Prevalenței tulburărilor musculo-scheletale în rândul studenților de medicină dentară

Musculoskeletal disorders (MSD) are common among dental practitioners. The aim of the study was to assess the prevalence of MSD among dental students as well as the level of knowledge and attitudes about the principles of ergonomics. Material and Methods: The study was conducted among the 2nd and 6th year students of the Faculty of Dental Medicine, UMPh Gr.T.Popa University of Iasi. The questionnaire covered four main sections: the first section on demographic data collection, the second section assessed the work environment and work characteristics, the third section addressed ergonomics, while the fourth section assessed the prevalence of MSD based on body regions. Data analysis was performed with SPSS 14.0 Results: The response rate was 87% .72% of female subjects and 20% of male subjects reported MSD symptoms. 50% of students work with an assistant. They reported few symptoms of MSD at the elbow and forearm level. 70% of students have the ability to take over the instrument without making unnecessary movement. The number of clinical weekly workouts was significantly correlated with the discomfort experienced in the hands and fingers but also with the pain in the lumbar region. Conclusions: The prevalence of musculoskeletal disorders is higher in end-year students. The causes of these illnesses are the low level of knowledge about the ergonomic principles that need to be applied to improve medical activity and the reduction of the risk of installing muscle fatigue but also the lack of auxiliary staff to help the student achieve the treatments

EVALUATION OF INFECTION CONTROL KNOWLEDGE AND ATTITUDES AMONG DENTAL TECHNICIANS IN IASI

The dental technicians are exposed to a potential risk for infection transmission during the professional activity. The aim of this study was to evaluate the knowledge and attitudes of dental technicians towards the methods used to prevent infection transmission in the dental laboratories in Iaşi. Methods: A questionnaire-based study was initiated involving 68 technicians aged between 24 and 49 years. The 14 questions were related to infection control attitudes and implemented specific measures. Data were analyzed using SPSS 14 system and Chi-Square test (p<0.05). Results: 40,6% of technicians , mainly females (50,0%) , consider the risk of infection transmission in the dental laboratory to be moderate and 37,5% consider this risk to be low. 47% of respondents always wear protective gloves, most females (50%) and technicians with 3-5 years of work experience (66,7%). Disinfection of items leaving the dental laboratory is performed regularly by 81,3% of respondents. Hands hygiene is accomplished before donning gloves (15,8%) and after removing gloves (22,3%). 84,0% of the study participants reported that they always wear protective eyeglasses. Surface disinfection is performed regularly by 16,3% of the subjects. The technicians are vaccinated at a rate of 38% for HBV. Conclusions. The awareness and knowledge of dental technicians must be increased by educational interventions in order to prevent infection transmission and to increase the level of safety during the oral health care

ODONTAL STATUS AND ORAL HEALTH BEHAVIORS IN 6 YEARS OLD CHILDREN IN IAȘI

The aim of this study was to evaluate the dental status in 6 years old school children in Iași in correlation with behavioral factors and socio-economic status. Material and method. A longitudinal epidemiological study was initiated within the project “Evaluation of oral health and education for oral health in 6 and 12 year-old school-children in Iași, Romania” including 592 school children aged 6 from 21 schools in Iași. For oral health assessment EGOHID system was used. Results. The values for dmft /dmfs were 3,64 and 6,85 respectively. The prevalence of dental caries was 78,6% for d1-6mf and 67,9% for d3-6mf. The values for decayed teeth and surfaces was significantly higher than those for filled teeth and surfaces. A positive correlations between dmft index and the socio-economic level and between dmft index and sugar intake were established. 57,9% of subjects eat sweets between meals. More than half of children (56.3%) brush their teeth twice a day and 15% of them cleen their teeth occasionaly.Conclusions. Intensive preventive efforts by risk factors control are needed in order to decrease the high found prevalence of dental caries

DENTISTS’ COMPLIANCE TO HANDS HYGIENE AS METHOD OF HEALTH CARE ASSOCIATED INFECTIONS PREVENTION

The aim of this study is to assess the dentists compliance to hands hygiene procedure in order to decrease the incidence of health care associated infections. Material and methods. It was initiated a questionnaire based study including 279 dentists aged between 26 and 62 years in Iasi, Romania. The data were analyzed using the SPSS.15.0 system and Chi square test (p<0.05). Results. The general level of compliance to hands hygiene was 77%. Women (88,7%) and dentists in the 20-40 age group (78,7%) demonstrated a higher compliance to this procedure. The subjects aged over 61 years (78,4%) prefer the routine technique of hand washing with soap and water. The most commonly used product is the antibacterial soap (69.4%), followed by alcohol-based products , plain soap and chlorhexidine products . Dentists’ answers reveal a compliance of 98.9% for rubber gloves. Hypersensitivity reactions caused by rubber gloves was reported by 16,1% of dentists. Conclusions. Efficient educational and training interventions are needed in order to support the dentists’ compliance to hands hygiene and to decrease the risk of health care associated infections

LEVEL OF KNOWLEDGE CONCERNING THE PREVENTION OF INFECTION TRANSMISSION AMONG DENTISTS IN IASI, ROMANIA

Aim of the study. The aim of this study was to assess dentists’ knowledge in preventing infection transmission, after having participated in professional training courses. Material and methods: 127 dentists from Iasi, Romania, aged 25-65 years, were investigated using a 14 item questionnaire with simple / multiple responses. Results: 66.5% of the investigated dentists were familiar with the elements included in the concept of preventing the infection transmission in the dental office. 90% of the subjects knew the complete post-exposure protocol for accidental contamination with infected blood, but only 36.8% of those surveyed knew the substances used for high-level disinfection. Conclusion: The main methods and techniques for the prevention of infection transmission in dental medicine are known by most of the investigated practitioners, but further training programs are required in the area to increase the level of knowledge

PREVENTION OF HEALTHCARE ASSOCIATED INFECTIONS BY COMPLIANCE TO BLOOD BORNE PATHOGENS TRANSMISSION PROTOCOLS IN THE DENTAL OFFICES IN IASI

The aim of the study was to evaluate the level of training and compliance with administrative and clinical infection prevention recommendations in the dental settings in Iasi. Material and methods. A questionnaire based study was initiated including 93 dentists in Iasi. Results. 91,5% of the dentists wish to be trained in infection control, and 78,7% consider important the presence of a coordinator in this domain. In no dental office the compliance to Standard Precautions is evaluated by planned activities. 78,4% of the subjects are immunized against Hepatitis B . The sterilization equipment’s maintenance is performed and documented in 87,2% of the settings. In 80,5% of them the necessary supplies for hand hygiene are easily accessible. 74,7% of the dentists wear the full protective equipment. Written policies and procedures for the cleaning and disinfection of reusable instruments and environmental surfaces are available in 78,2% , respectively 21,3% of the dental offices. In all dental settings a chemical indicator is used for the sterilisation monitoring. Conclusions. The investigation findings highlighted the need for continuous dental staff training by an infection control coordinator based on assessing compliance with recommended policies and practices

GENDER PROFILE OF HEALTHCARE-ASSOCIATED INFECTIONS IN ORAL AND MAXILLOFACIAL SURGERY CLINIC IAȘI (2011-2018)

The aim of this study was to evaluate the Healthcare Associated Infections (HAI) profile according to the patient’s gender in Oral and Maxillo-Facial Surgery Clinic Iași between 2011 and 2018. Material and methods. A retrospective study on HAI between 2011 and 2018 was initiated at the OMF Clinic Iași . SPSS 24 system was used for the statistical analysis of the data.. Results. 231 cases of HAI were diagnosed in a total of 154 patients.. The HAI recorded incidence was twice higher in men compared to women (0,99% and 0,49%, respectively). 72,2% of female patients were hospitalised for tumour pathology. Women were mainly exposed to urinary and digestive infections, while in men the most frequent HAI were the surgical site infections, respiratory infections and infections associated with therapeutic manoeuvres. The discharge status was 63,0% healed, 2,3% stationary, 22,5% improved for male patients and 44,8% healed, 34,5% improved for females. 3,5% men and 10,3% women died. Male patients attended Intensive Care Unit in a significantly higher proportion compared to female patients (66,1%, respectively, 41,7%). Conclusions. The assessment of the patients’ gender as a risk factor for HAI is necessary for this pathology surveillance, control and prevention

Chemical, Biological and Ecotoxicological Assessment of Pesticides and Persistent Organic Pollutants in the Bahlui River, in Romania

Background, aim, and scope Current knowledge on environmental impacts of industrial activities in Romania, particularly persistent organic pollutants (POPs), indicates that environmental standards of the European Union are not systematically met. In our study area, additional sources of POPs are agriculture and domestic wastes. Very scarce information is available upon environmental contaminations and effects. In the present study, we investigated the chemical pollution and their eventual impact on the ecosystem by measuring POPs and by using biological indicators of pollution