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Wang W, Feng X, Tai B, Hu D, Lin H, Wang B, Wang C, Zheng S, Liu X, Rong W, Wang W, Si Y. Epidemiology of plaque-induced gingivitis among 12-15-year-old Chinese schoolchildren: A study based on the 2018 case definition. J Clin Periodontol 2024; 51:299-308. [PMID: 38037239 DOI: 10.1111/jcpe.13904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 10/11/2023] [Accepted: 11/03/2023] [Indexed: 12/02/2023]
Abstract
AIM To explore the epidemiology of plaque-induced gingivitis and related factors among Chinese adolescents. MATERIALS AND METHODS This cross-sectional survey comprised 118,601 schoolchildren in the 12-15-year age group. Data came from the National Oral Health Survey in mainland China. The field investigation was conducted according to the World Health Organization guidelines. The new 2018 case definition for plaque-induced gingivitis was used. Participants underwent clinical examinations and completed a structured questionnaire. Bleeding on probing (BOP) was performed on all teeth. Multinomial logistic regression was used to explore the factors related to the extent of gingivitis. RESULTS Nearly half of the study population (47.3%) had plaque-induced gingivitis; 23.9% and 23.3% presented with localised and generalised gingivitis, respectively. The first molars were the most affected by BOP. Well-established factors, such as demographic characteristics, socioeconomic status, local factors and smoking habits, were significantly associated with the extent of gingivitis. Odds ratios for localised and generalised gingivitis increased with the decrease in frequency of toothbrushing with a fluoride dentifrice. CONCLUSIONS The study population had high plaque-induced gingivitis prevalence. The extent of gingivitis appeared to have a dose-response relationship with the frequency of toothbrushing with a fluoride dentifrice.
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Affiliation(s)
- Wenhui Wang
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
| | - Xiping Feng
- Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Baojun Tai
- School & Hospital of Stomatology, Wuhan University, Wuhan, China
| | - Deyu Hu
- West China School of Stomatology, Sichuan University, Chengdu, China
| | - Huancai Lin
- Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
| | - Bo Wang
- Chinese Stomatological Association, Beijing, China
| | - Chunxiao Wang
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Shuguo Zheng
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
| | - Xuenan Liu
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
| | - Wensheng Rong
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
| | - Weijian Wang
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
| | - Yan Si
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
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Cui Z, Wang W, Si Y, Wang X, Feng X, Tai B, Hu D, Lin H, Wang B, Wang C, Zheng S, Liu X, Rong W, Wang W. Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study. BMC Oral Health 2023; 23:765. [PMID: 37853352 PMCID: PMC10585760 DOI: 10.1186/s12903-023-03506-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 10/08/2023] [Indexed: 10/20/2023] Open
Abstract
BACKGROUND Tooth brushing with fluoridated toothpaste has become the most important way to provide the anti-caries effect of fluoride around the world. China has promoted the use of fluoridated toothpaste since 1989. However, there are few studies on the national profile of use of fluoridated toothpaste and related factors in Chinese adolescents. We carried out this study to investigate oral hygiene behaviours, especially the status of tooth brushing with fluoridated toothpaste and its correlates among adolescents, based on data from the latest Nation Oral Health Survey in mainland China. METHODS This cross-sectional study recruited 118,601 participants aged 12-15 years using multistage stratified sampling. Questionnaires were completed by students at school. Data employed in analyses were extracted from the questionnaire, including information on tooth brushing, fluoridated toothpaste, dental floss, sociodemographic factors, fluoride knowledge and attitude towards regular dental check-ups. A binary logistic regression was performed to compute the odds ratios (OR). Tooth brushing twice daily with fluoridated toothpaste was the dependent variable. Sociodemographic factors, fluoride knowledge, attitude towards regular dental check-ups, dental visit experience and perceived oral health were the independent variables. P < 0.05 was considered statistically significant. RESULTS A total of 32.6% of participants brushed their teeth twice daily, 7.4% used fluoridated toothpaste, and 3.9% cleaned their teeth twice daily with fluoridated toothpaste. The logistic regression showed the probability of twice-a-day tooth brushing with fluoridated toothpaste was higher among these groups: females (OR: 1.141; 95%CI: 1.072-1.214), 15-year-olds (OR: 1.786; 95%CI: 1.634-1.952), from urban areas (OR: 1.389; 95%CI: 1.288-1.497), without siblings (OR: 1.351; 95%CI: 1.259-1.450), with an educated father (OR: 1. 605; 95%CI: 1.442-1.788) and mother (OR: 1.706; 95%CI: 1.530-1.903), having dental visit experiences (OR: 1.702; 95%CI: 1.589-1.823), rating one's oral health as good (OR: 2.341; 95%CI: 2.083-2.631), having fluoride knowledge (OR: 4.345; 95%CI: 4.034-4.678) and having a positive attitude towards regular dental check-ups (OR: 1.589; 95%CI: 1.460-1.729). CONCLUSIONS The oral hygiene behaviours of Chinese adolescents were undesirable. Twice daily tooth brushing with fluoridated toothpaste was significantly associated with sociodemographic factors, fluoride knowledge, and attitudes towards regular dental check-ups.
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Affiliation(s)
- Zhiying Cui
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
| | - Wenhui Wang
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
| | - Yan Si
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
| | - Xing Wang
- Chinese Stomatological Association, Beijing, China
| | - Xiping Feng
- Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Baojun Tai
- School & Hospital of Stomatology, Wuhan University, Wuhan, China
| | - Deyu Hu
- West China School of Stomatology, Sichuan University, Chengdu, China
| | - Huancai Lin
- Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China
| | - Bo Wang
- Chinese Stomatological Association, Beijing, China
| | - Chunxiao Wang
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Shuguo Zheng
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
| | - Xuenan Liu
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
| | - Wensheng Rong
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
| | - Weijian Wang
- Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China
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Study on Nutritional Knowledge, Attitude and Behavior of Chinese School Football Players. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9121910. [PMID: 36553353 PMCID: PMC9776890 DOI: 10.3390/children9121910] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/29/2022] [Accepted: 12/02/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVE This study aims to validate previous structural models of factors influencing dietary behavior changes and construct the knowledge, attitude, and behavioral models of youth school football players. METHODS 279 school football players aged 12-17 years in Grades 7-12 in Hunan Province, China, completed a questionnaire to collect data on sports nutrition knowledge, attitudes, and behavior. A structural equation model (SEM) was built based on the knowledge-attitude-behavior (KAB) model and the theory of planned behavior (TPB) model to introduce nutritional knowledge directly or by altering attitudes into the dietary behavior path of players. Four factors affecting dietary behaviors were involved in the hypothetical structure, which consists of the following hypotheses: (1) nutrition knowledge affects the attitude towards sports nutrition (H1); (2) nutrition knowledge affects dietary behaviors (H2); (3) nutrition knowledge affects subjective norms (H3); (4) nutrition knowledge affects perceived behavioral control (H4); (5) subjective norms affect dietary behaviors (H5); and 6) perceived behavioral control affects dietary behaviors (H6). RESULTS Confirmatory factor analysis (CFA) revealed that the reliability, convergent validity, and discriminant validity of the built SEM conformed to the measured relationships in each dimension. In the final structural model, it was found that nutrition knowledge had a direct impact on the attitudes of players and affected their dietary behaviors in a direct manner or through their subjective norms and perceived behavioral control. CONCLUSIONS The results are in agreement with the TPB-based KAB chain and support the KAB theory for youth school football players in Hunan Province, China.
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Ambarkova V, Kokoceva-Ivanovska O, Stavreva N, Ambarkov J, Karakamcev T. The Correlation Between the DMFT of the 15-year-old Children and the Concentration of Fluoride in Drinking Water from the East Region of the Republic of Macedonia. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.9560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
AIM: The aim of this study is to determine the correlation between the DMFT index of 15-year-old children from the east region and the concentration of fluoride in drinking water from the populated areas where children live.
METHODS: In the examination, 414 children were enrolled, out of seven central secondary schools from four bigger cities from east region, at which the DMFT index was determined. The children live in six different cities and 51 different villages. Fifty-seven water samples were taken from the examined area to determine the fluoride concentration using the electrochemical method using the pH/ISE meter-Thermo-Orion with a special F-electrode (Thermo Orion Ion Plus Fluoride Electrode) at the Institute for public health. Spearman’s method was used to determine the correlation between the specified variables.
RESULTS: The total number of children in the examined sample was 414, out of which 226 (54.6%) were male and 188 (45.4%) were female. The prevalence of caries free children was 9.4%. SiC index was 10.22. The average DMFT index in this group of children was 5.77 with a standard deviation of ± 4.02. Maximum concentration of fluorine in drinking water of 0.99 ppmF was determined in the village Raslovci, and 0.87 ppmF in the village Star Karaorman, while the minimum (0.07 ppmF) in the village Dvorishte and (0.10 ppmF) in the village Grad. Correlation of the DMFT index in 15-year-old children from the east region and the concentration of fluorine in the drinking water has a negative, indirect correlation, with the value of the coefficient R = −0.27.
CONCLUSION: The correlation between the DMFT index and the concentration of drinking water is a negative, indirect correlation, and statistically, this correlation is highly significant (p < 0.05).
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Harputlu D, Kerstens S, Özdemir F, Dikken J. Hospital nurses' knowledge about older patients in Turkey: a validation and comparison study. BMC Nurs 2022; 21:111. [PMID: 35538472 PMCID: PMC9088085 DOI: 10.1186/s12912-022-00882-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Accepted: 04/21/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In Turkey, nursing care in hospitals has gradually included more older patients, resulting in a need for knowledgeable geriatric nurses. It is unknown, however, whether the nursing workforce is ready for this increase. Therefore, the aim of this study is to validate the Knowledge about Older Patients Quiz (KOPQ) in the Turkish language and culture, to describe Turkish hospital nurses' knowledge about older patients, and to compare levels of knowledge between Turkish and Dutch hospital nurses. METHOD First, the KOPQ was translated, resulting in the KOPQ-TR. Then, content validity was assessed by 10 geriatric experts using the Lynn method, a pilot test among 10 nurses was conducted, and a Rasch analysis was performed using data from 135 nurses working in two Turkish hospitals. Finally, a comparison between Turkish and Dutch nurses' levels of knowledge was performed. RESULTS The results of the qualitative validation (i.e., content validity by experts and nurses), model fit, item reliability and the item separation index of the KOPQ-TR proved excellent, indicating good content and construct validity. However, the Person Separation Index and Person Reliability of the Rash analysis did not meet the criteria for adequate scale and psychometric validation. The levels of knowledge among Turkish nurses were significantly lower than those of Dutch nurses. CONCLUSIONS The KOPQ-TR is promising for use in Turkey, although psychometric validation should be repeated using a better targeted sample with a larger ability variance to adequately assess the Person Separation Index and Person Reliability. Currently, education regarding care for older patients is not sufficiently represented in Turkish nursing curricula. However, the need to do so is evident, as the results demonstrate that knowledge deficits and an increase in older patients admitted to the hospital will eventually occur. International comparison and cooperation provides an opportunity to learn from other countries that currently face the challenge of an aging (hospital) population.
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Affiliation(s)
- Deniz Harputlu
- Ankara University, Faculty of Nursing, Aktaş Mahallesi, Plevne Caddesi, No:5, 06080, Ankara, Altındağ, Turkey.
| | - Sander Kerstens
- Faculty of Health, Nutrition & Sport & Health Innovation Centre of Expertise, The Hague University of Applied Sciences, Johanna Westerdijkplein 75, 2521, EN, The Hague, the Netherlands
| | - Funda Özdemir
- Ankara University, Faculty of Nursing, Aktaş Mahallesi, Plevne Caddesi, No:5, 06080, Ankara, Altındağ, Turkey
| | - Jeroen Dikken
- Faculty of Health, Nutrition & Sport & Health Innovation Centre of Expertise, The Hague University of Applied Sciences, Johanna Westerdijkplein 75, 2521, EN, The Hague, the Netherlands
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Siddiquea BN, Shetty A, Bhattacharya O, Afroz A, Billah B. Global epidemiology of COVID-19 knowledge, attitude and practice: a systematic review and meta-analysis. BMJ Open 2021; 11:e051447. [PMID: 34521674 PMCID: PMC8441223 DOI: 10.1136/bmjopen-2021-051447] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Accepted: 08/06/2021] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE To assess the knowledge, attitude and practice (KAP) of the global general population regarding COVID-19. DESIGN Systematic review and meta-analysis. METHODS MEDLINE, Embase, CINAHL and PsycINFO were used to identify articles published between 1 January and 30 June 2021 assessing KAP regarding COVID-19 in the global general population. The quality of eligible studies was assessed. Random effects model was used to obtain the pooled proportion of each component of KAP of COVID-19. Heterogeneity (I2) was tested, and subgroup and correlation analyses were performed. RESULTS Out of 3099 records, 84 studies from 45 countries across all continents assessing 215 731 participants' COVID-19 KAP were included in this study. The estimated overall correct answers for knowledge, good attitude and good practice in this review were 75% (95% CI 72% to 77%), 74% (95% CI 71% to 77%) and 70% (95% CI 66% to 74%), respectively. Low-income countries, men, people aged below 30 years and people with 12 years of education or less had the lowest practice scores. Practice scores were below 60% in Africa and Europe/Oceania. Overall heterogeneity was high (I2 ≥98%), and publication bias was present (Egger's regression test, p<0.01). A positive significant correlation between knowledge and practice (r=0.314, p=0.006), and attitude and practice (r=0.348, p=0.004) was observed. CONCLUSIONS This study's findings call for community-based awareness programmes to provide a simple, clear and understandable message to reinforce knowledge especially regarding efficacy of the preventive measures in low and lower middle-income countries, and in Africa and Europe/Oceania, which will translate into good practice. Targeted intervention for men, people with low education, unemployed people and people aged below 30 years should be recommended. As most of the included studies were online surveys, underprivileged and remote rural people may have been missed out. Additional studies are needed to cover heterogeneous populations. PROSPERO REGISTRATION NUMBER CRD42020203476.
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Affiliation(s)
- Bodrun Naher Siddiquea
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Aishwarya Shetty
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Oashe Bhattacharya
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Afsana Afroz
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
- Centre of Epidemiology and Biostatistics, School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Baki Billah
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
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Derks CTAJ, Hutten-van den Elsen MMGM, Hakvoort LJ, van Mersbergen MPJ, Schuurmans MJ, Dikken J. Hospital nurses' knowledge regarding older patients: a multicenter study. BMC Nurs 2021; 20:135. [PMID: 34348725 PMCID: PMC8336409 DOI: 10.1186/s12912-021-00604-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 05/21/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Nursing care in hospitals increasingly involves older adults. A nursing workforce able to care for the ageing population is therefore critical for ensuring quality older adult care. Gaining insight in the knowledge and attitudes of nurses regarding older patients in the Netherlands is needed to develop and increase the impact of education- and quality improvement programs which can positively influence nurses' knowledge and attitudes regarding older patients. METHODS A cross-sectional multicenter study was performed. Data was collected in ten tertiary medical teaching hospitals well spread across the Netherlands (89 wards, 2902 nurses). Knowledge levels were measured using the Knowledge about Older Patient-Quiz (KOP-Q), consisting of 30 true-false questions. Knowledge levels of registered nurses are compared with knowledge levels known from literature of first year nursing students; last year nursing students; nurses; and nurse specialist. Potential associated factors considered were: age; sex; education; experience; opinions and preferences. Opinion and preferences regarding working with older patients were measured by three questions: 1) which patient group nurses preferred to work with; 2) how nurses feel about the increase of older patients in the hospital; and 3) whether nurses find it difficult to care for older patients. RESULTS From all wards, a representative sample of 1743 registered hospital nurses working on all 89 wards participated. On all wards, a large range in knowledge levels is observed between nurses, with 37% of nurses presenting knowledge levels comparable with nursing student and 31% of nurses presenting knowledge levels comparable with nurse specialists. Knowledge is related to age (p < .001), work experiences (p < .001), preparatory secondary education (p < .001) and nurses education level (p = .012). A minority (12.5%) prefers working with older patients and most nurses do not find it difficult. CONCLUSIONS This study shows that there is a large diversity in knowledge levels of Dutch hospital nurses in every hospital, on every ward. A majority of nurses demonstrate negative opinions and preferences. This implies that older patients admitted can receive different levels of quality of care on the same day as nurses with different knowledge levels provide care during the various shifts. Findings demonstrate an urgent need for education programs with themes regarding essential care for older patients in the Netherlands.
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Affiliation(s)
| | | | | | | | - Marieke J Schuurmans
- Nursing Science, Julius Center University Medical Center/University Utrecht, Utrecht, the Netherlands
| | - Jeroen Dikken
- Faculty of Health, Nutrition & Sport & Health Innovation Centre of Expertise, The Hague University of Applied Sciences, The Hague, the Netherlands.
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Zheng S, Zhao L, Ju N, Hua T, Zhang S, Liao S. Relationship between oral health-related knowledge, attitudes, practice, self-rated oral health and oral health-related quality of life among Chinese college students: a structural equation modeling approach. BMC Oral Health 2021; 21:99. [PMID: 33676475 PMCID: PMC7936478 DOI: 10.1186/s12903-021-01419-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 02/01/2021] [Indexed: 12/11/2022] Open
Abstract
Background This study aimed to evaluate the associations among oral health-related knowledge, attitudes, practice (KAP), self-rated oral health and oral health-related quality of life (OHRQoL) among Chinese college students. Methods Of the 2000 participants, 1751 (87.55%) students answered an online questionnaire between October 2019 and January 2020. The questionnaire included demographic characteristics, knowledge, attitudes, and practice related to oral health, self-rated oral health, and OHRQoL. Structural equation modelling was applied to assess the associations among study variables. Results Among the total students, oral health-related knowledge and attitudes were satisfactory, while the oral health practice was not optimistic. The final model showed satisfactory fitness to the data. Oral health knowledge was associated with attitudes directly and positively. Attitudes toward oral health had a direct and positive effect on practice. Oral health knowledge had an indirect effect on practice through attitudes. Oral health practice was directly associated with self-rated oral health. Oral health knowledge, practice, and self-rated oral health all affected OHRQoL directly and positively, while attitudes had a direct negative impact on OHRQoL. Conclusions OHRQoL was influenced by oral health knowledge, attitudes, practice, and self-rated oral health. Our findings support the KAP theory. Limitations of the KAP model were also found.
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Affiliation(s)
- Suge Zheng
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China
| | - Lili Zhao
- Department of Stomatology, First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, Anhui, China
| | - Nianting Ju
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China
| | - Tiantian Hua
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China
| | - Shunhua Zhang
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China.
| | - Shengkai Liao
- Department of Stomatology, First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, Anhui, China.
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The Effects of Citizen Knowledge on the Effectiveness of Government Communications on Nuclear Energy Policy in South Korea. INFORMATION 2020. [DOI: 10.3390/info12010008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
By analyzing survey data on nuclear energy policy in South Korea, this study examined the influence of citizens’ knowledge on the perceptions of and attitudes to government communication initiatives that are characterized by symmetry and transparency, and their effects in developing institutional legitimacy and policy acceptance. The findings indicate that symmetrical and transparent communication are involved in forming institutional legitimacy and policy acceptance of government decisions on the controversial topic of nuclear energy, but the process differs depending on citizens’ knowledge of the topic. Well-informed citizens who used reasoning were more likely than others to respond positively to symmetrical and transparent communication, which shaped their support for institutional legitimacy and policy acceptance on nuclear energy policy issues. These findings provide some of the first empirical evidence of the effectiveness of government communication.
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Doğramacı EJ, Naini FB, Brennan DS. The long-term influence of orthodontic treatment on dental knowledge and behaviour: An Australian cohort study. J Dent 2020; 100:103345. [DOI: 10.1016/j.jdent.2020.103345] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 04/09/2020] [Accepted: 04/15/2020] [Indexed: 11/28/2022] Open
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Low BS, Selvaraja KG, Ong TH, Ong KK, Koshy S. Education background and monthly household income are factors affecting the knowledge, awareness and practice on haze pollution among Malaysians. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2020; 27:30419-30425. [PMID: 32462616 DOI: 10.1007/s11356-020-09196-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Accepted: 05/05/2020] [Indexed: 06/11/2023]
Abstract
Transboundary haze pollution caused by periodic forest fires has initiated a serious negative implication to the economy, tourism sectors and public health in Southeast Asia. Due to the raising concerns of health effects of haze towards the Malaysian population, the present study was conducted to investigate the degree of awareness towards haze and the number of safety measures adopted by the Malaysian population during the haze crisis based on demographic characteristics. A cross-sectional questionnaire-based study was conducted from 4 to 29 January 2016 on 387 subjects in Klang Valley, Malaysia. The results showed that more than 90% of the respondents were aware of the hazards of haze pollution. Respondents with higher education background with diploma, undergraduate and postgraduate degree possessed greater awareness on the hazards of haze (p < 0.001) and practiced safety measures (p = 0.025) compared with those with lower education background with no proper schooling, primary schooling and secondary schooling. Among the subjects with higher household income (>RM 10,000/month) had higher awareness level on haze (p < 0.05) and adopted more safety measures (p < 0.05) compared with respondents with lower household income (<RM 3000/month). Despite controversies regarding the association of demographic factors with awareness level on haze reported, our present study confirmed that demographic factors such as the education background and monthly household income are affecting the awareness score and the number of safety measure taken during haze episode in Malaysia. Hence, more awareness on haze pollution to engage more safety measures during haze episodes should address to the lower education level and socioeconomic group to improve their health and quality of life.
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Affiliation(s)
- Bin-Seng Low
- School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, No. 1, Jalan Taylor's, 47500, Subang Jaya, Selangor, Malaysia.
| | - Kumaran Ganesh Selvaraja
- School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, No. 1, Jalan Taylor's, 47500, Subang Jaya, Selangor, Malaysia
| | - Tze-Han Ong
- School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, No. 1, Jalan Taylor's, 47500, Subang Jaya, Selangor, Malaysia
| | - King-Kok Ong
- School of Medicine, AIMST University, Bedong, Kedah, Malaysia
| | - Shajan Koshy
- School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, No. 1, Jalan Taylor's, 47500, Subang Jaya, Selangor, Malaysia
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Chung MC, Juang WC, Li YC. Perceptions of shared decision making among health care professionals. J Eval Clin Pract 2019; 25:1080-1087. [PMID: 31410954 DOI: 10.1111/jep.13249] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Revised: 06/20/2019] [Accepted: 07/23/2019] [Indexed: 11/29/2022]
Abstract
RATIONALE AND AIMS Scholars have progressively promoted shared decision making (SDM) as an optimal model of treatment decision making in clinical practice. Nevertheless, it is unclear whether health care professionals (a) understand SDM well, (b) believe that SDM is helpful in their daily practice, and (c) are willing to practice SDM during their daily activities. These are crucial research topics; however, such research is still limited. The aim of this study was to apply the knowledge-attitude-behavior (KAB) model to probe health care professionals' perceptions of SDM. METHODS A questionnaire was delivered to health care professionals working in various hospitals in southern Taiwan from 9 November 2018 to 8 January 2019. In addition to KAB constructs, this study explored the barriers to SDM practice and willingness to practice SDM among health care professionals. Predictive variables were subjected to multiple linear regression analysis to investigate health care professionals' views of SDM. RESULTS Valid respondents numbered 400, including physicians, pharmacists, nurses, and other health care professionals. The characteristics of these health care professionals significantly affected the mean scores of the KAB model. A correlation analyses indicated that the KAB constructs were positively correlated with each other. The top three barriers reported were lack of time (57.50%), lack of knowledge (38.25%), and difficulty of developing patient decision aids (37.75%). Respondents who were willing to practice SDM opined that SDM can provide the best health care for patients (81.62%), can maintain and improve individual clinical expertise (77.38%), and can meet patient and social expectations (48.40%). CONCLUSIONS Continuous emphasis on education regarding SDM and continuous promotion of a positive attitude of SDM acceptance can influence the behaviour of practicing SDM among health care professionals. Further study is required to assess the SDM practices of various health care professionals in different settings.
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Affiliation(s)
- Min-Chun Chung
- Institute of Health Care Management, National Sun Yat-sen University, Kaohsiung, Taiwan
| | - Wang-Chuan Juang
- Quality Management Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.,Department of Business Management, National Sun Yat-sen University, Kaohsiung, Taiwan
| | - Ying-Chun Li
- Institute of Health Care Management, National Sun Yat-sen University, Kaohsiung, Taiwan
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13
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Abdo NM, Hamza WS, Al-Fadhli MA. Effectiveness of education program on hospital waste management. INTERNATIONAL JOURNAL OF WORKPLACE HEALTH MANAGEMENT 2019. [DOI: 10.1108/ijwhm-10-2018-0137] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of this paper is to assess the effectiveness of Kuwait Infection Control Directorate educational program in improving knowledge, attitude and practices (KAP) of environmental service workers (ESWs) regarding the management of infectious and sharps waste.
Design/methodology/approach
An interventional educational pre-test/post-test study was conducted over seven months, on a sample of 102 ESWs in Farwaniya General Government Hospital, Kuwait. Educational sessions and practical training using the KAP approach were applied during the intervention phase. The KAP of the participants were assessed using a questionnaire and observation checklist in the pre- and post-intervention phases.
Findings
Improvement in all aspects of the KAP regarding infectious and sharps waste management was observed among the participants after implementation of the intervention, with a statistically significant difference between pre- and post-test results (p<0.01).
Originality/value
The applied multi-component educational program in the current study can be successfully implemented for ESWs in all government hospitals in Kuwait and other countries with similar settings.
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14
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Nermo H, Willumsen T, Johnsen JAK. Prevalence of dental anxiety and associations with oral health, psychological distress, avoidance and anticipated pain in adolescence: a cross-sectional study based on the Tromsø study, Fit Futures. Acta Odontol Scand 2019; 77:126-134. [PMID: 30345851 DOI: 10.1080/00016357.2018.1513558] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
OBJECTIVE To describe the prevalence of dental anxiety (DA) among adolescents in Tromsø and Balsfjord region in northern Norway and present a multivariate logistic regression model to predict high dental anxiety scores (DASs) among these adolescents. MATERIALS AND METHODS We used self-report questionnaires and clinical dental examination data from adolescents registered in upper secondary school (15-18 years of age) in this region (n = 986). Logistic regression was used to estimate odds ratios and their 95% confidence intervals (CI) when using Corah's DAS as a dichotomous dependent variable. RESULTS Twelve percent of the respondents reported a DAS score ≥13, indicating high DA. The strongest predictors for reporting high DA were anticipated pain at the dentist, 'external control belief', avoidance, low social motivation on oral health behaviour and sex. In this population, dental caries (DMFS), symptoms of psychological distress (HSCL-10) and self-motivation concerning oral health behaviour did not differ significantly between those reporting high DA (DAS ≥13) and those that reported low DA (DAS ≤12). CONCLUSIONS Severe DA in adolescence is a dental public health challenge and this study shows that DA is a hindrance to seeking dental treatment irrespective of dental status. Dental anxiety should have a higher focus on preventive oral health strategies and have a higher priority in public dentistry to avoid this problem to escalate into adulthood.
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Affiliation(s)
- Hege Nermo
- The Public Dental Health Service Competence Center of Northern Norway, Tromsø, Norway
- Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Tiril Willumsen
- Department of Pediatric Dentistry and Behavioural Science, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Jan-Are K. Johnsen
- Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
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15
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Scheerman JFM, van Meijel B, van Empelen P, Kramer GJC, Verrips GHW, Pakpour AH, Van den Braak MCT, van Loveren C. Study protocol of a randomized controlled trial to test the effect of a smartphone application on oral-health behavior and oral hygiene in adolescents with fixed orthodontic appliances. BMC Oral Health 2018; 18:19. [PMID: 29415697 PMCID: PMC5803887 DOI: 10.1186/s12903-018-0475-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2017] [Accepted: 01/12/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Adolescents with fixed orthodontic appliances are at high risk of developing dental caries. To date, new smartphone technologies have seldom been used to support them in the preventive behavior that can help prevent dental caries. After an intervention-mapping process, we developed a smartphone application (the WhiteTeeth app) for preventing dental caries through improved oral-health behavior and oral hygiene. The app, which is intended to be used at home, will help adolescents with fixed orthodontic appliances perform their oral self-care behavior. The app is based on the Health Action Process Approach (HAPA) theory, and incorporates several behavior-change techniques that target the psychosocial factors of oral-health behavior. This article describes the protocol of a randomized controlled trial (RCT) to evaluate the effects of the WhiteTeeth app on oral-health behavior and oral-hygiene outcomes (presence of dental plaque and gingival bleeding) compared with those of care as usual, in patients aged 12-16 with fixed orthodontic appliances. METHODS/DESIGN The RCT has two conditions: an experimental group that will receive the WhiteTeeth app in addition to care as usual, and a control group that will only receive care as usual. Care as usual will include routine oral-health education and instruction at orthodontic check-ups. In the western part of the Netherlands 146 participants will be recruited from four orthodontic clinics. Data will be collected during three orthodontic check-ups: baseline (T0), 6 weeks of follow-up (T1) and 12 weeks of follow-up (T2). The primary study outcomes are the presence of dental plaque (measured with a modified Silness and Loë Plaque Index); and gingival bleeding (measured with the Bleeding on Marginal Probing Index). Secondary outcomes include changes in self-reported oral-health behaviors and its psychosocial factors identified by the HAPA theory, such as outcome expectancies, intention, action self-efficacy, coping planning and action control. DISCUSSION Since the intervention was designed to target psychosocial factors in the motivational and volitional components of the behavior-change process, we hypothesize that the app will cause greater improvements in oral-health behavior and oral hygiene more than traditional oral-health-promotion programs (i.e., care as usual). TRIAL REGISTRATION The trial has been registered with the Dutch Trial Register ( NTR6206 : 20 February 2017).
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Affiliation(s)
- Janneke F M Scheerman
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands. .,Department of Oral Hygiene, Inholland University, Amsterdam, the Netherlands. .,Department of Child Health, Netherlands Organization for Applied Scientific Research (TNO), Leiden, the Netherlands. .,Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, ACTA University, Gustav Mahlerlaan 3004, 1081, LA, Amsterdam, The Netherlands.
| | - Berno van Meijel
- Department of Health, Sports & Welfare/Cluster Nursing, Inholland University of Applied Sciences, Amsterdam, the Netherlands.,Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands.,Parnassia Psychiatric Institute, Parnassia Academy, The Hague, the Netherlands
| | - Pepijn van Empelen
- Department of Child Health, Netherlands Organization for Applied Scientific Research (TNO), Leiden, the Netherlands
| | - Gem J C Kramer
- Department of Orthodontics, Academic Centre of Dentistry Amsterdam, Amsterdam, the Netherlands
| | - Gijsbert H W Verrips
- Department of Child Health, Netherlands Organization for Applied Scientific Research (TNO), Leiden, the Netherlands
| | - Amir H Pakpour
- Department of Social Determinants of Health, Research Centre (SHD), Qazvin University of Medical Sciences, Qazvin, Iran.,Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.,Department of Natural Science and Biomedicine, Centre of Oral Health, School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - Matheus C T Van den Braak
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands.,Department of Orthodontics, Academic Centre of Dentistry Amsterdam, Amsterdam, the Netherlands
| | - Cor van Loveren
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands
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16
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Scheerman JFM, van Empelen P, van Loveren C, Pakpour AH, van Meijel B, Gholami M, Mierzaie Z, van den Braak MCT, Verrips GHW. An application of the Health Action Process Approach model to oral hygiene behaviour and dental plaque in adolescents with fixed orthodontic appliances. Int J Paediatr Dent 2017; 27:486-495. [PMID: 28176383 DOI: 10.1111/ipd.12287] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND The Health Action Process Approach (HAPA) model addresses health behaviours, but it has never been applied to model adolescents' oral hygiene behaviour during fixed orthodontic treatment. AIM This study aimed to apply the HAPA model to explain adolescents' oral hygiene behaviour and dental plaque during orthodontic treatment with fixed appliances. METHODS In this cross-sectional study, 116 adolescents with fixed appliances from an orthodontic clinic situated in Almere (the Netherlands) completed a questionnaire assessing oral health behaviours and the psychosocial factors of the HAPA model. Linear regression analyses were performed to examine the factors associated with dental plaque, toothbrushing, and the use of a proxy brush. RESULTS Stepwise regression analysis showed that lower amounts of plaque were significantly associated with higher frequency of the use of a proxy brush (R2 = 45%), higher intention of the use of a proxy brush (R2 = 5%), female gender (R2 = 2%), and older age (R2 = 2%). The multiple regression analyses revealed that higher action self-efficacy, intention, maintenance self-efficacy, and a higher education were significantly associated with the use of a proxy brush (R2 = 45%). CONCLUSION Decreased levels of dental plaque are mainly associated with increased use of a proxy brush that is subsequently associated with a higher intention and self-efficacy to use the proxy brush.
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Affiliation(s)
- Janneke F M Scheerman
- Department of Preventive Dentistry, Academic Centre of Dentistry Amsterdam, Amsterdam, The Netherlands.,Department of Oral Hygiene, Inholland University, Amsterdam, The Netherlands.,Research Group Child Health, TNO, Leiden, The Netherlands
| | | | - Cor van Loveren
- Department of Preventive Dentistry, Academic Centre of Dentistry Amsterdam, Amsterdam, The Netherlands
| | - Amir H Pakpour
- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Berno van Meijel
- Department of Health, Sports and Welfare/Cluster Nursing, Inholland University of Applied Sciences, Amsterdam, The Netherlands.,Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands.,Parnassia Psychiatric Institute, Parnassia Academy, The Hague, The Netherlands
| | - Maryam Gholami
- Department of Health Psychology, Freie Universität Berlin, Berlin, Germany
| | - Zaher Mierzaie
- Department of Oral Hygiene, Inholland University, Amsterdam, The Netherlands
| | - Matheus C T van den Braak
- Department of Preventive Dentistry, Academic Centre of Dentistry Amsterdam, Amsterdam, The Netherlands
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17
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Han J, Park H. Effect of Oral Health Education on Oral Health Knowledge, Oral Health Behavior and Oral Hygiene Status in Children from North Korea. CHILD HEALTH NURSING RESEARCH 2017. [DOI: 10.4094/chnr.2017.23.4.440] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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18
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Leão MM, Garbin CAS, Moimaz SAS, Rovida TAS. Oral health and quality of life: an epidemiological survey of adolescents from settlement in Pontal do Paranapanema/SP, Brazil. CIENCIA & SAUDE COLETIVA 2017; 20:3365-74. [PMID: 26602714 DOI: 10.1590/1413-812320152011.00632015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Accepted: 03/20/2015] [Indexed: 11/21/2022] Open
Abstract
This study aimed to verify oral health, treatment needs, dental service accessibility, and impact of oral health on quality of life (QL) of subjects from settlement in Pontal do Paranapanema/SP, Brazil. In this epidemiological survey, 180 10-to 19- years old adolescents enrolled in the school that attend this population in settlement underwent oral examination, to verify caries index (DMFT- decayed, missing and filled teeth) and periodontal condition (CPI), and were interviewed using the World Health Organization Quality of Life (WHOQOL-Bref) and Oral Impact Daily Performance (OIDP) instruments to evaluate QL, and the Global School-Based Health Survey (GSHS) about dental service accessibility. DMFT average was 5.49 (± 3.33). Overall, 37.2% of participants showed periodontal problems, mainly CPI = 1 (77.7%). Treatment needs were mainly restorations. GSHS showed that the last dental consultation occurred > 1 year previously for 58.3% of participants at a public health center (78.9%). The average WHOQOL-Bref was 87.59 (± 15.23). Social relationships were related to dental caries and health service type. The average OIDP was 6.49 (± 9.15). The prevalence of caries was high and observed periodontal problems were reversible. The social relationships of adolescents from settlement were influenced by caries and health services type.
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Affiliation(s)
- Milene Moreira Leão
- Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista, Araçatuba, SP, Brasil,
| | - Cléa Adas Saliba Garbin
- Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista, Araçatuba, SP, Brasil,
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19
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Shizuma Y, Zaitsu T, Ueno M, Ohnuki M, Kawaguchi Y. Relationship between self-assessment and clinical evaluation of dental plaque and gingival condition in Japanese adolescents. Int J Dent Hyg 2017; 16:144-150. [DOI: 10.1111/idh.12281] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Y Shizuma
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
| | - T Zaitsu
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
| | - M Ueno
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
| | - M Ohnuki
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
| | - Y Kawaguchi
- Department of Oral Health Promotion; Tokyo Medical and Dental University; Tokyo Japan
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20
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Bergeron DA, Talbot LR, Gaboury I. Realist evaluation of intersectoral oral health promotion interventions for schoolchildren living in rural Andean communities: a research protocol. BMJ Open 2017; 7:e014531. [PMID: 28237962 PMCID: PMC5337730 DOI: 10.1136/bmjopen-2016-014531] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Revised: 12/20/2016] [Accepted: 01/25/2017] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Intersectoral collaboration, known to promote more sustainable change within communities, will be examined in an oral health promotion program (OHPP). In Peru, an OHPP was implemented by the Ministry of Health, to reduce the incidence of caries in schoolchildren. In rural Andean communities, however, these initiatives achieved limited success. The objectives of this project are: (1) to understand the context and the underlying mechanisms associated with Peruvian OHPP's current effects among school children living in rural Andean communities and (2) to validate a theory explaining how and under which circumstances OHP intersectoral interventions on schoolchildren living in rural Andean communities produce their effects. METHODS AND ANALYSIS Through a realist evaluation, the context, underlying mechanisms and programme outcomes will be identified. This process will involve five different steps. In the first and second steps, a logic model and an initial theory are developed. In the third step, data collection will permit measurement of the OHHP's outcomes with quantitative data, and exploration of the elements of context and the mechanisms with qualitative data. In the fourth and fifth steps, iterative data analysis and a validation process will allow the identification of Context-Mechanism-Outcome configuration, and validate or refine the initial theory. ETHICS AND DISSEMINATION This research project has received approval from the Comité d'éthique de la recherche en santé chez l'humain du Centre hospitalier universitaire de Sherbrooke. The initial theory and research results will be published in relevant journals in public health and oral health. They will also be presented at realist evaluation and health promotion international conferences.
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Affiliation(s)
- Dave A Bergeron
- Department of Health Research Programs, Faculty of Medicine and Health Sciences,Université de Sherbrooke, Longueuil, Québec, Canada
- Department of Nursing, Université du Québec à Rimouski, Rimouski, Québec, Canada
| | - Lise R Talbot
- School of Nursing, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Isabelle Gaboury
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences,Université de Sherbrooke, Longueuil, Québec, Canada
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21
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Zhang T, Chen A, Yli-Piipari S, Loflin J, Wells S, Schweighardt R, Moennich K, Hong D, Ennis CD. Prior knowledge determines interest in learning in physical education: A structural growth model perspective. LEARNING AND INDIVIDUAL DIFFERENCES 2016. [DOI: 10.1016/j.lindif.2016.08.039] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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22
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Mattila ML, Tolvanen M, Kivelä J, Pienihäkkinen K, Lahti S, Merne-Grafström M. Oral health-related knowledge, attitudes and habits in relation to perceived oral symptoms among 12-year-old school children. Acta Odontol Scand 2016; 74:343-7. [PMID: 26881848 DOI: 10.3109/00016357.2016.1139177] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Objective The aim of the study was to investigate oral health-related knowledge, attitudes and habits and their relationship to perceived oral symptoms among 12-year-olds and differences between boys and girls. Material and methods The study population consisted of children (n = 588) in 15 randomly selected elementary schools in Turku, Finland. Associations between oral health-related habits, knowledge and attitudes with perceived oral symptoms and gender differences were evaluated with χ(2)-test, Mann-Whitney U-test and logistic regression analysis. Results Oral health promoting habits but not knowledge or attitudes associated significantly with absence of oral symptoms. Girls reported a higher percentage of several health promotional habits than boys. Girls reported more frequently gingival bleeding and less frequently dental calculus than boys did. The most common oral symptom was gingival bleeding. Conclusions The present findings suggest some gender-related differences in oral health habits, attitudes, as well as perceived oral symptoms in 12-year-olds. There seems, however, not to be gender differences in relation to knowledge or the association of health habits with perceived oral symptoms. It is important to maintain health promotion at schools and additional efforts should be aimed at translating knowledge into action.
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Affiliation(s)
- Marja-Leena Mattila
- Oral Health Care, Welfare Division, City of Turku, Turku, Finland
- Department of Public Health, University of Turku, Turku, Finland
| | - Mimmi Tolvanen
- Department of Community Dentistry, University of Turku, Turku, Finland
- FinnBrain Study Group Turku Brain and Mind Center, University of Turku, Turku, Finland
| | - Johanna Kivelä
- Department of Community Dentistry, University of Turku, Turku, Finland
| | | | - Satu Lahti
- Department of Community Dentistry, University of Turku, Turku, Finland
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23
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Scheerman JFM, Loveren C, Meijel B, Dusseldorp E, Wartewig E, Verrips GHW, Ket JCF, Empelen P. Psychosocial correlates of oral hygiene behaviour in people aged 9 to 19 – a systematic review with meta‐analysis. Community Dent Oral Epidemiol 2016; 44:331-41. [DOI: 10.1111/cdoe.12224] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2015] [Accepted: 01/31/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Janneke F. M. Scheerman
- Department of Health, Sports & Welfare/Cluster Oral Hygiene Inholland University of Applied Sciences Amsterdam The Netherlands
- Department of Preventive Dentistry Academic Centre of Dentistry Amsterdam ACTA University University of Amsterdam Amsterdam The Netherlands
| | - Cor Loveren
- Department of Preventive Dentistry Academic Centre of Dentistry Amsterdam ACTA University University of Amsterdam Amsterdam The Netherlands
| | - Berno Meijel
- Department of Health, Sports & Welfare/Cluster Oral Hygiene Inholland University of Applied Sciences Amsterdam The Netherlands
- VU University Medical Centre Amsterdam & Parnassia Psychiatric Institute Parnassia Academy The Hague The Netherlands
| | | | - Eva Wartewig
- Department of Health, Sports & Welfare/Cluster Oral Hygiene Inholland University of Applied Sciences Amsterdam The Netherlands
| | | | - Johannes C. F. Ket
- Departement Medical Library Vrije Universtiteit Amsterdam Amsterdam The Netherlands
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24
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Broadbent JM, Zeng J, Foster Page LA, Baker SR, Ramrakha S, Thomson WM. Oral Health-related Beliefs, Behaviors, and Outcomes through the Life Course. J Dent Res 2016; 95:808-13. [PMID: 26936215 DOI: 10.1177/0022034516634663] [Citation(s) in RCA: 93] [Impact Index Per Article: 11.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Complex associations exist among socioeconomic status (SES) in early life, beliefs about oral health care (held by individuals and their parents), and oral health-related behaviors. The pathways to poor adult oral health are difficult to model and describe, especially due to a lack of longitudinal data. The study aim was to explore possible pathways of oral health from birth to adulthood (age 38 y). We hypothesized that higher socioeconomic position in childhood would predict favorable oral health beliefs in adolescence and early adulthood, which in turn would predict favorable self-care and dental attendance behaviors; those would lead to lower dental caries experience and better self-reported oral health by age 38 y. A generalized structural equation modeling approach was used to investigate the relationship among oral health-related beliefs, behaviors in early adulthood, and dental health outcomes and quality of life in adulthood (age, 38 y), based on longitudinal data from a population-based birth cohort. The current investigation utilized prospectively collected data on early (up to 15 y) and adult (26 and 32 y) SES, oral health-related beliefs (15, 26, and 32 y), self-care behaviors (15, 28, and 32 y), oral health outcomes (e.g., number of carious and missing tooth surfaces), and oral health-related quality of life (38 y). Early SES and parental oral health-related beliefs were associated with the study members' oral health-related beliefs, which in turn predicted toothbrushing and dental service use. Toothbrushing and dental service use were associated with the number of untreated carious and missing tooth surfaces in adulthood. The number of untreated carious and missing tooth surfaces were associated with oral health-related quality of life. Oral health toward the end of the fourth decade of life is associated with intergenerational factors and various aspects of people's beliefs, SES, dental attendance, and self-care operating since the childhood years.
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Affiliation(s)
- J M Broadbent
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - J Zeng
- Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - L A Foster Page
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - S R Baker
- Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - S Ramrakha
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - W M Thomson
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
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25
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De Pretto L, Acreman S, Ashfold MJ, Mohankumar SK, Campos-Arceiz A. The Link between Knowledge, Attitudes and Practices in Relation to Atmospheric Haze Pollution in Peninsular Malaysia. PLoS One 2015; 10:e0143655. [PMID: 26646896 PMCID: PMC4672926 DOI: 10.1371/journal.pone.0143655] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2015] [Accepted: 11/06/2015] [Indexed: 11/18/2022] Open
Abstract
Transboundary haze episodes caused by seasonal forest fires have become a recurrent phenomenon in Southeast Asia, with serious environmental, economic, and public health implications. Here we present a cross-sectional survey conducted among people in Kuala Lumpur and surrounds to assess the links between knowledge, attitudes, and practices in relation to the transboundary haze episodes. Of 305 respondents, 125 were amateur athletes participating in a duathlon event and the remainder were surveyed in an inner-city shopping mall. Across the whole sample, people who possessed more factual information about the haze phenomenon showed significantly higher levels of concern. Duathletes were more knowledgeable than non-duathletes and also more concerned about the negative effects of haze, especially on health. For all people who regularly practice outdoor sports (including people interviewed at the shopping mall), higher levels of knowledge and concerned attitudes translated into a greater likelihood of engaging in protective practices, such as cancelling their outdoor training sessions, while those with greater knowledge were more likely to check the relevant air pollution index on a daily basis. Our results indicate that the provision of accurate and timely information about air quality to residents will translate into beneficial practices, at least among particularly exposed individuals, such as amateur athletes who regularly practice outdoor sports.
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Affiliation(s)
- Laura De Pretto
- Mindset: Interdisciplinary Centre for Tropical Environmental Studies, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
- Department of Applied Psychology, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
- * E-mail:
| | - Stephen Acreman
- Mindset: Interdisciplinary Centre for Tropical Environmental Studies, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
- School of Politics, History & International Relations, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
| | - Matthew J. Ashfold
- Mindset: Interdisciplinary Centre for Tropical Environmental Studies, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
- School of Biosciences, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
| | - Suresh K. Mohankumar
- Mindset: Interdisciplinary Centre for Tropical Environmental Studies, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
- Department of Biomedical Sciences, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
| | - Ahimsa Campos-Arceiz
- Mindset: Interdisciplinary Centre for Tropical Environmental Studies, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
- School of Geography, The University of Nottingham Malaysia Campus, Jalan Broga, Semenyih, Selangor, Malaysia
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Anttonen V, Kemppainen A, Niinimaa A, Pesonen P, Tjäderhane L, Jaana L. Dietary and oral hygiene habits of active athletes and adolescents attending ordinary junior high schools. Int J Paediatr Dent 2014; 24:358-66. [PMID: 24205878 DOI: 10.1111/ipd.12078] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Active sports require sufficient energy intake. How do young athletes meet this need? The aim of this study was to investigate self-reported health and oral behaviors of young athletes and to compare them with a population-based sample of ordinary adolescents. DESIGN A computer-based questionnaire on oral hygiene habits and dietary habits was conducted in two junior high schools with special classes for athletes in 2011. Adolescents of similar age (n=1230) attending ordinary classes had responded the same questionnaire earlier in the city of Oulu (in 2004) and in Kajaani, Finland (in 2006-2007). Answers to individual questions as well as sum scores of the answers were analyzed. The answers of the athletes and ordinary adolescents were analyzed by gender using cross-tabulation and chi-square testing. RESULTS The mean sum score of the athletes indicated their more favorable health behavior compared with the other adolescents. They also ate more frequently the four daily than the others; in addition, they ate the school lunch as an entity which it was intended. However, the athlete boys consumed more fizzy/soft drinks and ate chocolate more often than the rest. The athletes also brushed their teeth more frequently than ordinary adolescents. Oral health behavior of the girls was better than that of the boys. CONCLUSIONS Health behavior of the young athletes is better than that of other adolescents. Continuous oral health education should be targeted to all adolescents; growing boys should be target group of information on healthy sources of energy.
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Affiliation(s)
- Vuokko Anttonen
- Institute of Dentistry, University of Oulu, Oulu, Finland; University Hospital, Oulu, Finland
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Tolvanen M, Katainen J, Mattila ML, Lahti S. Oral health behavior at age of 11-12 years predicting educational plans at age of 15-16 years. Acta Odontol Scand 2014; 72:99-105. [PMID: 24255963 DOI: 10.3109/00016357.2013.799713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim was to determine if oral health-related behavior at the age of 11-12 years predicts adolescents' educational plans at the age of 15-16 years when adjusting for gender and parents' occupational level. MATERIALS AND METHODS The study population consisted of all fifth and sixth graders starting in the 2001-2002 school year in Pori, Finland (n = 1691); of these, 1467 returned properly filled questionnaires on behavior (toothbrushing and consumptions of xylitol products, candies, soft drinks and sports drinks) in 2001 and on educational plans in 2005. Parents' occupational levels were reported in 2001 by one of the parents of 1352 of these children. Associations between adolescents' educational plans and their behavior, gender and parents' occupation were evaluated using logistic regression model. RESULTS Children's oral health-related behavior at age 11-12, gender and parent's occupational level predicted their educational plans at age 15-16. Association between educational plans and behavior, especially cumulative health behavior, remained statistically significant when controlling for gender and parent's occupation: OR = 1.4 for difference of one good habit, and OR = 5.3 for difference of five good habits. CONCLUSIONS Since difference in oral health-related behavior can be seen already in primary school, even when controlling for parents' occupational level, polarization of adolescents may begin already in primary school stage or even earlier.
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Affiliation(s)
- Mimmi Tolvanen
- Department of Community Dentistry, Institute of Dentistry, University of Turku , Turku , Finland
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He Y, Gai Y, Wu X, Wan H. Quantitatively analyze composition principle of Ma Huang Tang by structural equation modeling. JOURNAL OF ETHNOPHARMACOLOGY 2012; 143:851-858. [PMID: 22925947 DOI: 10.1016/j.jep.2012.08.010] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2012] [Revised: 08/06/2012] [Accepted: 08/07/2012] [Indexed: 06/01/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE In Chinese classic formulas, Ma Huang Tang (MHT), composed of Ephedra, Cassia twig, Bitter apricot kernel and Prepared licorice, has been widely used to treat cold, influenza, acute bronchitis, bronchial asthma and other pulmonary diseases. However, there is no quantitative interpretation about composition principle of MHT as well as other Chinese compound prescriptions. This study was aimed using structural equation modeling (SEM) to decipher 'monarch, minister, assistant and guide' which is the unique and integrated composition principle of Chinese compound recipes, by taking MHT for instance. MATERIALS AND METHODS Sixteen prescriptions of different dose ratios were combined orthogonally from four herbal drugs of MHT, then their diaphoretic, antispasmodic and analgesic effects were assessed by the indicators of the rat sweating point number, the spasmolysis percentage of guinea pig trachea and the murine writhing number, respectively. Basing on SME, the systematology analysis method to complex causality, path diagrams for herbal drugs were drawn with the Amos software and the relationships of the four herbal ingredients and therapeutic effects were measured. RESULTS Sixteen recipes induced SD rats sweating, remitted spasm of guinea pig trachea smooth muscle, and relieved ICR mouse pain due to acetic acid in comparison with animal model group or normal control groups. Three different SME models were specified and the relevant relationship was analyzed. According to the results of measured standardized path coefficients, Ephedra exerts the greatest contribution to the integral potency, so it acts as the monarch drug in MHT; Cassia twig is slightly weakly effective than Ephedra, and has the most significant interaction with Ephedra, which shows that it is the minister drug; the direct effects of Bitter apricot kernel and Prepared licorice on the integral potency are non-significant, while these two drugs have very significant synergetic effect with Ephedra or Cassia twig, thus they can be interpreted as subordinate drugs to strengthen the therapeutical effects of the monarch and minister drugs; the higher interaction values of Bitter apricot kernel suggest that it is the assistant drug, and Prepared licorice is the guide drug with lower values. CONCLUSION SME can be used to quantitatively analyze the composition principle of Chinese compound prescriptions like MHT, which demystifies the ancient and classical system theory of traditional Chinese medicine from a totally new viewpoint.
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Affiliation(s)
- Yu He
- Zhejiang Chinese Medical University, Hangzhou 310053, China
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