Children’s experiences following a CBT intervention to reduce dental anxiety: one year on

Objective: To investigate children’s ongoing experiences of dental care and use of strategies to manage their dental anxiety following cognitive behavioural therapy (CBT). Design: A child self-completed postal questionnaire. Settings: Hospital, community and general dental practice. Subjects: Questionnaires were sent to 44 children, aged 10-17 years who had been referred to specialist services due to their dental anxiety. Intervention: Children had all previously received a guided CBT self-help intervention to reduce their dental anxiety and, on completion of treatment, had been discharged to their referring dentist. Questionnaires were sent out 12-18 months later to ascertain dental attendance patterns and application of any strategies learnt from the previous CBT intervention. Results: 22 responses (50%) were received from 16 girls and 6 boys. 82% had subsequently accessed follow up care with a general dental practitioner and over half of these had undergone a dental procedure, other than a check-up. 91% reported feeling less worried about dental visits, than previously, and described a change in cognition, behaviours, and feelings that allowed them to manage their anxiety better. Conclusions: CBT has positive immediate and longitudinal effects in reducing children’s dental anxiety. The challenge of adopting this evidence-based approach within primary care settings remains

Working Conditions in Small Private Enterprises in Poland

The study deals with working conditions in small private enterprises in Poland. Data come from 50 small enterprises from the Warsaw area. Information about the evaluation of working conditions and the existence of programmes for their improvement was gathered with the help of questionnaires addressed to employees and employers. The results constitute a “photograph” of the Polish reality at the beginning of its transition from planned to market economy. The study revealed a lack of programmes for the improvement of working conditions in a significant number of the enterprises studied as well as little interest in occupational safety on the part of employers (owners). The study also revealed that all decisions—including those about the improvement of working conditions—were made by employers. Hence, the need for the widest possible dissemination of knowledge on occupational safety and the protection of human in the working environment with particular stress put on employers. Employers who are knowledgeable in this field and who are aware of its importance can significantly influence the improvement of working conditions in small enterprises

The Need for a Participatory Conservation Programme for the Reduction of Noise Exposure to Thai Female Workers

Hearing loss induced in thirty female workers because of exposure to continuous noise was studied in a plastic bag plant in Samutprakarn Province, the largest industrial zone in Thailand. The sound level in this plant was 98.5 dBA., 94.0 dBA. and 93.0 dBA. in the weaving, winding and warping sections, respectively. Results of an audiometric test showed a significant relationship between high noise level and hearing loss at frequency 4, 000 Hz. A questionnaire survey found that a relatively high number of workers had various symptoms such as: 76.7% general fatigue, 70% headache, 63.3% ear distension and 56.7% vertigo. Concerning the usage of ear protective devices, it was found that 80% of the workers have never used such devices, 16.7% occasionally used them, and 3.3% have always used cotton wool to reduce the high noise level. Their reasons for non-use of ear protective devices were 1) not provided by the employer (86.7%), 2) not necessary (83.3%), 3) accustomed to the noise (63.3%), 4) nobody uses (56.7%), and 5) no loud noise (16.7%). These results point to the need for improving the work conditions and welfare services of the workers at this plant. Also, hearing conservation programmes can be instituted in developing countries through cooperation among the safety inspectorate, the employer and the workers. </jats:p

The Correlation Between Symptoms, Frequent Use of Dental Polymers, and Evaluation of Health Risk

Dental personnel are at risk as they manually handle polymer products containing monomers and additives that cause irritation and induce allergy. Gloves and face masks can be easily penetrated by monomers. A total of 587 dental personnel and a referent group (585) in the 2 most northern regions of Sweden were included in a questionnaire study (response rate 76%). Questions were asked regarding symptoms of atopy, asthma, conjunctivitis, atopic dermatitis, hand dermatitis, and hay fever/rhinitis. The dental personnel were asked to give the name of polymer products used in their practice and the frequency of use. They were also asked to risk evaluate 5 different types of polymer materials on a scale from 1 to 5. Analysis was done to find if the occurrence of a symptom was associated with a high risk evaluation of a polymer material, or with frequent use of a certain polymer product. Significantly more dentists reported symptoms of atopic dermatitis and conjunctivitis compared to referents and chair assistants. Results show that dental personnel with symptoms risk evaluated most materials significantly higher than dental personnel without symptoms. Further, the occurrence of some symptoms was associated with frequent use of 8 polymer products

Users’ Demands Regarding Dental Safety Glasses. Combining a Quantitative Approach and Grounded Theory for the Data Analysis

Eye infections are common among dentists and many are concerned, but few are using proper eye protection. To understand users’ demands behind the low use of safety glasses, all dental teams in Sweden were asked which factors they found most important when choosing dental safety glasses, and rate the importance of 31 statements regarding ergonomic aspects of dental safety glasses in a questionnaire. Data were analysed using the Grounded Theory and a quantitative approach. Results showed that dentists ranked the visual aspects as most important and chair assistants the protective aspects. The highly visual demanding work performed by dentists requires safety glasses that are not yet available on the market, which might explain the low use

Assessment of Future Workshop’s Usefulness as an Ergonomics Tool

This study was carried out to assess Future Workshop (FW) regarding its usefulness as a participatory ergonomics method, using a descriptive evaluation design analysed by phenomenographical approach. The study was conducted among professional cleaners, health care personnel and miners, with a sample of 105 participating subjects in 8 different FWs. Multiple methods, giving a combination of both qualitative and quantitative data, were used for data collection. Good involvement of participants was observed during workshops. Evaluations immediately after FWs and 3 months later showed a strong relationship with high correlation, indicating that the perception of FW participants was very positive. Interviews revealed conformity between developed problem identification and proposed changes. Participants’ own perceptions of FW’s influence on creativity depict their belief of developed ideas and solutions in order to identify and solve workplace problems. FW is considered to be a useful ergonomics tool, and its qualities are related to structure and practical performance

Users’ Demands Regarding Dental Safety Glasses. Combining a Quantitative Approach and Grounded Theory for the Data Analysis

Eye infections are common among dentists and many are concerned, but few are using proper eye protection. To understand users’ demands behind the low use of safety glasses, all dental teams in Sweden were asked which factors they found most important when choosing dental safety glasses, and rate the importance of 31 statements regarding ergonomic aspects of dental safety glasses in a questionnaire. Data were analysed using the Grounded Theory and a quantitative approach. Results showed that dentists ranked the visual aspects as most important and chair assistants the protective aspects. The highly visual demanding work performed by dentists requires safety glasses that are not yet available on the market, which might explain the low use

Assessment of Future Workshop’s Usefulness as an Ergonomics Tool

This study was carried out to assess Future Workshop (FW) regarding its usefulness as a participatory ergonomics method, using a descriptive evaluation design analysed by phenomenographical approach. The study was conducted among professional cleaners, health care personnel and miners, with a sample of 105 participating subjects in 8 different FWs. Multiple methods, giving a combination of both qualitative and quantitative data, were used for data collection. Good involvement of participants was observed during workshops. Evaluations immediately after FWs and 3 months later showed a strong relationship with high correlation, indicating that the perception of FW participants was very positive. Interviews revealed conformity between developed problem identification and proposed changes. Participants’ own perceptions of FW’s influence on creativity depict their belief of developed ideas and solutions in order to identify and solve workplace problems. FW is considered to be a useful ergonomics tool, and its qualities are related to structure and practical performance