Dental care satisfaction among adult population in Isfahan, Iran and its influencing factors

BACKGROUND AND AIM: The aim of this study was to assess the level of dental care satisfaction among Iranian adult population and to identify socio-demographic factors and factors related to dental service that affect satisfaction. METHODS: A self-administrated valid and reliable 21-item questionnaire was designed and distributed among 1360 adult population living in Isfahan, Iran, using multi-stage proportional cluster sampling. It consisted of 5 main sections including demographic questions, perceived oral health status, oral health behaviors, barriers in receiving the demanded care and some 5-point Likert scale questions to assess the satisfaction level. Chi-square and analysis of variance were used to compare variables. People were classified as satisfied/dissatisfied based on their total score with score of 26 as the cut-off point. A logistic regression model was used to identify the factors affecting the level of satisfaction and to estimate their effect size. RESULTS: The mean age of participants was 31.2 ± 11.3 and they mostly reported to have dental visits during the last year. The mean satisfaction score was 3.34 out of 5 (53% were satisfied) and the least and the most satisfaction was in regard to waiting time and the convenience to access, respectively. Logistic regression showed that participants in lower age group [odds ratio (OR) = 0.7], those who reported their oral health status as poor (OR = 0.8) and those who had to spend more time to reach dental care setting (OR = 0.6) and those who had to wait more (OR = 0.5) were less satisfied. CONCLUSION: About 53% of participants were satisfied which was much lower than percentage of satisfied people in developed countries and the level of satisfaction was associated with socio-demographic, behavioral and also dental service. KEYWORDS: Patient Satisfaction; Dental Care; Adult; Ira

Impact of Nutritional Educational Program on the Nutritional Habits and Status among Older Adults at Qena City, Egypt

Background: The age-related changes of the gastrointestinal tract, availability of the food and the functional ability affect the nutritional intake among elderly people. Most of the diseases originate from malnutrition especially among the vulnerable group as older adults. Therefore, the aim of this study is to improve older adults' nutritional habits. The study followed a quesi experimental research design and was carried out in the Elderly Club at Qena City. Sample; One hundred and six older adults who fulfilled the inclusion criteria participated in this study and assigned randomly into fifty-three intervention group and fifty-three control group. Two tools were used to collect the data; Tool I Structured Interview Form and tool II Mini-Nutritional Assessment Scale. The results of this study revealed that there are no statistically significant differences of frequency of usual food consumed per week between pre-test and Posttest among the intervention or control group (P > 0.05). There are significance differences between pre-test and Posttest of food preparation method and the substances used in cooking among only the intervention group. It was concluded from the current study that the intervention improved the nutritional habits. Based on the study results, it will be useful implement the nutritional educational program at all older organizations which provide services to older adults such as elderly homes, elderly clubs, and hospitals in Egypt

Dibromido(2,3,9,10-tetra­methyl-1,4,8,11-tetra­azacyclo­tetra­deca-1,3,8,10-tetra­ene)cobalt(III) bromide

In the title compound, [CoBr2(C14H24N4)]·Br, the CoIII ion is located on an inversion centre and possesses a distorted octa­hedral coordination geometry in which four nitro­gen donors of the ligand mol­ecule are in the equatorial plane and two Br− ions occupy both the axial sites to give a trans isomer. The Br- counter- anion is also located on an inversion centre

EFFECT OF MANAGEMENT PROGRAM ON HEAD NURSES, PERFORMANCE OF CONTROL AND SAFEGUARD REGARDING RESOURCES AT EL-MENSHAWY GENERAL HOSPITAL

Abstract Resources control is to know how to act in a responsible and recognized way to add economic value to the hospital units. it includes nursing practices that reducing the utilization of non-beneficial care and use of medical resources appropriately, without compromising the quality of the nursing care provided to the patient. Aim: The aim of the study was to determine the effect of management program on head nurses, performance of control and safeguard regarding resources at El-Menshawy General Hospital. Method: Design: Quasi experimental research Setting: Study was conducted at El-Menshawy General hospital affiliated to Ministry of Health and Population. It divided into three main big buildings A, B, and C which include twenty inpatient and outpatient units. Subjects: All (N=60) head nurses working in inpatient units, divided into head nurses (40) and in-charge nurses (20). Data collection tools: Tool (I) head nurses’ knowledge about control and safeguard regarding resources questionnaire. Tool (II) head nurses, performance of control and safeguard regarding resources observational checklist. Results; Preprogram more than half of head nurses had low level of knowledge regarding control and safeguard resources, changed to be none had low but all had high level of knowledge post program. Beside preprogram seventy percent of head nurses at morning shift, but all of them at afternoon and evening shift had unsatisfactory level of performance regarding control and safeguard resources, changed post program to be all head nurses at morning shift, most and majority of them at afternoon and evening showed satisfactory performance levels. There was a strong and highly statistically significant positive correlation between total head nurses’ high knowledge and satisfactory performance level post program than pre. Conclusion; The designed and implemented management program significantly improve head nurses’ knowledge and performance regarding control and safeguard resources. Recommendation; Maintain periodical in-service training program to improve nursing staff’ knowledge and practice regarding control and safeguard resources

4-[(3-Formyl-4-hydroxy­phen­yl)diazen­yl]-N-(pyrimidin-2-yl)benzene­sulfonamide

The title mol­ecule, C17H13N5O4S, has a trans configuration with respect to the diazenyl (azo) group. The pyrimidine ring and the terminal benzene ring are inclined at angles of 89.38 (4) and 1.6 (6)°, respectively, with respect to the central benzene ring. The conformation of the mol­ecule is in part stabilized by an intra­molecular O—H⋯O hydrogen bond. In the crystal structure, mol­ecules related through inversion centers form hydrogen-bonded dimers involving the sulfon­amide N—H group and the N atom of the pyrimidine ring

Prevalence of selective IgA deficiency in a sample of Egyptian patients with type 1 diabetes mellitus

Background: Selective Immunoglobulin A deficiency (SIgAD) is known to be one of the most frequent primary immunodeficiency diseases. Several studies worldwide confirm the increased frequency of this disease among type 1 diabetes mellitus (T1DM), yet this has not been studied in Egypt.Objective: This work aimed to define the prevalence of SIgAD among Egyptian patients with T1DM.Patients and Methods: Fifty patients with T1DM were compared to fifty apparently healthy individuals. Serum levels of IgA, IgG, and Immunoglobulin M (IgM) levels were measured by Nephelometry to all participants.Results: The mean age of the diabetic group was 24.5 ± 5.3 years. Thirty out of fifty patients with T1DM (60%) were diagnosed as SIgAD with, female predominance (66.7% of SIgAD). We also found a significant relationship between SIgAD and diabetic ketoacidosis (P-value<0.001). Serum IgA levels were positively correlated to IgG and IgM. Conclusion: The current study displays 60% prevalence of SIgAD among adult Egyptians with T1DM, which is higher than stated in other countries

The effect of compliance on the impact of mass drug administration for elimination of lymphatic filariasis in Egypt

We studied effects of compliance on the impact of mass drug administration (MDA) with diethylcarbamazine and albendazole for lymphatic filariasis (LF) in an Egyptian village. Baseline microfilaremia (mf) and filarial antigenemia rates were 11.5% and 19.0%, respectively. The MDA compliance rates were excellent (> 85%). However, individual compliance was highly variable; 7.4% of those surveyed after five rounds of MDA denied having ever taken the medications and 52.4% reported that they had taken all five doses. The mf and antigenemia rates were 0.2% and 2.7% in those who reported five doses of MDA and 8.3% and 13.8% in those who reported zero doses. There was no significant difference in residual infection rates among those who had taken two or more doses. These results underscore the importance of compliance for LF elimination programs based on MDA and suggest that two ingested doses of MDA are as effective as five doses for reducing filariasis infection rates

Knee Enthesitis and Synovitis on Magnetic Resonance Imaging in Patients with Psoriasis without Arthritic Symptoms

Objective. This case-control study was designed to evaluate magnetic resonance imaging (MRI) findings of knee joints in patients with psoriasis without clinical peripheral or axial joint involvement, and to correlate MRI findings with disease and demographic variables. \ud \ud \ud Methods. In total 48 patients with psoriasis and no clinical evidence of synovitis or enthesitis in any peripheral or axial joints were enrolled. A random sample of 20 healthy subjects without knee or other joint complaints and matched for age and sex served as controls. All patients and controls underwent enhanced MRI studies of both knee joints, and MRI findings were compared. \ud \ud \ud Results. Among 48 patients (96 knees), a total of 90 entheseal lesions were detected, with no enthesitis in 2 cases (6.3%). Signs of continuing inflammation bilaterally were frequently found: soft tissue edema (STE; n = 52), bone marrow edema (BME; n = 20), perientheseal BME (n = 3), cartilaginous erosions (n = 42), and bone erosions (n = 27). In controls, 2 (10%) subjects had BME and another 5 (25%) showed cartilaginous erosions. None showed evidence of enthesitis. Significant correlations were observed between the number of entheseal lesions of both knees vs STE (present vs absent; r = 0.314, p = 0.030) and STE (number of lesions; r = 0.351, p = 0.014). Enthesitis (unilateral vs bilateral) was significantly and positively correlated with STE (r = 0.304, p = 0.036), cartilaginous erosions (r = 0.304, p = 0.036), and villous projections (r = 0.347, p = 0.016). \ud \ud \ud Conclusion. Subclinical synovitis and enthesitis are frequently found in the knee joint of patients with psoriasis. These may be an early sign of psoriatic arthritis\u

1-[4-(Diamino­methyl­eneamino­sulfon­yl)phenyl­iminiometh­yl]-2-naphtholate N,N-dimethyl­formamide disolvate

The asymmetric unit the title compound, C18H16N4O3S·2C3H7NO, contains a mol­ecule in a zwitterionic form with a deprotonated hydroxyl group and an iminium group, and two dimethyl­formamide solvent mol­ecules. The dihedral angles of the guanidine group and the naphthyl ring system with respect to the central benzene ring are 76.04 (7) and 3.45 (9)°, respectively. The conformation of the mol­ecule may be influenced, in part, by two intra­molecular hydrogen bonds, while in the crystal structure, inter­molecular hydrogen bonds form one-dimensional chains along [010]

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely