Prevalence of Dental Fluorosis Among 6–12-Year-Old School Children of Mahabubnagar District, Telangana State, India − A Cross-Sectional Study

Introduction: Telangana state in southern India has many areas which have high–low fluoride levels in drinking water, and Mahabubnagar district is one among them, where people are affected with dental and skeletal fluorosis, with the majority belonging to low socio-economic status. Aims: To assess the prevalence of dental fluorosis in school going children of Mahabubnagar district and also to assess fluoride levels in drinking water from different areas of Mahabubnagar district. Materials and Methods: A cross-sectional study was conducted on 2000 children in the age group 6–12 years in different areas of Mahabubnagar district. Dental fluorosis status was assessed by using Modified Dean’s Fluorosis Index. Alizarin visual method was used to estimate fluoride levels in water. The data collected were subjected to statistical analysis. Results: Dental fluorosis in primary and permanent dentition was 15 and 70.3%, respectively. In the northern part of Mahabubnagar district, primary dentition was more affected by fluorosis whereas in southern part, the permanent dentition was more affected. The prevalence of dental fluorosis in primary dentition was more in 6–7-year-old children (35.5%), and in permanent dentition, it was more in 9–10-year-old children (70%). The fluoride level in drinking water was more in Kosghi, Kalwakurthy (2.0 ppm). Conclusion: Dental fluorosis was more in 10-year-old and less in 6-year-old children. It was more in eastern and northern zones of Mahabubnagar district and less in local villages of Mahabubnagar

Perceived Levels of Supportive Care Needs of the Patients with Oral Cancer in a Metropolitan City in South India – A Cross-Sectional Questionnaire-Based Study

Introduction: The patients with cancer experience a range of challenges that can be physical, mental, and psychological. Hence, proper supportive care needs should be provided to the patients with oral cancer during the postoperative period, which can have a great impact on them and their family caregivers. Aim: To assess the perceived levels of supportive care needs, namely psychological, interpersonal communication, patient support, health information, and physical needs, of the patients with oral cancer in a metropolitan city. Materials and Methods: A cross-sectional study was conducted. One hundred and twenty patients were recruited from various cancer hospitals’ inpatient wards in the city of Hyderabad. A questionnaire was used to assess the patients’ needs, including the Karnofsky’s Performance Status Index and Cancer Needs Questionnaire Short Form. Descriptive statistics were calculated. Regression analysis was performed to find the predictive factors of various needs domains of the patients, and P < 0.05 was considered statistically significant. Results: In general, the patients reported the highest level of supportive care needs in the “Psychological” domain among six needs domains, followed by interpersonal communication needs, patient support needs, health information needs, and physical needs. Factors significantly related to those supportive care needs across six domains were stage of the cancer when admitted, past treatment underwent, occupation, location of the cancer, duration of the treatment, and undergoing problems during the treatment. Conclusion: Needs that were considered to be more important by the patients were the psychological needs and interpersonal communication needs, especially in the period within which they are being treated and when undergoing tests to determine the stage of the cancer. Routine screening for psychological and physical distress should become a first step in the assessment of the psychosocial needs of people receiving inpatient treatment for the cancer