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Background: Adolescents are considered good cadres who can socialize healthy dental behavior. Therefore, designing a dental health education program is necessary to prepare adolescents to socialize dental health behavior. Purpose: This study evaluates the pilot program for trainers using persuasive communication to socialize dental health behavior. Methods: Thirty-five participants (13-16 years old) were trained by a persuasive communication coach and practiced the skills with a simulated client. This one-day training had a two-phase structure: lectures and practicum. The evaluation was completed utilizing three of the four-level methods from Kirkpatrick (1959). The data analysis used for the reaction evaluation was descriptive statistics, calculating the average score per category of training support assessment items (curriculum, facilitator, accommodation, and overall score). The learning outcome analysis resulted from an analysis of the pre- and post-test results using the N-Gain value and paired t-test. Behavior outcomes were also analyzed descriptively by calculating the average score of all participants in every timeline (baseline and two weeks after the training). Results: Evaluation of this training revealed that reaction has an average total score of 4.02, which shows that the participants were satisfied with the training, learning has an N-Gain acquisition of 48.28%, and behavior level shows a positive outcome as an increase in points from 3.4 to 4.2. Conclusion: The training program produced thirty cadres ready to implement the program in the community. [ABSTRACT FROM AUTHOR]

Ankyloglossia or tongue-tie is a congenital disorder characterized by a short lingual frenulum resulting in limited tongue movement, therefore causing difficulty in breastfeeding. Frenotomy is indicated if there is interference in breastfeeding. The objective of this study is to determine the effect of frenotomy on breastfeeding in infant with ankyloglossia. Rapid review was conducted using PRISMA guidelines through Pubmed, Scopus, and Embase using keywords according to research questions based on PICO. Risk of bias was assessed using JBI Critical Appraisal Tools. Five articles consisting of four randomized controlled trial and one quasi-experimental were included for review. Two studies reported nipple pain reduction after frenotomy, while the other two studies did not. Effectiveness of breastfeeding were found to increase in two studies, whereas one study found no increase. Two studies using different instrument to assess the effectiveness of breastfeeding did not show an increase after frenotomy. Maternal self-efficacy were found to be elevated in one study. Maternal subjective assessment reported improvement in breastfeeding in three studies. All studies reported no serious complications after frenotomy. Frenotomy was found to be inconsistent in improving breastfeeding ability in infant with ankyloglossia. Practitioners should do case selection carefully by taking into account the assessment of tongue-tie and breastfeeding, as well as conservative approach (lactation support) before performing frenotomy. [ABSTRACT FROM AUTHOR]

Introduction: Thalassemia is a hereditary blood disorder that leads to moderate or severe anemia. This anemia is associated with decreasing hemoglobin levels, thus reducing the erythrocyte count to a lower than normal level. Erythrocytes with less hemoglobin are more susceptible to hemolysis, which reduces their life. Objectives: To analyze the maxillary inter-incisor width among patients with beta thalassemia major (BTM) in the Sundanese population of Indonesia. Methods: This cross-sectional study included patients with BTM and normal children, and used a consecutive sampling method. The participants’ maxillary impressions were molded and the inter-incisor width measured. Statistical analysis was performed using ANOVA and post hoc test, with P values <0.05 considered statistically significant. Results: The average inter-incisor width was 2.90 cm in children with BTM aged 9-10 years; 2.84 cm in those aged 10-11 years; 2.87 cm in those aged 11-12 years; 2.85 cm in those aged 12-13 years; and 2.78 cm in those aged 13-14 years. The average inter-incisor width of boys was 2.90 cm, and that of girls was 2.74 cm. Conclusion: The maxillary inter-incisor width in children with BTM was smaller than that in normal children. Among the former, the width was greater in boys than in girls. [ABSTRACT FROM AUTHOR]

Allium sativum is a plant which have a medicinal properties. The use of natural ingredients known to provide significant benefits, especially those from plants grown by the community and cultivated by government institutions. Natural ingredients such as garlic is a plant that is widely grown in the area of Indonesia so easily available at an affordable price. Previous research shows garlic has antibacterial activity against Streptococcus mutans. The purpose of this study was determine antibacterial effect of garlic extract against Streptococcus mutans. The research method was experimental research to examine the antibacterial activity of the local varieties Ciwidey garlic, local single clove garlic, and garlic imports bought at the market in Indonesia. Third onions extract are made by maceration and would be examined for minimum inhibition concentration and minimum bactericidal concentration by using a microplate reader. The results showed local varieties of local single clove garlic have 9:38% for MIC and 18.75% for MBC, imported garlic 4.69% MIC and 18.75% MBC, while the Ciwidey local garlic have 9:38% for MIC. Conclusion is local single clove garlic and garlic imports have minimum capability and minimum bactericidal concentration inhibition while garlic varieties local Ciwidey only have minimum inhibition concentration ability. [ABSTRACT FROM AUTHOR]