Perceived barriers to the preservation and improvement of children's oral health among Iranian women: a qualitative study

AIM

To explore perceptions of Iranian mothers regarding barriers to preserving and improving oral health among their children.

METHODS

The present qualitative study was part of a larger sequential exploratory mixed-method study conducted in Tehran, Iran, from April to May 2015. Data were collected via 10 focus group discussions and semi-structured interviews to gain an understanding of the perception held by the mothers of school-aged children about barriers to oral health improvement. Sampling was purposive and was continued until data saturation was reached. The study population consisted of 58 Iranian women who had at least one child in school. Data were analysed using conventional content analysis.

RESULTS

Three key themes of oral health barriers were identified as follows: (1) barriers in the system or at the organisational level, (2) barriers at the provider level, and (3) barriers at the family level. Informants reported cost, lack of full-coverage insurance, low access to dental services, and fear and anxiety as the main barriers.

CONCLUSIONS

The major barriers to oral health care were fear and the cost of dental treatments. These predictors need to be addressed when designing programs to increase access of children to dental services.

Dental pain and its determinants in an adult population in Tehran, Iran, Urban HEART-2

OBJECTIVE

To assess the prevalence of dental pain in the past year among adults in Tehran-Iran, and its determinants.

BASIC RESEARCH DESIGN

Cross-sectional population study.

PARTICIPANTS

A sample of 20,322 adults (18-64 years old).

METHODS

A questionnaire survey was conducted across the 22 districts using the multi-stage random sampling method. Data were analysed applying the complex samples method. Multiple logistic regression analysis was used to adjust the effects of other variables on the outcome variable as dental pain in the past year.

RESULTS

Overall, 19,645 individuals with a mean age of 39.9 (SD=12.5) years responded. Dental pain in the past year was reported by about one sixth (14%) of subjects and associated with being widowed/divorced (OR 1.45, 95%CI 1.07-1.97, p=0.016), married (OR 1.24, 95%CI 1.04-1.47, p=0.016), Azari minority (OR 1.2, 95%CI 1.05-1.37, p=0.009) and having dental visit in the past year (OR 2.6, 95%CI 2.29-2.95,p⟨0.001). Older subjects (OR 0.76, 95%CI 0.59-0.97, p= 0.029), those with a high economic status (OR 0.84, 95%CI 0.72-0.98, p=0.03), good (OR 0.75, 95%CI 0.58-0.96, p=0.023) or moderate oral health behaviour (OR 0.79, 95%CI 0.62-0.99, p=0.042), and good self-perceived oral health (OR 0.52, 95%CI 0.45-0.61, pp⟨0.001) were less likely to report dental pain.

CONCLUSIONS

Dental pain in the past year was associated with being married/widowed, being a minority, and visiting a dentist in the past year. Older subjects and those with a high socio-economic status, good/moderate oral health behaviour, and good self-perceived oral health were less likely to report dental pain.

Effect of thymol and carvacrol on nutrient digestibility in rams fed high or low concentrate diets

Published data on the effects of essential oils (EO) on in vivo nutrient digestibility in sheep are contradictory. In 2 experiments, the effect of thymol and carvacrol on nutrient digestibility was studied in sheep fed with high (70%) or low (52%) concentrate diets, using incomplete Latin Square designs. The essential oils were mixed with the concentrate portion of the diet at the rate of 0.0, 0.3, or 0.6 g per kg dry matter (DM) diet. Supplementation of thymol had no significant effect on digestibility of dry matter (DM), organic matter (OM), crude protein (CP) and acid detergent fiber (ADF). The main effect of thymol on neutral detergent fiber (NDF) and ether extract (EE) digestibility and on nitrogen balance (NB) was significant (P<0.05), but within each level of dietary concentrate no significant differences were observed for these measurements. Overall, ruminal ammonia concentration was higher (P<0.05) in both HCD and LCD lambs receiving 0.3 mg thymol per kg diet. Supplementation of carvacrol had no significant effect on nutrient digestibility. The main effect of carvacrol on ruminal ammonia levels and NB was significant, but within each level of dietary concentrate no significant differences were observed in ammonia levels and NB. Inclusion of 0.3 g/kg diet DM of carvacrol or thyme was more effective than 0.6 g/kg diet DM in terms of NB but neither dose affected nutrient digestibility. Future research should determine the long-term effects of essential oils on digestibility and performance in sheep, before recommendation can be made for their use under practical husbandry conditions.

A comparative study on the effects of type I and type II diabetes on learning and memory deficit and hippocampal neuronal loss in rat

AIM

In addition to learning and memory impairments, diabetes may also brings about neuronal loss in different regions of the brain specially hippocampus. In this line, the present study was conducted to investigate the effects of type I (T1D) and type II (T2D) diabetes on cognitive function and hippocampal neuronal density in rat.

METHODS

Three groups of male Wistar rats (N.=6) were regarded as control, T1D and T2D. T1D was induced by 60 mg/kg body weight of STZ injection and T2D by 10% fructose treatment through drinking water. Two months after the induction of both types of diabetes, learning abilities and memory retention of animals were measured using Morris Water Maze and shuttle box. All animals were perfused afterwards and their brains processed for stereological examination of hippocampal neuronal density.

RESULTS

In parallel to significant decrease in learning and memory scores, T1D showed a meaningful reduction in hippocampal neuronal density, when compared to control group. In T2D, the reductions of cognitive scores as well as hippocampal neuronal density were not significant, when compared to control and T1D.

CONCLUSION

Although both types of diabetes led to neuronal loss and spatial learning and memory dysfunction, these abnormalities were more obvious in T1D, while they are probably age-related and duration-dependent in T2D.

Separation and determination of Vitamins E and A in multivitamin syrup using micellar liquid chromatography and simplex optimization

A rapid method has been described for separation and determination of Vitamins A and E using micellar liquid chromatography (MLC). Influence of temperature of column and addition of organic modifiers on separation efficiency was investigated. A temperature of 30 degrees C and 1-butanol modifier was selected. Optimization of the parameters affecting the separation including percent of organic modifier, pH of the mobile phase, concentration of surfactant, and flow rate of the mobile phase was performed simultaneously using the super-modified simplex (SMS) procedure. Results showed that 11.7% 1-butanol, 76.9 mM sodium dodecyl sulphate (SDS), pH of 6.73 and a flow rate of 1.35 ml min(-1) are the best conditions for separation of these compounds. The analytical parameters including linearity, r>0.9990; limit of detection 1.71 and 4.52 microg ml(-1) for A and E, respectively; precision of the method, R.S.D.<2.85%; and recovery, more than 90%, show that the method is useful for measuring these compounds in pharmaceutical preparations.