scholarly journals Temporomandibular joint disorders and Gender differences among habitants of Karachi

2018 ◽  
Vol 08 (02) ◽  
pp. 103-108
Author(s):  
Kiran Fatima Mehboob Ali Bana ◽  
Umair Aslam ◽  
Arsalan Khalid ◽  
Wahab Buksh Kadri

Background: This study aimed to determine the prevalence of TMDs among the sample of Karachi and to observe the most frequent TMJ sound in this population. Methodology: It was a cross sectional study conducted from Sep 2017 to Nov 2017. Three hundred patients were selected through cluster sample technique from the public/private dental institutes and private dental clinics of Karachi. The data was collected with the help of questionnaire and intraoral examination was performed by the researchers. All those patients with complain of TMDs and between 20-75 years were included in this study. The frequency and association between gender and TMDs were assessed through the application of Chi square. Results: There were more males (n=162, 54%) and (n=138, 46%) females in this study. Majority of participants fall under the age group of 20-30 years of age. Most common TMDs symptom among male was pain during mastication (n=104, 64%) and most common symptoms among female was pain on neck/cervical area which was (n=92, 66%). Headache and earache was the least common symptom among both genders and p-value was 0.003 and 0.024 respectively. Clicking was the most common TMJ sound found among both genders, in male it was (n=58, 35.8%) and in female it was (n=48, 34.7%) followed by crepitation. Regarding parafunctional habits; majority of females (n=95, 68.8%) were in habit of clenching than male (n=60, 37%) and p-value was 0.0001 followed by tooth grinding which was also found mostly in female (n=64, 46.3%) then male (n=10, 6.1%) and p-value was 0.0001. Regarding the risk factors of TMDs; while examination majority of females were found with disturbed articulation,(n= 37,26.8%) and in male it was (n=10, 6.1%), significance difference was found between both genders and p-value was 0.0001. Stress was found to be most common risk factor and aggravating factor of TMDs among both genders. Missing teeth were found in both gender; (n=100, 61.7%) male and (n=71, 51.4%) female and calculated p-value was 0.047. Conclusion: It was inferred from this study that greater prevalence of TMDs was mostly found in female gender. The statistically significant difference was found among stress as an aggravating factor of TMDs and gender. Clicking was the most prevalent TMJ sound and clenching was the most frequently observed parafunctional habit among both gender, followed by tooth grinding and statistically significant difference found among both gender.

Objective: This study was carried out to determine the prevalence of microdontia among patients undergoing orthodontic treatment. Materials and Methods: This was a cross-sectional study conducted at Sindh Institute of Oral Health Sciences, (JSMU) from January-2020 to May-2020. Pre-treatment casts were taken of 140 subjects. The mesiodistal dimension of each tooth was recorded through the vernier caliper. Frequency and percentage were calculated for the presence of microdontia. The test applied was Pearson’s Chi-square test to assess the relationship between microdontia and variables like age and gender. P-value <0.05 was taken as statistically significant. Data analysis was performed on SPSS version 22. Results: A total of 140 subjects were selected i.e. 105 (75%) females and 35 (25%) males aged range 13 -30 years with mean age 18.29 ± 3.88. Out of 42, single tooth microdontia was found in 3 (7.1%), more than one tooth microdontia, and generalized microdontia was present in 36 (85.7%) and 3 (7.1%) respectively. Microdontia was found to be more common in the maxilla (n=42, 100%) than the mandible (n=14, 33.3%). It was found more common in females (n=37, 35.2%) as compared to males (n=5, 14.3%). Statistically significant relationship was found among gender and prevalence of microdontia (p=0.019) with a statistically insignificant relationship between age and presence of microdontia (p=0.228). Conclusions: Microdontia was found to be a frequent dental anomaly, was more common in maxilla and females with a significant association with gender.


2020 ◽  
Vol 70 (6) ◽  
pp. 1681-85
Author(s):  
Kanwal Jehanzeb ◽  
Zia Ul Haq ◽  
Saeed Zaman Khattak ◽  
Sajid Ali Shah ◽  
Munir Akmal Lodhi ◽  
...  

Objective: To assess the occurrence and intensity of Giardia and Ascaris infestations in children of both genders reporting with diarrhea. Study Design: Comparative cross sectional study. Place and Duration of Study: Paediatrics department, Combined Military Hospital, Gilgit, from Jul 2016 to Jul2018. Methodology: Patients of either gender with worm infestation were included in the study. Patients more than13 years old were excluded. The sampling technique used was non probability consecutive sampling. The stoolexamination (R/E) for the diagnosis of worm infestation was done. Stratification was done with regards to age,mother education, gender, type of water used and post stratification chi square test was applied. p-value was0.613 when calculated for the manifestation between both genders. p-value ≤0.05 was considered significant. Results: Total number of patients in our study was 100. Among them, males were 65 (65%) and females were 35(35%). Mean age of patients in our study was 4.20 ± 2.61 years (Mean ± SD). Abdominal pain being most common symptom in 43 (43%) of patients. Majority of the patients were from 2 to 10 years of age, 79 (79%). Helminthic infestation was the most common observed in 52 (52%) whereas Protozoal infestation was observed in 48 (48%) patients. The most common parasite isolated was Giardia 41 (41%) followed by Ascaris 36 (36%). p-value of 0.613 was found between both gender. Conclusion: In our study Helminthic infestation was more common. The most common parasite isolated wasGiardia followed by Ascaris.


Thrita ◽  
2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Fatemeh Mousavi ◽  
Parisa Shojaei ◽  
Azadeh Nazemi ◽  
Atefe Dadashi

Objectives: This research has been conducted to study antibiotic self-medication, prevalence, and reasons. Methods: A questionnaire containing 30 comprehensive questions in terms of the experience of antibiotic self-medication was prepared. In this cross-sectional study, data were analyzed using analytical statistics bases on chi-square and logistic regression. Results: The results showed that 61.3% of the participants were self-antibiotic users. There was a significant difference only between gender and self-medication such that self-medication in males was more than females (P value = 0.027). Conclusions: Self-medication of antibiotics is almost high and requires more information about the side effects of these drugs in order to promote rational and physically prescribed use.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Marcelle Aparecida de Barros Junqueira ◽  
Manoel Antônio dos Santos ◽  
Lúcio Borges de Araújo ◽  
Maria Cristina de Moura Ferreira ◽  
Carla Denari Giuliani ◽  
...  

Abstract Objectives: To evaluate possible relationships between drug abuse, symptoms suggestive of depression and gender in nursing team professionals. Method: A cross-sectional study conducted in a general hospital with 416 participants. Used questionnaire with sociodemographic information, ASSIST, AUDIT-C and PHQ-2 tests. Used Fisher's Exact Tests, Chi-Square Test, and Multivariate Logistic Regression Analysis. Results: The female gender presented decreased odds ratios for alcohol consumption in the binge pattern and use of marijuana; and double odds ratios for feelings of lack of interest and pleasure. Symptoms suggestive of depression presented potential risks for the use of sedatives. Conclusion: Drug abuse and symptoms of depression are associated and manifest differently, according to gender among nursing staff professionals. Implications for practice: Social and gender roles influence the mental health conditions of these professionals.


Author(s):  
Tahereh Zarei Mahmodabadi ◽  
Mahbobeh Shiranian ◽  
Seyedhossein Hekmatimoghaddan ◽  
Mohamad Hassan Ehrampoush ◽  
Farimah Shamsi

Introduction: Kindergartens are the first social environments where children are directly exposed to possible contaminations from other children. Factors such as having uncontrolled urination, putting hand, toys, and different objects into the mouth, and sharing objects with other children facilitate the spread of bacteria. The aim of this study was to determine the frequency of bacterial contamination of toys in kindergartens of Yazd city, Iran. Methods: In this descriptive cross-sectional study, 324 samples of toys made of either cloth, wood, or plastic were collected from kindergartens at three regions of Yazd, Iran. The swab samples obtained from toys' surface were cultured directly on the bacteriologic culture media blood agar and eosin methylene blue. Specific culture medium with biochemical tests and diagnostic disks were used to determine the genus and species of bacteria. Chi-square test was run for statistical analysis of data. The  p value of < 0.05 was considered as the level of significant difference. Results: The most common bacterial colonization of toys found in the kindergartens was Staphylococcus epidermidis (48.3%). Toys made from cloth (with 3914 CFU/cm2) and the municipality region 3 (with 4645 CFU/cm2) showed the highest amount of contamination among the toy materials and different regions, respectively. Conclusion: Assessment of common contaminations in kindergartens may help the authorities to determine the possible causes of pediatric infections and provide them with a more comprehensive knowledge about the personal as well as environmental hygiene. So, by identification of these contaminations, we can modify the underlying factors, reduce the pollutions, and improve the health of children.


2021 ◽  
Author(s):  
Badar Kanwar ◽  
Asif Khattak ◽  
Chul Joong Lee ◽  
Jenny Balentine ◽  
R. E. Kast ◽  
...  

Abstract Background Clinicians in critical care medicine considered dapsone administration to treat SARS-CoV-2 inflammasome. Dapsone is useful in the molecular regulation of Nod-like receptor family pyrin domain-containing 3 (NLRP3). Objective To study the targeting of NLRP3 itself or up-/downstream factors of the NLRP3 inflammasome by dapsone must be responsible for its observed preventive effects, functioning as a competitor. Methods This is case series with or without intervention; a cross-sectional study. We set out to use objective criteria of improvement, such as A. a reduction in the FIO2 requirement and B. a decrease in the progression of hypoxia. We treated the patients with standard COVID-19 ARDS treatment with dapsone 100 mg to target NLRP3 inflammasomes. Results The 22 cases were treated with standard COVID-19 therapy with dapsone (trial group), and the 22 cases were the control group. The comparison was made assuming that only decreased FIO2 was influential in the trial and control groups, which applied to only the ARDS onset stage. The chi-square statistic is 5.1836. The p-value is .02280. Fisher’s exact test statistic value is 0.0433. (The result is significant at p < .05) Furthermore, the ARDS-onset mortality rates were 0% (with dapsone) and 40% (without dapsone). Conclusion There was a significant difference in dapsone treatment results in the ARDS-onset group. We confirmed that dapsone clinically treated the onset of ARDS by targeting SARS-CoV-2-activated inflammasomes. Like chemically reacting substances, inflammasome and dapsone are competing, proving that it is only effective in treating early ARDS.


2021 ◽  
Vol 25 (1) ◽  
pp. 10-15
Author(s):  
Bushra Shaheen ◽  
Ghazala Shaheen ◽  
Asadullah Khan ◽  
Saad Ahmad Khan

Objectives: To explore the reasons behind the selection of medical careers by the students and various factors influencing their choice.Materials and Methods: This descriptive questionnaire-based cross-sectional study was conducted in 2017 in six different medical colleges including both private and public sector institutions. Data were analysed with SPSS 21 and Epi Info 7 and conclusions drawn according to the objectives of the study.Results: Out of 164 students, 75% of the students came from an urban background. Female students were more likely to have well-educated mothers than their male peers (OR 3.99, CI: 1.81-8.77, P-value: 0.0007) with no significant difference seen in fathers’ education between students of different types of medical colleges and gender. Service to humanity or financial and social benefits associated with this profession were the main reasons for pursuing the medical career among the students, whereas parents were mostly fascinated by the financial and social benefits of the job. Nearly a fifth of the students had no personal interest in medical studies and profession; they sought admission only because of their parents. About 11 % were regretting their choice of career. Almost half of the students (48%) were not satisfied with the ways of teaching and curriculum. Conclusion: There was no significant difference in the views of private and public sector medical colleges. Upgrading the basic and medical education system and the selection criteria for medical colleges is essential to alleviate location and specialty-based health workforce shortage.


2020 ◽  
Vol 11 (4) ◽  
pp. 402-412
Author(s):  
Doha Abo Aljadayel ◽  
Hadi Jalilvand ◽  
Mojtaba Abdi ◽  
Hesam Jahandideh

Background and Objectives: Smell disorder such as dostorted olfaction (parosmia) is one of the most common symptoms of COVID-19. Therefore, this study aimed to investigate the improvement of symptoms of parosmia in patients with COVID-19 in 2020. Material and Methods: This cross-sectional study was conducted in summer and spring of 2020 using a data collection form which was validated with Cronbach's alpha of r=0.826. The study was done in an international health center in Tehran. To report descriptive results, mean, standard deviation, absolute frequency and absolute frequency percentage, and for analysis, independent t-test and chi-square test were used using SPSS software version 16 and the significance level was considered to be 0.05. Results: In total ,350 patients participated in the study, the prevalence of parosmia in patients was 15.14% and the mean and age deviation of patients was 32.71 ± 10.93 years. There was not a significant relationship between parosmia and gender (p value=0.317), age (p value=0.271), previous history of allergic symptoms (p value=0.083), family history of the disease (p value=0.638), taste disorder (p-value=0.768), and smoking (p-value=0.558). 31 cases (58.49 % of Patients) with parosmia had complete remission within 4-6 weeks. Conclusion: Due to the high prevalence of olfactory disorders, especially parosmia in patients with COVID-19, parosmia and other olfactory disorders can be used to screen and triage patients with COVID-19, especially moderate and mild patients. Patients with parosmia should be followed for at least 4 to 6 weeks and if they do not recover for up to 12 weeks, they should be referred to ENT specialists for more specific measures.


Author(s):  
Zaynab Toufic Zaylaa ◽  
Aicha Toufic Zaylaa ◽  
Rouwayda Dana ◽  
Bassem Abou Merhi ◽  
Ahmad Mohamad Adawiye

Background and Objective: Medical residents face challenges that expose them to high risk of developing stress. Stress could reach burnout levels and become harmful to residents and patients. This study aimed to determine the prevalence of stress in current Lebanese University (LU) residents and assessing correlations with some risk factors and consequences. Subjects and Methods: This cross-sectional study involved 130 current LU residents who filled out a questionnaire concerning their demographic data, residency specialty and year, workload, special habits, depression, stress, and frequency of medical errors. Depression and stress scores were obtained using DASS-21 scale. Collected data was analyzed using ANOVA and chi- Square tests in SPSS to find descriptive statistics and correlations. Results: Out of the enrolled residents, 70% had stress ranging between mild and extreme severity. The mean age of the residents was 27.2 years. Females had higher stress than males and gender accounted for 14.1% of variance in stress among residents. Our results implied that internal medicine specialty imposes higher stress than surgery specialty with a significant difference of 4.04 points and working more than 50 hours per week which accounts for 7.6% of variance in stress. Residents had, on average, 4.38 hours of sleep per night and a negative association was found between sleep and stress. Depression was prevalent; 18.5% had severe depression, 3.1% had extremely severe depression, and stress was significantly correlated with it. Similarly, stress was associated with medical errors. No significant correlation was detected between age, marital status, parenting, and residency year, on call duties, or special habits and stress. Conclusion: Stress among medical residents is high due to the different challenges at the personal and occupational level. Stress should be managed especially that it could lead to harmful consequences on the resident’s health and patient’s safety.


2018 ◽  
Vol 09 (01) ◽  
pp. 48-52
Author(s):  
Ijaz Ali ◽  
Ommia Kalsoom ◽  
Syed Asif Jahanzeb Kazmi ◽  
Tahir Ahmad Munir ◽  
Zanib Qayyum ◽  
...  

Objective: Objective of this study was to determine internet addiction and its impact on mental health and academic performance in medical students. Methodology: One hundred medical students (male: 50, female: 50) aged 18–21 years were selected by convenience sampling in this cross-sectional study in Mahi-ud-din Islamic Medical college Mirpur AJK. A questionnaire of Young’s internet addiction test was used to identify the prevalence of Internet addiction, the purposes of Internet use, and their priority levels. Frequencies and level of mental health was measured using Mental health Battery by Singh and Gupta. Chi square test was applied and p value <0.05 was considered significant. Results: Out of 100 students, 46 (male: 28, female: 18) were found to be slightly addicted, 53 students were average online users and only 01 male was severely addicted. There was no significant difference between male and female students in addiction level. However, males were more addicted than females. The major use of Internet was to communicate with friends and family and to watch songs and movies. 51 students used the Internet to assess information for their educational and learning activities. Some students with overuse of the Internet lead to insufficient sleep and affected their concentration levels in the class. Conclusion: Medical students experiencing problems due to Internet overuse and experiencing poor academic progress and lack of concentration while studying. The main use of the Internet was to communicate with friends and family and for entertainment.


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