448 results on '"patient cooperation"'
Search Results
2. Familiarity and Utilization of Oral Health Education Applications for Orthodontic Patients among Iranian Orthodontists
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Marzie Kachuie, Imaneh Asgari, Ghazal Jaberi, and Neda Joshan
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oral health ,orthodontics ,patient cooperation ,health promotion ,mobile application ,Medicine ,Dentistry ,RK1-715 - Abstract
Background: Dentists often face challenges in maintaining adequate oral hygiene for orthodontic patients. Nowadays, there are many oral health applications available that, along with interactive education and reminders, ultimately lead to better oral hygiene and desired oral health. This study aimed to investigate the level of use of these applications by orthodontic professionals in our country.Methods & Materials: The present study was a descriptive cross-sectional questionnaire-based study, conducted in 2022. Using a convenient sampling method, 188 orthodontic professionals were recruited from the country, and 101 of them completed the questionnaire with informed and voluntary consent. A questionnaire was designed and validated to determine the familiarity and use of education and reminder health applications by professionals, and the data were collected online. Descriptive statistics were used to report the results, and the relationship between variables was analyzed using the chi-square test at a confidence level of 95%.Results: Most of the specialists had some difficulty with maintaining the oral hygiene of their patients. According to the present study, in the case of poor oral health of the patient, more than half (53.5%) of them sometimes had to terminate the orthodontic treatment of their patients. However, the results of the study showed that the orthodontists almost never used oral health education and reminder applications. Instagram was recognized as the most commonly used social network by orthodontist.Conclusion: The results of this study indicate the need for specialists to have an efficient method of educating and reminding orthodontic patients about oral health. Given the lack of awareness and use of available applications by specialists and the absence of a suitable Iranian application, investment in designing or upgrading health reminder applications tailored to the culture and needs of society is recommended.
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- 2024
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3. Sliding mode controller for a hybrid lower limb rehabilitation robot with fuzzy adjustment of impedance interaction: A patient cooperation approach.
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Imani, Babak and Najafi, Farid
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In this study, a sliding mode controller with an adaptive fuzzy impedance model is proposed to improve the human–robot cooperation and promote lower limb rehabilitation performance using a hybrid robot including an orthosis and a programmable plate, designed and built at the University of Guilan. Orthosis controls the patient in the path of the joints, and the plate is considered instead of a treadmill to prevent impact on the soles of the feet. Since the patient's cooperation to regain motor skills is of particular importance in the training process, the proposed controller tracks the path of the joints while considering the patient will. The controller consists of an adaptive impedance control whose coefficients are adjusted using a fuzzy logic. In fact, the impedance model defines the relationship between the robot and subject. Using the model, the subject force is converted to a virtual displacement and, then, added to the tracking error, then a sliding mode controller tracks the modified path. Moreover, the Lyapunov function is used to guaranty the stability and the sign function which depends on the patient cooperation. To evaluate the performance of the proposed method, the control model is implemented on a healthy person and, then, is compared with the sliding mode controller and constant impedance sliding mode controller. The results show that this method while following the path of joints is able to consider the subject cooperation and overcome nonlinear terms while chattering is low. [ABSTRACT FROM AUTHOR]
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- 2023
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4. DIAGNÓSTICO DE ENFERMAGEM FALTA DE ADESÃO: BARREIRAS DE MULHERES NA REALIZAÇÃO DO TESTE DE PAPANICOLAU.
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Nascimento da Silva, Jamile, Cunha dos Santos, Ledymara, and Peixoto Bessa, Maria Eliana
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PAP test ,NURSING diagnosis ,COMMUNICATIVE competence ,SATISFACTION ,PATIENT compliance - Abstract
Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
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5. Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia
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Merlin Benzy, Rengaraj Venkatesh, Vivekanandan Vellam Ramakrishnan, and Varshini Santhanarajan Odayar
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Video counselling ,Verbal counselling. phacoemulsification ,Patient cooperation ,Anxiety ,Pain ,Ophthalmology ,RE1-994 - Abstract
Purpose: To evaluate the impact of video and verbal counselling on patients' undergoing phacoemulsification under topical anaesthesia. Methods: This is a prospective randomized controlled trial conducted at Aravind Eye Care System, Pondicherry, India. All patients had a 15 min one-on-one verbal counselling covering surgical technique, implant options, anaesthesia and payment options one day prior to surgery. On the day of surgery, patients were randomized into two groups; in the first group, patients were provided with video counselling and in the second group, patients were given verbal counselling prior to undergoing phacoemulsification under topical anaesthesia. Measurements of blood pressure, heart rate, respiration rate, and the Likert-scale anxiety rating were collected at preoperative, perioperative, and postoperative time points. Results: A group of 186 patients (aged 45–70 years) were provided video counselling via portable iPad before first-time phacoemulsification, and a second group of 186 patients underwent surgery with verbal counselling. Systolic and diastolic blood pressure measurements were lower in both the video and verbally counselled groups during the intraoperative time point. Furthermore, during the intraoperative period, 123 (66.1%) video counselled patients felt relaxed compared to 119 (64%) patients who were provided verbal counselling (P = 0.6636). Patient cooperation during surgery was excellent in 76(40.9%) video counselled patients and 67(36%) verbally counselled patients (P = 0.3374). 25.8% and 21% (P = 0.2703) of patients experienced no pain during surgery in the video and verbal counselled groups respectively. Conclusions: Although measures such as pulse rate, respiratory rate and feelings of relaxation did not show significant differences among the two groups of video and verbal counselling, patients marked cooperation during surgery and furthermore, the level of anxiety is most reassuring.
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- 2022
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6. Alleviating Pregastroscopy Anxiety Using Mobile Social Media Application
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Dan Lu, Jing-Hua Wang, Chao Lu, Zheng-Lv Liu, Ajay Jain, Feng Ji, and Qing Gu
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gastroscopy ,anxiety ,social media ,mobile application ,patient cooperation ,tolerance ,Medicine (General) ,R5-920 - Abstract
AimThe research aimed to study the effect of using WeChat (a mobile social media application) on pregastroscopy anxiety and the cooperation of patients with different coping styles.MethodsIn order to decrease patients' pregastroscopy anxiety and improve the tolerance of unsedated gastroscopy, WeChat, a widely used mobile social media application, was applied to provide information prior to their endoscopic procedure. Two hundred and thirty patients who underwent initial unsedated gastroscopy in a large teaching hospital in China were classified into two groups based on their coping style: information seekers or information avoiders, using the Information Subscale of the Krantz Health Opinion Survey (KHOS-I). Each of the two groups was prospectively randomly assigned to either receiving the brochure information or conjunctive interactive WeChat-delivered information of gastroscopy. To measure the level of state anxiety, the State Anxiety Scale of Spielberg's State-Trait Anxiety Inventory questionnaire was used. State anxiety, blood pressure and heart rate were measured at enrollment, upon arrival, and before gastroscopy.ResultsInformation seekers and avoiders who received information from the brochure and the WeChat platform experienced significantly less state anxiety upon arrival and before gastroscopy. Furthermore, information seekers who received information from the conjunctive WeChat platform had lower frequency of retching, lower scores of nausea and bloating, and better tolerance. Information avoiders who received information from the conjunctive WeChat platform had lower frequency of retching, lower scores of discomfort while swallowing the scope and nausea, and better tolerance. However, we found the percentage of information seekers who preferred no WeChat-delivered pregastroscopy information is greater than WeChat-delivered information at the initial questionnaire. No significant difference was found in blood pressure or heart rate upon arrival and before gastroscopy.ConclusionsAlthough people preferred no WeChat-delivered pregastroscopy information, the provision of gastroscopy information through a mobile social media application, such as WeChat, could significantly reduce patients' pregastroscopy anxiety, lower the frequency of retching, reduce the scores of nausea and bloating, and improve tolerance for information seekers. In addition, it could lower the frequency of retching, reduce the scores of discomfort while swallowing the scope and its concurrent nausea, and improve tolerance for information avoiders.
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- 2022
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7. Factors Affecting the Duration of Fixed Orthodontic Treatment in Patients Treated in a University Department between 2016 and 2020.
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KIYAMEHR, Zahra, RAZEGHINEJAD, Mohammad Hossein, RAHBAR, Mahdi, OSKOUEI, Sina Ghertasi, and VAFAEI, Ali
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CORRECTIVE orthodontics , *ACADEMIC departments , *DENTAL arch , *TREATMENT duration , *DENTAL extraction , *ROOT resorption (Teeth) - Abstract
Objective: The aim of this study was to assess the effect of possible influential factors on duration of fixed orthodontic treatment. Methods: This cross-sectional retrospective study included 505 female and 183 male orthodontic patients (a total of 688 persons) referring to a university department of orthodontics during 2016-2020. The study population included only those who had undergone fixed orthodontic treatment of both maxillary and mandibular arches. Information including age, gender, total treatment duration, number of missed treatment sessions, incidences of bracket debonding, and type of treatment plan were collected from patient records. Data were analyzed using SPSS software version 21 at 0.05 significance level. Results: The mean duration of orthodontic treatment was significantly longer in men than women (19.09±5.6 versus 18.22±4.56 months, respectively; P=0.040). The treatment duration was also longer in patients with a treatment plan including teeth extraction compared to non-extraction treatment plans (19.85±4.30 versus 17.56±5.02 months, respectively; P<0.001). Duration of treatment in patients with more than one missed treatment appointment was significantly longer than those who had = one missed session (P<0.001). Duration of treatment in patients with bracket debonding was significantly longer (P=0.030). Also, the duration of treatment had a significant correlation with the frequency of both missed sessions (r=0.365, P<0.001) and bracket debonding (r=0.098, P=0.01). Conclusion: Based on the results of the present study, missed sessions, treatment plan, and bracket debonding have the greatest effect on the duration of fixed orthodontic treatment. [ABSTRACT FROM AUTHOR]
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- 2022
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8. Can Pattientt Cooperation During Biometry Be A Predictor of The Type of Anesthesia For Phacoemulsification Cataract Surgery.
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Abbas, Hussnain, Rauf, Abdul, Hamid, Shahid, Perveen, Shagufta, Hussain, Irshad, and Shahid, Muhammad
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CATARACT surgery , *PHACOEMULSIFICATION , *PATIENT compliance , *BIOMETRY , *MILITARY hospitals , *ANESTHESIA - Abstract
Objective: To assess any association between the cooperation of patients during biometry and cataract surgery by phacoemulsification in order to predict the type of anesthesia for the subject surgery. Study Design: Cross-sectional study. Place and Duration of Study: Eye Department, Combined Military Hospital, Multan Pakistan, from Jan to Dec 2019. Methodology: A total of 332 patients requiring cataract surgery by phacoemulsification were recruited from the Eye department of Combined Military Hospital Multan. Patient cooperation level was measured during A-scan biometry. The cooperation level of same patient, assessed during biometry was used to plan the type of anesthesia to be administered during cataract surgery by phacoemulsification. Results: There were 209 male and 122 female patients with the mean age of 65.14 ± 0.57 years. A significant association was found between the cooperation of patient during biometry and cataract surgery by phacoemulsification appointments (p=0.02). A significant proportion of the patients 162 (81.4%) maintained their good cooperation during surgery. Out of the 133 patients, exhibiting poor cooperation during biometry procedure, 88 (66.3%) showed an improvement in their status by having good cooperation in surgery procedure. Conclusion: In the light of favorable clinical observation, the cooperation of the patients at the biometry procedure may be considered as a significant predictor of the type of anesthesia to be administered during cataract surgery by phacoemulsification. [ABSTRACT FROM AUTHOR]
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- 2022
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9. Predictors of Patient Cooperation during Phacoemulsification Surgery under Topical Anesthesia
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Abdolreza medghalchi, Mitra Akbari, Reza Soltani Moghadam, and Yousef Alizadeh
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cataract ,phacoemulsification ,patient cooperation ,topical anesthesia ,Medicine (General) ,R5-920 - Abstract
Background: Topical anesthesia (TA) may accompany with more discomfort for some patients during cataract surgery. We aimed to evaluate the potential factors that can be used for predicting patient’s cooperation during phacoemulsification surgery under TA. Methods: One hundred sixty consecutive cases that were candidate for phacoemulsification surgery enrolled in this prospective study. Patient characteristics including sex, age, place of residence (urban or rural), education level (literate and illiterate) and physical examination variables including visual acuity in logarithm of minimum angle of resolution (LogMAR), reaction to eye drop, and cooperation during tonometry before surgery were evaluated. Patient cooperation during surgery was classified into successful (good and satisfactory) or failed (weak) cooperation. The two groups were compared in terms of baseline and clinical examination variables. Results: In this study, 103(64.4%) cases showed a good or satisfactory cooperation, and others had a weak cooperation. There was no association between patient cooperation during surgery and sex (P-value = 0.2), age (P-value = 0.7), place of residence (P-value = 0.3) and education level (P-value = 0.3). The successful group showed a higher rate of non-reaction to eye drop (P-value = 0.0001), good cooperation during tonometry (P-value = 0.0001), non-reaction to press on lacrimal sac (P-value = 0.0001), and lower visual acuity (P-value = 0.045). In the multivariate logistic regression model, non-reaction to eye drop (OR = 66.4), good and satisfactory cooperation during tonometry (OR = 21.2, OR = 7.2, respectively) compared to weak cooperation, lower LogMAR of visual acuity (OR = 7) were significantly associated with the success of TA. Conclusion: This study showed that some ocular examination tests before surgery including visual acuity, reaction to eye drop, cooperation during tonometry and reaction to press on the lacrimal sac can predict patient cooperation during phacoemulsification surgery under TA.
- Published
- 2019
10. PERCEPÇÕES DE ENFERMEIROS E DOENTES SOBRE A ADESÃO AO TRATAMENTO DIRETAMENTE OBSERVADO EM TUBERCULOSE.
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Távora, Marune Melo, Rodrigues, Ivaneide Leal Ataíde, Nogueira, Laura Maria Vidal, and Silva, Fabiane Oliveira da
- Abstract
Copyright of Cogitare Enfermagem is the property of Cogitare Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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11. Avaliação da adesão à hemodiálise pelo doente renal crônico.
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Silva de Oliveira, Lessaiane Catiuscia, Grudka Lira, Gerlene, Cavalcante Valença Fernandes, Flávia Emília, de Ornelas, Daiane, and Mola de Mattos, Rachel
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TREATMENT of chronic kidney failure ,HEMODIALYSIS ,RESEARCH methodology ,PATIENT compliance ,QUESTIONNAIRES ,QUANTITATIVE research ,SOCIOECONOMIC factors - Abstract
Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
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12. Dimensions of Patient Risks and Requirements for Patient Safety
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Wetter, Thomas and Wetter, Thomas
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- 2016
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13. Treatment of Class II Malocclusion with Van Beek Appliance at the University Student Clinic. : A Retrospective Study
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Stark, Cihan, Al-sultani, Fatma, Stark, Cihan, and Al-sultani, Fatma
- Abstract
Aim This study aimed to evaluate the effectiveness of the Van Beek activator in treating Class II malocclusions in the university student clinic, and to identify factors influencing treatment success. Additionally, a qualitative assessment was conducted to evaluate the quality of the recorded orthodontic journals by the students of the clinic and to rate the degree of adherence to the policy-clinic template. Material and method Data from 229 patients who had their treatment finished within the years 2012-2022 at the university clinic, including in-house and referred patients, were collected and analysed using SPSS. Results The orthodontic journals maintained a high quality, while following annotations for check-ups and end of treatment varied in quality. The success rate of Van Beek treatments was approximately 69%, which is comparable to previous studies done at the university clinic. The degree of patient cooperation was found to be significantly associated with treatment outcome, with patients who showed excellent cooperation achieving the pre-set treatment aims more frequently. Referred patients showed a higher degree of cooperation and better treatment outcomes compared to in-house patients, possibly due to a higher treatment need and more serious response to the treatment. Conclusion The Van Beek activator was found to be effective in reducing overjet, as previously reported in functional appliance studies. Overall, the study highlights the importance of patient motivation and cooperation in achieving successful orthodontic treatment outcomes. Further studies are needed to evaluate the long-term effectiveness of the Van Beek activator and to confirm the findings of this study., Syfte Syftet med studien var att utvärdera effektiviteten av van Beek-aktivatorn vid behandling av postnormalt bett på Malmö universitets studentklinik, och att identifiera faktorer som påverkar lyckandet av behandling. Utöver det utfördes även en kvalitetsgranskning av de utförda behandlingarna för att utvärdera kvalitén på studenternas ortodontijournalanteckningar och följsamheten till journalmallen vid start av behandling. Material och metod Data från totalt 229 patienter, både remitterade och interna, som avslutade sina behandlingar på studentkliniken mellan år 2012–2022, samlades in och analyserades med hjälp av SPSS. Resultat Ortodontijournalanteckningarna höll en hög kvalitet, medan anteckningar för kontroller och avslutande av behandlingar varierade i kvalitet. Lyckandefrekvensen för van Beek-behandlingar var ca 69%, vilket är jämförbart med tidigare utförda studier på studentkliniker. Graden av kooperation visade sig vara signifikant associerad med behandlingsresultat, där patienter med utmärkt kooperation uppnådde behandlingsmålen i högre grad än övriga patienter. Remitterade patienter koopererade bättre än interna patienter och uppnådde i större utsträckning lyckade behandlingsresultat, möjligtvis på grund av ett större behandlingsbehov och en mer seriös respons på behandling. Slutsats Van Beek-aktivatorn var effektiv vid minskning av HÖB, som tidigare rapporterats i studier på avtagbara tandställningar. Studien belyser vikten av patienters motivation och kooperation för att uppnå lyckade behandlingsresultat. Ytterligare studier behöver utföras för att utvärdera den långsiktiga effektiviteten av Van Beek-aktivatorn, samt att bekräfta fynden i studien.
- Published
- 2023
14. DIMENSIONS THAT INTERFERE WITH ADHERENCE TO MEDICATION IN SUBSTANCE-RELATED DISORDERS: INTEGRATIVE REVIEW
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Fernanda Carolina Capistrano, Mariluci Alves Maftum, Camila Bonfim de Alcântara, Aline Cristina Zerwes Ferreira, and Gustavo Jorge Maftum
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Adherence to medication ,Patient cooperation ,Pharmacological treatment ,Substance-Related Disorders ,Mental health ,Nursing ,RT1-120 ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Objective: To analyze the scientific production about the dimensions that interfere in the adherence to pharmacological therapy of individuals with mental disorders related to substance abuse from 2006 to April 2017.Method: Integrative literature review of publications indexed in the following three databases LILACS, CINAHL and PUBMED, performed in April 2017.Results: The 43 studies that met the eligibility criteria were analyzed. Such analysis made it possible to identify factors that have positive or negative impact on adherence to pharmacological therapy, grouped according to the five dimensions that determine the adherence proposed by the World Health Organization, namely: socioeconomic, health team/system, disease, treatment, and individual/patient.Conclusion: Although pharmacological therapy is crucial in the management of individuals with substance-related disorders, implementing the treatment is challenging because of the different interactive dimensions that directly impact the process of treatment adherence.
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- 2019
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15. A New Technique for Retracting the Protrusive Premaxilla With Fewer Patient Visits.
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Erüz, Murat, Yagci, Ahmet, and Ozyazgan, Irfan
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MAXILLA abnormalities ,CLEFT lip ,MEDICAL appointments ,ORTHOPEDIC surgery ,SURGERY - Abstract
Bilateral cleft lip and palate with premaxillary protrusion is a great challenge due to a large defect area. Retraction of the premaxilla before surgery can be done with numerous orthopedic treatment options. In patients who have cleft lip and alveolus, but not cleft palate, it is quite difficult to get to the place where the premaxilla should be. To effectively reach the location where the premaxilla should be, new appliances with expansion and retraction screws were designed. This new design aims to treat the patient with fewer visits. Our study presents the treatment of a case with excessive premaxillary growth and no palatal defect treated with our new design. [ABSTRACT FROM AUTHOR]
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- 2019
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16. DIMENSIONS THAT INTERFERE WITH ADHERENCE TO MEDICATION IN SUBSTANCE-RELATED DISORDERS: INTEGRATIVE REVIEW.
- Author
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Capistrano, Fernanda Carolina, Alves Maftum, Mariluci, Bonfim de Alcântara, Camila, Zerwes Ferreira, Aline Cristina, and Jorge Maftum, Gustavo
- Abstract
Copyright of Cogitare Enfermagem is the property of Cogitare Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
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17. The influence of text messages on the cooperation of Class II patients regarding the use of intermaxillary elastics.
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Leone, Simone Maria Massud, de Souza-Constantino, Andrea Maria, Ferreira Conti, Ana Claudia Castro, Filho, Leopoldino Capelozza, and de Almeida-Pedrin, Renata Rodrigues
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TEXT messages ,ORTHODONTIC appliances ,CORRECTIVE orthodontics ,DENTAL arch ,DENTAL care - Abstract
Objectives: To evaluate the influence of text messages on cooperation of Class II patients with the use of intermaxillary elastics. Materials and Methods: The sample consisted of 42 orthodontic patients (20 males and 22 females) aged between 14 and 34 years. They were randomly divided into one of the following two groups: a control group with 21 patients who did not receive messages and an experimental group with 21 patients who received motivational and reminder text messages. Messages were sent twice a week for a period of 3 months. The patients were instructed to wear the elastics all day, removing them only during meals and replacing them daily. All patients were instructed regarding the importance of cooperation. Measurements were performed with a digital caliper on plaster models at the beginning of elastics wear (T1) and 3 months later (T2). For intragroup and intergroup comparisons between T1 and T2, paired and unpaired t-tests, respectively, were used with a significance level of 5%. Results: Statistically significant differences were observed in the intra- and intergroup comparisons between T1 and T2. Both groups showed a decrease in the sagittal distance between upper and lower arches from T1 to T2, demonstrating the effective use of elastics. However, the experimental group showed a Class II correction that was 3.7 times greater than the control group (P = .001). Conclusions: Text messages had a positive influence on the cooperation of patients regarding the use of intermaxillary elastics in the orthodontic treatment of Class II malocclusion. [ABSTRACT FROM AUTHOR]
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- 2019
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18. Students' perception of multiple dental visits for root canal treatment: Questionnaire-based study
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Reem Siraj Alsulaimani, Kholod Al-Manei, Bashayer Baras, Razan Alaqeely, Ashraf El Metwally, and Nahid Ashri
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Dental education ,endodontics ,multiple-visit ,patient cooperation ,single-visit ,Dentistry ,RK1-715 - Abstract
Introduction: Root canal treatment (RCT) is a meticulous procedure that requires focus and precision while working in a confined space such as the root canal system of the tooth. Hence, it is a challenging practice for dental students a questionnaire-based study was conducted to evaluate senior dental students' perception toward single- and multiple-visit RCT while considering tooth type and patient cooperation, and to identify the most common reasons for multiple-visit RCT. Materials and Methods: This cross-sectional study included 267 senior year dental students from three universities and one private college in Saudi Arabia. A self-administered questionnaire was distributed between May and October 2014. The questionnaire was divided into four main sections, which evaluated student perception regarding single- and multiple-visit treatment, patient cooperation, and the nontherapeutic reasons for multiple-visits treatment. The collected data were analyzed using SAS 9.3. Results: Two hundred and seventeen questionnaires were returned (response rate, 81%). Dental students perceive multiple-visit RCT for anterior and premolar teeth as a significantly more stressful event than multiple-visit RCT for molars (P < 0.0001; Bowker's test). Tooth type and patient medical status were the highest ranked reasons for multiple-visit RCT. The majority of the responders (90%) considered single-visit RCT for single-rooted teeth a positive practice. Conclusions: Multiple-visit RCT is a stressful event for dental students, especially if the treated tooth was a single-rooted tooth. Dental students are aware of the negative effect of multiple-visit treatment on patient compliance. Clinical training should consider single-visit treatment for single rooted teeth.
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- 2016
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19. Applications of Silver Diamine Fluoride in Dentistry
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Kumar Gaurav Chhabra, Sayali Deshpande, Sunaina Mutyalwar, Priyanka Paul Madhu, and Amit Reche
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business.industry ,Dentistry ,Institute of medicine ,Oral health ,medicine.disease ,Patient Cooperation ,Food and drug administration ,stomatognathic diseases ,chemistry.chemical_compound ,chemistry ,Medicine ,Silver diamine fluoride ,business ,Fluoride ,Early childhood caries - Abstract
Various studies published in the literature around the world indicate a significant prevalence of early childhood caries (ECC). Treatment of early childhood caries (ECC) using silver diamine fluoride (SDF) has become a viable alternative, particularly for young and anxious children, because traditional restorative treatments is unlikely to combat this prevalent condition. Arrested caries is identified by the hardening of teeth and it changes its color from dark brown to black. More restorative treatments can be performed if necessary. Traditional ECC restorative treatments are not always inexpensive or feasible, as they involve patient cooperation to achieve a satisfactory result. Japan was the first country to promote silver diamine fluoride in 1960. SDF has been used to prevent the spread of caries in various Asian nations, including Japan and China. It was enacted as a fluoride to treat sensitive teeth in the United States by Food and Drug Administration ( FDA). For young children or individuals with specific needs, it is painless and simple to use .The fluoride in SDF stimulates remineralization while the silver ions act as an antimicrobial agent when applied to carious lesions and stop cariogenic biofilms from growing. SDF also prevents future degradation of the dentin's collagen. With a 38 percent use rate, SDF has been utilized in a number of nations. According to a review, SDF is a harmless, economical caries control agent with a wide utilisation in dentistry, and it may meet the WHO Millennium Development Goal (MDG) as well as the United States Institute of Medicine's criteria. The applications of SDF in dental treatment are discussed in this article.
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- 2021
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20. Class II malocclusion treatment with a customized dual force distalizer
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Lorena Vilanova, Guilherme Janson, Aron Aliaga-Del Castillo, Luis Ernesto Arriola-Guillén, Silvio Augusto Bellini-Pereira, Luciano Soldevilla, and Marcelo Vinicius Valerio
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Orthodontics ,Molar ,Mandibular teeth ,business.industry ,Molar relationship ,medicine.disease ,Patient Cooperation ,RESULTADO DE TRATAMENTO ,stomatognathic system ,Mandibular Retrusion ,medicine ,Lip incompetence ,Increased overjet ,Malocclusion ,business - Abstract
Intraoral distalizers associated with skeletal anchorage provide the major benefit of promoting molar distalization with minimum anchorage loss and patient cooperation. This case report presents the treatment of a 17-year-old female with Class II Division 2 malocclusion, maxillary dentoalveolar protrusion, mild mandibular retrusion, increased overjet, deepbite, and lip incompetence. The treatment plan involved initial maxillary molar distalization with a customized version of the skeletally anchored dual force distalizer (DFD). The customized DFD used smaller mini-implants and included a fixed anterior biteplane. The device applied simultaneous forces from the buccal and palatal sides directly to the molars using nickel-titanium coil springs and allowed orthodontic mechanics in the mandibular teeth. An overcorrected Class I molar relationship was obtained after 6 months. After the distalization phase, retraction mechanics began with retraction loops and using a modified transpalatal bar reinforced with the mini-implants as anchorage. Moreover, the finishing phase was performed with multiloop edgewise archwires and intermaxillary elastics to enable an individualized control of each tooth. Total treatment time comprised 2 years 4 months, and significant improvements regarding the facial and occlusal perspectives were noticed. Similarly, these favorable changes remained stable during the 2-year follow-up period. The customized version of the skeletally anchored DFD followed by fixed appliances showed effectiveness and stability in Class II malocclusion treatment.
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- 2021
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21. Preferred Surgical and Anesthesia Techniques for Cataract Surgery in Jordan
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Noor M. Alqudah, Dema Atoum, Moawiah Khatatbeh, Rami Al-Omari, and Wedad Al-dolat
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cross-sectional ,Intracameral anesthesia ,genetic structures ,Sedation ,medicine.medical_treatment ,anesthesia ,Patient Cooperation ,Cataracts ,medicine ,Original Research ,Jordan ,business.industry ,Clinical Ophthalmology ,Phacoemulsification ,Surgical procedures ,Cataract surgery ,medicine.disease ,Mature cataract ,eye diseases ,Ophthalmology ,cataract ,Anesthesia ,phacoemulsification ,sense organs ,medicine.symptom ,business - Abstract
Wedad Al-dolat,1 Noor M Alqudah,2 Dema Atoum,1 Rami Al-Omari,1 Moawiah Khatatbeh3 1Department of Ophthalmology, Faculty of Medicine, Yarmouk University, Irbid, Jordan; 2Department of Ophthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan; 3Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, JordanCorrespondence: Wedad Al-dolatDepartment of Ophthalmology, Faculty of Medicine, Yarmouk University, Irbid, JordanTel +962772393968Email wedad.dolat@yu.edu.joPurpose: To study the current practices in Jordan regarding cataract surgical procedures and anesthesia trends for cataract surgery.Methods: A cross-sectional survey of members of the Jordanian Ophthalmology Society was conducted in October 2020. The questionnaire included questions about participantsâ demographics, the preferred surgical techniques for cataracts, the preferred anesthesia technique for cataract surgery, the factors which affect the choice of anesthesia technique, the use of sedation, who gives the anesthesia, if there is an anesthesia-trained person who observes the patient during cataract surgery, and the changing trends towards anesthesia between the surgeons.Results: More than half of the respondents (59.1%) had been in practice for more than 5 years. The preferred method for routine cataract was phacoemulsification for most participants (98.4%). For mature cataract, phacoemulsification was the preferred method for 61.4% of participants. More than half (55.1%) used topical with intracameral anesthesia for phacoemulsification. Two thirds of the participants (66.3%) performed retrobulbar anesthesia for extracapsular cataract surgery. In the majority of cases (86.6%), the respondent themself is the one who administers the anesthesia. No sedation was used before surgery in 62.6% of cases. Two thirds of the respondents (70.1%) reported that they had an anesthesia-trained person monitoring the patient during surgery. Patient cooperation was the most important factor (70.9%) affecting the surgeonâs choice of anesthesia technique followed by surgeon skill and experience (57.5%).Conclusion: Presently, phacoemulsification is the preferred surgical technique for cataract in Jordan. Topical with intracameral anesthesia is the most common anesthesia for phacoemulsification while retrobulbar anesthesia is the most common for extracapsular cataract extraction.Keywords: cataract, anesthesia, phacoemulsification, cross-sectional, Jordan
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- 2021
22. Direct bonded fixed partial denture with an artificial denture tooth as a pontic
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Shuji Ohkawa, Yoshimasa Takeuchi, Mika Furuchi, Naomi Tanoue, and Tetsuo Yamamori
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Anterior tooth ,Materials science ,Resin luting agent ,business.industry ,Clinical effectiveness ,Dentistry ,Luting agent ,RK1-715 ,Review Article ,Review ,Patient Cooperation ,Artificial denture tooth ,stomatognathic diseases ,Direct bonded fixed partial denture ,stomatognathic system ,visual_art ,Mechanical strength ,visual_art.visual_art_medium ,business ,Removable dentures ,General Dentistry ,Abutment (dentistry) ,Acrylic resin - Abstract
Background The present review aimed to investigate the feasibility and clinical effectiveness of a direct bonded fixed partial denture (DBFPD) based on available literature. The efficiency of a DBFPD is mainly affected by the type of artificial denture tooth, the type of luting agent, and the adhesive preparation. Methods The parameters were reviewed based on the in vitro and in vivo studies conducted. An acrylic resin tooth or a composite resin tooth for removable dentures should be used as the artificial tooth for the pontic. Results Considering the luting agent, a methyl methacrylate-based resin luting agent, which has low mechanical strength but is capable of plastic deformation and could sustain for a long time, should be used. Appropriate pre-adhesive treatment should be performed on both the artificial and abutment teeth. The cases in which a DBFPD can be applied are limited to one missing anterior tooth, as long as it is not overstressed. Patient cooperation in cases of occlusion seems to be another prerequisite. Conclusion Knowledge and selection of the material and case indications are essential, and patient cooperation is pertinent in studying the long-term prognosis of a DBFPD.
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- 2021
23. ADHERENCE TO HEMODIALYSIS TREATMENT: THE PERCEPTION OF CHRONIC RENAL PATIENTS
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Camilla de Godoy Maciel, Rafaela Novaes Ferraz, Vanessa Vieira França, Iracema da Silva Frazão, and Anna Karla de Oliveira Tito Borba
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Chronic renal failure ,Renal dialysis ,Patient cooperation ,Nursing ,RT1-120 ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
This descriptive exploratory study, with a qualitative approach, aimed to identify factors which influence adherence to hemodialysis treatment in the perception of chronic renal patients. A total of 35 patients participated, who were assisted by a public hemodialysis service in a state capital in the Northeast of Brazil, with data collection taking place between May and August 2014. The information was collected through a semistructured questionnaire and was analyzed using the ALCESTE software. The main factors that influence adherence were: transport difficulties, deficit of knowledge regarding the illness, limitations of the treatment, problems experienced in the hemodialysis sessions, control of the rates through laboratory examinations, religious faith, the hemodialysis machine, and social support. It is considered, therefore, that the factors influencing adherence are complex, making it necessary to undertake multi-professional activity in order to understand this phenomenon, and to develop educational strategies with a view to raising individuals’ awareness regarding the importance of adherence to the treatment and possible improvement in quality of life.
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- 2015
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24. Three-Decade Failure to the Eradication of Refractory Helicobacter pylori Infection and Recent Efforts to Eradicate the Infection
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Majid Taati Moghadam, Amin Sadeghi Dousari, Amin Norouzi, Zahra Chegini, and Aref Shariati
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Helicobacter pylori infection ,biology ,business.industry ,Antimicrobial peptides ,Pharmaceutical Science ,Cancer ,macromolecular substances ,Helicobacter pylori ,Pathogenicity ,medicine.disease ,biology.organism_classification ,Patient Cooperation ,Antibiotic resistance ,Immunology ,Failure causes ,Medicine ,business ,Biotechnology - Abstract
Background: Helicobacter pylori causes dangerous and deadly diseases such as gastric cancer and duodenal ulcers. Eradication and treatment of this bacterium are very important due to the deadly diseases caused by H. pylori and the high cost of treatment for countries. Results: Many efforts have been made to control and eradicate this bacterium over the years, but no success has been achieved since its eradication is a complex process affected by the bacterial properties and host factors. Previous studies have shown that various factors are involved in the failure to eradicate H. pylori, such as new genotypes of the bacterium with higher pathogenicity, inappropriate patient cooperation, mutations, biofilm formation and dormant forms that cause antibiotic resistance, acidic stomach pH, high bacterial load, smoking, immunosuppressive features and intracellular occurrence of H. pylori. On the other hand, recent studies reported that the use of probiotics, nanoparticles, antimicrobial peptides, natural product and vaccines can be helpful in the treatment and eradication of H. pylori infections. Methods: Thus, we present a complete list of the most important causes of failure in the treatment and eradication of H. pylori, and address new therapeutic methods that may be effective in controlling this bacterium in the future. Conclusion: Eradication of H. pylori is crucial for the treatment of important diseases such as gastric cancer. Therefore, it seems that identifying the failure causes of treating this bacterium can be helpful in controlling the infections. Besides, further studies on new therapeutic strategies may help eradicate H. pylori in the future.
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- 2021
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25. Assessment of Bronchodilator Response in Children with Asthma Exacerbation Using the Respiratory Resistance Values
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Martin Keszler, Maria V. Bautista, Arthur T. Johnson, and Jafar Vossoughi
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Marketing ,Spirometry ,Asthma exacerbations ,Exacerbation ,medicine.diagnostic_test ,medicine.drug_class ,business.industry ,Strategy and Management ,respiratory system ,respiratory tract diseases ,law.invention ,Patient Cooperation ,FEV1/FVC ratio ,law ,Bronchodilator ,Anesthesia ,Media Technology ,medicine ,General Materials Science ,Respiratory system ,business ,Spirometer ,circulatory and respiratory physiology - Abstract
Sixty-four pediatric patients with asthma exacerbation were studied. The children were subjected to respiratory resistance evaluation using the Airflow Perturbation Device (APD) and spirometry evaluation. They were then administered albuterol and 15 minutes later the APD and spirometry evaluations were repeated. Eleven of the children could not perform spirometry. The APD results demonstrated that respiratory resistance of the patients decreased by about 20%, indicating that the APD could detect the expected response to bronchodilator. However, no similar conclusion could be made with the spirometry parameters (FVC, FEV1, FEV1/FVC, and FEF25% - 75%) performed on the same patients. The differences on the spirometry parameters did not change significantly before and after bronchodilator administration. Furthermore, these differences were negligibly increased or decreased for some with no consistency between the FVC, FEV1, FEV1/FVC, and FEF25% - 75%. Even though all the children were clinically improved after albuterol administration and discharged home, this could not be demonstrated by spirometry data. This study validates previous reports that spirometry is not a reliable pulmonary diagnostic tool for young children, as spirometry is highly effort-dependent and requires a substantial degree of patient cooperation. APD on the other hand is a reliable, simple, effortless diagnostic tool that can be utilized in evaluation and management of children with asthma symptoms and exacerbation.
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- 2021
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26. A Review on applications of Silver diamine fluoride in dentistry
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Meena Jain, Nidhi Agarwal, and Vishal Jain
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High prevalence ,business.industry ,Dentistry ,medicine.disease ,Patient Cooperation ,stomatognathic diseases ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,medicine.anatomical_structure ,chemistry ,030220 oncology & carcinogenesis ,Dentin ,Medicine ,Silver diamine fluoride ,030212 general & internal medicine ,business ,Fluoride ,Early childhood caries ,Antibacterial agent - Abstract
Various studies in literature worldwide report high prevalence of Early Childhood caries (ECC). Traditional restorative methods for ECC are not always affordable or possible, as it require patient cooperation for desirable outcome. Silver diamine fluoride (SDF) was first promoted in Japan in late 1960’s. It is painless and simple to use for young children or patients with special needs. When SDF is applied on carious lesions, the fluoride enhances remineralization and the silver ions act as an antibacterial agent and inhibit the growth of cariogenic biofilms. SDF also preserves the dentin collagen from further degradation. SDF at 38% has been used mostly in various countries. Keywords: Dental caries, Fluoride, Public health tool
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- 2020
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27. Adesão ao tratamento de pessoas com úlceras venosas atendidas na atenção primária à saúde.
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Dantas Liberato, Samilly Márjore, de Oliveira e. Araújo, Rhayssa, Gomes de Souza, Amanda Jéssica, Pergola-Marconato, Aline Maino, Fernandes Costa, Isabelle Katherinne, and de Vasconcelos Torres, Gilson
- Abstract
Objective: adherence to treatment by patients with venous ulcers (VU) and how it that adherence is associated with sociodemographic characteristics and features of health and care. Materials and methods: This is an analytical, cross-sectional study of 101 patients with venous ulcers. Two instruments were used: a questionnaire designed to characterize sociodemographic aspects, health and care, and the Multidimensional Therapeutic Adherence Scale. Results: The poorest adhesion to treatment was found with respect to compression therapy. The study identified an association between the domain of a healthy lifestyle and marital status, and between the domain of neurovascular surveillance and age range, marital status, profession and alcoholism. Associations also were found between the dimensions of adherence and the characteristics of care: adherence to compression therapy, guidance on the use of compression therapy, guidance on regular exercises, and who applies treatment outside the primary care units. Conclusions: There is greater difficulty in adhering to treatment in terms of compression therapy. The assistance given is associated with adherence to compression therapy, guidance on the use of compression therapy and guidance on exercises to be performed regularly. [ABSTRACT FROM AUTHOR]
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- 2017
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28. Conceptual and Operational Definitions of the Defining Characteristics and Related Factors of the Diagnosis Ineffective Health Management in People With Heart Failure.
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Souza Carneiro, Camila, Takao Lopes, Camila, Lima Lopes, Juliana, Batista Santos, Vinicius, Bachion, Maria Márcia, and Barros, Alba Lucia Bottura Leite
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- *
HEART failure treatment , *ADAPTABILITY (Personality) , *BEHAVIOR modification , *CINAHL database , *HEALTH behavior , *HEART failure , *MEDLINE , *ONLINE information services , *PATIENT compliance , *HEALTH self-care , *SYSTEMATIC reviews , *RANDOMIZED controlled trials , *CROSS-sectional method , *HEALTH literacy , *ATTITUDES toward illness - Abstract
Objective To construct conceptual and operational definitions for the defining characteristics ( DCs) and related factors ( RFs) of the nursing diagnosis ( ND) ineffective health management for people with chronic heart failure. Method Conceptual and operational definitions for the DC and RF were based on studies found in an integrative literature review in the databases Latin American Literature in Health Sciences, Cumulative Index to Nursing and Allied Health Literature, and MEDLINE by using the key words Nursing diagnosis, Heart Failure, and Patient Cooperation in different combinations. Results Conceptual and operational definitions for all the DCs and RFs were constructed. Conclusions and Implications for Practice The definitions will facilitate in the identification of ND in clinical practice in patients with heart failure, future research on ND validation, and education in undergraduate courses. [ABSTRACT FROM AUTHOR]
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- 2017
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29. TREATMENT ADHERENCE OF PEOPLE WITH OVERWEIGHT.
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de Andrade Amorim, Dandara Caroline, Morais Coutinho, Cássia, and Suely Palmeira, Cátia
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Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2016
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30. Assessment of Factors Affecting Adolescent Patients’ Compliance with Hawley and Vacuum Formed Retainers
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Behnam Mirzakouchaki, Sajjad Shirazi, Reza Sharghi, and Samaneh Shirazi
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orthodontic appliances ,patient cooperation ,questionnaires ,removable ,Medicine - Abstract
Introduction: Success of orthodontic retention with removable retainers almost entirely depends on patients’ compliance. Aim: This study was carried out to investigate the relationship between adolescent orthodontic patients’ compliance and various clinical and social factors. Materials and Methods: The data were collected from 77 orthodontic patients aged 7-11 years old who had finished the full fixed appliance therapy. Hawley’s retainers were used in 34 patients and 43 patients used Vacuum Formed Retainers (VFRs). The subjects completed a questionnaire including several identifiers allowing the respondents to be classified into subgroups. They were also asked to indicate how long they wore their retainers during the day, by writing the number of hours in the report-card for the next three months. Comparison of the results was performed by one-way ANOVA and independent sample-t tests. Results: No significant differences were found between males and females. Type of the retainer, patients’ grade of study, mothers' occupation, clinicians' and parents’ attitudes and filling the report cards had significant effect on mean wear hours per day. When compliance of the patients was assessed according to treatment location, Living place, parents' educational degrees and ethnicity, no significant differences could be found. Conclusion: The adolescent patients' compliance was greater with VFRs than with Hawley’s retainers. Parental attitude and doctor-patient relationship had a great impact on adolescent patients’ compliance.
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- 2016
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31. Forsus fixed functional appliance therapy for dentoalveolar and profile correction- A case report
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Anand K Patil, Sameer Patil, Bhushan Jawale, Lishoy Rodrigues, Anup Belludi, and K M Keluskar
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Orthodontics ,business.industry ,medicine.medical_treatment ,Orthognathic surgery ,030206 dentistry ,Treatment results ,medicine.disease ,Patient Cooperation ,Treatment management ,03 medical and health sciences ,0302 clinical medicine ,Female patient ,medicine ,030212 general & internal medicine ,Malocclusion ,Patient compliance ,business ,Permanent teeth - Abstract
Background: Class II malocclusion is one of the most common problems around the globe affecting around one-third of the patients who come for orthodontic treatment Management of class II malocclusion in adolescent patients by growth modulation is one of the most debated topics in orthodontics. Noncompliance has been a major concern for orthodontists. Case Report: This case report describes the management of class II malocclusion in an 18 year old female patient using “Forsus” fixed functional appliance system to correct her class II malocclusion. The patient was well beyond her growing years, hence the fixed functional appliance bought more of dento-alveolar changes rather than much of skeletal changes. This appliance has several advantages, as it is an operator handled device and the patient cannot remove it. It acts on the teeth and jaws for 24 hours a day, patient compliance is not a problem, and hence treatment duration is shorter. Conclusion: The profile changes and treatment results were demonstrated. This case report illustrates that, fixed functional appliances have a significant role in the management of class II malocclusion by not only promoting growth modulation, but also encouraging dento-alveolar changes once growth has completed. Both growth modulation and dento-alveolar correction minimizes the necessity of extraction of permanent teeth and probably orthognathic surgery. With proper case selection and good patient cooperation, we can obtain a significant result with the Forsus Fixed appliance. Clinical significance: Fixed functional appliances have a significant role in the management of class II malocclusion. It eliminates the massive compliance needed in removable fixed appliance therapy. Nonetheless, the growth modulation minimizes the necessity of extraction of permanent teeth and probably orthognathic surgery. Keywords: Forsus, Fixed functional appliance, Class II Malocclusion, Growth Modulation, Non-compliance therapy.
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- 2020
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32. MRI in Neuromuscular Diseases: An Emerging Diagnostic Tool and Biomarker for Prognosis and Efficacy
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Olof Dahlqvist Leinhard, John Vissing, Per Widholm, and Julia R. Dahlqvist
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Diagnostic Imaging ,0301 basic medicine ,medicine.medical_specialty ,Neurology ,Fat content ,Bioinformatics ,Unmet needs ,Patient Cooperation ,03 medical and health sciences ,0302 clinical medicine ,Disease severity ,Muscle fat ,Humans ,Medicine ,Muscle, Skeletal ,skin and connective tissue diseases ,business.industry ,Neuromuscular Diseases ,Prognosis ,Magnetic Resonance Imaging ,Treatment efficacy ,030104 developmental biology ,Biomarker (medicine) ,sense organs ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
There is an unmet need to identify biomarkers sensitive to change in rare, slowly progressive neuromuscular diseases. Quantitative magnetic resonance imaging (MRI) of muscle may offer this opportunity, as it is noninvasive and can be carried out almost independent of patient cooperation and disease severity. Muscle fat content correlates with muscle function in neuromuscular diseases, and changes in fat content precede changes in function, which suggests that muscle MRI is a strong biomarker candidate to predict prognosis and treatment efficacy. In this paper, we review the evidence suggesting that muscle MRI may be an important biomarker for diagnosis and to monitor change in disease severity. ANN NEUROL 2020;88:669-681.
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- 2020
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33. In Vitro Comparison of, Accuracy of Raypex 5 and Root ZXII Apex Locators, for Working Length Determination in Primary Teeth
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Najmeh Mollaie, Maryam azizi Shoul, Marzieh salehi Shahrabi, and Shahram Mosharafian
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Orthodontics ,business.industry ,Intraclass correlation ,Radiography ,Significant difference ,030206 dentistry ,Mean difference ,Patient Cooperation ,Apex (geometry) ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,In vitro study ,030212 general & internal medicine ,business ,Permanent teeth - Abstract
BACKGROUND Working length determination is a fundamental step in the endodontic treatment of primary and permanent teeth. Radiography is most commonly used for this purpose. However, it requires patient cooperation and is associated with adverse effects of radiation. Apex locators can serve as an efficient alternative for this purpose. We wanted to compare the accuracy of Root ZXII and Raypex 5 electronic apex locators for working length determination in primary teeth. METHODS This in vitro study was performed on 154 canals of 58 extracted primary teeth. Access cavity was prepared, and a K-file was introduced into the canal until its tip was visible at the apex under a microscope. 0.5 mm was subtracted from this length to determine the actual working length. The canal length was then measured again using Root ZXII and Raypex 5 apex locators. The obtained values were compared with the actual value. Data was analysed using SPSS version 21 via paired t-test with intraclass correlation coefficient (ICC) at P
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- 2020
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34. Performance of Two Photoscreeners Enhanced by Protective Cases
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Samuel J Martin, Robert W Arnold, Hser Eh Htoo, and Nay Hser
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medicine.medical_specialty ,genetic structures ,medicine.diagnostic_test ,business.industry ,Early detection ,Refraction ,Patient Cooperation ,Intensity (physics) ,03 medical and health sciences ,Ophthalmology ,0302 clinical medicine ,Older patients ,Eye examination ,030221 ophthalmology & optometry ,Pupillary response ,Medicine ,Risk factor ,business ,030217 neurology & neurosurgery - Abstract
Background Photoscreeners provide valid, cost-effective early detection of amblyopia risk factors ; however, they require proper illumination, flash intensity, pupil dilation and patient cooperation. The Kaleidos case for the 2WIN infrared photoscreener fixes focal distance, decreases luminance and provides electric power. GoCheck Kids (GCK) has developed a flash-concentrating case for the Apple iPhone 7 Plus smartphone to reduce exposure time. Methods In remote Burm ese and urban Alaskan clinics, Kaleidos and GCK were used before a confirmatory eye examination using 2013 AAPOS uniform guidelines validation, including some older patients. 2WIN refraction was compared to a cycloplegic examination using J0 and J45 vector transformation. Results In total, 48 Burm ese patients and 114 Alaskan patients aged 8±6 years were evaluated utilizing 2013 amblyopia risk factor guidelines. Kaleidos, with 13 Burmese inconclusives, had a sensitivity of 84%, specificity of 65% and positive predictive value (PPV) of 63%. GCK, with only six inconclusives, had a sensitivity of 63%, specificity of 83% and PPV of 73%, with sensitivity improving to 74% with central expert interpretation. Kaleidos closely matched cycloplegic refraction, with intraclass correlations of 0.47 for J0 vector and 0.57 for J45 vector. The protective cases provided clearer images and better pupil dilation than similar devices without cases. Conclusion Both devices detected amblyopia risk factors well. GCK gave fewer inconclusive results even with the Asian eyelid configuration, while Kaleidos matched sphere and cylinder refraction. The specialized housing enhanced the performance of the 2WIN and GCK photoscreeners, improving the speed and reliability of amblyopia screening and refraction, even in populous and luminous locations. Clinical trials registry NCT04068129.
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- 2020
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35. Immediate versus delayed physiotherapy protocol after the management of temporomandibular joint ankylosis by conservative gap arthroplasty09
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Fatma Ibrahim Mohamed
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medicine.medical_specialty ,Paired samples ,Visual analogue scale ,business.industry ,Temporomandibular joint ankylosis ,Significant difference ,Physical therapy ,medicine ,General Earth and Planetary Sciences ,Gap arthroplasty ,business ,General Environmental Science ,Patient Cooperation - Abstract
Objective: The aim of this study was to evaluate the effect of immediate and delayed physiotherapy protocol on the maximum interincisal opening (MIO), pain magnitude during physiotherapy, and rate of re-ankylosis, following the release of temporomandibular joint ankylosis (TMJa) by conservative gap arthroplasty. Subjects and methods: Twenty four patients with TMJa were treated with conservative gap arthroplasty. They were divided into two equal groups: In group 1, physiotherapy was started 24 hours after surgery. In group 2, physiotherapy was initiated after one week postoperative. MIO, pain magnitude by visual analogue scale (VAS), and rate of re-ankylosis were recorded. The values of MIO and VAS of both groups were compared by paired sample t-test. Results: Both groups showed significant improvement in MIO. At one week and one month postoperative, MIO showed significant difference between the two groups (P-value ≤ 0.05). At the remaining follow-up period, no significant difference was observed. By comparing the VAS of both groups, it was significant only at the first day of physiotherapy and at two weeks (P-value ≤ 0.05). The rate of re-ankylosis was non-significant between the two groups. Conclusion: Maintenance of MIO is less dependent on the starting time of physiotherapy and more indebted to the patient cooperation with a regular physiotherapy protocol. The reduction in the VAS encourages the patients to perform more comfortable TMJ exercises.
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- 2020
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36. Effect of parental presence on fear and cooperation of 4-6 year-old children referring to Isfahan Faculty of Dentistry
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Mahdi Jaafarzadeh,, ,, Alireza Eshgi, Fatemeh Farahbakhshpour, and Sepideh Kazemizadeh
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Child ,Dental anxiety ,Patient cooperation ,Dentistry ,RK1-715 - Abstract
AbstractIntroduction: Fear and anxiety due to the dental treatment decrease cooperation of the child during the procedure. Since the majority of parents are willing to accompany their children in the operating room, the present study was carried out to evaluate the effect of parents' presence on fear and cooperation of children aged 4-6 years, referring to the Department of Pediatric Dentistry in Isfahan Faculty of Dentistry.Materials and Methods: This cross-sectional study was carried out on fifty systemically and mentally healthy 4-6 year-old children referring to Isfahan Faculty of Dentistry, with no previous dental experience. The subjects were randomly divided into two groups. In the first group, 25 subjects were accompanied by their parents during the whole procedure. In the second group, the subjects were not accompanied by anyone. During the treatment, the cooperation rate of each child was assessed by Franckle index and after the treatment, the fear score of each child was measured with the CFSS-DS questionnaire (child fear schedule survey - dental subscale). T-test and Mann-Whitney were used to compare dental fear and cooperation between the two groups, respectively. Spearman's correlation coefficient was used to assessing fear scores and cooperation rates (α = 0.05).Results: The means of fear scores in the presence and absence of parents were 26.60 ± 6.40 and 28.80 ± 10.61, respectively. There were no significant differences in fear rates and cooperation levels of children between the two groups based on CFSS-DS (p value = 0.37 and 0.79, respectively). There was a significant but inverse correlation between fear scores and cooperation levels (r = 0.783, p value < 0.001).Conclusion: Based on the results of the present study, parental presence or absence does not affect fear and cooperation of 4-6 year-old children during dental procedures. Key words: Child, Dental anxiety, Patient cooperation.
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- 2012
37. The extraction of teeth: Part 1 diagnostic and treatment considerations
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Mayte Accornero, Cindy Chay, and Laurance Jerrold
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medicine.medical_specialty ,Evidence-based practice ,Dentition ,Orthodontics ,Mindset ,030206 dentistry ,Treatment goals ,Patient preference ,Functional occlusion ,Patient Cooperation ,03 medical and health sciences ,0302 clinical medicine ,Intervention (counseling) ,medicine ,Medical physics ,Psychology ,030217 neurology & neurosurgery - Abstract
Non extraction therapy is NOT a treatment goal. It is merely a means of effectuating a treatment goal. The same mindset applies to extraction therapy – it is a means to an end. The first diagnostic consideration in contemporary orthodontic therapy should be to decide where one wants to place the teeth. This answer is based on a host of considerations that are driven by patient preferences, professional experience and expertise, and evidence based data relating to the clinical issues at hand. Treatment considerations follow and they too are based on a number of factors such as anatomical, physiological, and functional limitations, patient cooperation, and biomechanical expertise to name a few. In the end, the decision to extract teeth or not should support the five goals that provide support for the bases behind professional orthodontic intervention: 1) the creation of a harmonious balance in the alignment of the dentition, 2) maximizing occlusal contacts, 3) enhancing dentofacial esthetics, 4) creating a functional occlusion, and 5) achieving a relatively physiologic stable result.
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- 2019
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38. Cooperation of patient as key factor to overcome oral habits
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Magdalena Lesmana
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anterior tongue thrust swallow (ATTS) ,patient cooperation ,patient awareness ,patient acceptance ,patient comfortable ,Dentistry ,RK1-715 - Abstract
Introduction: Orthodontic treatments have developed rapidly on the last decade even though; the sophisticated treatment has been limited by patient’s behavior. Orthodontist should acknowledge that the success of treatment not only depends on the knowledge and skill of the operator, but on the patient’s behavior as well, which is very critical to overcome the oral habit, including anterior tongue thrust swallow (ATTS). Patient’s cooperation is the key factor to set prognosis of oral habit correction and have to be proven through analysis of questioners. Methods: Patient cooperation scale (PCS) was made for this research involving 68 orthodontic patients for correction of ATTS from Faculty of Dentistry Indonesia University and Ladokgi as respondents. PCS assessment was based on data sets of: Patient awareness of ATTS (PAw), Patient Acceptance to receive treatment (PAc), and Patient Comfortable for using appliances (PC). The evaluation was obtained by calculation the total score of 10 items from each component, which gave 0–30 range of scale and would be 0–90 range of cooperation scale as the final result. Result: PCS assessment can be based on data sets of PAw, PAc, and PC. It is valid and reliable. The score for the cooperative patients range between 0–25. The higher the score from this questionnaire shows less cooperation from respondent. On the other hand, the lower the score showed better cooperation. Conclusion: PCS can be used for the prognosis of the successful oral habits correction and has a significant relation with the length of successful treatment.
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- 2009
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39. PERCEPÇÕES DE ENFERMEIROS E DOENTES SOBRE A ADESÃO AO TRATAMENTO DIRETAMENTE OBSERVADO EM TUBERCULOSE
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Laura Maria Vidal Nogueira, Marune Melo Távora, Fabiane Oliveira da Silva, and Ivaneide Leal Ataíde Rodrigues
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Adherence to Medication ,Cooperação do Paciente ,Terapia Diretamente Observada ,Patient Cooperation ,Enfermagem ,Nursing ,Directly Observed Therapy ,Terapia Directamente Observada ,Cooperación del Paciente ,Adhesión a la Medicación ,Tuberculose ,Tuberculosis ,Enfermería ,General Nursing ,Adesão à Medicação - Abstract
RESUMO Objetivo: analisar os fatores intervenientes na adesão ao tratamento diretamente observado em tuberculose, na percepção de doentes e de enfermeiros de unidades básicas de saúde. Método: pesquisa qualitativa descritiva com participação de 13 enfermeiros e 52 doentes de 12 Unidades Básicas de Saúde de Belém-Pará, Brasil. Para produção dos dados, realizaramse entrevistas individuais, complementadas por observação não participativa. Os dados foram submetidos à análise de conteúdo temática. Resultados: da análise emergiram duas categorias: Percepções sobre o tratamento diretamente observado de doentes e enfermeiros e Operacionalização do tratamento diretamente observado: aspectos positivos e limitantes. Conclusão: mesmo com as fragilidades apontadas, as unidades apresentam potencial para desenvolver a estratégia. Os enfermeiros são sensíveis à sua importância, mas necessitam de maior apoio institucional, e os doentes, quando bem esclarecidos, conseguem fazer uma boa adesão. Esse conhecimento pode proporcionar maior segurança para os enfermeiros na condução do acompanhamento aos pacientes. RESUMEN: Objetivo: analizar los factores intervinientes en la adhesión al tratamiento directamente observado en tuberculosis, según la percepción de pacientes y enfermeros de unidades básicas de salud. Método: investigación cualitativa y descriptiva con la participación de 13 enfermeros y 52 pacientes de 12 Unidades Básicas de Salud de Belém-Pará, Brasil. Para la producción de los datos, se realizaron entrevistas individuales, complementadas con observación no participativa. Los datos se sometieron a análisis de contenido temático. Resultados: surgieron dos categorías del análisis: Percepciones de pacientes y enfermeros sobre el tratamiento directamente observado, y Operacionalización del tratamiento directamente observado: aspectos positivos y limitantes. Conclusión: incluso con las debilidades señaladas, las unidades tienen potencial para desarrollar la estrategia. Los enfermeros reconocen su importancia, pero necesitan más apoyo institucional; y los pacientes, cuando están bien informados, logran buenos índices de adhesión al tratamiento. Este conocimiento puede proporcionar mayor seguridad a los enfermeros al realizar el seguimiento de los pacientes. ABSTRACT Objective: to analyze the intervening factors in adherence to the directly observed treatment in tuberculosis, in the perception of patients and nurses of basic health units. Method: a descriptive and qualitative research study with the participation of 13 nurses and 52 patients of 12 Basic Health Units of Belém-Pará, Brazil. For data production, individual interviews were conducted, complemented by non-participant observation. The data were submitted to thematic content analysis. Results: two categories emerged from the analysis: Perceptions of patients and nurses on the directly observed treatment, and Operationalization of the directly observed treatment: positive and limiting factors. Conclusion: even with the weaknesses pointed out, the units have potential to develop the strategy. The nurses are aware of their importance, but need greater institutional support, and the patients, when well informed, show good adherence. This knowledge can provide greater safety for the nurses in the conduction of patient follow-up.
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- 2021
40. The Anesthetic Management of an Adolescent with Autism Spectrum Disorder and Super-Super Obesity: a Case Report
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Diep, Deric B., Hooper, Jonathan, and Eipe, Naveen
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- 2019
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41. Content validation of the operational definitions of non-acceptance to hypertension treatment.
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Pereira Borges, José Wicto, Magalhães Moreira, Thereza Maria, Pacheco Rodrigues, Malvina Thaís, and de Oliveira, Célida Juliana
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Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2016
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42. Do Waiting Times in Dental Offices Affect Patient Satisfaction and Evaluations of Patient-Provider Relationships? A Quasi-experimental Study.
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Inglehart, Marita Rohr, Lee, Alexander H., Koltuniak, Kristin G., Morton, Taylor A., and Wheaton, Jenna M.
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ANALYSIS of variance , *STATISTICAL correlation , *DENTAL offices , *DENTAL schools , *HEALTH facilities , *RESEARCH methodology , *PATIENT-professional relations , *MULTIVARIATE analysis , *PATIENT satisfaction , *PROBABILITY theory , *SCALE analysis (Psychology) , *TIME , *WAITING rooms , *EDUCATIONAL attainment , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Purpose: Spending time in waiting rooms prior to dental visits is not uncommon for dental hygiene patients. The objectives were to determine if the length of a patients' waiting time affected their satisfaction with the appointment and their evaluation of their provider. In addition, the patient's level of education and whether the dental visit is a first visit will be examined to determine if these affected the outcome. Methods: Survey data were collected from 399 adult patients who came for regularly scheduled visits to a dental school clinic. The patients ranged in age from 19 to 93 years (mean = 52 years; SD=16.9). For 29% of the patients, this visit was the first visit with this provider. Results: The patients whose providers were early (n=65) were more satisfied, more likely to plan to follow their provider's recommendation and evaluated their relationship with their provider more positively than patients whose providers were on time (n=283), while the patients in the "late" group (n=32) showed the most negative responses to all questions. Patients from higher educational backgrounds were most negative in their responses when their providers were late. Patients with a first visit whose providers were late had the most negative evaluations of the patient-provider relationship. Conclusion: Long waiting times prior to a scheduled dental appointment have a negative effect on patients' satisfaction with their visit, the evaluations of the patient-provider relationship and the patients' intentions to return. [ABSTRACT FROM AUTHOR]
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- 2016
43. Assessment of Factors Affecting Adolescent Patients' Compliance with Hawley and Vacuum Formed Retainers.
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MIRZAKOUCHAKI, BEHNAM, SHIRAZI, SAJJAD, SHARGHI, REZA, and SHIRAZI, SAMANEH
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ORTHODONTIC retainers , *DENTAL therapeutics - Abstract
Introduction: Success of orthodontic retention with removable retainers almost entirely depends on patients' compliance. Aim: This study was carried out to investigate the relationship between adolescent orthodontic patients' compliance and various clinical and social factors. Materials and Methods: The data were collected from 77 orthodontic patients aged 7-11 years old who had finished the full fixed appliance therapy. Hawley's retainers were used in 34 patients and 43 patients used Vacuum Formed Retainers (VFRs). The subjects completed a questionnaire including several identifiers allowing the respondents to be classified into subgroups. They were also asked to indicate how long they wore their retainers during the day, by writing the number of hours in the report-card for the next three months. Comparison of the results was performed by one-way ANOVA and independent sample-t tests. Results: No significant differences were found between males and females. Type of the retainer, patients' grade of study, mothers' occupation, clinicians' and parents' attitudes and filling the report cards had significant effect on mean wear hours per day. When compliance of the patients was assessed according to treatment location, Living place and parents' educational degrees and ethnicity, no significant differences could be found. Conclusion: The adolescent patients' compliance was greater with VFRs than with Hawley's retainers. Parental attitude and doctor-patient relationship had a great impact on adolescent patients' compliance. [ABSTRACT FROM AUTHOR]
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- 2016
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44. QUALIDADE DE VIDA E ADESÃO MEDICAMENTOSA EM ADULTOS HIPERTENSOS.
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de Fátima Mantovani, Maria, Mattei, Ângela Taís, Ulbrich, Elis Martins, Bortolato-Major, Carina, Castanho Moreira, Ricardo, and Janczyk Hereibi, Mireille
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Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2016
- Full Text
- View/download PDF
45. Outpatient Clinic for Health Education: Contribution to Self-Management and Self-Care for People With Heart Failure.
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Souza Carneiro, Camila, Dias de Oliveira, Ana Paula, Lima Lopes, Juliana, Bachion, Maria Márcia, Herdman, T. Heather, Moorhead, Sue A., and Bottura Leite de Barros, Alba Lúcia
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CARDIOVASCULAR disease nursing , *HEALTH education , *HEART failure , *OUTPATIENT services in hospitals , *MEDICAL referrals , *NOSOLOGY , *NURSING , *PATIENT compliance , *HEALTH self-care , *PATIENTS' attitudes - Abstract
Objective To report the experience of an outpatient nursing education clinic caring for people with chronic heart failure. Experience Report In this service, qualified 'listening,' recreational educational actions about the disease and its treatment are conducted, based on the interventions from the Nursing Interventions Classification ( NIC), as well as the evaluation of self-care behaviors with the outcomes from the Nursing Outcomes Classification ( NOC). This article describes the practice of health education activities and the use of NANDA-I-NIC- NOC in a nursing clinic. Conclusion The outpatient clinic supports client learning about the treatment of disease and stimulates self-control of health behaviors. Implications for Nursing Practice This experience report will guide nurses in the establishment of outpatient nursing education clinics for different populations of patients with chronic health conditions. Objetivo Relatar a experiência de um ambulatório de educação em saúde para pessoas com insuficiência cardíaca crônica. Relato De Experiência Neste serviço são realizadas a 'escuta' qualificada e ações educativas sobre a doença e o tratamento, baseadas nas intervenções da Classificação de Intervenções de Enfermagem (NIC), bem como a avaliação dos comportamentos de autocuidado dos resultados da Classificação dos Resultados de Enfermagem (NOC). Este artigo descreve a atividade de educação em saúde e o uso da NANDA-I-NIC-NOC na prática clínica. Conclusão O ambulatório apoia o aprendizado do paciente sobre o tratamento da doença e estimula o autocontrole de comportamentos de saúde. Implicações Para A PrÁtica Este relato de experiência guiará os enfermeiros no estabelecimento de um ambulatório de educação de enfermagem para diferentes populações de pacientes com doenças crônicas. [ABSTRACT FROM AUTHOR]
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- 2016
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46. THE INFLUENCE OF SELF-MEASURED PRESSURE ON THE ADHRENCE TO SYSTEMIC BLOOD HYPERTENSION TREATMENT.
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Coelho Leite Fava, Silvana Maria, Araújo Rodrigues, Patrícia, de Castro, Oyara, Silva Lima, Rogério, and Rezende Dázio, Eliza Maria
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Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2015
- Full Text
- View/download PDF
47. Maxillary molars distalization: a review
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Ahmad Mohammad Hafez, Kholod ElBady Mahmoud El-Ashry, and Maher Fouda
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Orthodontics ,Molar ,business.industry ,Medicine ,Skeletal structures ,Increased overjet ,Malocclusion ,business ,medicine.disease ,Pendulum appliance ,Anterior teeth ,Patient Cooperation - Abstract
Class II malocclusion is ranked as the most prevalent type of glitches that require orthodontic treatment. It can be managed via several lines of treatment the choice between which must be dependent on each case requirements. Maxillary molars distalization is one of the most popular non extraction alternatives for class II treatment. There are many distalization appliances listed in the literature which can be categorized to either compliance or non-compliance types. Compliance distalization appliances include head gear, Cetlin appliance, Wilson Biometric Distalizing Arch and Carrieredistalizer. Lack of patient cooperation comprises a major problem of these appliances and always leads to lengthy treatment in addition to less than ideal results. Non-compliance distalization appliances for class II treatment include NiTi coil springs, Pendulum appliance, Distal jet, Keles slider and Fast Back appliance. Most of these appliances gain anchorage from dental structures or Nance palatal holding arch. This always leads to adverse effects as consequences of anchorage loss represented in mesial movement of premolars and anterior teeth, increased overjet and palatal tissue irritation by the non-hygienic Nance acrylic button. Distalization appliances that involve a stable skeletally anchored modules have recently gained large popularity to avoid anchorage loss. It implies insertion of temporary anchorage devices (TADs) in different location of skeletal structures to receive and resist the reactive forces of distalization. Implant, miniplates and miniscrews are the main TADs used for orthodontic purposes. However, implants and miniplates are not widely used as they are expensive and require special surgical intervention. Miniscerws are the most common type of TADs due to their easy insertion, reasonable cost and many head designs that accommodate different orthodontic uses.
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- 2020
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48. A successful heart and liver transplantation requiring intraoperative extracorporeal membrane oxygenation for primary cardiac allograft dysfunction in a patient with Fontan failure
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Narutoshi Hibino, Valluvan Jeevanandam, Pamela Combs, Tae Song, Talia Baker, Umar Siddiqi, and Gene Kim
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Cardiac allograft ,business.industry ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Liver transplantation ,Surgery ,Patient Cooperation ,Transplantation ,03 medical and health sciences ,surgical procedures, operative ,0302 clinical medicine ,030228 respiratory system ,Extracorporeal membrane oxygenation ,medicine ,Proper treatment ,Fontan failure ,Cardiology and Cardiovascular Medicine ,business ,Perfusion - Abstract
We report a case of successful heart and liver transplantation requiring intraoperative extracorporeal membrane oxygenation (ECMO) for primary cardiac allograft dysfunction in a patient with Fontan failure. A successful outcome for both the heart and the liver can be achieved with the timely management of ECMO support. In describing our experiences treating a Fontan patient requiring multiorgan transplantation, we have shown that challenging cases such as this one can have successful outcomes if multidisciplinary collaborations and proper treatment strategies are utilized at the optimal timing, along with family support and patient cooperation.
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- 2020
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49. Correction of skeletal class II malocclusion using class II elastics in an adolescent patient
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Mayank Trivedi, Alekya Akasapu, and Raghunath N
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Orthodontics ,business.industry ,Occlusal plane ,Facial profile ,Occlusion ,Medicine ,Malocclusion ,business ,medicine.disease ,Skeletal class ,Adolescent patient ,Class (biology) ,Patient Cooperation - Abstract
Application of elastics in orthodontics has various outcomes in relation to maxillary arch, mandibular arch, facial pattern and occlusal plane. All these factors can be modified depending upon the response of the individual towards the treatment procedure. Elastics being a dependable mode of changing such parameters have been employed in orthodontics from time to time. In the present case report class II elastics were incorporated with a motive to stimulate growth and change or improve the facial profile as the individual was in a growing phase. With continuous application of elastics and patient cooperation satisfactory occlusion and facial profile was achieved for the patient. Keywords: Class II malocclusion, Class II elastics, Growth, Profile.
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- 2019
- Full Text
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50. Predictors of Patient Cooperation during Phacoemulsification Surgery under Topical Anesthesia
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Yousef Alizadeh, Reza Soltani Moghadam, Mitra Akbari, and Abdolreza Medghalchi
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medicine.medical_specialty ,lcsh:R5-920 ,genetic structures ,business.industry ,patient cooperation ,medicine.medical_treatment ,Phacoemulsification ,Patient Cooperation ,Surgery ,Topical anesthesia ,cataract ,phacoemulsification ,Medicine ,business ,topical anesthesia ,lcsh:Medicine (General) - Abstract
Background: Topical anesthesia (TA) may accompany with more discomfort for some patients during cataract surgery. We aimed to evaluate the potential factors that can be used for predicting patient’s cooperation during phacoemulsification surgery under TA. Methods: One hundred sixty consecutive cases that were candidate for phacoemulsification surgery enrolled in this prospective study. Patient characteristics including sex, age, place of residence (urban or rural), education level (literate and illiterate) and physical examination variables including visual acuity in logarithm of minimum angle of resolution (LogMAR), reaction to eye drop, and cooperation during tonometry before surgery were evaluated. Patient cooperation during surgery was classified into successful (good and satisfactory) or failed (weak) cooperation. The two groups were compared in terms of baseline and clinical examination variables. Results: In this study, 103(64.4%) cases showed a good or satisfactory cooperation, and others had a weak cooperation. There was no association between patient cooperation during surgery and sex (P-value = 0.2), age (P-value = 0.7), place of residence (P-value = 0.3) and education level (P-value = 0.3). The successful group showed a higher rate of non-reaction to eye drop (P-value = 0.0001), good cooperation during tonometry (P-value = 0.0001), non-reaction to press on lacrimal sac (P-value = 0.0001), and lower visual acuity (P-value = 0.045). In the multivariate logistic regression model, non-reaction to eye drop (OR = 66.4), good and satisfactory cooperation during tonometry (OR = 21.2, OR = 7.2, respectively) compared to weak cooperation, lower LogMAR of visual acuity (OR = 7) were significantly associated with the success of TA. Conclusion: This study showed that some ocular examination tests before surgery including visual acuity, reaction to eye drop, cooperation during tonometry and reaction to press on the lacrimal sac can predict patient cooperation during phacoemulsification surgery under TA.
- Published
- 2019
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