The COVID-19 pandemic and its global effects on dental practice. An international survey

Objectives: A multicentre survey was designed to evaluate the impact of COVID-19 outbreak on dental practice worldwide, estimate the COVID-19 related symptoms/signs, work attitudes and behaviour and the routine use of protective measures and Personal Protective Equipment (PPE). Methods: A global survey using a standardized questionnaire with research groups from 36 countries was designed. The questionnaire was developed and pretested during April 2020 and contained three domains: 1) Personal data; 2) COVID-19 positive rate and symptoms/signs presumably related to the coronavirus; 3) Working conditions and PPE adopted after the outbreak. Countries’ data were grouped by the Country Positive Rate (CPR) during the survey period and by Gross-National-Income per capita. An ordinal multinomial logistic regression model was carried out with COVID-19 self-reported rate referred by dental professionals as dependent variable to assess the association with questionnaire items. Results: A total of 52,491 questionnaires were returned with a male/female ratio of 0.63. Out of the total respondents, 7,859 dental professionals (15%) reported symptoms/signs compatible with COVID-19. More than half of the sample (n = 27,818; 53%) stated to use FFP2/N95 masks, while 21,558 (41.07%) used eye protection. In the bivariate analysis, CPR and N95/FFP2 were significantly associated (OR = 1.80 95%CI = 1.60/2.82 and OR = 5.20 95%CI = 1.44/18.80, respectively), while Gross-National-Income was not statistically associated with CPR (OR = 1.09 95%CI = 0.97/1.60). The same significant associations were observed in the multivariate analysis. Conclusions: Oral health service provision has not been significantly affected by COVID-19, although access to routine dental care was reduced due to country-specific temporary lockdown periods. While the dental profession has been identified at high-risk, the reported rates of COVID-19 for dental professionals were not significantly different to those reported for the general population in each country. These findings may help to better plan oral health care for future pandemic events

The COVID-19 pandemic and its global effects on dental practice. An international survey

Objectives A multicentre survey was designed to evaluate the impact of COVID-19 outbreak on dental practice worldwide, estimate the COVID-19 related symptoms/signs, work attitudes and behaviour and the routine use of protective measures and personal protective equipment (PPE). Methods A global survey using a standardized questionnaire with research groups from 36 countries was designed. The questionnaire was developed and pretested during April 2020 and contained three domains: 1) personal data; 2) COVID-19 positive rate and symptoms/signs presumably related to the coronavirus; 3) working conditions and PPE adopted after the outbreak. Countries’ data were grouped by the country positive rate (CPR) during the survey period and by Gross-National-Income per capita. An ordinal multinomial logistic regression model was carried out with COVID-19 self-reported rate referred by dental professionals as dependent variable to assess the association with questionnaire items. Results A total of 52,491 questionnaires were returned with a male/female ratio of 0.63. Out of the total respondents, 7,859 dental professionals (15%) reported symptoms/signs compatible with COVID-19. More than half of the sample (n=27,818; 53%) stated to use FFP2/N95 masks, while 21,558 (41.07%) used eye protection. In the bivariate analysis, CPR and N95/FFP2 were significantly associated (OR=1.80 95%CI=1.60/2.82 and OR=5.20 95%CI=1.44/18.80, respectively), while Gross-National-Income was not statistically associated with CPR (OR=1.09 95%CI=0.97/1.60). The same significant associations were observed in the multivariate analysis. Conclusions Oral health service provision has not been significantly affected by COVID-19, although access to routine dental care was reduced due to country-specific temporary lockdown periods. While the dental profession has been identified at high-risk, the reported rates of COVID-19 for dental professionals were not significantly different to those reported for the general population in each country. These findings may help to better plan oral health care for future pandemic events

Methane emissions and milk fatty acid profiles in dairy cows fed linseed, measured at the group level in a naturally ventilated housing and individually in respiration chambers

Cows emit the greenhouse gas methane (CH4) as a result of microbial feed digestion. Methane emissions can be reduced by adopting nutritional strategies, such as dietary supplementation of linseed. Additionally, the oil in linseed increases the proportion of favorable fatty acids in milk fat. This study evaluated the effect of linseed on CH4 emission and milk fatty acid composition measured in a group of cows in a naturally ventilated barn and in individual cows in respiration chambers. The substantially higher proportions of favorable fatty acids in the milk of linseed-fed cows were detected in individual milk samples and in the milk of the herd. Therefore, the analysis of bulk milk could be a suitable control instrument for retailers. Visualizing the course of CH4 emissions over a whole day showed slightly lower CH4 values in linseed-supplemented individuals and groups. However, we found no significant reduction of CH4 as a result of linseed supplementation. Feed supplements in concentrations that are effective in reducing CH4 must show whether the reduction potential is comparable when determined at the group and individual levels.publishedVersio

Methane Emissions and Milk Fatty Acid Profiles in Dairy Cows Fed Linseed, Measured at the Group Level in a Naturally Ventilated Housing and Individually in Respiration Chambers

The present study evaluated the effects of linseed supplementation on CH4 emission and milk fatty acid composition in dairy cows measured at the group level in an experimental dairy loose housing using a tracer gas technique and individually in tied stalls and respiration chambers. Cows (2 × 20) were maintained in two separate sections under loose-housing conditions and received a diet supplemented with extruded linseed (L) lipids (29 g·kg−1 dry matter) or a control (C) diet containing corn flour. Subsequently, 2 × 6 cows per dietary group were investigated in a tied-housing system and respiration chambers. Substantially higher proportions of favorable milk fatty acids were recovered in L cows when compared with C cows at the group level, making the analysis of bulk milk a suitable control instrument for retailers. Linseed supplementation resulted in a slightly lower diurnal course of CH4 emission intensity than the control at the group and individual levels. However, we found no more than a trend for a CH4 mitigating effect, unlike in other studies supplementing similar linseed lipid levels. Feed supplements in concentrations that lead to a significant reduction in CH4 emissions must show whether the reduction potential determined at the group and individual levels is comparable.ISSN:2076-261

Methane emissions and milk fatty acid profiles in dairy cows fed linseed, measured at the group level in a naturally ventilated housing and individually in respiration chambers

Cows emit the greenhouse gas methane (CH4) as a result of microbial feed digestion. Methane emissions can be reduced by adopting nutritional strategies, such as dietary supplementation of linseed. Additionally, the oil in linseed increases the proportion of favorable fatty acids in milk fat. This study evaluated the effect of linseed on CH4 emission and milk fatty acid composition measured in a group of cows in a naturally ventilated barn and in individual cows in respiration chambers. The substantially higher proportions of favorable fatty acids in the milk of linseed-fed cows were detected in individual milk samples and in the milk of the herd. Therefore, the analysis of bulk milk could be a suitable control instrument for retailers. Visualizing the course of CH4 emissions over a whole day showed slightly lower CH4 values in linseed-supplemented individuals and groups. However, we found no significant reduction of CH4 as a result of linseed supplementation. Feed supplements in concentrations that are effective in reducing CH4 must show whether the reduction potential is comparable when determined at the group and individual levels