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[PMID]: 29515727
[Au] Autor:Dairo MD; Ibrahim TF; Salawu AT
[Ad] Address:Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria.
[Ti] Title:Prevalence and determinants of diarrhoea among infants in selected primary health centres in Kaduna north local government area, Nigeria.
[So] Source:Pan Afr Med J;28:109, 2017.
[Is] ISSN:1937-8688
[Cp] Country of publication:Uganda
[La] Language:eng
[Ab] Abstract:Introduction: Despite efforts toward the prevention and management of diarrhoea, associated mortality among infants has remained high in Northern Nigeria. This study was designed to determine the prevalence and identify determinants of diarrhoea among infants in Kaduna North Local Government Area (KNLGA), Nigeria. Methods: In a cross-sectional survey 630 mothers of infants attending three primary health care centers were interviewed. Data was collected on socio-demo graphic characteristics, infant care practices, infant diarrhoea history and mothers knowledge of causes, symptoms and management of diarrhea. Data were analyzed using descriptive statistics, Chi-square, and logistic regression tests at 5% level of significance. Results: Mothers' mean age was 27±5.5 years and 46.1% had secondary education. Infants' mean age was 22.4± 12.8 weeks and 50% were females. Prevalence of diarrhoea in the two weeks preceding the study was 21.1%. Only 11.7% of mothers had poor knowledge of diarrhoea. About 76.3% of mothers always washed their hands with soap after cleaning infants' perineum. Majority of infants (84.6%) completed age appropriate immunization while 31.6% were exclusively breastfed. Infants whose mothers sometimes (OR=2.32; 95% CI: 1.4-3.87) or never washed (OR=2.64; 95% CI: 1.19-5.82) their hands with soap after cleaning the infants perineumand those with incomplete age appropriate immunization (OR=1.87, 95% CI: 1.2-2.896) were more likely to have diarrhoea. Conclusion: Promotion of hygiene and nutrition education for mothers particularly on proper infant feeding practices, hand washing practices and complete immunization of infants is needed to address the diarrhea determinants.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180311
[Lr] Last revision date:180311
[St] Status:In-Process
[do] DOI:10.11604/pamj.2017.28.109.8152

  2 / 201361 MEDLINE  
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[PMID]: 29524028
[Au] Autor:Pabel SO; Freitag F; Hrasky V; Zapf A; Wiegand A
[Ad] Address:Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany.
[Ti] Title:Randomised controlled trial on differential learning of toothbrushing in 6- to 9-year-old children.
[So] Source:Clin Oral Investig;, 2018 Mar 09.
[Is] ISSN:1436-3771
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:OBJECTIVES: This study aimed to evaluate the effect of differential learning of toothbrushing compared to habitual toothbrushing and instruction/demonstration of toothbrushing on plaque reduction and gingival inflammation of primary school children. METHODS: Children (6-9 years) were subjected to a toothbrushing training consisting of 15 days (3 × 5 days, interval 2 days, 3 min/day) and randomly assigned to one of three groups (each n = 18): habitual toothbrushing/control, instruction/demonstration of toothbrushing, differential learning of toothbrushing. The differential learning approach comprised 15 different movement exercises (1/day), while instruction/demonstration of toothbrushing was based on repetitive practice of toothbrushing. Plaque (Turesky-modified Quigley-Hein plaque index (T-QHI)) and papilla bleeding (papilla bleeding index (PBI)) scores were assessed prior to the first toothbrushing (t0, baseline) and 21 (t1), 42 (t2) and 63 (t3) days after beginning of the study. Primary statistical analyses were performed with cumulative logit regression models with repeated measures. The global significance level was set to 5% two-sided. RESULTS: At all time points, PBI and T-QHI were significantly reduced by differential learning compared to instruction/demonstration of toothbrushing and habitual toothbrushing. Compared to baseline, differential learning improved PBI and T-QHI significantly at all time points. In the other groups, no significant reduction of PBI compared to baseline was observed. T-QHI was significantly reduced by habitual toothbrushing only at t1 and by instruction/demonstration of toothbrushing at t1 and t2. Differential learning had an improved effect on posterior compared to anterior teeth. CONCLUSION: Differential learning of toothbrushing improved plaque reduction and reduced gingival inflammation compared to habitual toothbrushing and instruction/demonstration of toothbrushing in 6- to 9-year-old children in mixed dentition. CLINICAL RELEVANCE: Toothbrushing skills of children might be improved by differential learning. TRIAL REGISTRATION: ISRCTN14951343, https://www.isrctn.com/ISRCTN14951343?
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:Publisher
[do] DOI:10.1007/s00784-017-2313-x

  3 / 201361 MEDLINE  
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[PMID]: 29524023
[Au] Autor:Seiffert A; Zaror C; Atala-Acevedo C; Ormeño A; Martínez-Zapata MJ; Alonso-Coello P
[Ad] Address:Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.
[Ti] Title:Dental caries prevention in children and adolescents: a systematic quality assessment of clinical practice guidelines.
[So] Source:Clin Oral Investig;, 2018 Mar 09.
[Is] ISSN:1436-3771
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:OBJECTIVES: To evaluate the quality of clinical practice guidelines (CPGs) for dental caries prevention in children and adolescents MATERIALS AND METHODS: We performed a systematic search of CPGs on caries preventive measures between 2005 and 2016. We searched MEDLINE, EMBASE, LILACS, TripDatabase, websites of CPG developers, compilers of CPGs, scientific societies and ministries of health. We included CPGs with recommendations on sealants, fluorides and oral hygiene. Three reviewers independently assessed the included CPGs using the AGREE II instrument. We calculated the standardised scores for the six domains and made a final recommendation about each CPG. Also, we calculated the overall agreement among calibrated reviewers with the intraclass correlation coefficient (ICC). RESULTS: Twenty-two CPGs published were selected from a total of 637 references. Thirteen were in English and nine in Spanish. The overall agreement between reviewers was very good (ICC = 0.90; 95%CI 0.89-0.92). The mean score for each domain was the following: Scope and purpose 89.6 ± 12%; Stakeholder involvement 55.0 ± 15.6%; Rigour of development 64.9 ± 21.2%; Clarity of presentation 84.8 ± 14.1%; Applicability 30.6 ± 31.5% and Editorial independence 59.3 ± 25.5%. Thirteen CPGs (59.1%) were assessed as "recommended", eight (36.4%) "recommended with modifications" and one (4.5%) "not recommended". CONCLUSIONS: The overall quality of CPGs in caries prevention was moderate. The domains with greater deficiencies were Applicability, Stakeholder involvement and Editorial independence. CLINICAL RELEVANCE: Clinicians should use the best available CPGs in dental caries prevention to provide optimal oral health care to patients.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:Publisher
[do] DOI:10.1007/s00784-018-2405-2

  4 / 201361 MEDLINE  
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[PMID]: 29523571
[Au] Autor:Picariello F; Moss-Morris R; Macdougall IC; Norton S; Da Silva-Gane M; Farrington K; Clayton H; Chilcot J
[Ad] Address:Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
[Ti] Title:Cognitive-behavioural therapy (CBT) for renal fatigue (BReF): a feasibility randomised-controlled trial of CBT for the management of fatigue in haemodialysis (HD) patients.
[So] Source:BMJ Open;8(3):e020842, 2018 Mar 08.
[Is] ISSN:2044-6055
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Fatigue is one of the most common and disabling symptoms in end-stage kidney disease, particularly among in-centre haemodialysis patients. This two-arm parallel group feasibility randomised controlled trial will determine whether a fully powered efficacy trial is achievable by examining the feasibility of recruitment, acceptability and potential benefits of a cognitive-behavioural therapy (CBT)-based intervention for fatigue among in-centre haemodialysis patients. METHODS: We aim to recruit 40 adult patients undergoing in-centre haemodialysis at secondary care outpatient dialysis units, who meet clinical levels of fatigue. Patients will be randomised individually (using a 1:1 ratio) to either a 4-6 weeks' CBT-based intervention (intervention arm) or to a waiting-list control (control arm). The primary feasibility outcomes include descriptive data on numbers within each recruiting centre meeting eligibility criteria, rates of recruitment, numbers retained postrandomisation and treatment adherence. To assess the potential benefits of the cognitive-behavioural therapy for renal fatigue intervention, secondary self-report outcomes include measures of fatigue severity (Chalder Fatigue Questionnaire), fatigue-related functional impairment (Work and Social Adjustment Scale), sleep quality (Pittsburgh Sleep Quality Index), depression (Patient Health Questionnaire-9) and anxiety (Generalised Anxiety Disorder-7). Changes in fatigue perceptions (Brief Illness Perception Questionnaire), cognitive and behavioural responses to fatigue (Cognitive and Behavioural Responses to Symptoms Questionnaire), sleep hygiene behaviours (Sleep Hygiene Index) and physical activity (International Physical Activity Questionnaire-short form) will also be explored. These self-report measures will be collected at baseline and 3 months postrandomisation. Nested qualitative interviews will be conducted postintervention to explore the acceptability of the intervention and identify any areas in need of improvement. The statistician and assessor will be blinded to treatment allocation. ETHICS AND DISSEMINATION: A National Health Service (NHS) Research Ethics Committee approved the study. Any amendments to the protocol will be submitted to the NHS Committee and study sponsor. TRIAL REGISTRATION NUMBER: ISRCTN91238019;Pre-results.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:In-Data-Review
[do] DOI:10.1136/bmjopen-2017-020842

  5 / 201361 MEDLINE  
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[PMID]: 29523399
[Au] Autor:Claeson AS; Palmquist E; Nordin S
[Ad] Address:Department of Psychology, Umeå University, Umeå, Sweden. Electronic address: Anna-Sara.Claeson@umu.se.
[Ti] Title:Physical and chemical trigger factors in environmental intolerance.
[So] Source:Int J Hyg Environ Health;, 2018 Mar 06.
[Is] ISSN:1618-131X
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:BACKGROUND: Individuals with environmental intolerance (EI) react to exposure from different environmental sources at levels tolerated by most people and that are below established toxicological and hazardous thresholds. The main aim of this study was to determine the prevalence of attributing symptoms to chemical and physical sources in the environment among individuals with different forms of self-reported EI and in referents. METHODS: Cross-sectional data from a population-based study, the Västerbotten Environmental Health Study (n = 3406), were used and individuals with self-reported EI to chemicals, buildings, electromagnetic fields and sounds as well as a group with multiple EIs were identified. The Environmental-Symptom Attribution Scale was used to quantify degree to which health symptoms are attributed to 40 specific environmental exposures and sources, with subscales referring to the four types of EI. RESULTS: All EI groups, except the group with building related intolerance (BRI), reported more symptoms from the expected sources compared to the referents. In addition, individuals with chemical and sound intolerance reported symptoms from building related trigger factors, and individuals with electromagnetic hypersensitivity reported symptoms from chemical trigger factors. CONCLUSIONS: The study suggests that individuals with BRI react to fewer and more specific trigger factors than do individuals with other EIs, and that it is important to ask about different sources since three of the EI groups attribute their symptoms to a wide variety of sources in addition to the sources to which their EI implicates.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:Publisher

  6 / 201361 MEDLINE  
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[PMID]: 29523047
[Au] Autor:Laver K; Gnanamanickam E; Whitehead C; Kurrle S; Corlis M; Ratcliffe J; Shulver W; Crotty M
[Ad] Address:1 NHMRC-ARC Dementia Research Development Fellow, Department of Rehabilitation, Aged and Extended Care, Flinders University, South Australia.
[Ti] Title:Introducing consumer directed care in residential care settings for older people in Australia: views of a citizens' jury.
[So] Source:J Health Serv Res Policy;:1355819618764223, 2018 Jan 01.
[Is] ISSN:1758-1060
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Objectives Health services worldwide are increasingly adopting consumer directed care approaches. Traditionally, consumer directed care models have been implemented in home care services and there is little guidance as to how to implement them in residential care. This study used a citizens' jury to elicit views of members of the public regarding consumer directed care in residential care. Methods A citizens' jury involving 12 members of the public was held over two days in July 2016, exploring the question: For people with dementia living in residential care facilities, how do we enable increased personal decision making to ensure that care is based on their needs and preferences? Jury members were recruited through a market research company and selected to be broadly representative of the general public. Results The jury believed that person-centred care should be the foundation of care for all older people. They recommended that each person's funding be split between core services (to ensure basic health, nutrition and hygiene needs are met) and discretionary services. Systems needed to be put into place to enable the transition to consumer directed care including care coordinators to assist in eliciting resident preferences, supports for proxy decision makers, and accreditation processes and risk management strategies to ensure that residents with significant cognitive impairment are not taken advantage of by goods and service providers. Transparency should be increased (perhaps using technologies) so that both the resident and nominated family members can be sure that the person is receiving what they have paid for. Conclusions The views of the jury (as representatives of the public) were that people in residential care should have more say regarding the way in which their care is provided and that a model of consumer directed care should be introduced. Policy makers should consider implementation of consumer directed care models that are economically viable and are associated with high levels of satisfaction among users.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:Publisher
[do] DOI:10.1177/1355819618764223

  7 / 201361 MEDLINE  
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[PMID]: 29496807
[Au] Autor:Reinke RE; Enright T; Love R; Patel SA; Ali AO; Horvath Z
[Ad] Address:Dr. Reinke is Associate Professor, School of Dental Medicine, University of Nevada, Las Vegas; Ms. Enright is Director, Bachelor of Health Science in Dental Hygiene, Allen College; Dr. Love is Assistant Professor of Dental Medicine, College of Dental Medicine, Roseman University of Health Sciences;
[Ti] Title:Methods and Purposes for Conducting Students' Course Evaluations Reported by North American Dental School and Dental Hygiene Program Leaders: A Preliminary Survey Study.
[So] Source:J Dent Educ;82(3):286-290, 2018 Mar.
[Is] ISSN:1930-7837
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The aim of this preliminary survey study was to determine the perceptions of leaders of dental schools and dental hygiene programs regarding methods of and purposes for conducting students' course evaluations and their role in course improvement, curriculum design, and faculty assessment. A short electronic survey was distributed in 2016 to the academic deans of all 76 dental schools in the U.S. and Canada and a convenience sample of program directors of 232 of the total 332 accredited dental hygiene programs. Individuals from 93 institutions responded for an overall response rate of 30%: 30 of 76 dental schools (39.5% response rate) and 63 of the 232 dental hygiene programs (27% response rate). All of the respondents (100%) reported that their institutions' full-time faculty members were assessed by students in course evaluations for each course and semester they taught. However, only 78% reported that their part-time faculty members were evaluated by students. Course evaluations were mandatory in 62% (n=58) of the responding institutions, with the remaining 38% (n=35) optional. Respondents indicated course directors received the evaluation results for purposes of annual review (n=73, 78%) and instructional review (n=70, 75%). Further investigation of the use and effects of student evaluations is needed to better understand their role in faculty assessment and other aspects of the administration of dental schools and dental hygiene programs.
[Mh] MeSH terms primary: Curriculum/standards
Oral Hygiene/education
Schools, Dental/organization & administration
[Mh] MeSH terms secundary: Canada
Education, Dental/organization & administration
Education, Dental/standards
Educational Measurement/methods
Humans
Schools, Dental/standards
Surveys and Questionnaires
United States
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[Js] Journal subset:D; IM
[Da] Date of entry for processing:180303
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.018.027

  8 / 201361 MEDLINE  
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[PMID]: 29473188
[Au] Autor:Steinmassl O; Dumfahrt H; Grunert I; Steinmassl PA
[Ad] Address:University Hospital for Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, Innsbruck, Austria.
[Ti] Title:Influence of CAD/CAM fabrication on denture surface properties.
[So] Source:J Oral Rehabil;, 2018 Feb 23.
[Is] ISSN:1365-2842
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Three main properties are responsible for the microbial attractiveness of denture surfaces: roughness, hydrophilicity and free surface energy. This study investigated whether CAD/CAM-fabricated dentures are more favourable for these surface properties than conventionally fabricated dentures. The mucosal surface roughness of 54 standardised study dentures was measured using contact profilometry. The surface hydrophilicity and free surface energy of 70 standardised denture resin specimens were determined by contact angle measurements. Both experimental settings compared AvaDent (AD), Baltic Denture System (BDS), Vita VIONIC (VV), Whole You Nexteeth (WN) and Wieland Digital Dentures (WDD) surfaces with conventionally manufactured denture surfaces (control group). These data were analysed using ANOVA together with Tukey's test or the Games-Howell post hoc test. All CAD/CAM dentures had lower mean surface roughness values than conventional dentures. For AD, VV, WN and WDD, the differences were statistically significant. Vita VIONIC (P < .001), coated WN (P < .001), AD (P = .023) and BDS specimens (P = .027) were significantly more hydrophilic than the control group. All measured surface energies were of similar magnitude (mean values between 31.82 and 33.68 mJ/m ), and only coated WN specimens had a significantly increased mean value (66.62 mJ/m , P < .001). Although most CAD/CAM dentures have smoother and more hydrophilic surfaces than conventional dentures, there is no difference in their free surface energy, except for coated dentures.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:Publisher
[do] DOI:10.1111/joor.12621

  9 / 201361 MEDLINE  
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[PMID]: 29446583
[Au] Autor:Zaikova ZA; Burdukovskaya AV; Belykh AI
[Ti] Title:[Determination of priority unfavorable environmental factors].
[So] Source:Gig Sanit;95(12):1205-9, 2016.
[Is] ISSN:0016-9900
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Ab] Abstract:In the Irkutsk region there are recorded high indices of rates of morbidity, disability, mortality rate of the working-age population and low levels of life expectancy of the population, that is confirmed by ranking position levels among the all subjects of the Russian Federation. According to all mentioned indices of health the region is inside the top ten unfavorable regions of Russia. In relation to the problem in the state of health of the adult population the estimation of the causal relationships between environmental factors and certain health indices is actual. The list of studiedfactors included health indices that characterize the harmful working conditions of the working population and basic socioeconomic indices in the region. Estimation of causal-relationship relationships was performed with the use of methods of multivariate analysis - correlation and multiple linear regression. In the selection offactors for the construction of mathematical models of multiple regression there were used methods of the analysis of variables variability, pair correlation coefficients matrix and sequential switching covariates to eliminate the problems of multicollinearity, pre-standardization of indices for the elevation of the numerical stability of regression analysis algorithm. As a result of the execution of the analysis there were constructed statistical models for the dependence in the system variables "environment - public health", which allowed to identify the most informative regression models for the adult population health according to indices of primary disability of the population, the mortality rate and life expectancy of the working age population. According to results of the analysis there were identified priority factors affecting on the health of the adult population of the Irkutsk region. To these factors there are referred the proportion of workplaces failing to meet sanitary standards for vibration and 8 socio-economic indices of living standards of the population.
[Mh] MeSH terms primary: Environmental Exposure
Occupational Health
Public Health
[Mh] MeSH terms secundary: Environmental Exposure/prevention & control
Environmental Exposure/statistics & numerical data
Humans
Life Expectancy
Mortality
Occupational Health/standards
Occupational Health/statistics & numerical data
Public Health/methods
Public Health/standards
Public Health/statistics & numerical data
Risk Factors
Siberia/epidemiology
Socioeconomic Factors
Statistics as Topic
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[Js] Journal subset:IM
[Da] Date of entry for processing:180216
[St] Status:MEDLINE

  10 / 201361 MEDLINE  
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[PMID]: 29446573
[Au] Autor:Rukavishnikov VS; Kolycheva IV; Lakhman OL
[Ti] Title:[Modern aspects of the conservation and promotion of health of firefighters].
[So] Source:Gig Sanit;95(12):1175-9, 2016.
[Is] ISSN:0016-9900
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Ab] Abstract:On the basis of complex hygienic studies there were determined conditions of the work of firefighters in liquidation of foci of fires at the incipient stage, identified the complex of toxic substances, their quantitative content in the area of the smoke of fires. The analysis of the etiological role of occupational factors in the shaping of the morbidity and the physiological and clinical manifestations, established indices of the risk for occupational and industrial-caused pathology have allowed to substantiate the relationship of a number of nosological forms associated with working conditions of firefighters. There was developed a system of preventive activities for the promotion and preservation of the health of firefighters, as well as a conceptual model for monitoring of working conditions and state of health.
[Mh] MeSH terms primary: Firefighters
Occupational Diseases
Preventive Health Services/organization & administration
Smoke Inhalation Injury
[Mh] MeSH terms secundary: Adult
Humans
Male
Occupational Diseases/etiology
Occupational Diseases/physiopathology
Occupational Diseases/prevention & control
Occupational Exposure/adverse effects
Occupational Exposure/analysis
Occupational Exposure/prevention & control
Occupational Health/standards
Risk Assessment
Siberia/epidemiology
Smoke Inhalation Injury/etiology
Smoke Inhalation Injury/physiopathology
Smoke Inhalation Injury/prevention & control
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[Js] Journal subset:IM
[Da] Date of entry for processing:180216
[St] Status:MEDLINE


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