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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
691

Avaliação das condições de vida e saúde bucal de famílias da Comunidade Associação Social e Filantrópica Solar da Paz em Porto Velho- RO

Patricia Souza Closs 18 July 2008 (has links)
O objetivo deste estudo tranversal foi avaliar as condições de saúde bucal, CPOD e doença periodontal, condições socioeconômicas, acesso e autopercepção em saúde bucal de população residente em comunidade periférica na cidade de Porto Velho, Rondônia. Os exames foram realizados por alunos de graduação de odontologia da Faculdade São Lucas. A calibração dos examinadores foi realizada através do Erro Padrão de Medida (EPM), obtendo-se valores dentro do limite de concordância aceitáveis de no mínimo 0,85 ou 85%. Foram avaliadas noventa e sete famílias de estudantes (460 indivíduos, 4,75 indivíduos por família) de uma creche em bairro periférico. A avaliação socioeconômica mostrou que 70% das famílias estudadas ganhavam entre menos de um até dois salários mínimos, não recebiam água de Abastecimento Público, nem saneamento básico nem coleta de lixo pela Prefeitura; 73% ingeriram água de poço ou cacimba, 39% cloravam , 21% ferviam e 26% não faziam qualquer tratamento da água. Para o destino de dejetos, 91% utilizavam fossa Séptica. Os resultados referentes ao acesso aos serviços odotológicos mostrou que 30% dos indivíduos nunca foram ao dentista, 40% nunca receberam informação do profissional relacionados a prevenção, mas 70% consideraram necessitar de algum tipo de tratamento odontológico e 50% avaliaram o atendimento como péssimo e ruim. Para a avaliação da saúde bucal, a amostra foi dividida em cinco grupos de acordo com a idade: grupo A - zero a trinta e seis meses (ceo de 1, 33 ) Grupo B - quatro a seis anos ( ceo e CPOD de 5,21 e ISG 63%), Grupo C - onze a treze anos (CPOD 6, 61e CPI 43% dos indivíduos apresentaram algum tipo de alteração nos tecidos periodontais), Grupo D - quinze a dezenove anos (CPOD 9,76 e CPI apenas 33% apresentam o periodonto sadio), Grupo E de trinta e cinco a quarenta e quatro anos (CPOD de 21,63 e CPI quase 40% de sextantes foram excluídos e, no PIP, 15% dos sextantes apresentaram algum tipo de Perda de Inserção Periodontal), Grupo F sessenta e cinco a setenta e quatro anos(CPOD 27,71 e, em relação à Condição Periodontal, não foram analisados). O estudo concluiu que é necessário melhorar e reorganizar o acesso aos serviços de saúde do município, bem como implementar políticas de saúde bucal incluindo Fluoretação, envolvendo ações preventivas e restauradoras, garantindo assim condições melhores de saúde bucal da população estudada. / This research is meant to evaluate, through a transversal study, caries and periodontal diseases, socioeconomic conditions, access and auto perception in oral health for peripheral area populations in the city of Porto Velho, Rondônia. The examinations were performed by Odontology Graduation Students at São Lucas Faculty. The calibration executed by the examiners was based on the Error Measure Standard (EMS), obtaining acceptable values inside the agreement limit of at least 0.85 or 85%. 97 families of a daycare center students have been evaluated, totaling 460 individuals. 4.75 individuals per family. The socioeconomic evaluation has shown that 70% of the studied families earned from less of one to two minimum salaries, they did not receive water from any public source, basic sanitation or garbage collection by the city hall; 73% used water for consumption from the well or cacimba, 39% used chlorine in it, 21% boiled it and 26% did not use any water treatment For the destination of the dejections, 91% had septic pools. The access to the odontologic services showed that 30% of the individuals had never been to the dentist, 40% had never received any information from the professional surgeon dentist on how to prevent oral problems, but 70% considered to need some type of odontologic treatment and 50% had evaluated the assistance as awful and bad. For the oral health evaluation, the sample was divided in 5 groups according to age: group A - from zero to 36 months (CEO 1.33 and AG 77%), group B 4 to 6 years (CEO and AG 5.21%), group C 11 to 13 years (CPOD 6.61 and CPI 43% of the individuals presented some kind of alteration in gum tissue), group D 15 to 19 years (CPOD 9.76 and CPI almost 40% from sextants were excluded and at PIP, 15% from the sextants presented any kind of periodontal insertion loss), group F 65 to 74 years (CPOD 27.71 and, in relation to periodontal condition, there were not enough sextants to be analyzed, for 79% of the sextants were excluded from the sample due to tooth loss). The study concluded that it is necessary to improve and to reorganize the city health services access, as well as to implement oral health policies like fluorine treatment involving preventing and restoring actions, guaranteeing better oral health conditions for the studied population.
692

Comparative study of knowledge and the impact of oral health on quality of life of pregnant women in units of public and private schools in Porto Velho, RO / Estudo comparativo do conhecimento e do impacto da saúde bucal sobre a qualidade de vida de gestantes atendidas em unidades da rede pública e particular em Porto Velho/RO

Izabela Teixeira Melo 13 September 2010 (has links)
Objective: The need to change the reality of the knowledge of pregnant women and their families about oral health, enabling them to create new habits of daily care, making them aware of the importance of the guidelines that direct influence on oral hygiene habits and their own future children, this work was aimed to conduct a comparative study among pregnant women (1-public and 2-private) schools to assess the knowledge of the impact on oral health on quality of life. Method: We interviewed three hundred pregnant women (150 of public and 150 private schools. Data were collected through interviews with a questionnaire for obtaining identification and personal information and dental. And then we made a descriptive analysis. Results: Differences between the two networks, but there was a lack of knowledge, about the care and habits regarding oral health during pregnancy And the perception of their oral health was viewed positively, "good" and the impact related to physical, psychological and social as well. Conclusion: The lack of information and guidance on care and oral health, involving the perception of women regarding their quality of life. / Objetivo: A necessidade de mudar a realidade do conhecimento das gestantes e sua família sobre a saúde bucal, para que eles criem novos hábitos diários de cuidados, conscientizando-os da importância das orientações que influencia direta nos hábitos de higiene bucal próprio e de seus futuros filhos, este trabalho teve como objetivo foi realizar um estudo comparativo entre as gestantes (1-rede pública e 2-rede particular) para avaliar o conhecimento o impacto sobre a saúde bucal sobre a qualidade de vida. Método: Foram entrevistadas trezentas gestantes (150 - rede pública e 150 da rede particular). Os dados foram coletados através de entrevista com de questionário para Identificação e obtenção de informações pessoais e odontológicas e Avaliação do impacto da condição bucal sobre a qualidade de vida (OHQoL (Oral Health Related Quality of Life). As respostas foram tabuladas e submetidas à análise estatística com nível de significância de 95%. Resultados: Diferenças encontradas diferenças entre as duas redes, porém observou-se um déficit de conhecimento, sobre os cuidados e hábitos em relação a saúde bucal durante a gravidez. E a percepção de sua saúde bucal foi vista de forma positiva boa e o impacto relacionados aos aspectos físicos, psicológicos e sociais também. Conclusão : A falta de informações e cuidados e orientações sobre saúde bucal, implicam na percepção das gestantes quanto a sua qualidade de vida.
693

Avaliação das condições de saúde e a qualidade de vida de cuidadores de indivíduos com Síndrome de Down

Schwertner, Carolina January 2017 (has links)
Um dos distúrbios genéticos de maior prevalência a nível mundial, sem distinção de raça, sexo ou etnia é a Síndrome de Down. Essa síndrome é causada por uma cópia extra do cromossomo 21 humano e trata-se de um distúrbio relativamente comum que afeta um entre 700 a 1000 nascidos vivos, sendo a causa mais frequente de dificuldade de aprendizagem. Indivíduos que apresentam a síndrome costumam apresentar um grau de dependência com relação aos pais/cuidadores. Atualmente, há poucos estudos remetendo a importância da saúde bucal na percepção de qualidade de vida em geral de cuidadores de indivíduos com síndrome de Down. Portanto, o objetivo do presente estudo foi avaliar as condições de saúde geral e bucal de cuidadores de indivíduos com síndrome de Down e a relação com sua qualidade de vida. Métodos: O presente estudo caracterizou-se como um estudo transversal, cuja amostra foi de 55 cuidadores de indivíduos com síndrome de Down comparados com 55 indivíduos cuidadores de indivíduos sem a síndrome. Foi realizado exame clínico bucal em todos os participantes, e os mesmos responderam um questionário estruturado para avaliar dados sociodemográficos e qualidade de vida (WHOQOLBREF), que é dividido em quatro domínios: físico, psicológico, social e meio-ambiente. As variáveis foram avaliadas por meio de análise bivariada. Resultados: Com relação à saúde bucal, não foram encontradas diferenças significativas entre os dois grupos estudados, exceto nas variáveis uso de prótese e Índice de sangramento gengival. O grupo Cuidadores SD apresentou número maior de usuários de prótese, e maiores valores de ISG (p<0,05). Com relação à qualidade de vida, o uso de prótese foi associado domínio físico do WHOQOL-BREFe as variáveis doença crônica e renda foram signitivamente associadas ao domínio social para ambos os grupos. Conclusão: Os resultados do presente estudo sugerem que as condições de saúde bucal de Cuidadores SD e Cuidadores C foram similares, mostrando que não houve influência do tipo de indivíduo cuidado. O mesmo foi verificado em relação à qualidade de vida. Entretanto para ambos os cuidadores, ter doença crônica, uma menor renda e não utilizar prótese foram associados com uma menor qualidade de vida. / One of the most prevalent genetic disorders worldwide, regardless of race, gender or ethnicity, is Down Syndrome. This syndrome is caused by an extra copy of human chromosome 21 and is a relatively common disorder that affects one in 700 to 1000 live births, being the most frequent cause of learning difficulty. Individuals who present the syndrome usually have a degree of dependence on parents / caregivers. Currently, there are few studies mentioning the importance of oral health in the perception of quality of life in general of caregivers of individuals with Down syndrome. Therefore, the objective of the present study was to evaluate the general and oral health conditions of caregivers of individuals with Down syndrome and the relation with their quality of life. Methods: The present study was characterized as a cross-sectional study, with 55 caregivers of Down syndrome individuals compared to 55 caregivers of individuals without the syndrome. Oral examination was performed in all participants, and they answered a structured questionnaire to evaluate sociodemographic data and quality of life (WHOQOL-BREF), which is divided into four domains: physical, psychological, social and environmental. The variables were evaluated through bivariate analysis. Results: Regarding oral health, no significant differences were found between the two groups, except for the variables use of prosthesis and gingival bleeding index. The Caregivers SD group presented higher number of prosthesis users, and higher ISG values (p <0.05). With regard to quality of life, prosthesis use was associated with the physical domain of the WHOQOL-BREF. The variables chronic illness and income were significantly associated with the social domain for both groups. Conclusion: The results of the present study suggest that the oral health conditions of Caregivers SD and Caregivers C were similar, showing that there was no influence of the caregiver type. The same was true for quality of life. However for both caregivers, having chronic disease, lower income and not using prosthesis were associated with a lower quality of life.
694

Knowlegde, attitude and behavior regarding oral health among children and adolescents, in Vietnam and Sweden : A literature review

Backlund, Caroline, Gunnarsson, Cajsa January 2020 (has links)
BACKGROUND: Vietnam, being a developing country does not have the same economic means to put into dental care as a country like Sweden. Knowledge, attitude and behavior are determining factors for oral health. The AIM of this literature study´s was therefore to evaluate knowledge, attitude and behavior regarding oral health among children and adolescents, in Vietnam and Sweden. METHOD:A literature review was made using the databases DOSS, MEDLINE and CINAHL. Twelve articles were included for the review. RESULTS: Bleeding gum was known, by one-third of the Vietnamese children and adolescents, to be a clinical sign of gingivitis. In Sweden the knowledge varied between 75-83%. In both Vietnam and Sweden, shiny and white teeth were mentioned to be important. The frequency of toothbrushing twice a day or more was reported from 40% to 68% among the participants in Vietnam. In Sweden, it varied from 73% to 82%. The highest percentage of children who consumed sweets daily or more frequent was 59,7% in Vietnam respectively 2-6% in Sweden. CONCLUSION: Knowledge about oral health was lacking and behavior could be seen to be inadequate. The attitude towards oral health is more focused on appearance than on the aspect of health. / BAKGRUND: Vietnam, som är ett utvecklingsland, har inte samma ekonomiska resurser att prioritera till tandvården, vilket däremot ett land som Sverige har. Kunskap, attityd och beteende är alla bestämningsfaktorer för oral hälsa. SYFTET med studien var att utvärdera kunskap, attityd och beteende gällande oral hälsa bland barn och ungdomar i Vietnam och Sverige. METOD: En litteraturstudie gjordes med hjälp av databaserna DOSS, MEDLINE och CINAHL. Tolv artiklar inkluderades i studien. RESULTAT: En tredjedel av de vietnamesiska barnen och ungdomarna visste att blödande tandkött var ett kliniskt tecken på gingivit. I Sverige varierade kunskapen mellan 75–83%. I både Vietnam och Sverige var skinande och vita tänder viktigt. Tandborstning två gånger om dagen rapporterades av 40–68% av deltagarna i Vietnam. I Sverige varierade det mellan 73–82%. Den högsta procentsatsen av barn som konsumerade sötsaker dagligen eller mer frekvent i Vietnam var, 59,7%. I Sverige varierade detta mellan 2–6%. SLUTSATS:Kunskapen och beteendet kring oral hälsa var bristfällig. Attityden till oral hälsa var mer fokuserad på utseende snarare än hälsoaspekten.
695

Sjuksköterskors erfarenhet av att arbeta med munhälsa och munvård i kommunal hälso- och sjukvård : En kvalitativ intervjustudie / Registered nurses experience of working with oral health and oral care in municipality care : a qualitative interview studya qualitative interview study

Brantmark, Charlotte, Palmqvist, Therese January 2020 (has links)
Bakgrund: Fysiska och kognitiva handikapp kan leda till minskad förmåga att klara sin munvård och risken att drabbas av ohälsa i munnen ökar. Omsorgspersonal har bristande kunskaper inom munhälsa och munvården prioriteras lägre än andra omvårdnadsåtgärder. Sjuksköterskan är ytterst ansvarig för omvårdnaden men det saknas studier om hur sjuksköterskor arbetar med munhälsa inom kommunal hälso- och sjukvård. Syftet med studien var att undersöka sjuksköterskors erfarenhet av att arbeta med munhälsa och munvård i kommunal hälso- och sjukvård. Metoden som användes var en kvalitativ innehållsanalys med induktiv ansats med en fokusgruppsintervju samt sju enskilda intervjuer. Resultat: Tre kategorier identifierades: Munhälsa är att främja hälsa, Arbetar med munhälsa vid egenvårdsbrist och Aktörer i omvårdnadssystemet. Slutsats: De intervjuade sjuksköterskorna ansåg att munhälsa är något självklart och att det är viktigt att värna om patientens egenvård och integritet. I arbetet med kvalitetsregister ökade sjuksköterskornas delaktighet i munhälsoarbetet men de arbetade främst med munhälsa först när ett problem uppstått. Stort fokus lades på munhälsa och munvård hos palliativa patienter medan arbetet med munhälsa kunde bli lidande hos patienter som till viss del sköter sig själva. För att förbättra munhälsan, hos patienter i den kommunala hemsjukvården, finns ett behov av ökad kunskap hos både omsorgspersonal och sjuksköterskor, bättre rutiner och ökat samarbete med tandvården. / Background: Physical and cognitive disabilities may affect patients’ ability to cope with oral health and increase the risk of suffering from illness in the mouth. Studies show that staff in municipality provided care have poor knowledge in oral health and that oral health is less prioritized than other nursing interventions. Registered Nurses (RN) have the ultimate responsibility for providing care but there are few studies that describe how nurses experience working with oral health. Aim: To examine the experience of RN’s with regards to oral health and oral care in municipal health care. Method: A qualitative content analysis with an inductive approach including one focus group discussion, with five RN’s participating, and seven patientual interviews. Results: Three categories were identified: Oral health promotes general health, Works with oral health when self-care deficit and Agents in the nursing system. Conclusion: The RN’s believed that oral health is self-evident and that it is important to safeguard the patient's self-care and integrity. When working in quality registers, the RN participation in oral health work increase, but they primarily work with oral health when a problem arises. Great focus was placed on oral health and oral care in palliative patients, but the work with oral health could be suffering in patients who to some extent manage themselves. To improve oral health, the study showed that there is a need for more education for health care workers providing municipality care and RN’s, there is also a need for better routines and better collaboration with the dental care.
696

Concentração de cortisol salivar, saúde bucal e qualidade de vida de idosos /

Machado, Ana Carolina Bernardes. January 2018 (has links)
Orientador: Tânia Adas Saliba / Banca: Fernando Yamamoto Chiba / Banca: Carlos Ayach / Resumo: Mudanças advindas do processo de envelhecimento podem atuar como fatores determinantes para a incidência de estresse no idoso, impactando em sua qualidade de vida. O objetivo neste estudo foi comparar a concentração de cortisol salivar, uso de próteses dentárias, dependência física em idosos institucionalizados e não institucionalizados; e verificar o impacto da saúde bucal na qualidade de vida e sintomas de depressão geriátrica em idosos não institucionalizados. Estudo do tipo quantitativo onde a amostra foi composta por 80 idosos, sendo 45 institucionalizados e 35 não institucionalizados. Realizou-se exame clínico bucal para avaliação de uso e necessidade de prótese nos arcos superior e inferior; coleta salivar para análise do marcador biológico cortisol e aplicação do Índice de Barthel para avaliar dependência física e mental. Foram empregados três questionários no estudo; para conhecimento do estado de saúde geral e uso de medicamentos, escala de depressão geriátrica (GDS-15) e Índice GOHAI. Na análise estatística empregou-se o software Bioestat (v. 5.03) para os testes de associação, ao nível de significância de 5%. A maioria dos idosos apresentou-se desdentado total, sendo 84,44% no grupo institucionalizado e 71,43% no grupo não institucionalizado. O uso de prótese foi menor entre os idosos institucionalizados, quando comparado ao grupo de idosos não institucionalizados (p= 0,0013). A análise das concentrações de cortisol salivar demonstrou diferenças significantes entr... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Changes resulting from the aging process can act as determinants for the incidence of stress in the elderly, impacting on their quality of life. The aim of this study was to compare the concentration of salivary cortisol, dental prosthesis use, and physical dependence on institutionalized and non-institutionalized elderly; and verify the impact of oral health on quality of life and symptoms of geriatric depression in non-institutionalized elderly. The sample consisted of 80 elderly individuals, of whom 45 were institutionalized and 35 were non-institutionalized. Oral clinical examination was performed to evaluate the use and need for prosthesis in the upper and lower arches; salivary collection for analysis of the biological marker cortisol and application of the Barthel Index to assess physical and mental dependence. Three questionnaires were used to know the general health status and use of medications, geriatric depression scale (GDS-15) and GOHAI Index. In the statistical analysis, the software Bioestat (v. 5.03) was used for the association tests, at a significance level of 5%. The majority of the elderly presented total edentulous, 84.44% in the institutionalized group and 71.43% in the non-institutionalized group. The use of prosthesis was lower among the institutionalized elderly, when compared to the non-institutionalized elderly group (p = 0.0013). Analysis of salivary cortisol concentrations showed significant differences between groups, with higher rates in the in... (Complete abstract click electronic access below) / Mestre
697

Saúde bucal e qualidade de vida em indivíduos com paralisia cerebral e Síndrome de Down : percepção dos cuidadores /

Mariusso, Matheus Racy January 2016 (has links)
Orientador: Angela Cristina Cilense Zuanon / Banca: Elisa Maria Aparecida Giro / Banca: Jaqueline Braga Barbosa Cerqueira Leite / Resumo: Sabe-se que indivíduos com necessidades especiais frequentemente apresentam níveis precários de saúde geral e bucal, e que o perfil socioeconômico e nível de escolaridade dos pais podem influenciar negativamente nestas condições. Este estudo teve como objetivo relacionar, de acordo com a percepção dos cuidadores, a qualidade de vida de indivíduos com Síndrome de Down e Paralisia Cerebral, que frequentam instituições em tempo parcial, com suas condições dentárias, de higiene bucal, e com o perfil socioeconômico e nível de escolaridade dos pais. Foi selecionada uma amostra randômica simples de 20 indivíduos com Síndrome de Down (SD) e 23 com Paralisia Cerebral (PC) de 7 a 35 anos que frequentam instituições de Ensino Especial da cidade de Araraquara - SP. Para avaliação do impacto na qualidade de vida foi aplicado um questionário aos pais/cuidadores, resultante da combinação dos questionários "Parental-Caregivers Perceptions Questionnaire" (PCP-Q) e "Family Impact Scale" (FIS). Para caracterização socioeconômica da família e nível de escolaridade dos pais foi aplicado um questionário estruturado. Os pacientes foram examinados para avaliação do Índice de Higiene Bucal (IHB) e dos índices CPOD (Dentes Cariados, Perdidos e Obturados - dentição permanente) e/ou ceod (dentes Cariados, Extraídos e Obturados -dentição decídua). Os dados foram tabulados e os resultados analisados estatisticamente, sendo utilizado nível de significância de 5%. Verificou-se para o grupo SD um CPO-D médio... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Disabled people often have poor levels of general and oral health, and the socioeconomic profile and parental education level may influence these conditions. The aim of this study is evaluate the Oral Health Related Quality of Life (OHRQoL) of individuals with Down Syndrome (DS) and Cerebral Palsy (CP) attending on special shools and relate this results with their dental conditions, oral hygiene, socioeconomic profile and level of parental education. It selected a simple random sample of 20 individuals with DS and 23 individuals with CP aged 7-35, who are attending in special schools in the city of Araraquara - SP. To assess the OHRQoL and the other informations it was applied a questionnaire to parents / caregivers, resulting from a combination of "Parental-Caregivers Perceptions Questionnaire" (PCP-Q) and "Family Impact Scale" (FIS) questionnaires and socioeconomic questions. Patients were examined to assess the Oral Hygiene Index (OHI) and DMFT (Decayed, Missing and Filled Teeth - permanent dentition) and / or dmft (Decayed, Missing and Filled Teeth - deciduous dentition ). Data were tabulated and the results statistically analyze using a significance level of 5%. DS group had DMFT 3.4 (± 2.7); dmft 1.0 (± 2.5) and OHI 0.9 (± 0.7). The PC group had DMFT 3.7 (± 5.7); dmft of 0.3 (± 1.2) and OHI 0.9 (± 0.8). About the dependent oral health, in both groups, most caregivers considered "Good" or "Fair". About oral conditions impact in general well-being of the dependent, the DS... (Complete abstract click electronic access below) / Mestre
698

Sociodemographic Factors and Health-Risk Behaviors Associated with Recent Utilization of Dental Services Among South-Central Appalachian Adolescents

Dubasi, Hima Bindu, Johnson, Kiana Rachele, Dr. 12 April 2019 (has links)
Background: Oral health is crucial for overall health. Oral health care need is the most prevalent unmet health care need among children and adolescents in the United States. Youth characteristics and socio-demographic factors are known to influence dental health service utilization. While there have been studies listing the factors contributing to the oral health disparities in the Appalachian region, very few studies have inspected the risk behaviours of the youth and their association with dental health care utilization. Methods: A structured questionnaire was administered to high school students in five counties of South-Central Appalachia. The survey included a question on a recent dental visit. The students provided information on socio-demographic characteristics and risk behaviours. Descriptive analysis was performed and the association between recent dental visit as the outcome variable and sociodemographic factors and health risk behaviours as independent variables were analyzed using logistic regression analysis. The analysis was performed using SAS 9.4. Results:80.1% (N= 129) of the adolescents who had admitted to using tobacco products or electronic vapour products reported having visited the dentist in the past 12 months. 87.5% (N= 168) of the females and 80.3% (N=127) of the males reported having visited the dentist in the past 12 months and 81.43% (N=114) of the adolescents who received free or reduced lunch reported having visited the dentist in the past 12 months. Use of tobacco products was the only health risk behaviour significantly associated with dental visit in the past 12 months (p=0.04) after adjusting for covariates with OR=0.5 (95% C I:0.312 -1.01). Conclusion: The findings suggest that health risk behaviours such as using tobacco products may be associated with dental health care utilization and future research should focus on adolescents with health-risk behaviours with the goal of identifying interventions for at-risk populations. Keywords: Oral health, health disparities, youth, health risk behaviours
699

Assessing Nurse Practitioners' Knowledge and Clinical Practice with Regard to the Oral-Systemic Link

Haynes, Angela 01 December 2020 (has links)
Nurse Practitioners (NPs) comprise a significant portion of the U.S. primary care workforce and play an essential role in patients' health awareness, prevention strategies, disease management, and in providing appropriate provider referrals. Nurse Practitioners receive education on the oral-systemic connection, yet there have been limited studies on the clinical practice of NPs assessing the oral cavity to evaluate the condition of the teeth and the oral tissues. The purpose of this study was to explore the nurse practitioners’ knowledge and practice habits of assessing the oral cavity for diseases or abnormalities in the mouth that can, in turn, affect overall health. A total of 66 NPs were included in the study, primarily female (91%) with master’s degrees (77%). While knowledge and education were not significantly associated, this research found significant associations between confidence and assessments, less than one-third (30.3%) were confident in their knowledge and ability to evaluate oral abnormalities.
700

Asociación entre las Consecuencias clínicas de lesiones cariosas no tratadas con Calidad de vida relacionada a la salud oral en escolares de 11 a 14 años de la ciudad de Lima, Perú / Association between the clinical consequences of untreated caries lesions with the oral health-related quality of life of schoolchildren aged between 11 and 14 years in the city of Lima, Peru

Estrada Tejada, Valeria Jalisse, Cuaresma Mestas, Lisset Marisol 30 July 2021 (has links)
Objetivo: Asociar las consecuencias clínicas de lesiones cariosas no tratadas (índice PUFA) con calidad de vida relacionada a la salud oral (CVRSO) en escolares de 11 a 14 años de la ciudad de Lima, Perú Materiales y métodos: Este estudio fue de tipo transversal. Se evaluaron 175 escolares de 11 a 14 años. Para evaluar las consecuencias clínicas de lesiones cariosas no tratadas se utilizó el índice PUFA, y se empleó el cuestionario CPQ11-14 para medir CVRSO. Asimismo, se consideraron algunas características sociodemográficas como sexo, edad, nivel socioeconómico y caries dental, el cual se evaluó mediante el sistema ICDAS. Para asociar el índice PUFA con CVRSO se realizó un análisis multivariado mediante la regresión binomial negativa. Se determinó el nivel de significancia estadística de p<0.05 y un IC 95%. Resultados: El promedio total del CPQ11-14 fue de 30.35±17.7 y la prevalencia del índice PUFA fue de 5.14%. Por otro lado, las dimensiones del cuestionario CPQ11-14 que obtuvieron un mayor promedio fue el de “bienestar social” con 9.86±7.18 y “bienestar emocional” con 8.26±6.14. Finalmente, no existe probabilidad de que la CVRSO este afectada, ya que en la presencia de las consecuencias clínicas de caries no tratadas el RTI aumenta 1.12 (IC 95% 0.69 – 1.83). Conclusión: No existe asociación entre las consecuencias clínicas de lesiones cariosas no tratadas con calidad de vida relacionada a la salud oral en escolares de 11 a 14 años en la ciudad de Lima-Perú. / Aim: To associate the clinical consequences of untreated carious lesions (PUFA index) with oral health-related quality of life (OHrQOL) of schoolchildren aged between 11 and 14 years in the city of Lima, Peru.  Materials and methods: It was a cross-sectional study. One hundred and seventy-five schoolchildren aged 11 to 14 years were evaluated. The PUFA index was used to assess the clinical consequences of untreated carious lesions, and the CPQ11-14 questionnaire was used to evaluate OHrQOL. Some sociodemographic characteristics as gender, age, socioeconomic level and dental caries, which was evaluated using the ICDAS system, were considered. For the association between PUFA index with OHrQOL, a multivariate analysis was performed using negative binomial regression. The level of statistical significance of p<0.05 and a 95% CI was determined. Results: The total CPQ 11-14 score was 30.35±17.7 and the prevalence of the PUFA index was 5.14%. On the other hand, the dimensions of the CPQ11-14 questionnaire that showed a higher average were "social well-being" with 9.86±7.18 and "emotional well-being" with 8.26±6.14. Finally, there is no probability that oral health-related quality of life is affected, since the presence of the clinical consequences of untreated carious, the ITR increases 1.12(95% CI 0.69 – 1.83). Conclusion: There is no association between the clinical consequences of untreated carious lesions with oral health-related quality of life in schoolchildren aged 11 to 14 years in the city of Lima, Peru. / Tesis

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