scholarly journals Nationwide 2.5-Year School-Based Public Health Intervention Program Designed to Reduce the Incidence of Caries in Children of Grenada

2016 ◽  
Vol 50 (Suppl. 1) ◽  
pp. 68-77 ◽  
Author(s):  
Mark S. Wolff ◽  
Rachel Hill ◽  
Maureen Wilson-Genderson ◽  
Stuart Hirsch ◽  
Ananda P. Dasanayake

This paper describes an innovative public health intervention, called ‘Smile Grenada', targeting the oral health of children in Grenada utilizing the resources of a US dental school, several oral health care companies, local governmental and public health authorities, and Grenadian school personnel. Methods: Preintervention visual/tactile caries examinations were collected from 1,092 schoolchildren (mean age 9.9 years, standard deviation, SD = 3.7) in 2010. The intervention included: (1) classroom-based toothbrushing with fluoridated toothpaste, (2) fluoride varnish applied by trained dental students, teachers and local providers 3 times a year and (3) glass ionomer sealants placed on first permanent molars in children aged 6-8 years. Postintervention data were collected in May, 2013 (n = 2,301, mean age 9.8 years, SD = 3.7). Decayed and demineralized surfaces were examined for the whole sample and decay/demineralization and sealant retention on 6-year molars were examined separately (ages 6-8 in 2013 cohort). Results: The number of decayed/demineralized surfaces declined across all age groups. The average number of decayed surfaces dropped from 9 at baseline to just over 6 (F1, 3,393 = 69.8, p < 0.0001) and the average number of demineralized surfaces dropped from 6 to less than 2 (1.8 surfaces; F1, 3,393 = 819.0, p < 0.0001). For children aged 6-8 years, there were statistically significantly fewer decayed surfaces (t1, 2,086 = 12.40, p < 0.0001; mean baseline 0.93, SD = 1.75; mean follow-up 0.23, SD = 0.83) and demineralized surfaces (t1, 2,086 = 19.7, p < 0.0001; mean baseline 2.11, SD = 2.74; mean follow-up 0.50, SD = 0.97) on 6-year molars. The Smile Grenada program successfully demonstrated a locally sustainable model for improving oral health in children in a developing country.

Author(s):  
Kenton Kroker

Historians have clearly articulated the ways in which sleeplessness has long been part of the human condition. As an object of medical expertise and public health intervention, however, insomnia is a much more recent invention, having gained its status as a pathology during the 1870s. But while insomnia has attracted considerable and concerted attention from public health authorities allied with sleep medicine specialists, this phenomenon is not well explained by classical medicalization theory, in part because it is the sleepless sufferers, not the medical experts, who typically have the authority to diagnose insomnia. The dynamics of insomnia’s history are better described as those of a boundary object, around which concepts and practices of biomedicine and psychology coalesce to frame contemporary notions of self-medicalization and self-experiment.


2010 ◽  
Vol 19 (Suppl 1) ◽  
pp. A7-A8
Author(s):  
C. Bellera ◽  
B. N. Bui ◽  
C. Chevreau ◽  
E. Bauvin ◽  
F. Pelissier ◽  
...  

2021 ◽  
Author(s):  
Manisha Shrestha ◽  
Gopal Bhandari ◽  
Suresh Kumar Rathi ◽  
Anirudh Gaurang Gudlavalleti ◽  
Binod Pandey ◽  
...  

BACKGROUND The follow up of pediatric patients ensures regular ocular morbidity monitoring and better treatment outcome. Bharatpur Eye Hospital (BEH) noticed that the follow up rates were low among its pediatric patients. There are several factors including lack of awareness and forgetfulness among patients may contribute in less number of follow ups. Therefore, BEH decided to find if counselling and reminders through Short Message Service (SMS) and phone calls would improve the follow up rates. OBJECTIVE This study aims to evaluate the impact of interventions like counselling and reminder SMS and phone call in improving the follow up rate of pediatric patients. METHODS This is a public health intervention study, being conducted using the mixed method. Herein all children (0-16 years) with ocular conditions requiring at least 3 follow ups in the study period will be included. Two hundred and sixty four participants will be distributed to three groups: routine standard care, counseling and reminders with SMS and phone calls. In counseling, patients will take part in 20 minute counseling session with trained counselor in each visit and information leaflets will be provided to them. In reminder SMS and phone call group, patients will receive a SMS prior to 3 days and phone call one day prior to their scheduled visits. Patient attending within ± 2days of the scheduled date will be considered compliant to follow up. The proportion of patients completing all the follow ups in each group will be assessed. Informed consent will be taken from parent and child. Univariate and multivariate analysis will be conducted. The qualitative analysis about the barriers for follow up like educational status of the parent, distance and cost for travel will be done. RESULTS The ethical approval has been obtained from Ethical Review Board of Nepal Health Research Council (ERB protocol registration number 761/2020 P). Due to COVID-19 pandemic, as of June 2021, we have been able to enroll 112 participants (40% of the sample size). CONCLUSIONS This study will reliably document not only the factors associated with follow up rate through intervention package (counseling and reminders through SMS and phone calls) but also cost effectiveness of the intervention package, which can be applied in all the departments of the hospital. CLINICALTRIAL The protocol has also been registered in ClinicalTrials.gov, (NCT04837534) on April 08, 2021


Author(s):  
Jue Tao Lim ◽  
Lawrence Zheng Xiong Chew ◽  
Esther Li Wen Choo ◽  
Borame Sue Lee Dickens ◽  
Janet Ong ◽  
...  

Abstract Social distancing (SD) measures aimed at curbing the spread of SARS-CoV-2 remain an important public health intervention. Little is known about the collateral impact of reduced mobility on the risk of other communicable diseases. We used differences in dengue case counts pre- and post implementation of SD measures and exploited heterogeneity in SD treatment effects among different age groups in Singapore to identify the spillover effects of SD measures. SD policy caused an increase of over 37.2% in dengue cases from baseline. Additional measures to preemptively mitigate the risk of other communicable diseases must be considered before the implementation/reimplementation of SARS-CoV-2 SD measures.


2008 ◽  
Vol 26 (15_suppl) ◽  
pp. 17546-17546
Author(s):  
S. Mathoulin-Pelissier ◽  
C. A. Bellera ◽  
J. Coindre ◽  
C. Chevreau ◽  
V. Lebrun-Ly ◽  
...  

2020 ◽  
Vol 15 (4) ◽  
pp. 33-62
Author(s):  
Sara Swenson

In this article, I explore how Buddhist charity workers in Vietnam interpret rising cancer rates through understandings of karma. Rather than framing cancer as a primarily physical or medical phenomenon, volunteers state that cancer is a product of collective moral failure. Corruption in public food production is both caused by and perpetuates bad karma, which negatively impacts global existence. Conversely, charity work creates merit, which can improve collective karma and benefit all living beings. I argue that through such interpretations of karma, Buddhist volunteers understand their charity at cancer hospitals as an affective and ethical form of public health intervention.


2021 ◽  
Vol 104 ◽  
pp. 742-745
Author(s):  
Hye Seong ◽  
Hak Jun Hyun ◽  
Jin Gu Yun ◽  
Ji Yun Noh ◽  
Hee Jin Cheong ◽  
...  

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