Abstract-A complete dental record can be used in solving legal cases as well as forensic cases in dentistry. The Government of the Republic of Indonesia has established a minimum standard of filling dental records. A cross sectional study was conducted to determine the completeness of the contents of dental records at private dental practice in Bandung. The total of 97 dental records were taken from 30 private dental practices of general dentists or dental specialists in the city of Bandung, taken by random sampling technique. This study showed that 70% of dental records did not fill in the odontogram section, 51% of dental records did not fill in the results of anamnesis, and the entire dental records did not fill in the physical examination section. As a conclusion, the average percentage of the completeness of dental record at private dental practices in Bandung was 62%.
Background: As of 9th March 2020, World Health Organization declared the outbreak of COVID-19 as a pandemic. The government takes a policy to implement social restrictions aim to restrict COVID-19. The restrictions includes restricted social gatherings, public facilities and closed the schools, so the student can only do learn and their activities from home. This pandemic also affected daily life with physical activity will be impaired and increased sedentary behavior. Method: A descriptive study with cross-sectional design to describe the physical activity and sedentary behavior on university student during the COVID-19 pandemic. Physical activity and sedentary behavior was assessed using Global Physical Activity Questionnaire (GPAQ). The participant of this study were taken using stratified random sampling, and consisted of 297 students drawn proportionally from 9 faculties. Result: The results showed that 129 students (43,4%) included in moderate physical activity category, 92 students (31%) included in low category, and 76 students (25,6%) included in high category. Overall, the average of GPAQ score of 2347 METs per week indicates that students' physical activity is in moderate category. Male students were more physically active (3448.9METs) than female (1778.6 METs). The study also determine that most of the student had sedentary behavior by sitting or lying down about 327,9 minutes per day. Conclusion:The conclusion is students of different faculties had different physical activity level during this pandemic. Most of the students is in moderate physical activity category and high sedentary behavior. PENDAHULUANSaat ini, dunia tengah mengalami tantangan besar yang mengubah tatanan kehidupan banyak orang akibat Corona Virus Disease-19 (COVID-19). Kasus ini muncul pertama kali di Wuhan, China akhir tahun 2019, insidensi penularan virus ini sangat cepat bahkan menyebar ke seluruh dunia. WHO secara resmi mendeklarasikan COVID-19 sebagai pandemi pada 9 Maret 2020. 1 COVID-19 disebabkan oleh kelompok coronavirus (CoV) jenis baru, yakni Severe Acute Respiratory Syndrome Corona Virus 2 (SARSCOV-2). Penyakit ini menyerang saluran pernafasan manusia dengan gejala seperti batuk, hidung tersumbat, sesak nafas, hilangnya indera penciuman, demam, sakit tenggorokan, ruam pada kulit, dan diare. 2 Pemerintah melakukan berbagai upaya untuk mencegah penularan COVID-19, yaitu dengan menerapkan Pembatasan Sosial Berskala Besar (PSBB) yang tertuang dalam Permenkes Nomor 9 Pasal 13 tahun 2020. Pembatasan ini meliputi pembatasan kegiatan keagamaan, tempat
Background: Obesity is a major risk factor for osteoarthritis. Objectives: The aim of this study is to determine the correlation between body mass index with Kellgren-Lawrence degree in genu osteoarthritis patients. Methods: This study used cross-sectional design on 97 participants diagnosed with genu osteoarthritis in Siloam Hospital Kupang in the period January-December 2017. Measurement of height and weight was carried out for the calculation of Body Mass Index. Kellgren-Lawrence degrees were obtained with x-ray photos. Results: Most patients were women (69 patients, 71.7%), 50-59 years old (34 patients, 35.1%), with obesity (61 patients, 62.9%). Conclusion: There was a significant correlation between BMI and Kellgren-Lawrence degree in genu osteoarthritis (p = 0.000). Keywords: BMI, Kellgren-Lawrence, obesity, osteoarthritis genu Latar Belakang: Obesitas merupakan faktor risiko terjadinya osteoartritis pada lutut. Tujuan: Tujuan dari penelitian ini adalah untuk menentukan korelasi indeks massa tubuh (IMT) dengan derajat Kellgren-Lawrence pada pasien penderita osteoartritis genu. Metode: Penelitian ini menggunakan metode cross-sectional yang dilakukan pada 97 responden yang didiagnosis dengan osteoartritis lutut di Rumah Sakit Siloam Kupang pada periode Januari-Desember 2017. Derajat Kellgren-Lawrence ditentukan berdasarkan foto x-ray konvensional. Hasil: Penderita osteoartritis terbanyak adalah perempuan (69 pasien, 71,7%), berusia antara 50-59 tahun (34 pasien, 35,1%), dan dengan IMT kategori obesitas (61 pasien, 62,9%). Kesimpulan: Terdapat korelasi signifikan antara IMT dan derajat Kellgren-Lawrence pada penderita osteoartritis genu. (p = 0,000). Kata kunci: IMT, Kellgren-Lawrence, obesitas, osteoartritis genu
Seiring dengan berkembang pesatnya arus globalisasi dan fenomena Masyarakat Ekonomi ASEAN (MEA), jumlah ekspatriat di Pulau Bali meningkat. Para ekspatriat membutuhkan perawatan gigi selama menetap di Pulau Bali. Persaingan ketat di bidang kedokteran gigi menuntut klinik gigi untuk memiliki strategi yang tepat agar dapat bersaing, dan salah satu strategi yang diperlukan adalah menciptakan kepuasan pasien pada klinik gigi. Penelitian ini bertujuan untuk mengetahui pengaruh service quality terhadap kepuasan pasien ekspatriat Klinik Gigi Bali International Dental Center di Denpasar - Bali. Penelitian ini merupakan penelitian kausal eksplanatori dengan menggunakan rancangan penelitian cross sectional study. Penelitian ini dilaksanakan pada bulan Juli - Agustus 2017 terhadap 100 pasien ekspatriat di Klinik Gigi Bali International Dental Center. Analisis data menggunakan uji analisis regresi berganda. Pengolahan data menggunakan program SPSS. Hasil penelitian statistik secara parsial menunjukkan bahwa variabel Tangibles (X1) berpengaruh sebesar 8,0% terhadap kepuasan pasien, Empathy (X2) berpengaruh sebesar 18,8% terhadap kepuasan pasien, variabel Reliability (X3) berpengaruh sebesar 15,9% terhadap kepuasan pasien, variabel Responsiveness (X4) memiliki pengaruh terhadap kepuasan pasien sebesar 28,5% dan variabel Assurance (X5) berpengaruh sebesar 14,6% terhadap kepuasan pasien. Kepuasan pasien merupakan persyaratan fundamental bagi penyedia layanan kesehatan. Service quality berpengaruh signifikan terhadap kepuasan pasien. Dalam penelitian ini, variabel Tangibles (X1) memiliki pengaruh terkecil terhadap kepuasan pasien, sedangkan variabel Responsiveness (X4) memiliki pengaruh terbesar terhadap kepuasan pasien. Pada penelitian selanjutnya, sampel penelitian dapat diambil dari berbagai daerah dan berbagai penyedia pelayanan kesehatan agar hasil penelitian dapat di generalisasikan.
The growing epidemic of chronic diseases afflicting both developed and developing countries is related to diet and lifestyle. The current dietary assessment still has many constraints, particularly related to the objectivity of data gathering. Dental calculus, which is usually considered as medical waste in dental treatment, turns out to be a provider of abundant oral information. The objective of this study is to obtain the correlation between the macronutrient content of dental calculus and nutritional intake based on FFQ. This research is an analytic observational study with a case-control study design. Samples consisting of 35 obese individuals and 21 normal-weight individuals were taken using purposive sampling. The nutritional intake data were obtained using FFQ. The macronutrient content of dental calculus was checked using a colorimetric assay. The comparison between obese individuals and normal-weight individuals was tested using the Mann–Whitney test and T-test. The correlation between the macronutrient content of dental calculus and nutritional intake based on FFQ was measured using Spearman’s rank-order correlation. The results showed there was a correlation between the macronutrient content of dental calculus and macronutrient intake based on FFQ. However, strong correlation was found only between fat intake with the total lipid content of dental calculus with rs = 0.521 and between carbohydrate intake with the total carbohydrate content of dental calculus with rs = 0.519. It was concluded that carbohydrate, protein, and lipid intake can be assessed using dental calculus. Dental calculus can be an alternative source of noninvasive, inexpensive, and specific dietary biomarkers.
Introduction: The rising prevalence of obesity forces the orthopedist to consider it in fracture risk assessment. Multiple studies have consistently demonstrated that people with obesity have increased bone mineral density (BMD). Although it appears other factors in bone strength may influence the fracture risk, including bone microarchitecture, which recently can be measured by trabecular bone score (TBS). The complex associations between TBS and BMI remain unclear, and some studies show inconsistent findings. This systematic review and meta-analysis aimed to understand whether increased BMI is associated with lower TBS by indirectly pooling all the available evidence from the published literature. Methods: A literature search was carried out using PubMed, Cochrane Library, Google Scholar and other popular journal databases using the terms "trabecular bone score", "body mass index" and the possible synonyms. We extracted the total sample, mean and standard deviation of TBS for patients within each BMI category from the selected literature. A meta-analysis was conducted using a random-effects model and inverse variant methods to synthesize the pooled effect size (mean difference) for each gender subgroup. Results: After an initial search and screening of 2399 studies, seven reports published between 2016-2019 were included (five cross-sectional, one cohort, and one randomized clinical trial). These include 2872 samples which were mostly women (2286). One thousand thirty-one samples were with normal BMI, 1124 samples were with overweight BMI, and 717 samples were with obesity. The included studies varied by age group and gender. The between-study heterogeneity with I2 index ranging 0%-76% studies in man showed higher heterogeneity. Compared with normal individuals, those with overweight and obesity had lower TBS with a mean difference of -0.02 (95% CI -0.03 to -0.01) and -0.07 (95% CI, -0.09 to -0.05), respectively. The differences were consistent across gender, although larger differences were found in men. Conclusion: Individuals with higher BMI have a lower TBS than individuals with normal BMI in a stepwise manner. It suggests that the inclusion of TBS can improve the assessment of fracture risk in obese individuals.
Human papillomavirus (HPV) infection accounts for approximately 5.2% of the worldwide human cancer burden. Molecular epidemiologic evidence clearly indicates that certain types of HPV are the principal cause of both cervical and oral cancers. Major oncoproteins E6 and E7 can inactivate p53 and pRB proteins because it happened genome instability and dysregulation host cell cycles. This virus is an epithelial tropism, vulnerable area mainly at the basal layer and epithelial stem cell, because it still has a high proliferation capacity, so it can support the replication of the virus. Virions bind initially to the glycosaminoglycan (GAG) chains of heparan sulphate proteoglycan (HSPG). More than 99% cervical cancer arise at the cervical transformation zone. In oral cavity, exposed areas of the basal layer will be very susceptible to HPV infection. The HPV presence in the oral area is considered as one of the etiologics of oral cancer in those who do not have bad habits such as smoking, betel chewing, or poor oral hygiene. Our study successfully identified HPV type 58 in dental calculus. Dental calculus, calcified oral plaque biofilm, has been shown to be an abundant, nearly ubiquitous, and long-term reservoir of the ancient oral microbiome, including bacteria, archaea, eukaryote, and viruses. During biomineral maturation process, several biological contents around the oral region should be trapped, including the exfoliated virus contained cells. Dental calculus is a promising source of HPV and carcinogens molecules in the oral cavity and could be used as a biomarker for early detection.
Natural disasters, crime, and accidents can happen anytime. The hardest part after the tragedy is to identify the victim,especially if their bodies are no longer intact. Tooth is one of the most important parts of the body that can beidentified even if the body is already destroyed. One of the difficulties in the identification process is the inadequacy ofante mortem data of the victims, especially the children. In this paper, it discussed about dental ID card that can beuseful as summary information on cases of abduction or in the process of identifying the bodies in the event of adisaster. Odontogram in the dental identification card can help the dentist to create a plan of care for children and canalso assist in the gathering of data for epidemiological purposes that give data about the health condition of the child'smouth. Such data can be used as a basis for policy-making is a step to prevention, which is expected to improve theoral health of children in Indonesia. This card must be given to the patient and always taken when they go to thedentist. All providers of oral health services, including UKGS role in updating the data on a regular basis. It was concluded that the oral health information is very helpful in making the right decisions that improve oral health.Dental identification card is a real little effort in realizing it, have a major impact, simple but useful.
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