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Salah R, Afifi RR, Kehela HA, Aly NM, Rashwan M, Hill RG. EFFICACY OF NOVEL BIOACTIVE GLASS IN THE TREATMENT OF ENAMEL WHITE SPOT LESIONS: A RANDOMIZED CONTROLLED TRIAL✰. J Evid Based Dent Pract 2022; 22:101725. [PMID: 36494113 DOI: 10.1016/j.jebdp.2022.101725] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 03/07/2022] [Accepted: 03/16/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVES to evaluate the efficacy of 2 types of bioactive glass (45S5) compared to casein-phosphopeptide stabilized-amorphous calcium phosphate (CPP-ACP) in the treatment of orthodontically-induced white spot lesions (WSLs). METHODS Sixty post-orthodontic WSLs (ICDAS II score 2) were randomly allocated to a double blind randomized controlled trial with 3 parallel arms (n = 20). Test group I (Bio-BAG) received BiominF slurry and toothpaste, and test group II (N-BAG) received Novamin slurry and toothpaste. While the positive control group (CPP-ACP) received Recaldent paste. Products were applied daily in-office during week 1, and boosted by self-administered home application for 4 weeks (week 1-4). Standard oral hygiene care was performed by all participants twice daily during months 2-6. All patients were assessed for change in WSL dimensions using computer assisted analysis based on standardized digital intraoral photographs in addition to laser fluorescence DIAGNOdent assessment before treatment (T0) and at 1 week (T1), 1 month (T2), 3 months (T3,) and 6 months (T4) follow up periods. RESULTS Kruskal Wallis test was used (P < .05 for all). At T4, a statistically significant (P < .001) regression of WSL was disclosed in all 3 groups compared to baseline, and a highly significant lesion size percent reduction in Bio-BAG group compared to the control group (P < .001). The mean area of the lesions decreased by 64.8%, 32.2%, and 31.6% for groups I, II and III respectively (P = .001). DIAGNOdent findings largely reflected the clinical scores (Mean scores at baseline/T4 for groups I, II, and III respectively; 16.57/3.62, 16.93/7.90, 21.95/19.27). No adverse effects were reported. CONCLUSIONS The combined in-office and home-application of BiominF paste for 4 weeks resulted in greater esthetic improvements of post-orthodontic WSLs compared to Novamin and CPP-ACP. In addition, BiominF showed a significant reduction in fluorescence intensity which indicates potential lesion remineralization. CLINICAL RELEVANCE Post-orthodontic WSLs can be diminished using bioactive glass remineralization therapy.
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Affiliation(s)
- Rania Salah
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
| | - Rania R Afifi
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Hany A Kehela
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Nourhan M Aly
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Maher Rashwan
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt; Centre for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
| | - Robert G Hill
- Centre for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
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El Tantawi M, Folayan MO, Aly NM, Brown B, Ezechi OC, Uzochukwu B, Khader Y, Al‐Batayneh OB, Al‐Khanati NM, Attia DY, Ellakany P, Rashwan M, Shamala A, Abeldaño Zuñiga RA, Nguyen AL. COVID-19, economic problems, and family relationships in eight Middle East and North African countries. Fam Relat 2022; 71:865-875. [PMID: 35601541 PMCID: PMC9111808 DOI: 10.1111/fare.12691] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 02/05/2022] [Accepted: 02/20/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE The aim was to assess the reported family relationships during the COVID-19 pandemic and the association between these relationships and individual, interpersonal, and country-level income in eight Middle East and North Africa (MENA) countries. BACKGROUND COVID-19 causes fear of infection, loss of loved ones, and economic problems that may affect family relationships. METHODS Data were collected from eight MENA countries using an online survey (July-August 2020). The dependent variable was change in family relationship during COVID-19, and the independent variables were individual, interpersonal, and country-level factors represented by sociodemographic factors, COVID-19 status, financial impact (whether participants lost or had reduced wages) and country income. Multilevel logistic regression analysis was conducted. RESULTS There were 1854 responses, mean (SD) age of 30.6 (9.9) years, 65.8% were female, 3.4% tested COVID-19 positive, and 20.8% reported lost/reduced wages. Family relationships were more likely to improve or remain unchanged (84.3%) for participants who had a history of COVID-19 (adjusted odds ratio [AOR] = 3.54, 95% confidence interval [CI]: [1.25, 10.01]). However, family relationships were more likely to not improve for those who knew someone who died of COVID-19 (AOR = 0.76, 95% CI [0.58, 0.99]) and those with lost/reduced wages (AOR = 0.69, 95% CI [0.52, 0.94]). CONCLUSION Family relationship improved or remained unchanged for those who tested positive for COVID-19 and did not improve for those who lost wages or lost someone due to COVID-19. IMPLICATIONS Policy makers should develop strategies to provide social and financial support to employees to reduce the losses and adverse social impact caused by the pandemic.
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Affiliation(s)
| | | | - Nourhan M. Aly
- Faculty of DentistryAlexandria UniversityAlexandriaEgypt
| | - Brandon Brown
- Department of Social Medicine, Population and Public HealthUniversity of California–RiversideRiversideCaliforniaUnited States
| | - Oliver C. Ezechi
- Centre for Reproductive and Population Health Studies, Department of Clinical SciencesNigerian Institute of Medical ResearchLagosNigeria
| | | | - Yousef Khader
- Department of Public Health, Faculty of MedicineJordan University of Science and TechnologyIrbidJordan
| | - Ola B. Al‐Batayneh
- Department of Preventive Dentistry, Faculty of DentistryJordan University of Science and TechnologyIrbidJordan
| | - Nuraldeen Maher Al‐Khanati
- Department of Oral and Maxillofacial Surgery, Faculty of DentistrySyrian Private UniversityDamascusSyria
| | - Dina Y. Attia
- Faculty of DentistryAlexandria UniversityAlexandriaEgypt
| | - Passent Ellakany
- Department of Substitutive Dental Science, College of DentistryImam Abdulrahman Bin Faisal UniversityDammamSaudi Arabia
| | - Maher Rashwan
- Faculty of DentistryAlexandria UniversityAlexandriaEgypt
- Center for Oral Bioengineering, Barts and the London School of Medicine and DentistryQueen Mary University of LondonLondonUK
| | - Anas Shamala
- Department of Preventive and Biomedical Science, Faculty of DentistryUniversity of Science and TechnologySanaaYemen
| | | | - Annie L. Nguyen
- Department of Family Medicine, Keck School of MedicineUniversity of Southern CaliforniaLos AngelesCaliforniaUnited States
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Folayan MO, Ibigbami O, Brown B, El Tantawi M, Uzochukwu B, Ezechi OC, Aly NM, Abeldaño GF, Ara E, Ayanore MA, Ayoola OO, Osamika BE, Ellakany P, Gaffar B, Idigbe I, Ishabiyi AO, Jafer M, Khan ATA, Khalid Z, Lawal FB, Lusher J, Nzimande NP, Popoola BO, Quadri MFA, Rashwan M, Roque M, Shamala A, Al-Tammemi AB, Yousaf MA, Abeldaño Zuñiga RA, Okeibunor JC, Nguyen AL. Differences in COVID-19 Preventive Behavior and Food Insecurity by HIV Status in Nigeria. AIDS Behav 2022; 26:739-751. [PMID: 34387776 PMCID: PMC8360820 DOI: 10.1007/s10461-021-03433-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/07/2021] [Indexed: 01/21/2023]
Abstract
The aim of the study was to assess if there were significant differences in the adoption of COVID-19 risk preventive behaviors and experience of food insecurity by people living with and without HIV in Nigeria. This was a cross-sectional study that recruited a convenience sample of 4471 (20.5% HIV positive) adults in Nigeria. Binary logistic regression analysis was conducted to test the associations between the explanatory variable (HIV positive and non-positive status) and the outcome variables-COVID-19 related behavior changes (physical distancing, isolation/quarantine, working remotely) and food insecurity (hungry but did not eat, cut the size of meals/skip meals) controlling for age, sex at birth, COVID-19 status, and medical status of respondents. Significantly fewer people living with HIV (PLWH) reported a positive COVID-19 test result; and had lower odds of practicing COVID-19 risk preventive behaviors. In comparison with those living without HIV, PLWH had higher odds of cutting meal sizes as a food security measure (AOR: 3.18; 95% CI 2.60-3.88) and lower odds of being hungry and not eating (AOR: 0.24; 95% CI 0.20-0.30). In conclusion, associations between HIV status, COVID-19 preventive behaviors and food security are highly complex and warrant further in-depth to unravel the incongruities identified.
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Affiliation(s)
- Morenike Oluwatoyin Folayan
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria.
- Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
| | | | - Brandon Brown
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Social Medicine, Population and Public Health, Center for Healthy Communities, UCR School of Medicine, Riverside, CA, USA
| | - Maha El Tantawi
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Benjamin Uzochukwu
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Community Medicine, University of Nigeria Nsukka (Enugu Campus), Nsukka, Nigeria
| | - Oliver C Ezechi
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Clinical Sciences, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Nourhan M Aly
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Giuliana Florencia Abeldaño
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- School of Medicine, University of Sierra Sur, Oaxaca, Mexico
| | - Eshrat Ara
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Psychology, Government College for Women, Moulana Azad Road, Srinagar, Kashmir (J&K), 190001, India
| | - Martin Amogre Ayanore
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Health Policy Planning and Management, University of Health and Allied Sciences, Ho, Ghana
| | - Oluwagbemiga O Ayoola
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Bamidele Emmanuel Osamika
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Psychology, Lead City University, Ibadan, Nigeria
| | - Passent Ellakany
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Balgis Gaffar
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia
| | - Ifeoma Idigbe
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Clinical Sciences, Nigerian Institute of Medical Research, Lagos, Nigeria
| | - Anthonia Omotola Ishabiyi
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Mohammed Jafer
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Health Promotion, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, The Netherlands
| | - Abeedha Tu-Allah Khan
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- School of Biological Sciences, University of the Punjab, Quaid-i-Azam Campus, Lahore, 54590, Pakistan
| | - Zumama Khalid
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- School of Biological Sciences, University of the Punjab, Lahore, 54590, Pakistan
| | - Folake Barakat Lawal
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Periodontology and Community Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Joanne Lusher
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- School of Health and Life Sciences, University of the West of Scotland, London, UK
| | - Ntombifuthi P Nzimande
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Economic and Human Geography, University of Szeged, Szeged, 6722, Hungary
| | - Bamidele Olubukola Popoola
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Child Oral Health, University of Ibadan, Ibadan, Nigeria
| | - Mir Faeq Ali Quadri
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Preventive Dental Sciences, Jazan University, Jizan, Saudi Arabia
| | - Maher Rashwan
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Centre for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, Mile End Road, London, E1 4NS, UK
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Mark Roque
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Maternity & Childhood Department, College of Nursing, Taibah University, Madinah, 42356, Kingdom of Saudi Arabia
| | - Anas Shamala
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Preventive and Biomedical Science, College of Dentistry, University of Science & Technology, Sanaa, Yemen
| | - Ala'a B Al-Tammemi
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Family and Occupational Medicine, Faculty of Medicine, Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Muhammad Abrar Yousaf
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Institute of Zoology, University of the Punjab, Quaid-i-Azam Campus, Lahore, 54590, Pakistan
| | - Roberto Ariel Abeldaño Zuñiga
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Postgraduate Department, University of Sierra Sur, Oaxaca, Mexico
| | - Joseph Chukwudi Okeibunor
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- World Health Organisation, AFRO, Addis Ababa, Ethiopia
| | - Annie Lu Nguyen
- Mental Health and Wellness Study Group, Ile-Ife, Nigeria
- Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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Folayan MO, Tantawi ME, Virtanen JI, Feldens CA, Rashwan M, Kemoli AM, Villena R, Al-Batayneh OB, Amalia R, Gafar B, Mohebbi SZ, Arheiam A, Daryanavard H, Vukovic A, Schroth RJ. Correction to: An ecological study on the association between universal health service coverage index, health expenditures, and early childhood caries. BMC Oral Health 2021; 21:278. [PMID: 34039338 PMCID: PMC8157740 DOI: 10.1186/s12903-021-01624-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
An amendment to this paper has been published and can be accessed via the original article.
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Affiliation(s)
| | | | - Jorma I Virtanen
- Department of Clinical Dentistry, University of Bergen, Bergen, Norway
| | | | - Maher Rashwan
- Centre for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, Mile End Road, London, E1 4NS, UK.,Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Arthur M Kemoli
- Department of Paediatric Dentistry and Orthodontics, University of Nairobi, Nairobi, Kenya
| | - Rita Villena
- Department of Pediatric Dentistry, San Martin de Porres University, Lima, Peru
| | - Ola B Al-Batayneh
- Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Rosa Amalia
- Preventive and Community Dentistry Department, Faculty of Dentistry, Universitas Gadjah Mada Yogyakarta, Yogyakarta, Indonesia
| | - Balgis Gafar
- Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Simin Z Mohebbi
- Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Arheiam Arheiam
- Department of Community and Preventive Dentistry, University of Benghazi, Benghazi, Libya
| | | | - Ana Vukovic
- Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Robert J Schroth
- Department of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, and Departments of Pediatrics and Child Health and Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
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Folayan MO, Tantawi ME, Virtanen JI, Feldens CA, Rashwan M, Kemoli AM, Villena R, Al-Batayneh OB, Amalia R, Gaffar B, Mohebbi SZ, Arheiam A, Daryanavard H, Vukovic A, Schroth RJ. An ecological study on the association between universal health service coverage index, health expenditures, and early childhood caries. BMC Oral Health 2021; 21:126. [PMID: 33731081 PMCID: PMC7968322 DOI: 10.1186/s12903-021-01500-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Accepted: 03/08/2021] [Indexed: 11/11/2022] Open
Abstract
Background Universal health care (UHC) may assist families whose children are most prone to early childhood caries (ECC) in accessing dental treatment and prevention. The purpose of this study was to determine the association between UHC, health expenditure and the global prevalence of ECC. Methods Health expenditure as percentage of gross domestic product, UHC service coverage index, and the percentage of 3–5-year-old children with ECC were compared among countries with various income levels using one-way analysis of variance (ANOVA). Three linear regression models were developed, and each was adjusted for the country income level with the prevalence of ECC in 3–5-year-old children being the dependent variable. In model 1, UHC service coverage index was the independent variable whereas in model 2, the independent variable was the health expenditure as percentage of GDP. Model 3 included both independent variables together. Regression coefficients (B), 95% confidence intervals (CIs), P values, and partial eta squared (ƞ2) as measure of effect size were calculated. Results Linear regression including both independent factors revealed that health expenditure as percentage of GDP (P < 0.0001) was significantly associated with the percentage of ECC in 3–5-year-old children while UHC service coverage index was not significantly associated with the prevalence of ECC (P = 0.05). Every 1% increase in GDP allocated to health expenditure was associated with a 3.7% lower percentage of children with ECC (B = − 3.71, 95% CI: − 5.51, − 1.91). UHC service coverage index was not associated with the percentage of children with ECC (B = 0.61, 95% CI: − 0.01, 1.23). The impact of health expenditure on the prevalence of ECC was stronger than that of UHC coverage on the prevalence of ECC (ƞ2 = 0.18 vs. 0.05). Conclusions Higher expenditure on health care may be associated with lower prevalence of ECC and may be a more viable approach to reducing early childhood oral health disparities than UHC alone. The findings suggest that currently, UHC is weakly associated with lower global prevalence of ECC. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-021-01500-8.
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Affiliation(s)
| | | | - Jorma I Virtanen
- Department of Clinical Dentistry, University of Bergen, Bergen, Norway
| | | | - Maher Rashwan
- Centre for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, Mile End Road, London, E1 4NS, UK.,Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Arthur M Kemoli
- Department of Paediatric Dentistry and Orthodontics, University of Nairobi, Nairobi, Kenya
| | - Rita Villena
- Department of Pediatric Dentistry, San Martin de Porres University, Lima, Peru
| | - Ola B Al-Batayneh
- Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Rosa Amalia
- Preventive and Community Dentistry Department, Faculty of Dentistry, Universitas Gadjah Mada Yogyakarta, Yogyakarta, Indonesia
| | - Balgis Gaffar
- Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Simin Z Mohebbi
- Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Arheiam Arheiam
- Department of Community and Preventive Dentistry, University of Benghazi, Benghazi, Libya
| | | | - Ana Vukovic
- Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Robert J Schroth
- Department of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, and Departments of Pediatrics and Child Health and Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
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6
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Ammar N, Aly NM, Folayan MO, Khader Y, Mohebbi SZ, Attia S, Howaldt HP, Boettger S, Virtanen J, Madi M, Maharani DA, Rahardjo A, Khan I, Al-Batayneh OB, Rashwan M, Pavlic V, Cicmil S, Noritake K, Galluccio G, Polimeni A, Shamala AA, Arheiam A, Mancino D, Phantumvanit P, Kim JB, Choi YH, Dama MA, Abdelsalam MM, Castillo JL, Nyan M, Hussein I, Joury E, Vukovic AP, Iandolo A, Kemoli AM, El Tantawi M. Perceived Preparedness of Dental Academic Institutions to Cope with the COVID-19 Pandemic: A Multi-Country Survey. Int J Environ Res Public Health 2021; 18:ijerph18041445. [PMID: 33557068 PMCID: PMC7913785 DOI: 10.3390/ijerph18041445] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Revised: 01/28/2021] [Accepted: 01/31/2021] [Indexed: 12/24/2022]
Abstract
Dental academic institutions are affected by COVID-19. We assessed the perceived COVID-19 preparedness of these institutions and the characteristics of institutions with greater perceived preparedness. An international cross-sectional survey of dental academics was conducted from March to August 2020 to assess academics’ and institutional attributes, perceived preparedness, and availability of infection prevention and control (IPC) equipment. Principal component analysis (PCA) identified perceived preparedness components. Multilevel linear regression analysis assessed the association between perceived preparedness and fixed effect factors (academics’ and institutions’ attributes) with countries as random effect variable. Of the 1820 dental academics from 28 countries, 78.4% worked in public institutions and 75.2% reported temporary closure. PCA showed five components: clinic apparel, measures before and after patient care, institutional policies, and availability of IPC equipment. Significantly less perceived preparedness was reported in lower-middle income (LMICs) (B = −1.31, p = 0.006) and upper-middle income (UMICs) (B = −0.98, p = 0.02) countries than in high-income countries (HICs), in teaching only (B = −0.55, p < 0.0001) and in research only (B = −1.22, p = 0.003) than teaching and research institutions and in institutions receiving ≤100 patients daily than those receiving >100 patients (B = −0.38, p < 0.0001). More perceived preparedness was reported by academics with administrative roles (B = 0.59, p < 0.0001). Academics from low-income countries (LICs) and LMICs reported less availability of clinic apparel, IPC equipment, measures before patient care, and institutional policies but more measures during patient care. There was greater perceived preparedness in HICs and institutions with greater involvement in teaching, research, and patient care.
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Affiliation(s)
- Nour Ammar
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria 21253, Egypt; (N.M.A.); (M.E.T.)
- Correspondence: ; Tel.: +20-10-0964-7703
| | - Nourhan M. Aly
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria 21253, Egypt; (N.M.A.); (M.E.T.)
| | | | - Yousef Khader
- Department of Public Health, Jordan University of Science and Technology, Irbid 22110, Jordan;
| | - Simin Z. Mohebbi
- Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran 14399-55991, Iran;
- Community Oral Health Department, School of Dentistry, Tehran University of Medical Sciences, Tehran 14399-55991, Iran
| | - Sameh Attia
- Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, 35392 Giessen, Germany; (S.A.); (H.-P.H.); (S.B.)
| | - Hans-Peter Howaldt
- Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, 35392 Giessen, Germany; (S.A.); (H.-P.H.); (S.B.)
| | - Sebastian Boettger
- Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, 35392 Giessen, Germany; (S.A.); (H.-P.H.); (S.B.)
| | - Jorma Virtanen
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, 5020 Bergen, Norway;
| | - Marwa Madi
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 34221, Saudi Arabia;
| | - Diah A. Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, 16424 Depok, Indonesia; (D.A.M.); (A.R.)
| | - Anton Rahardjo
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, 16424 Depok, Indonesia; (D.A.M.); (A.R.)
| | - Imran Khan
- Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi 110025, India;
| | - Ola B. Al-Batayneh
- Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid 22110, Jordan;
| | - Maher Rashwan
- Center for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS, UK;
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria 21253, Egypt
| | - Verica Pavlic
- Department of Periodontology and Oral Medicine, Institute of Dentistry, 78000 Banja Luka, Bosnia and Herzegovina;
| | - Smiljka Cicmil
- Department of Oral Rehabilitation, Faculty of Medicine Foca, University of East Sarajevo, 73300 Foca, Bosnia and Herzegovina;
| | - Kanako Noritake
- Oral Diagnosis and General Dentistry Department, Dental Hospital, Tokyo Medical and Dental University, Tokyo 113-8510, Japan;
| | - Gabriella Galluccio
- Department of Oral and Maxillo Facial Sciences, Faculty of Medicine and Dentistry, Sapienza University of Rome, 00185 Rome, Italy; (G.G.); (A.P.)
| | - Antonella Polimeni
- Department of Oral and Maxillo Facial Sciences, Faculty of Medicine and Dentistry, Sapienza University of Rome, 00185 Rome, Italy; (G.G.); (A.P.)
| | - Anas A. Shamala
- Department of Preventive and Biomedical Science, Faculty of Dentistry, University of Science and Technology, Sanaa 15201, Yemen;
| | - Arheiam Arheiam
- Department of Community and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libya;
| | - Davide Mancino
- Department of Endodontics and Conservative Dentistry, Faculty of Dental Medicine, University of Strasbourg, 67000 Strasbourg, France;
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
| | | | - Jin-Bom Kim
- Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University, Yangsan 50612, Korea;
| | - Youn-Hee Choi
- Department of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu 41940, Korea;
| | - Mai A. Dama
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, Arab American University, Jenin 240, Zababdeh 13, Palestine;
| | - Maha M. Abdelsalam
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 34221, Saudi Arabia;
| | - Jorge L. Castillo
- Department of Dentistry for Children and Adolescents, Universidad Peruana Cayetano Heredia, Lima 15102, Peru;
| | - Myat Nyan
- Department of Prosthodontics, University of Dental Medicine, Mandalay 05041, Myanmar;
| | - Iyad Hussein
- Department of Pediatric Dentistry, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai 800 MBRU (6278), United Arab Emirates;
| | - Easter Joury
- Centre for Dental Public Health and Primary Care, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AD, UK;
| | - Ana P. Vukovic
- Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Beograd, 11000 Belgrade, Serbia;
| | - Alfredo Iandolo
- Department of Endodontics, University of Salerno, 84080 Fisciano, Italy;
| | - Arthur M. Kemoli
- Department of Paediatric Dentistry & Orthodontics, School of Dental Sciences, University of Nairobi, Nairobi 30197-00100, Kenya;
| | - Maha El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria 21253, Egypt; (N.M.A.); (M.E.T.)
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Ammar N, Aly NM, Folayan MO, Mohebbi SZ, Attia S, Howaldt HP, Boettger S, Khader Y, Maharani DA, Rahardjo A, Khan I, Madi M, Shamala A, Al-Batayneh OB, Rashwan M, Pavlic V, Cicmil S, Galluccio G, Polimeni A, Mancino D, Arheiam A, Dama MA, Nyan M, Phantumvanit P, Kim JB, Choi YH, Castillo JL, Joury E, Abdelsalam MM, Alkeshan MM, Hussein I, Vukovic AP, Iandolo A, Kemoli AM, El Tantawi M. Knowledge of dental academics about the COVID-19 pandemic: a multi-country online survey. BMC Med Educ 2020; 20:399. [PMID: 33138810 PMCID: PMC7605331 DOI: 10.1186/s12909-020-02308-w] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 10/14/2020] [Indexed: 05/18/2023]
Abstract
BACKGROUND COVID-19 is a global pandemic affecting all aspects of life in all countries. We assessed COVID-19 knowledge and associated factors among dental academics in 26 countries. METHODS We invited dental academics to participate in a cross-sectional, multi-country, online survey from March to April 2020. The survey collected data on knowledge of COVID-19 regarding the mode of transmission, symptoms, diagnosis, treatment, protection, and dental treatment precautions as well as participants' background variables. Multilevel linear models were used to assess the association between dental academics' knowledge of COVID-19 and individual level (personal and professional) and country-level (number of COVID-19 cases/ million population) factors accounting for random variation among countries. RESULTS Two thousand forty-five academics participated in the survey (response rate 14.3%, with 54.7% female and 67% younger than 46 years of age). The mean (SD) knowledge percent score was 73.2 (11.2) %, and the score of knowledge of symptoms was significantly lower than the score of knowledge of diagnostic methods (53.1 and 85.4%, P < 0.0001). Knowledge score was significantly higher among those living with a partner/spouse than among those living alone (regression coefficient (B) = 0.48); higher among those with PhD degrees than among those with Bachelor of Dental Science degrees (B = 0.48); higher among those seeing 21 to 30 patients daily than among those seeing no patients (B = 0.65); and higher among those from countries with a higher number of COVID-19 cases/million population (B = 0.0007). CONCLUSIONS Dental academics had poorer knowledge of COVID-19 symptoms than of COVID-19 diagnostic methods. Living arrangements, academic degrees, patient load, and magnitude of the epidemic in the country were associated with COVD-19 knowledge among dental academics. Training of dental academics on COVID-19 can be designed using these findings to recruit those with the greatest need.
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Affiliation(s)
- Nour Ammar
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
| | - Nourhan M Aly
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Morenike O Folayan
- Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Simin Z Mohebbi
- Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
- Community Oral Health Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Sameh Attia
- Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, Giessen, Germany
| | - Hans-Peter Howaldt
- Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, Giessen, Germany
| | - Sebastian Boettger
- Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, Giessen, Germany
| | - Yousef Khader
- Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan
| | - Diah A Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
| | - Anton Rahardjo
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
| | - Imran Khan
- Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
| | - Marwa Madi
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Anas Shamala
- Department of Preventive and Biomedical Science, College of Dentistry, University of Science & Technology, Sanaa, Yemen
| | - Ola B Al-Batayneh
- Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Maher Rashwan
- Center for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, London, UK
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Verica Pavlic
- Department of Periodontology and Oral Medicine, Medical Faculty University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| | - Smiljka Cicmil
- Department of Oral Rehabilitation, Faculty of Medicine Foca, University of East Sarajevo, East Sarajevo, Bosnia and Herzegovina
| | - Gabriella Galluccio
- Department of Oral and Maxillo Facial Sciences, Faculty of Medicine and Dentistry, Sapienza University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillo Facial Sciences, Faculty of Medicine and Dentistry, Sapienza University of Rome, Rome, Italy
| | - Davide Mancino
- Department of Endodontics and Conservative Dentistry, Faculty of Dental Medicine, University of Strasbourg, 67000, Strasbourg, France
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000, Strasbourg, France
| | - Arheiam Arheiam
- Department of Community and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libya
| | - Mai A Dama
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, Arab American University, Jenin, Palestine
| | - Myat Nyan
- Department of Prosthodontics, University of Dental Medicine, Mandalay, Myanmar
| | | | - Jin-Bom Kim
- Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
| | - Youn-Hee Choi
- Department of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea
| | - Jorge L Castillo
- Department of Dentistry for Children and Adolescents, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Easter Joury
- Centre for Dental Public Health and Primary Care, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Maha M Abdelsalam
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohammad M Alkeshan
- Department of Pediatric Dentistry, Seoul National University Dental Hospital, Seoul, South Korea
| | - Iyad Hussein
- Department of Pediatric Dentistry, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Ana P Vukovic
- Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Alfredo Iandolo
- Department of Endodontics, University of Salerno, Fisciano, Italy
| | - Arthur M Kemoli
- Department of Paediatric Dentistry & Orthodontics, School of Dental Sciences, University of Nairobi, Nairobi, Kenya
| | - Maha El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
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Ammar N, Aly NM, Folayan MO, Khader Y, Virtanen JI, Al-Batayneh OB, Mohebbi SZ, Attia S, Howaldt HP, Boettger S, Maharani DA, Rahardjo A, Khan I, Madi M, Rashwan M, Pavlic V, Cicmil S, Choi YH, Joury E, Castillo JL, Noritake K, Shamala A, Galluccio G, Polimeni A, Phantumvanit P, Mancino D, Kim JB, Abdelsalam MM, Arheiam A, Dama MA, Nyan M, Hussein I, Alkeshan MM, Vukovic AP, Iandolo A, Kemoli AM, El Tantawi M. Behavior change due to COVID-19 among dental academics-The theory of planned behavior: Stresses, worries, training, and pandemic severity. PLoS One 2020; 15:e0239961. [PMID: 32991611 PMCID: PMC7523990 DOI: 10.1371/journal.pone.0239961] [Citation(s) in RCA: 46] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 09/16/2020] [Indexed: 01/21/2023] Open
Abstract
OBJECTIVE COVID-19 pandemic led to major life changes. We assessed the psychological impact of COVID-19 on dental academics globally and on changes in their behaviors. METHODS We invited dental academics to complete a cross-sectional, online survey from March to May 2020. The survey was based on the Theory of Planned Behavior (TPB). The survey collected data on participants' stress levels (using the Impact of Event Scale), attitude (fears, and worries because of COVID-19 extracted by Principal Component Analysis (PCA), perceived control (resulting from training on public health emergencies), norms (country-level COVID-19 fatality rate), and personal and professional backgrounds. We used multilevel regression models to assess the association between the study outcome variables (frequent handwashing and avoidance of crowded places) and explanatory variables (stress, attitude, perceived control and norms). RESULTS 1862 academics from 28 countries participated in the survey (response rate = 11.3%). Of those, 53.4% were female, 32.9% were <46 years old and 9.9% had severe stress. PCA extracted three main factors: fear of infection, worries because of professional responsibilities, and worries because of restricted mobility. These factors had significant dose-dependent association with stress and were significantly associated with more frequent handwashing by dental academics (B = 0.56, 0.33, and 0.34) and avoiding crowded places (B = 0.55, 0.30, and 0.28). Low country fatality rates were significantly associated with more handwashing (B = -2.82) and avoiding crowded places (B = -6.61). Training on public health emergencies was not significantly associated with behavior change (B = -0.01 and -0.11). CONCLUSIONS COVID-19 had a considerable psychological impact on dental academics. There was a direct, dose-dependent association between change in behaviors and worries but no association between these changes and training on public health emergencies. More change in behaviors was associated with lower country COVID-19 fatality rates. Fears and stresses were associated with greater adoption of preventive measures against the pandemic.
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Affiliation(s)
- Nour Ammar
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Nourhan M Aly
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Morenike O Folayan
- Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Yousef Khader
- Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan
| | - Jorma I Virtanen
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Ola B Al-Batayneh
- Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Simin Z Mohebbi
- Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.,Community Oral Health Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Sameh Attia
- Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, Giessen, Germany
| | - Hans-Peter Howaldt
- Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, Giessen, Germany
| | - Sebastian Boettger
- Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, Giessen, Germany
| | - Diah A Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
| | - Anton Rahardjo
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
| | - Imran Khan
- Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
| | - Marwa Madi
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Maher Rashwan
- Center for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.,Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Verica Pavlic
- Department of Periodontology and Oral Medicine, Medical Faculty University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| | - Smiljka Cicmil
- Department of Oral Rehabilitation, Faculty of Medicine Foca, University of East Sarajevo, Foca, Bosnia and Herzegovina
| | - Youn-Hee Choi
- Department of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea
| | - Easter Joury
- Centre for Dental Public Health and Primary Care, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
| | - Jorge L Castillo
- Department of Dentistry for Children and Adolescents, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Kanako Noritake
- Oral Diagnosis and General Dentistry department, Dental Hospital, Tokyo Medical and Dental University, Tokyo, Japan
| | - Anas Shamala
- Department of Preventive and Biomedical Science, Faculty of Dentistry, University of Science and Technology, Sanaa, Yemen
| | - Gabriella Galluccio
- Department of Oral and Maxillo Facial Sciences, Faculty of Medicine and Dentistry, Sapienza University of Rome, Rome, Italy
| | - Antonella Polimeni
- Department of Oral and Maxillo Facial Sciences, Faculty of Medicine and Dentistry, Sapienza University of Rome, Rome, Italy
| | | | - Davide Mancino
- Department of Endodontics and Conservative Dentistry, Faculty of Dental Medicine, University of Strasbourg, Strasbourg, France.,Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, Strasbourg, France
| | - Jin-Bom Kim
- Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University, Busan, Republic of Korea
| | - Maha M Abdelsalam
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Arheiam Arheiam
- Department of Community and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libya
| | - Mai A Dama
- Orthodontics and Pediatric Dentistry Department, Faculty of Dentistry, Arab American University, Jenin, Palestine
| | - Myat Nyan
- Department of Prosthodontics, University of Dental Medicine, Mandalay, Myanmar
| | - Iyad Hussein
- Department of Pediatric Dentistry, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Mohammad M Alkeshan
- Department of Pediatric Dentistry, Seoul National University Dental Hospital, Seoul, South Korea
| | - Ana P Vukovic
- Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Alfredo Iandolo
- Department of Endodontics, University of Salerno, Fisciano, Italy
| | - Arthur M Kemoli
- Department of Paediatric Dentistry & Orthodontics, School of Dental Sciences, University of Nairobi, Nairobi, Kenya
| | - Maha El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
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Vicini C, Meccariello G, Cammaroto G, Rashwan M, Montevecchi F. Barbed reposition pharyngoplasty in multilevel robotic surgery for obstructive sleep apnoea. Acta Otorhinolaryngol Ital 2018; 37:214-217. [PMID: 28516964 PMCID: PMC5463511 DOI: 10.14639/0392-100x-1203] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Accepted: 09/21/2016] [Indexed: 11/23/2022]
Abstract
The surgical treatment of obstructive sleep apnoea in patients who are non-compliant with continuous positive airway pressure therapy still represents a valid alternative. In recent years, the multilevel approach is becoming more diffuse in routine surgical practice, especially since the introduction of transoral robotic surgery. Barbed reposition pharyngoplasty in multilevel robotic surgery for OSA may represent a valid option to surgically approach the soft palate. Herein, we describe the technique and preliminary results of our experience.
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Affiliation(s)
- C Vicini
- Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy
| | - G Meccariello
- Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy
| | - G Cammaroto
- Department of Otolaryngology, University of Messina, Italy
| | - M Rashwan
- Department of Otolaryngology, Suez Canal University Teaching Hospitals, Ismailia, Egypt
| | - F Montevecchi
- Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy
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10
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Shaaban OM, Abbas AM, Abdel Hafiz HA, Abdelrahman AS, Rashwan M, Othman ER. Effect of pregnancy-lactation overlap on the current pregnancy outcome in women with substandard nutrition: a prospective cohort study. Facts Views Vis Obgyn 2015; 7:213-221. [PMID: 27729966 PMCID: PMC5058410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Pregnancy during lactation is common in Egypt and is often unplanned. Overlap between pregnancy and lactation could be associated with an increased risk for the pregnant mother, her fetus as well as her nursing child. AIM OF THE STUDY The current study aims to compare the maternal and perinatal outcome of pregnancies occurred during lactation with those occurred after weaning in women with substandard nutrition. MATERIALS AND METHODS A prospective-cohort study was carried out in six Maternal and Child Health Centers in Assiut-Egypt. Estimated sample size was 540 women divided equally into two groups; the first included women who got pregnant during breastfeeding (PDBF), while the second included women who got pregnant after weaning (PAW). Tools were consisted of structured interview questionnaire including personal history, obstetrical data, breastfeeding, family planning histories and dietary intake during pregnancy. Pregnant women had been followed up to delivery to assess different maternal and fetal outcomes. RESULTS Miscarriage rate was not statistically significant between both groups (2.2% in PDBF and 0.4% in PAW, p = 0.284). Women in PDBF group had higher prevalence of maternal anemia (54.1% versus 30.7%), intrauterine growth restriction (16.7% versus 4.8%), cesarean delivery (43.7% versus 31.5%), prolonged labor (13.3% versus 11.1%) and low birth weight infants (15.7% versus 8.8%) compared to women in PAW group. CONCLUSION Pregnancy during breastfeeding is associated with an increase in the overall complications of pregnancy as compared to PAW. Although it does not increase the miscarriage rate, it increases the prevalence of maternal anemia, delayed fetal growth, prolonged labor, cesarean section delivery and the prevalence of low birth weight infants.
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Affiliation(s)
- OM Shaaban
- Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut Governorate, Egypt
| | - AM Abbas
- Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut Governorate, Egypt
| | - HA Abdel Hafiz
- Department of Obstetrics & Gynecological Nursing, Faculty of Nursing, Assiut University, Assiut Governorate, Egypt
| | - AS Abdelrahman
- Department of Obstetrics & Gynecological Nursing, Faculty of Nursing, Assiut University, Assiut Governorate, Egypt
| | - M Rashwan
- Department of food science and technology, Faculty of Agriculture, Assiut University, Assiut Governorate, Egypt
| | - ER Othman
- Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut Governorate, Egypt
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Farah A, Ohlow MA, Lauer B, Zaki A, Rashwan M, Sobhy M. Left main stenting, a short and intermediate follow-up. J Saudi Heart Assoc 2012. [DOI: 10.1016/j.jsha.2012.06.217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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12
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Bhargava V, Sunnerhagen KS, Rashwan M, Podolin RA, Shabetai R. Detection and quantitation of ischemic left ventricular dysfunction using a new video intensity technique for regional wall motion evaluation. Am Heart J 1990; 120:1058-72. [PMID: 2239658 DOI: 10.1016/0002-8703(90)90117-g] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Eighty patients with ischemic heart disease and 17 normal subjects were evaluated for left ventricular regional wall motion by means of a new method. The wall motion analysis is based on video intensity. This technique uses a temporally sliding analysis to evaluate the cardiac cycle in 100 msec intervals. Presence of coronary artery disease was defined as more than 50% measured diameter stenosis. Wall motion abnormalities in regions perfused by stenotic vessels were most common in early diastole (76%). Sensitivity of this method at rest in patients with coronary artery disease was 79.7% (p less than 0.0001) and overall accuracy was 84.2% (p less than 0.0001). Abnormalities in both systole and diastole were more common in regions perfused by severe lesions (greater than 75%) than in those perfused by moderately stenotic (less than 75%) vessels (p less than 0.05). A comparison of the new method with phase and amplitude analysis was performed in 15 patients and with two-frame analysis in 40 patients. This new method yielded a higher sensitivity than either of the other two methods.
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Hoit BD, Rashwan M, Verba J, Pretorius T, Sahn DJ, Bhargava V. Instantaneous transmitral flow using Doppler and M-mode echocardiography: comparison with radionuclide ventriculography. Am Heart J 1989; 118:308-14. [PMID: 2546415 DOI: 10.1016/0002-8703(89)90190-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
To improve the accuracy of Doppler echocardiographic indices of left ventricular filling, we derived two indices of instantaneous transmitral flow with the use of Doppler velocities and M-mode echocardiography. These indices were calculated from the product of pulsed Doppler mitral velocities and either the excursion of the anterior mitral leaflet or the separation of both mitral leaflets as measures of the changing mitral orifice area. The derived flow indices and the mitral velocities alone were compared to left ventricular filling as determined by radionuclide ventriculography in 24 patients. When compared as areas under the matched decile divisions of the derived filling sequences by linear regression analysis, the relationship for combined Doppler and M-mode versus radionuclide left ventricular filling was closer to the line of identity (slope = 0.98 and 0.94 using the anterior mitral leaflet and both mitral leaflets, respectively, both p = NS versus the line of identity) than was the relationship for mitral velocities alone versus radionuclide left ventricular filling (slope = 0.74, p less than 0.05 versus the line of identity). The instantaneous mitral volume flow indices more closely resemble the time course and shape of radionuclide left ventricular filling curves than do mitral velocities alone, and the application of these indices should assist the quantitative description by Doppler echocardiography of left ventricular filling.
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Affiliation(s)
- B D Hoit
- Veterans Administration Medical Center, San Diego, Calif
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Abstract
To simplify transmitral volume flow determination by Doppler echocardiography, a formula for calculating mean mitral valve orifice area using M-mode echocardiography without any 2-dimensional measurements was developed and evaluated in this study. The maximal mitral orifice area was assumed to be circular and its diameter was calculated from the maximal M-mode mitral leaflet separation. The maximal area was multiplied by the mean to maximal anterior mitral leaflet excursion ratio to correct for phasic changes in flow orifice area during ventricular filling. This measurement had a high correlation (r = 0.97, standard error of the estimate + 0.26 cm2) with mean mitral valve orifice area calculated from frame-by-frame analysis of short-axis 2-dimensional echoes in a select group of 10 normal volunteers and 10 patients with cardiomyopathy who had very high quality images of the mitral valve leaflet tips. Cardiac output calculated using the new method for orifice area estimation combined with apex view mitral valve Doppler velocities was then validated in 48 consecutive patients undergoing thermodilution cardiac output determinations with a close correlation between Doppler and thermodilution cardiac output (2.3 to 6.1 liter/min, r = 0.93, standard error of the estimate = 362 ml). The correlation improved when 12 patients with mild mitral insufficiency were excluded (r = 0.95). The M-mode echocardiogram-derived mitral valve orifice method combined with Doppler mitral valve velocities is accurate, easy to perform, has a high success rate and should increase the applicability of Doppler echocardiography for estimation of cardiac output.
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Affiliation(s)
- B D Hoit
- Division of Cardiology, Veterans Administration Medical Center, San Diego, California
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