.ijcmph20233527
Zayed Alnefaie, Rawan A. Alhazmi, Eilaf S. Alahmadi, Wafa M. Almuallim, Zainab I. Aljurfi, Samirah M. Kouki
Background: Burnout is a psychological condition that results from an excessive workload and a perfectionism-driven obsession. Prolonged exposure to these conditions can create physical symptoms, resulting in various diseases. Due to their demands and obligations, medical students and healthcare professionals are particularly at risk of burning out. The study aimed to calculate the prevalence of burnout among Saudi medical students. Methods: A total sample of 278 participants was taken. MBI was adapted and translated into Arabic in this study to find the prevalence of burnout. Data was analyzed on IBM statistical package for the social sciences (SPSS), and descriptive and chi-square tests were applied. Results: 33.4% of participants were males and 66.6% were females. Only 12.35 students were recorded to be smokers. The overall prevalence of burnout among students was 215, while 80.2% of students had low PA; in the case of emotional exhaustion, 21.2% fell to a high degree, and 28% had high degree depersonalization. Conclusions: The most common type of burnout among Saudi medical students is because of low personal accomplishment. Further studies should be conducted to understand better the problem prevailing in medical students so policies can be formed accordingly.
背景:职业倦怠是一种心理状态,由过度的工作量和完美主义驱动的痴迷所导致。长期暴露在这些条件下会产生身体症状,导致各种疾病。由于他们的需求和义务,医科学生和医疗保健专业人员特别容易倦怠。该研究旨在计算沙特医科学生中职业倦怠的患病率。方法:共抽取278名被试。在本研究中,MBI被改编并翻译成阿拉伯语,以发现倦怠的患病率。采用IBM社会科学统计软件包(SPSS)对数据进行分析,采用描述性检验和卡方检验。结果:参与者中男性占33.4%,女性占66.6%。只有12.35名学生被记录为吸烟者。学生倦怠的总体患病率为215,其中80.2%的学生PA水平较低;在情绪衰竭的情况下,21.2%的人下降到高度,28%的人有高度的人格解体。结论:沙特医学生中最常见的职业倦怠类型是低个人成就感。应该进行进一步的研究,以更好地了解医学生中普遍存在的问题,从而制定相应的政策。
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引用次数: 0
Importance, indication and safety of maternal immunization 孕产妇免疫接种的重要性、适应证和安全性
Pub Date : 2023-11-09 DOI: 10.18203/2394-6040.ijcmph20233530
Shada Omar Baoum, Abdulqader Ali Sumayli, Rahaf Osama Algahtani, Aseel Mohammed Alshilash, Emtenan Ali Esmael, Ahmad Abdrabalamier Alfajri, Aisha Wasl Alharbi, Sarah Ali Alenezi, Amani Izzeldin Ahmed, Abdulaziz Saeed Al Arfaj, Haya Hamad Alshehri
Vaccination is a very important spectrum for building immunity to fight certain infections. Doing vaccination on the mother as well as the baby, which safeguards both of them, is known as maternal immunization. After childbirth, babies are prone to get infected by many diseases as their immunity is inferior during that time. Over the years, numerous studies have shown that vaccinating mothers can effectively reduce the risk of illnesses such as smallpox, polio, etc. This vaccination process helps strengthen the body's system and enables it to combat these diseases effectively when necessary. This approach works by boosting the transfer of antibodies from the person to the fetus through the placenta, providing passive immunity to the infant during their initial months of life until they become eligible for their own vaccines. In addition to protecting infants, maternal immunization can also help prevent complications for individuals caused by infections that could impact their health and pregnancy outcomes. This review focuses on discussing the significance, indications, and safety of immunization for diseases that pose a high risk to both pregnant individuals and their infants.
接种疫苗是建立对抗某些感染的免疫力的一个非常重要的途径。对母亲和婴儿进行疫苗接种,既保护他们,也保护他们,被称为母体免疫。出生后,婴儿免疫力低下,容易感染多种疾病。多年来,许多研究表明,接种疫苗的母亲可以有效地降低患天花、脊髓灰质炎等疾病的风险。这种疫苗接种过程有助于加强身体的系统,使其能够在必要时有效地对抗这些疾病。这种方法的工作原理是通过胎盘促进抗体从人体转移到胎儿,在婴儿生命的最初几个月里为他们提供被动免疫,直到他们有资格接种自己的疫苗。除了保护婴儿外,孕产妇免疫还可以帮助预防感染引起的个人并发症,这些并发症可能影响其健康和妊娠结局。这篇综述的重点是讨论对孕妇及其婴儿构成高风险的疾病进行免疫接种的意义、适应症和安全性。
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引用次数: 0
A cross-sectional study on breast cancer awareness among female students in Al-Rayan colleges in Al Medina Al Munawara 麦地那穆纳瓦拉Al- rayan学院女生乳腺癌认知的横断面研究
Pub Date : 2023-11-09 DOI: 10.18203/2394-6040.ijcmph20233528
Lobna Mohamed Saber, Adeebah Ayedh Alharbi, Ghadah Yousef Aljohani, Lamyaa Abdulrahman Alanazi, Maryam Abdulmonem Alnakli, Mona Bdh M. Almahdi, Rehab Turki Al Saleemi
Background: This study aims to evaluate breast cancer awareness among AL-Rayan colleges female students in Al Medina Al Munawara Methods: A cross-sectional study was conducted among 291 female students from Al-Rayan medical colleges in Al Medina Al Munawara, Saudi Arabia. Data was collected through an Arabic version of the modified breast cancer awareness measure (Breast CAM) version 2 which is a validated and reliable then administered online and distributed via social media platforms. Analysis was done by IBM SPSS version 28 and involved descriptive statistics, including frequency distributions and percentiles, while factors associated with awareness levels were analyzed using Kruskal-Wallis test and Mann-Whitney test Results: The participants' mean awareness level was 17.2±7.5 out of 31, out of the total participants 52.6% had a poor awareness level. Out of the participants surveyed, only 42.6%, accurately understood the recommended frequency of conducting self-examinations each month, as secondary prevention only 33% of participants were aware of the best time to start mammography. Only a limited percentage of participants (37.8% and 47.1% respectively) demonstrated knowledge of early menopause and late menopause as potential contributing factors. There was a significant relationship between awareness level and age (p=0.001) and academic year (p=0.001). Conclusions: The findings highlight the importance of continued efforts to educate and raise awareness about breast cancer and its early detection methods among young women. the study demonstrated varying levels of understanding among participants. The overall knowledge assessment indicated that a considerable proportion of participants had moderate knowledge of breast cancer.
背景:本研究旨在评估Al- rayan医学院女生乳腺癌知晓率。方法:对沙特阿拉伯Al- rayan医学院291名女生进行横断面研究。数据是通过修改后的乳腺癌意识测量(breast CAM)第2版的阿拉伯语版本收集的,该版本是经过验证和可靠的,然后在线管理并通过社交媒体平台分发。采用IBM SPSS 28版进行分析,采用频率分布和百分位数等描述性统计,采用Kruskal-Wallis检验和Mann-Whitney检验分析与认知水平相关的因素。结果:31名参与者的平均认知水平为17.2±7.5,其中52.6%的参与者认知水平较差。在接受调查的参与者中,只有42.6%的人准确理解每月进行自我检查的建议频率,作为二级预防,只有33%的参与者知道开始乳房x光检查的最佳时间。只有有限比例的参与者(分别为37.8%和47.1%)表明提前绝经和晚绝经是潜在的影响因素。认知水平与年龄(p=0.001)、学年(p=0.001)有显著相关。结论:研究结果强调了继续努力教育和提高年轻女性对乳腺癌及其早期检测方法的认识的重要性。研究表明,参与者的理解程度各不相同。总体知识评估表明,相当比例的参与者对乳腺癌有中等程度的了解。
{"title":"A cross-sectional study on breast cancer awareness among female students in Al-Rayan colleges in Al Medina Al Munawara","authors":"Lobna Mohamed Saber, Adeebah Ayedh Alharbi, Ghadah Yousef Aljohani, Lamyaa Abdulrahman Alanazi, Maryam Abdulmonem Alnakli, Mona Bdh M. Almahdi, Rehab Turki Al Saleemi","doi":"10.18203/2394-6040.ijcmph20233528","DOIUrl":"https://doi.org/10.18203/2394-6040.ijcmph20233528","url":null,"abstract":"Background: This study aims to evaluate breast cancer awareness among AL-Rayan colleges female students in Al Medina Al Munawara Methods: A cross-sectional study was conducted among 291 female students from Al-Rayan medical colleges in Al Medina Al Munawara, Saudi Arabia. Data was collected through an Arabic version of the modified breast cancer awareness measure (Breast CAM) version 2 which is a validated and reliable then administered online and distributed via social media platforms. Analysis was done by IBM SPSS version 28 and involved descriptive statistics, including frequency distributions and percentiles, while factors associated with awareness levels were analyzed using Kruskal-Wallis test and Mann-Whitney test Results: The participants' mean awareness level was 17.2±7.5 out of 31, out of the total participants 52.6% had a poor awareness level. Out of the participants surveyed, only 42.6%, accurately understood the recommended frequency of conducting self-examinations each month, as secondary prevention only 33% of participants were aware of the best time to start mammography. Only a limited percentage of participants (37.8% and 47.1% respectively) demonstrated knowledge of early menopause and late menopause as potential contributing factors. There was a significant relationship between awareness level and age (p=0.001) and academic year (p=0.001). Conclusions: The findings highlight the importance of continued efforts to educate and raise awareness about breast cancer and its early detection methods among young women. the study demonstrated varying levels of understanding among participants. The overall knowledge assessment indicated that a considerable proportion of participants had moderate knowledge of breast cancer.","PeriodicalId":73438,"journal":{"name":"International journal of community medicine and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135290680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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International journal of community medicine and public health
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