Attitudes Of Pediatricians Research Articles

Medical-Dental Alliance

Background: Comprehensive health care can be achieved by including dental care in all health service programs. Gynecologists and pediatricians establish the relationship with expectant mothers and infants earlier than dentist. They represent a trustworthy source of preventive information and play an important guiding role in developing positive dental attitudes. Objective: The objective of this study was designed to assess the attitude and awareness of gynecologists and pediatricians toward oral health care of mothers and children. Materials and Methods: This cross-sectional study was conducted among 50 gynecologists and pediatricians. A study-specific questionnaire designed according to specialty was used. The questionnaire pertained to both maternal and infant/child oral health care and included questions on prenatal counseling, feeding practices, dietary habits, oral hygiene practices, and importance of primary teeth. Results: The majority of the gynecologists and pediatricians had good knowledge regarding oral health of expectant mothers, infants, and children. Conclusion: Oral health is an integral part of overall health. Promoting pediatric dentistry through gynecologists and pediatricians can conceptualize the model of “healthy mother and smiling child.”

Knowledge, attitude and practice of pediatricians towards digit sucking habit among children in Pune, India

Introduction: Prolonged digit sucking habits can have deleterious effects on facial growth, oral function, occlusion and aesthetics, leading to dental and skeletal deformities. Early identification and intervention can result in a vast difference in treatment outcomes and avoid a complex, expensive, and time-consuming treatment in the future. Pediatricians are in a key position to identify these habits in children. The present study evaluated the knowledge, attitude and practice among pediatricians about digit sucking habits in children in Pune city, India. Materials and Methods: A pre-validated questionnaire was mailed to the study subjects. The filled 303 questionnaires were then statistically analyzed using descriptive statistics. Results: This study showed that although the number of pediatricians performing routine oral examinations was high (92.7%), the referral to dentists was low. 67.5% of pediatricians referred their patients to a dentist only when they had an explicit dental complaint. Only 20.5% of pediatricians referred children with digit sucking habits to a dentist. 95.7% of participants agreed that treatment of digit sucking is important, but only 7% of pediatricians recognized the use of habit-breaking appliances as a treatment modality. Conclusion: We found that although the pediatricians had sufficient knowledge regarding thumb-sucking habits in children, the involvement and collaboration with dentists was very low. The majority of pediatricians felt there was a need for more awareness programs on oral habits. We conclude that more collaborations should be encouraged between medical and dental professionals.

Attitudes Towards Complementary and Alternative Medicine Among Pediatricians in Saudi Arabia.

BackgroundComplementary and Alternative Medicine (CAM) refers to a variety of healthcare practices outside the domain of conventional medicine, which may be integrated with conventional medicine by many physicians.ObjectivesThis study aims to assess the attitudes and beliefs of pediatricians toward the use of CAM on children and to evaluate their knowledge and experience regarding CAM therapies and their desire for additional CAM training courses.MethodsThis is a cross-sectional study that was conducted in Saudi Arabia. A self-administered electronic questionnaire consisting of 27 questions was distributed among pediatricians to assess the demographics, beliefs, experiences, and attitudes of pediatricians related to the use of CAM for children. Non-probability convenience sampling was used in selecting the sample of pediatricians. Data analysis was performed using SPSS version 21 (IBM Corp., Armonk, NY).ResultsIn this study, 140 participants completed the questionnaires. Most of the participants were of the male gender (83, 59.3%) and Saudi nationals (127, 90.7%). With regards to questions related to the experiences and opinions of participants regarding the use of CAM, 101 (72.1%) subjects reported the use of CAM among family members. Pediatricians cited affirmative encounters of use of CAM in 94 (67.1%) by parents. Pediatricians were not in favor of the use of CAM for end-stage (114, 81.4%) and chronic disease (108, 77.1%). The overall median self-reported CAM knowledge score was statistically higher for males in comparison with females [3 (IQR 1-5)] versus 2 (IQR 2-4), P = 0.030]. Also for nationality, median scores were significantly greater for the Riyadh region in contrast to other regions [[3 (IQR 2-5)] versus 2 (IQR 1-4), P = 0.041]. There was a significant difference in median scores for qualification of participants (P = 0.002). A multiple pairwise comparison revealed a statistically significant (P = 0.012) difference between participants with the qualification of residents and specialization. No differences in median CAM scores were found for responses related to the experiences, opinions, and attitudes of pediatricians towards the use of CAM therapies.ConclusionMost of the pediatricians in Saudi Arabia don’t recommend the use of CAM treatment in their practice, but they acknowledge that learning more about CAM and imparting appropriate knowledge regarding it may incorporate its use in their routine clinical practices in a safe way.

Infantile spasms: Knowledge, attitude, and practice of pediatricians in Turkey

BackgroundInfantile Spasms Syndrome (ISS) encompasses both West syndrome (WS), comprising epileptic spasms, psychomotor stagnation or regression and hypsarrhythmia, and also infants presenting with epileptic spasms who do not fulfill the triad of WS. ObjectiveTo investigate the knowledge, attitude, and practice regarding ISS among Turkish pediatricians and pediatric residents. MethodsA cross-sectional study was conducted among pediatricians and pediatric residents from all regions of Turkey. Knowledge, attitude, and practice (KAP) about ISS were assessed using a questionnaire including 45 questions. ResultsOut of 174 participants, 91.4% of respondents thought that ISS was a type of epilepsy. The two most recognized etiologic causes were structural abnormalities (90.8%) and genetic disorders (90.2%). Infantile colic (78.7%) and gastroesophageal reflux (75.9%) were reported to be the most common confusing diagnoses in this study. Almost all the respondents agreed that EEG recordings should be obtained for a patient with suspected ISS. Half of the participants stated that steroids were the first choice for treatment. Nearly all participants agreed on referring a pediatric patient with suspected ISS to a pediatric neurologist. ConclusionOur findings highlight the importance of medical education as awareness is critical for diagnosing ISS. To facilitate rapid diagnosis, it is also important to combine medical education with public action. To ensure a sufficient level of knowledge about epileptic spasms and ISS, a strategy based on the socio-cultural characteristics of each population should be developed.

Attitude of pediatricians toward suspected cases of child sexual abuse (CSA) in Saudi Arabia.

ObjectiveTo assess the attitudes of pediatricians working at the Ministry of National Guard-Health Affairs (MNGHA) to report cases of child sexual abuse (CSA) and to determine the association between the demographic, cultural characteristics, and the attitude toward reporting.Participants and SettingsThe participants included all pediatricians, from consultants to residents, employed at the Pediatric Department of the King Abdulaziz Medical City and King Abdullah Specialist Children's Hospital, Riyadh. Additional inclusion criteria were females and males, Saudis and non-Saudis, and age 20–60 years.MethodsA self-administered, hard copy questionnaire was distributed to 277 pediatricians, and the response rate was 58.48%. The sensitivity/specificity emphasis mean score was calculated. Categorical variables were tested against the sensitivity/specificity emphasis mean score using an ANOVA and an independent sample t-test. The reliability of the questionnaire was measured with Cronbach's alpha.ResultsIn total, 153 completed questionnaires were analyzed. The responses were inclined toward balanced (indecisive toward reporting) and high specificity (favors the decision not to report suspected CSA). No significant difference was found in the sensitivity/specificity mean score between the different levels of professionals, experience, age, gender, and number of prior child abuse-related courses. The skepticism scale showed, for the different professional levels, that the staff physician/resident believed the 3- to 5-year-old girls and boys to be genuine. The consultants/associate consultants believed 6- to 12-year and 13- to 17-year-old girls and boys to be true most of the time. Nearly half of the participants indicated that their reporting decision was affected by the possible consequences of reporting suspected CSA for the children's families and the social perceptions of sexually abused children as adults.ConclusionThe results highlight the low reporting rates of CSA cases. The findings suggest a lack of training and experience of the professionals in this area of assessing, detecting, and reporting CSA cases.

Pediatricians’ Knowledges, Attitudes and Practices on Parafunctional Oral Habits and Orthodontic Problems in Children

ABSTRACT
 Objective: Treatment of dentofacial deformities via orthodontics can improve the health of the teeth and the gums and also numerous malpositioned teeth and jaws and increase the quality of life in children affected with malocclusion. The purpose of this research was to examine whether pediatricians refer their patients to pediatric dentists, whether they have sufficient knowledge and awareness in parafunctional habits and basic orthodontic principles and whether they examine their patients for parafunctional habits and malocclusions. 
 Methods: A descriptive, cross-sectional survey was sent to a sample of pediatricians in Turkey. The questionnaire, consisted of 42 questions in five domains. A total of 166 pediatricians participated in the survey.
 Results: In the assessment of the examination of the oral cavity, a low frequency of examination for the malocclusion (28,9%) and oral functional habits (43,4%) was found. Reasons pediatricians referred patients to specialists varied from over-bite 24% to crowding 87%. In the chi-square test for the effect of work sector, years of experience, training about parafunctional oral habits and orthodontic problems, patients per day in the knowledge, attitude and practices of pediatricians regarding orthodontic problems and parafunctional oral habits in children, we could identify significant predictors (p

Knowledge, attitudes, and practices related to augmented renal clearance among pediatricians in China: A cross-sectional study.

Our purpose was to assess pediatricians’ knowledge of augmented renal clearance (ARC).We conducted cross-sectional analyses of 500 pediatricians from 16 tertiary hospitals in Anhui Province, China. Pediatricians provided demographic information and were asked questions about their knowledge of ARC, including risk factors, evaluation tools, and the impact on patient prognosis, with a focus on the attitude and practice of pediatricians related to adjusting vancomycin regimens when ARC occurs.A total of 491 valid questionnaires were finally included, only 276 pediatricians stated that they “know about ARC.” Compared with the “do not know about ARC” group, the “know about ARC” group was younger (43.7 ± 8.0 vs 48.0 ± 7.9, P < .001), and their main source of ARC knowledge was from social networking platforms. A total of 193 (70%) chose at least 4 of the following factors as risk factors for children with ARC: severe trauma, sepsis, burns, major surgery, lower disease severity, and hematological malignancies. A total of 110 (40%) and 105 (38%) pediatricians chose the Schwartz formula and cystatin C, respectively, as the indicators to evaluate the renal function of ARC children. Concerning the estimated glomerular filtration rate threshold to identify ARC children, 201 (73%) pediatricians chose 130 mL/min/1.73 m2, while 55 (20%) chose “age-dependent ARC thresholds.” Overall, 220 (80%) respondents indicated that ARC would impact the treatment effect of vancomycin, but 149/220 (68%) were willing to adjust the vancomycin regimen; only 22/149 (8%) considered that the dose should be increased, but no one knew how to increase. Regarding the prognosis of ARC children, all respondents chose “unclear.”ARC is relatively common in critically ill children, but pediatricians do not know much about it, as most of the current knowledge is based on adult studies. Furthermore, ARC is often confused with acute kidney injury, which would lead to very serious treatment errors. Therefore, more pediatric studies about ARC are needed, and ARC should be written into official pediatric guidelines as soon as possible to provide reference for pediatricians.

Bariatric Surgery in Youth: the Perspective of Dutch Pediatricians, Parents, and Adolescents

BackgroundRecent studies have indicated that bariatric surgery is effective for the treatment of youth with severe obesity. The attitudes of pediatricians, parents, and adolescents regarding this topic remain unclear. Therefore, the aim of this study was to assess the current thoughts and beliefs of Dutch pediatricians, parents, and adolescents regarding bariatric surgery in youth.MethodsAn online survey containing twenty questions on bariatric surgery in youth was distributed to pediatricians of the Dutch Society of Pediatrics. Parents and adolescents who participated in an interdisciplinary care program for overweight, obesity, and severe obesity filled out an online survey of twelve questions.ResultsOne hundred and twenty-one pediatricians, 49 parents, and 19 adolescents completed the surveys. Seventy-two pediatricians (59.5%) considered bariatric surgery to be an effective treatment for youth with severe obesity when conventional treatment fails, and intend to refer patients for bariatric surgery. The most frequently suggested conditions for bariatric surgery were a minimum age of 16 years (n = 59, 48.7%), a BMI threshold of 40 kg/m2 (n = 51, 42.2%), and a minimum Tanner stage of IV (n = 59, 48.8%).Thirty parents (61.2%) and fourteen adolescents (73.7%) responded that bariatric surgery should become available for youth with severe obesity.ConclusionDutch pediatricians, parents, and adolescents increasingly accept bariatric surgery as a treatment modality in youth with severe obesity who do not respond successfully to lifestyle intervention. Whether pediatricians will actually refer youth for bariatric surgery remains to be seen when this treatment option will be implemented in the Netherlands.Graphical abstract

Knowledge, Attitude, Training and Practices of Pediatricians in Relation to The Prevention of Oral Diseases in the Thrace Region

Oral health is an integral part of general health. Pediatricians are more likely to see babies and children earlier than dentists. Pediatricians are the right people to advise families on the prevention and management of oral diseases in children. The aim of this study was to determine the knowledge, attitudes and practices related to the prevention of oral diseases among pediatricians working in the Thrace region of Turkey. A cross-sectional questionnaire was conducted to 69 pediatricians working in the Thrace region of Turkey. Pediatricians were asked questions that included socio-demographic information and evaluated their knowledge, attitude and practices of oral and dental health. Pearson’s chi-square test was used to determine the relationship between the demographic data and answers to the questionnaire. Most of the pediatricians stated that pediatricians play an important role in prevention of dental caries and oral health, they need to examine the oral cavity and teeth for this, but they need more information about preventive oral health practices. 43.5% of the pediatricians knew that the first dentist visit should be done as soon as the first primary tooth eruption, and 45.1% knew that oral tooth cleaning should start after the first primary tooth eruption, 13% of the pediatricians knew that thefirst sign of tooth decay was the white spots on tooth surface. Informing pediatricians about the prevention of dental caries is important for preventive dentistry.

Evaluation of Knowledge and Attitudes of Pediatricians on Traditional and Complementary Medicine Treatment Practices

Amaç: Son yıllarda dünyada ve ülkemizde “Geleneksel ve Tamamlayıcı Tıp” (GTT) uygulamalarında ve ürünlerinin kullanımında artış izlenmektedir. Hekimler GTT uygulamalarının gerekliliği, yararları veya olası komplikasyonları konusunda tam bir görüş birliğine sahip değildir. Bu çalışmada çocuk hekimlerinin GTT uygulamaları konusundaki bilgi ve görüşlerini değerlendirmek amaçlanmıştır.&#x0D; &#x0D; Gereç ve Yöntem: Bu çalışmada Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesi'nde çalışmakta olan çocuk sağlığı ve hastalıkları ile yan dallarında görev yapan asistan ve uzman hekimlerin GTT uygulamaları konusundaki bilgi ve görüşlerini değerlendirmek amaçlanmıştır. Çalışmaya Haziran 2019- Eylül 2019 tarihlerinde görev yapan 216 çocuk hekimi dahil edilmiştir. Araştırma kesitsel tipte olup verilerin toplanmasında anket kullanılmıştır.&#x0D; &#x0D; Bulgular: 175 kadın 41 erkek çocuk hekiminden oluşan katılımcılar arasında, GTT konusunda en fazla bilinen yöntemler olarak probiyotikler %29,2, masaj %13,4, balneoloji %11,5, akupunktur %8,7 ve bitkisel tedaviler %8,7 öne çıkmaktadır. Katılımcıların en çok kullandığı yöntemlerin masaj (%21,8), bitkisel tedaviler (%9,7) ve akupunktur (%8,8) olduğu görülmüştür. Çocuk hekimlerinin %90,7’si daha önce GTT konusunda herhangi bir eğitim almadıklarını, %69’u ise bu konuda tıp fakültesi eğitimi sürecinde ders konulmasını istediklerini belirtmişlerdir.&#x0D; &#x0D; Sonuç: Çocuk hekimlerinin GTT yöntemleri konusunda bilgi ve deneyimlerinin yetersiz olduğu ve tıp fakültesi veya uzmanlık döneminde konu ile ilgili eğitim almak istedikleri tespit edilmiştir

Assessment of Knowledge and Attitude of Pediatricians and General Dentists toward Infant Oral Health Care, Jaipur

ABSTRACT Introduction Oral health is the foundation upon which dental health must be built. Pediatricians examine infants several times during their 1st and 2nd years of life. Parents usually seek pediatricians’ advice in securing their child's normal growth and development. The aim of this study was to assess the knowledge and attitude regarding infant oral health in pediatricians and general dentist and to make aware about the preventive oral health care (OHC) needs for the infants to their parents. Materials and methods A total of 100 pediatricians and 100 general dentists who participated in the study were randomly selected. Objective questionnaires related to infant OHC were distributed among the pediatricians and general dentists and asked to fill the pro forma. They were requested to fill an objective questionnaire without providing any oral health information. Results and conclusion The results were statistically analyzed and it was concluded that there was a lack of knowledge among pediatricians as compared to the general dentist but overall both lacked the current concepts of pediatric dentistry. How to cite this article Yadav SK, Nigam AG, Chinchalkar RP, et al. Assessment of Knowledge and Attitude of Pediatricians and General Dentists toward Infant Oral Health Care, Jaipur. J Mahatma Gandhi Univ Med Sci Tech 2020;5(2):69–71.

Knowledge, Attitude and Behavior of Pediatricians toward oral health of children in Tanta city

ABSTRACT. Objectives: To assess knowledge, attitudes and behavior of pediatricians in Tanta city Egypt regarding children oral health, and to determine their will to integrate preventive dental education and procedures in their daily clinical practice. Background: Increasing pediatrician’s involvement in oral health promotion during child check up visits will improve children oral health especially those difficulty getting professional dental care. However, pediatricians’ knowledge about preventive oral health, their readiness to participate in prevention and pediatricians’ perceived barriers in professional dental referral are not clear. Study design: An observational cross-sectional study was carried on 63 pediatricians working in the clinics of 14 primary health care centers in Tanta city, Gharbiya Governorate, Egypt. Results: response rate of pediatricians was 82.54%. Mean of 23.07% of respondents were willing to apply fluoride varnish, 11.53 % consider white spots as a marker of early dental decay. All participants (100%) stated they had not been instructed in oral health neither in medical school, during residency nor through CME courses. Fifty percent of respondents reported having seen caries in school-aged children at least once per month. Percentage of pediatricians found difficulty to refer patients who are tow years old or less was 67.30%, followed by difficulty in referring patients who had developmental delay (61.53%). Conclusion Based on the result of the current study, it becomes clear that pediatricians suffer from lack of knowledge and time to take greater role in the oral health promotion of children furthermore they face many barriers for professional dental refer.

Knowledge, attitude and practice of Ethiopian pediatricians concerning childhood eye diseases

BackgroundEye examination and vision assessment are vital for the detection of conditions that result in blindness. Childhood blindness seriously impacts the development, education, and future employment opportunities of affected children. Pediatricians’ knowledge of eye diseases is critical for the prevention of blindness through early diagnosis, allowing proper treatment and identification of conditions requiring referral to an ophthalmologist to preserve or restore vision. This study aimed to assess the knowledge, attitude, and practice of Ethiopian pediatricians concerning childhood eye diseases.MethodsWe carried out a cross-sectional descriptive study of pediatricians working in various hospitals and clinics in Ethiopia. Participants were selected via a convenient sampling technique. Data were collected using both closed and open-ended semi-structured questionnaires. Responses were entered into EpiData 3.1 and transferred to SPSS version 21.0 software for analysis.ResultsA total of 79 pediatricians participated in the study. Our findings showed that the attitude of all but 2 participants towards improving the management of childhood eye diseases was positive, even though this was not reflected in actual knowledge or practice. Even though attitudes were positive, knowledge was often poor and practice inadequate owing to barriers such as inadequate undergraduate training, lack of ophthalmology options during pediatric residency, and unavailability of ophthalmic equipment.ConclusionsParticipants’ attitudes towards improving treatment for childhood eye diseases are positive, but their insufficient knowledge of eye diseases makes their practice poor in this respect.

“Evaluation of Knowledge, Attitude and Awareness of Pediatricians regarding Rampant Caries”

“Evaluation of Knowledge, Attitude and Awareness of Pediatricians regarding Rampant Caries”

DISTANCE LEARNING TODAY. WHAT DO PEDIATRICIANS THINK?

In this paper, the authors share their observations on the attitude of pediatricians who underwent advanced training during the pandemic of a new coronavirus infection in the framework of distance learning (DL). According to the results of a correspondence survey, 77,7 % of respondents noted that pre-school education can be an auxiliary form for traditional education. Just under a quarter point to the unacceptability of DO in medical schools. During training, doctors faced a difficulty-lack of skills to work with online services (68 %). Of all forms, UP to 71,7 % chose teleconferences. To the question: «How important is the moment of personal communication with the teacher for You?» 69,9 % indicated that it is important, and 30,1 % considered that it is fundamentally important.

Evaluation of knowledge levels and attitudes of pediatricians on traumatic dental injuries

Aim: In dental trauma injuries, proper diagnosis and initial intervention are important in terms of prognosis. The aim of this study was to determine the knowledge levels and attitudes of pediatricians about traumatic dental injuries.Materials and Methods: There were 141 specialist pediatrician and assistant pediatrician working in universities or public hospitals who participated in this cross-sectional survey study. An electronic questionnaire was developed by the authors using Google Forms. The questionnaire consists of three parts and contains 22 questions in total. In the first part, the personal information of the physicians is recorded. The second part consists of questions regarding their knowledge and attitudes about dental trauma. The third part involves photos of the two cases we took from our clinical archive, which include a crown fracture and a case of avulsion dental trauma.Results: Almost half (44.7%) of the pediatricians had experienced traumatic dental injuries at least once. Only one-third (33.3%) of the respondents had heard the term avulsion. In the first case scenario, most of the participants (81.4%) stated that the broken tooth part should be saved. In the second case scenario, just over a third of the respondents (36.9%) said that in the case of avulsion, they would refer their patients to the dentist immediately, without doing anything. As the best storage medium, saline was answered most often (20.5%), followed by sterile sponge (19.1%), clean napkin (12.1%), and milk (11.3%). A statistically significant difference was found between procedures (recommended vs. non-recommended) for case 1 and case 2, according to professional experience (p 0.05).Conclusion: Knowledge of pediatricians about dental trauma was found to be insufficient. Pediatricians should be trained on dental trauma during their specialization or medical education, and their awareness and willingness to manage it should be increased.

Pediatristlerin Human Papilloma Virüs Aşısı Hakkındaki Bilgi ve Tutumları

Objective: Human papilloma virus (HPV) infection is the most common sexually transmitted viral infection worldwide. It is the cause of cervical cancer, and also causes many malignant, and benign diseases. Although it has an effectual vaccine, vaccination rates are still at an undesired level. In this cross-sectional study, it was aimed to investigate the knowledge and attitudes of pediatricians about HPV vaccine. Method: A questionnaire consisting of 18 questions about HPV disease and vaccine was applied to pediatricians working in our hospital via face-to-face interviews. Demographic characteristics, duration of their working in the field of pediatrics, and some questions and suggestions about HPV disease and vaccine were included in the questionnaire. Results: Ninety-eight (66.6%) out of 147 pediatricians participated in the questionnaire survey..The median age of the participants was 30.5 years (min-max: 25-66), and they were consisted mostly (70.4%).of female pediatricians. In terms of distribution of their academic positions, 54 (55.1%) of them were working as pediatric residents. Only 15.3% of the participants had received HPV vaccine. When questions about the vaccine were analyzed, 94.9% of the participants knew that the HPV vaccine was not included in the national vaccination schedule, 64.3% knew the recommended vaccination age, and 84.7% knew that application gender of the vaccine. Some ( 60.2%) participants recommended HPV vaccine to their patients. When pediatricians were asked why they did not recommend the vaccine, according to their responses, the most important factor was the fact that had not sufficient knowledge about the vaccine (14.3%) and had not encountered a patient within the indication (14.3%).The vaccine recommendation rates of the vaccinated physicians were statistically significantly higher than unvaccinated physicians (p=0.028).There was no statistically significant difference between medical experience and recommendation for HPV vaccine beforehand and knowing the names of HPV vaccines (p=0.316, p=0.414, respectively). Conclusion: Although the overall attitude towards HPV vaccination was generally positive in our study, additional training should be provided to both pediatricians and healthcare professionals in order to achieve higher HPV vaccination coverage rates in Turkey.

Knowledge and Attitude of Pediatricians with Regard to Emergency Management of Dental Avulsion- A Survey

Dental trauma is a very significant problem encountered in both primary and the permanent dentition.Inpreschool children the trauma rate is as high as 18% of all injuries. Among all facial injuries, dental injuries arethe most common of which avulsions occur in 1–16% of all dental injuries. Among dental traumatic injuries,avulsion results in major functional and esthetic disturbances for patients. Epidemiological studies revealedthat children from 8 to 12 years often suffer a dental injury.The teeth most commonly avulsed in both theprimary and the permanent dentition are the maxillary central and lateral incisors. The longer the avulsedtooth is out of its socket, the less likely it will remain in a healthy functional state after replantation. Theprognosis of replanted permanent teeth depends primarily on (i) prompt and appropriate first care, commonlyprovided by non-health professionals at the site of the accident, (ii) the storage media of the avulsed toothprior to replantation, and (iii) the viability of periodontal ligament remnants on the root surface. Researchhas shown that immediate replantation is the best and most appropriate treatment for the traumaticallyavulsed permanent teeth.The aim of this study is to assess the basic knowledge of dental trauma and its management amongpediatricians

Assessment of Paediatricians' Oral Health Knowledge, Behaviour, and Attitude in the United Arab Emirates.

Aim Paediatricians' oral health knowledge is essential for early detection of disease, appropriate advice, and proper referral. Therefore, this study aimed to evaluate the knowledge, behaviour, and attitude of paediatricians practicing in the United Arab Emirates (UAE) regarding children's oral health. Study Design. Cross-sectional survey. Methods A questionnaire consisting of 16 questions was completed after piloting by a sample of randomly selected registered UAE paediatricians. Scores of knowledge (out of 9), behaviour (out of 4), and attitude (out of 3) were calculated. Statistical analysis was performed using Shapiro–Wilk, Mann–Whitney U, and Kruskal–Wallis tests. Statistical significance was set as P < 0.05. Results A total of 185 surveys were completed. Nearly half of the paediatricians (95 (51.4%)) identified the appropriate age for child's first dental visit; while 88 (47.6%) believed that the appropriate age to start brushing was after the eruption of the primary molars (2-3 yrs), and 132 (71.4%) believed that the ideal time to give sugary snacks is in between meals. 123 (66.5%) participants said that they would prescribe antibiotics to treat local dental sepsis without fever. Experienced paediatricians and those trained in Western countries had significantly better knowledge about oral health (P values 0.040 and 0.031 consecutively). The scores of attitude, behaviour, and knowledge were correlated, and a positive relationship between the scores of knowledge and behaviour was found (r = 0.241, P=0.001) and between scores of attitude and behaviour (r = 0.197, P=0.007). Conclusions The results demonstrated a general lack of knowledge of oral health aspects by UAE paediatricians. Furthermore, continuous education in the subject is recommended.

A cross sectional survey in paediatricians pertaining to management of functional gastrointestinal disorders in infants: Indian perspectives

Background: Functional gastrointestinal disorders (FGIDs) in infants and toddlers possess extensive burden to the parents and healthcare professionals. Guidelines addressing the practices in diagnosis and management of FGIDs in infants in Indian subcontinent is unavailable. Hence this study assessed current knowledge, attitude and practice of pediatricians in diagnosis and treatment of FGIDs.Methods: A cross-sectional survey based on a structured questionnaire assessed pediatrician’s knowledge about prevalence and profile of most common GI disorders in pediatric age groups (birth to 12 months), association of FGIDs with different feeding practices, impact of FGID on quality of life, various management options and physician preferred method of treatment.Results: Colic was rated as the most common GI disorder, followed by gassiness/fussiness, regurgitation and constipation. About 59% pediatricians come across FGIDs more in formula-fed infants compared to breastfed infants (4.2%) and 93.9% pediatricians affirm that FGIDs affect quality of life. Approximately 91% pediatricians believed reassurance and education was the best management option, which was also reported as the preferred mode of management by about 89% pediatricians, whereas pharmacological therapies were the least preferred (1.6%). For breastfed infants suffering with regurgitation, colic or constipation, majority pediatricians opted for switching to 100% whey partially hydrolysed protein formula; sequentially followed by use of pre/probiotics and switch to extensively hydrolyzed protein formula.Conclusions: Parental education and reassurance offer an ideal mode of management of FGIDs. Partially hydrolysed protein formula may be considered one of the best management options irrespective of the FGID condition in infants who are breastfeed.