Hygiene Education Research Articles

Prosthetic management of peri-implantitis: Analyzing risk factors and advancing preventive strategies

Dental implantology has transformed restorative dentistry by providing effective solutions for tooth replacement. However, challenges like peri-implantitis, involving inflammation and bone loss around dental implants, have emerged. This article explores the prosthetic management of peri-implantitis, emphasizing risk analysis and preventive strategies. Peri-implantitis's definition, clinical signs, and causes are outlined, encompassing local and systemic risk factors. Prosthodontists play a key role in removing prosthetic components, enabling thorough treatment. Mechanical and chemical methods for implant surface debridement are highlighted, focusing on infection removal and tissue healing. Preventive measures, such as patient evaluation, hygiene education, and treatment planning, are crucial for pre- and post-implant placement. Structured maintenance schedules, interdisciplinary collaboration, and customized prosthetic designs are pivotal in preventing recurrence. This comprehensive approach ensures implant longevity and elevates implant dentistry standards.

Health Science Students' Perceptions of Hand Hygiene Education and Practice in a South African University: Introducing the University Hand Hygiene Improvement Model.

Hand hygiene serves as a critical preventative measure against the spread of acquired infections in healthcare facilities and is an integral component of patient safety programs. While healthcare students in training are typically introduced to the principles underlying hand hygiene, the translation of this understanding into practice is often lacking, and compliance has remained low. This study aimed to evaluate health science students' in biomedical sciences, chiropractic and emergency medical care, environmental health, complementary medicine, medical imaging and radiation sciences, nursing, optometry, podiatry, and sports and movement studies perceptions regarding hand hygiene education (knowledge and attitude) and practice at a university in South Africa. Consenting students were asked to complete an online questionnaire that tested their knowledge, practices, and skills in handwashing. The ANOVA analysis results suggested significant differences in hand hygiene scores across departments and years of study. The multiple regression analyses confirmed these findings, suggesting that the department of study significantly influenced all aspects of hand hygiene, while the year of study affected hand hygiene skills, and age group influenced hand hygiene practices. Based on these findings, a conceptual model, the University Hand Hygiene Improvement Model (UHHIM), was proposed to enhance the teaching and learning of hand hygiene at the university level. The model underscores the necessity of targeted education, continuous monitoring, and feedback, and the pivotal roles of hand hygiene facilitators and student participation in enhancing hand hygiene behaviors.

Lichen Simplex Chronic Skin Problems in Diabetes Mellitus Patient: A Case Report

Diabetes mellitus is an endocrine, metabolic disease that can occur in all ages and socioeconomic groups. Uncontrolled diabetes mellitus can cause various complications. One of them is the manifestation of the skin. Chronic lichen simplex in diabetes mellitus patients was reported in cases with uncontrolled blood sugar levels greatly affecting chronic skin lesions in patients. Controlled sugar levels and appropriate topical therapy and psychological management in patients are expected to provide better output and prognosis. The patient came with complaints of itchy, red and painful wounds on both legs, accompanied by a fever for 7 days, Previously the patient often had numbness and tingling in the upper and lower extremities. Patients often scratch their skin, resulting in wounds that then dry out and thicken. The patient also has the comorbid disease of Diabetes mellitus. Complaints have been recurring frequently and have been felt for more than the last 2 years. Itching often recurs, especially when you think about something a lot and when you are resting. Based on the dermatological examination, the results showed that on both lower limbs, there were non-layered smooth white scaly lesions, lichenification accompanied by hyperpigmentation, the size of the plaques had indistinct boundaries, there was slight edema and erythema, multiple erosions with black crusts on the surface of the lesion were not easily removed. Diabetes mellitus is associated with dermatologist disorders. Early recognition of initial cutaneous changes such as xerosis, hyperkeratosis, or skin infections by appropriate management could help reduce late or severe complications of diabetes. Although most dermatological conditions require specific treatment, the most important rule is to improve blood glucose levels control in patients. Education in treatment, hygiene, emotional stress and lifestyle changes are important for improving the quality of life for patients with diabetes mellitus.

Effect of dental hygienists' self-efficacy on intention to provide dental care to autistic individuals.

The study aimed to investigate the influence of dental hygiene providers' self-efficacy and the factors affecting self-efficacy on their intent to provide care for autistic individuals. A cross-sectional survey was conducted using a nonprobability sample of dental hygienists (n=1075), yielding a completion rate of 70.6%. The survey included validated measures to assess participants' demographics, autism training and experience, autism knowledge, self-efficacy, environmental factors, and intention to treat the autistic population. Participants' self-efficacy scores (r=0.416; p<.001) and support from dental offices (r=[0.174; 0.465]; p<.001) had the greatest influence on intent. Clinicians who had more experience treating (r=0.280; p=.005) and received more hours of training/education on treating autistic patients (r=0.344; p<.001) showed a stronger inclination to provide care to this population. Notably, autism knowledge had a weaker impact on intent when compared to self-efficacy and training/education. Autism-focused education and training have a positive effect on provider self-efficacy when caring for autistic individuals. Increased emphasis on such interventions is necessary at all levels of dental hygiene education. The findings from this study can help overcome barriers to preventive dental care for the autistic community.

Evaluation of a protocol to assess a novel artificial biofilm equivalent for dentures-A prospective clinical pilot study.

This pilot study aimed to carry out preliminary tests of the removability of an artificial biofilm equivalent (ABE) and to verify the reproducibility of the ABE testing protocol for a planned main study. There is a lack of data to develop suitable artificial biofilm substitutes, which may be helpful to perform denture hygiene education and to carry out in vitro examinations of oral hygiene products. This single-group, prospective, longitudinal, interventional pilot study was conducted in Dresden (Germany) from February until December 2020. Participants were recruited who wore fully functional upper complete dentures. Denture biofilm was grown on acrylic specimens by wearing dentures for 12 h and 36 h using intraoral appliances. Acrylic specimens were coated with ABEs of three compositions: chitosan (ChS) 0.3 g, methylcellulose (MC) 1.7 g; ChS 0.2 g, MC 1.8 g; ChS 0.1 g, MC 1.9 g (labelled 1.7MC, 1.8MC and 1.9MC, respectively). All specimens underwent standardised mechanical brushing. The percentages of remaining biofilm (POB) were measured. Thirty-one participants were prescreened, and eight (26%) were included. The appliances were well tolerated, and biofilm was collected. ABE was prepared and brushed as planned. Three and six brushing strokes were needed to remove 12-h and 36-h natural denture biofilm, respectively. Correspondingly, three brushing strokes were needed to remove 1.9MC ABE and six brushing strokes to remove 1.8MC and 1.7MC ABE. A reproducibility of ABE removal was indicated. The removability of ABE and the ABE testing protocol were feasible and reproducible for conducting the future main study.

Colour-blind racial attitudes in entry-level dental hygiene students in Virginia.

Subscribing to colour-blind racial attitudes may contribute to inequities in the delivery of oral care and affect treatment of diverse patients. The purpose of this study was to survey all entry-level dental hygiene students in one state to determine colour-blind racial attitudes. After IRB approval, a convenience sample of 220 dental hygiene students in all entry-level programmes in Virginia were invited to participate in this cross-sectional study. The Colour-Blind Racial Attitudes Scale (CoBRAS), an effective, validated measuring instrument, was used to quantify unawareness of contemporary racist ideals. Three subscales (Racial Privilege, Institutional Discrimination and Blatant Racial Issues) were also measured by the survey. Descriptive statistics, separate one-way between-subjects ANOVA and independent samples t-tests were used to analyse the data. One-hundred and sixty (n = 160) dental hygiene students completed the survey. Independent samples t-tests revealed statistically significant differences when comparing year in programme and programme type. Participants in their second year of dental hygiene education had significantly lower overall CoBRAS scores compared to those in their first year of education (M = 50.76, M = 59.13, respectively; p = 0.004). Participants enrolled in a baccalaureate dental hygiene (B.S.) programme had significantly lower overall CoBRAS scores compared to those enrolled in an associate (A.S.) programme (M = 50.53, M = 59.54, respectively; p = 0.002). Participants possessed moderate levels of colour-blindness, suggesting a need for more awareness and training early in dental hygiene education to increase delivery of culturally competent oral healthcare.

Роль родителей в гигиеническом и половом воспитании детей и подростков

The issue of protecting reproductive health is closely related to the childen’s and adolescents’ awareness of the negative impact of early sexual activity and pregnancy, as well as sexually transmitted diseases. At the same time, awareness of parents involved in raising children is poorly understood. The study was aimed to estimate the parents’ competence (awareness) in the field of children’s sexual and hygienic education by conducting a webinar and an online questionnaire survey. Parents were surveyed in 2022–2023. A psychologist conducted the webinar, after which the online questionnaire survey was carried out in order to assess the effectiveness of the webinar as a relevant tool to improve the parents’ competence. It was found that almost all parents believed it was necessary to discuss the issue of sexual education with children, however, among them only 64.4% actually addressed the issue. Parents had no consensus on the age of starting sexual education in children. The main difficulties in communication with children were shyness, insufficient knowledge and the lack of methods to inform the child. According to 91% of women and 66% of men, the webinar conducted by psychologist was the best method to improve the parents’ competence. It appeared to be informative for 90% of parents. The joint efforts of parents, doctors, psychologists, and teachers are the solution to the problem of sexual and hygienic education. Furthermore, informational and educational work with parents and the family is important, since the child’s sexual and hygienic education is started since early age.

Preliminary Perceptual Findings of Singing After Flow Phonation Voice Exercises for Singers in Training

Goals of voice therapy and vocal pedagogy share similar principles and therefore, therapy approaches designed to improve the disordered voice may be equally effective when used to enhance healthy voice and vice versa. The purpose of this study was to investigate the effects of flow phonation voice exercises on vocal characteristics of students in undergraduate vocal music training programs and examine their potential use in vocal pedagogy. A total of 10 cis females were recruited and were randomized into two groups: an experimental group (group 1, n=6) receiving five sessions of flow phonation intervention across 5weeks; and a control group (group 2, n=4) that did not receive any direct intervention other than vocal hygiene education. Participants provided data pertaining to auditory perception, subjective respiratory measures, voice-related quality of life, and vocal fatigue before and after 5weeks. Flow phonation exercises consisted of cup bubble blowing, gargling, and stretch and flow. Wilcoxon signed ranks test was administered to compare outcomes across time points and between groups. Data indicate statistically significant changes in auditory perception of the singing voice, and voice-related quality of life for the group that received flow phonation exercises alone. No other measures showed statistical significance. Overall, this study indicates that the use of flow phonation voice exercises has the potential to improve voice instruction within the voice studio. While our target enrollments were not met to achieve optimal statistical power, our hypotheses were at least partially supported. In particular, positive intervention-related changes were observed in self-perceived voice handicap, and auditory perception of singing which were not observed in the control group.

Evaluation of the effectiveness of sleep hygiene education and FITBIT devices on quality of sleep and psychological worry: a pilot quasi-experimental study among first-year college students.

College students report disturbed sleep patterns that can negatively impact their wellbeing and academic performance. This study examined the effect of a 4-week sleep hygiene program that included sleep education and actigraph sleep trackers (FITBITs) on improving sleep quality and reducing psychological worry without control group. A pilot quasi-experimental design, participants were randomly selected medical and health sciences from a university students in the United-Arab-Emirates. Students were asked to wear FITBITs and log their daily sleep data and completed the Pittsburgh Sleep Quality Index (PSQI) and Penn State Worry Questionnaire (PSWQ). Extensive sleep hygiene education was delivered via lectures, a WhatsApp group, and the Blackboard platform. In total, 50 students completed pre-and post-assessments and returned FITBIT data. There was a significant difference in the prevalence of good sleep postintervention compared with pre-intervention (46% vs. 28%; p = 0.0126). The mean PSQI score was significantly lower post-intervention compared with pre-intervention (6.17 ± 3.16 vs. 7.12.87; p = 0.04, Cohen's d 0.33). After the intervention, subjective sleep quality, sleep latency, and daytime dysfunction were significantly improved compared with pre-intervention (p < 0.05). In addition, FITBIT data showed total sleep time and the number of restless episodes per night were significantly improved postintervention compared with pre-intervention (p = 0.013). The mean PSWQ score significantly decreased from pre-intervention to p = 0.049, Cohen' d = 0.25. The correlation between PSQI and PSWQ scores was significant post-intervention (β = 0.40, p = 0.02). Our results may inform university educational policy and curricular reform to incorporate sleep hygiene awareness programs to empower students and improve their sleep habits.

ИНФОРМАЦИОННОЕ ПРОСТРАНСТВО КАК ЭЛЕМЕНТ ПРОФИЛАКТИКИ СТОМАТОЛОГИЧЕСКИХ ЗАБОЛЕВАНИЙ У ПАЦИЕНТОВ ДЕТСКОГО ВОЗРАСТА

Subject. Digital technologies and information resources in the prevention of dental diseases in children's patients and their implementation in the activities of dental medical organizations of the Republic of Tatarstan.&#x0D; The aim. To develop an information resource for children and their parents on the prevention of dental diseases in children's patients.&#x0D; Results. The main method of influencing the patient is individual preventive counseling. Hygienic education and upbringing should be strictly differentiated by purpose and content, depending on the age of children. However, pediatric dentists have difficulties in teaching the patient and their parents hygiene skills. For example, this may be due to the lack of free time for parents to listen to information from a doctor about the prevention of dental diseases. Parents receive information from the Internet and social groups without thinking about the correctness of the information received and the availability of a scientific approach. The authors have developed a software product for patients of dental medical organizations of children's profile, in which the space is divided by age: from 0 to 17 years.&#x0D; Conclusions. Despite the scaling up and implementation of preventive measures, the intensity of caries and its increase in many regions of the Russian Federation is at a fairly high level. The lack of information received at the clinical reception, the psycho-emotional component of the child's behavior, the lack of a scientific approach in the Internet information networks lead to low effectiveness of prevention programs. That is why one of the main directions in healthcare is the prevention of diseases, as well as the formation of a healthy lifestyle for both adults and children. The use of the developed product provides various advantages both for the dental medical organization and for patients and their parents. But most importantly, this will increase the effectiveness of preventive measures in children's patients.

Period Poverty: An Added Poverty In Humanitarian Crisis.

The term 'period poverty' is broadly used, indicating an individual's need for menstrual products without sufficient funds to purchase them (1). Period poverty is defined as “a lack of access to menstrual products”. More than half of the world's population are menstruating people; therefore in a situation specifically during a humanitarian crisis, high-period poverty becomes challenging (2). Period poverty, like other types of poverty, is a worldwide issue and it is frequently used when people are unable to access menstrual products due to their low socioeconomic level. These items could include sanitary napkins, inner garments, and other hygiene items. It can significantly impact an individual's life, but the stigma surrounding periods poses a greater threat to women's health because it discourages people from discussing it. Several factors, including hygiene facilities, waste management, and education, pose physical, mental, and emotional challenges for numerous women. More than half of the world's population menstruates; therefore, high-period poverty becomes a challenge, especially during humanitarian crises (2). It is usually observed that adolescents and young women are frequently underrepresented populations in humanitarian settings, particularly in times of conflict like forced displacement, armed conflict, or natural catastrophes. Wherever a disaster strikes, search and rescue teams prioritize helping those evacuated to shelters and supporting efforts to provide basic necessities like food and water. As a result, other urgent needs of displaced populations, particularly displaced girls and women, may be overlooked (4). It has been observed from the global humanitarian crises, that menstruation and hygiene products such as wipes, soaps, and other menstrual products were the most important things they needed at that time (5). During the recent floods (June- Aug 2022) in Pakistan, over 33 million people were affected, and over 6.4 million required humanitarian assistance. Approximately 634 thousand people were compelled to reside in camps. Access to healthcare facilities, personnel, and essential medications and medical supplies was restricted (6)More than eight million women of reproductive age affected by floods took extreme measures to manage their periods, such as one woman who described how she had to use tree leaves during her period. (7). Post-disaster relief and rehabilitation operations rarely prioritize the menstrual hygiene needs of women. Nonetheless, there is a growing awareness of the importance of integrating comprehensive, participatory, and gender-sensitive approaches into response programs with a focus on meeting the needs of women (8). ---Continue

Water, Sanitation, and Hygiene Policies and the Enhancement of Quality Education in Lower and Upper Basic Schools within Region One Education Directorate, The Gambia

This study focused on the importance of School Water, Sanitation, and Hygiene (WASH) policy in enhancing the quality of education in Lower and Upper Basic Schools within Region One Education Directorate of The Gambia. The study utilised a mixed-methods approach, combining qualitative analysis of policy documents with quantitative data obtained from questionnaires administered to head teachers. The Human Rights-Based Approach (HRBA) and Systems Thinking provide valuable theoretical lenses to analyse the lack of WASH policies. The HRBA emphasises the recognition of WASH as a fundamental human right, while the Systems Thinking approach considers the interconnectedness and complexity of the WASH system. The findings indicated that a significant number of schools in the region lack a WASH policy or rely on general directives, leading to inconsistent approaches and practices in addressing WASH issues. This inconsistency results in inadequate provision of WASH facilities, ineffective hygiene education, and a lack of clear learning objectives for students. The absence of WASH-related guidance in key school management tools and policy documents further exacerbates the challenges. The study highlighted the need for a comprehensive School WASH policy to oversee, regulate, and provide guidance for the implementation of WASH standards in educational institutions. Recommendations included developing and implementing a comprehensive School WASH policy, enhancing the curriculum framework to ensure the coverage of WASH topics, providing clear guidelines and resources, incorporating WASH into policy documents, conducting capacity-building and awareness programmes, and establishing a robust monitoring and evaluation system.

Soil-transmitted helminths: A critical review of the impact of co-infections and implications for control and elimination.

Researchers have raised the possibility that soil-transmitted helminth (STH) infections might modify the host's immune response against other systemic infections. STH infections can alter the immune response towards type 2 immunity that could then affect the likelihood and severity of other illnesses. However, the importance of co-infections is not completely understood, and the impact and direction of their effects vary considerably by infection. This review synthesizes evidence regarding the relevance of STH co-infections, the potential mechanisms that explain their effects, and how they might affect control and elimination efforts. According to the literature reviewed, there are both positive and negative effects associated with STH infections on other diseases such as malaria, human immunodeficiency virus (HIV), tuberculosis, gestational anemia, pediatric anemia, neglected tropical diseases (NTDs) like lymphatic filariasis, onchocerciasis, schistosomiasis, and trachoma, as well as Coronavirus Disease 2019 (COVID-19) and human papillomavirus (HPV). Studies typically describe how STHs can affect the immune system and promote increased susceptibility, survival, and persistence of the infection in the host by causing a TH2-dominated immune response. The co-infection of STH with other diseases has important implications for the development of treatment and control strategies. Eliminating parasites from a human host can be more challenging because the TH2-dominated immune response induced by STH infection can suppress the TH1 immune response required to control other infections, resulting in an increased pathogen load and more severe disease. Preventive chemotherapy and treatment are currently the most common approaches used for the control of STH infections, but these approaches alone may not be adequate to achieve elimination goals. Based on the conclusions drawn from this review, integrated approaches that combine drug administration with water, sanitation and hygiene (WASH) interventions, hygiene education, community engagement, and vaccines are most likely to succeed in interrupting the transmission of STH co-infections. Gaining a better understanding of the behavior and relevance of STH co-infections in the context of elimination efforts is an important intermediate step toward reducing the associated burden of disease.

Food safety knowledge among 7th-grade middle school students: A report of a Brazilian municipal school using workshop-based educational strategies.

Practical methodologies that include food safety and hygiene education in pedagogical activities are strategies to prevent foodborne diseases (FBDs). Thus, the aim of this study was to investigate the knowledge of 7th-grade middle school students regarding food microbiology and food safety, and to apply workshop-based educational strategies that focus on scientific literacy. The students (144) were initially evaluated using a Likert-scale questionnaire (pre-intervention, Q0) with ten objective questions on microbiology and food safety. Once the questionnaire was evaluated, interventions were conducted through five science workshops of 50 min, over a period of 5 months. The workshops included educational games, laboratory practices, videos, and lectures that addressed microorganisms that are known to cause the most common FBDs in Brazil. After each workshop, students were asked to express their opinions and understanding of the content through semi-structured interviews. Six months after the end of the practical interventions, the students completed a second identical Likert-scale questionnaire (post-intervention, Q1), and the answers to both questionnaires (Q0 and Q1) were analyzed by calculating the middle rank. The middle rank of Q1 (mean = 0.65 ± 0.13) was 21% greater than the middle rank of Q0 (mean = 0.44 ± 0.16), and statistical significance was observed (p = .0135). This demonstrates that new information acquired during the workshops positively influenced learning. We believe that when practical approaches to food safety are included in school education as a priority, the prevalence of FBD will decrease.

Assessment of sleep quality and its factors among clinicians working in critical care units and operation theaters at North West Ethiopia, 2022: a multicenter cross-sectional study.

The objective of this study was conducted for the purpose of assessing the quality of sleep and associated factors among clinicians working in the critical care unit and operation theater. A cross-sectional study was conducted from 15 May to 15 June 2022. Data were collected using a self-administered questionnaire from 421 clinicians selected by simple random sampling techniques. Sleep quality was measured by the Pittsburg sleep quality index. The data were entered into Epi-data and exported to SPSS. Frequency and percentage were used for the descriptive analysis. Binary and multivariate logistic regression analysis were used to identify factors associated with poor quality of sleep. The strength of the association was measured with an OR within the 95% CI and P-value of <0.05. About half 220 (52.3%) of the study participants age between 25 and 30 year old and the majority 321 (76.2%) of them were males. The prevalence of poor sleeps quality was 81.5% (95% CI: 77.9-85.5). Working night shift (AOR: 3.37, 95% CI: 1.754-6.484), having depressive symptoms (AOR: 3.25, 95% CI: 1.485-7.147) and having no regular exercises (AOR: 0.299, 95% CI: 0.166-0.537) were predisposing factors for poor sleep quality. The prevalence of poor sleep quality among clinicians working in the ICU and operation room was high. Clinicians who had no regular exercise, who worked in night shift, and who had depressive symptoms were associated with poor quality of sleep. Clinicians should have an awareness on the symptoms of depression, implement sleep hygiene education programs and promoting regular exercise. The authors recommend healthcare policy makers for improving working schedules.

One-week sleep hygiene education improves episodic memory in young but not in older adults during social isolation.

Memory formation is a dynamic process that comprises different phases, such as encoding, consolidation and retrieval. It could be altered by several factors such as sleep quality, anxiety, and depression levels. In the last years, due to COVID-19 pandemic, there was a reduction in sleep quality, an increase in anxiety and depressive symptoms as well as an impairment in emotional episodic memory encoding, especially in young adults. Taking into account the profound impact of sleep quality in daily life a series of rules has been developed that are conducive to consistently achieving good sleep, known as sleep hygiene education. These interventions have been shown to be effective in improving sleep quality and duration and reducing depressive and anxiety symptoms. Here we propose the implementation of a brief sleep hygiene education to improve sleep quality and memory performance as well as to diminish anxiety and depressive scores. For that, participants were divided into two groups: Sleep hygiene education and control group. After that, they were evaluated for anxiety, depression, and sleep quality levels and trained on an episodic memory task. They were tested immediately after (short-term test) and also 1 week later (long-term test). This procedure was also performed before the sleep hygiene education and was taken as baseline level. We found that episodic memory performance for young adults improved for the SHE group after intervention but not for older adults, and no improvements in emotional variables were observed. Despite not observing a significant effect of the intervention for young and older adults regarding the sleep quality scores, we consider that there may be an improvement in sleep physiology that is not subjectively perceived, but would also have a positive impact on memory processes. These results show that even a sleep hygiene education of 1 week could improve cognition in young adults when acute memory and sleep impairment occurs, in this case, due to the isolation by COVID-19 pandemic. However, we suggest that longer interventions should be implemented for older adults who already experience a natural decline in cognitive processes such as episodic memory formation.

Dental Caries Risk Assessment in Primary School Children Aged 11 to 12 years: Case of Nyarugenge District, Rwanda

BackgroundDental caries in children is a public health concern affecting 60-90% of children worldwide. Dental caries perturbs children’s eating ability, school performance as well as overall quality of life. This study aimed to determine the prevalence of dental caries and its risk factors among children aged 11 to 12 years in Nyarugenge District in Kigali, Rwanda.MethodsThe cross-sectional analytical study design involved 400 children from Nyarugenge district. By stratified sampling, we selected Gitega and Butamwa primary schools and used systematic sampling to choose the pupils into the sample. An interview and oral examination were performed. Descriptive statistics and logistic regression were done.ResultsDental caries was observed in 25.5% of children. Deep pits and fissures carried a two-fold risk of getting dental caries than children without deep pits and fissures (OR = 2.4, 95% CI = [1.5; 4.0], P-value &lt; 0.001). Dental plaque was identified as a risk factor for getting dental caries (OR=2.2, 95% CI = [1.2; 3.3], P-value: 0.01).ConclusionDental caries is a public health concern associated with poor oral hygiene, deep pit, and fissures among children aged 11 to 12 years old. Oral hygiene education, application of ART, and regular screening programs are in need.&#x0D; Rwanda J Med Health Sci 2023;6(2):113-122

Implementation of the risk-oriented model in the system of the professional hygienic training and certification in the Russian Federation (literature review)

The object of the study is the currently existing system of professional hygienic training and certification as an integral component of hygienic training and education of citizens.&#x0D; The purpose of the study is to substantiate the risk-based approach in the implementation of professional hygiene training and certification, and the attempt to integrate this legislatively fixed phenomenon into the structure of preventive measures.&#x0D; There were used the analytical method for evaluation of regulatory and legal documentation, documentation of the Federal Medical Institution “Center for Hygiene and Epidemiology in the Voronezh Region”, as well as literary sources on the subject of research of such information resources as Scopus, Web of Science, CyberLeninka, RSCI, eLibrary.RU mainly for the last 5 years (90% of the total number of cited sources). There was analyzed the experience of the existence of a risk-oriented approach in the implementation of activities in various areas (including the activities of Rospotrebnadzor bodies and subordinate institutions on the example of the Center for Hygiene and Epidemiology in the Voronezh Region), as well as to propose and test a risk-oriented model in the implementation of professional hygiene training and certification of employees in epidemiologically significant objects. The methodology of this procedure involves ranking the positions of personnel of epidemiologically significant facilities based on their attitude to the labour/technological process into 3 groups. In proportion to belonging to a particular rank group, the frequency, volume, and form of professional hygiene training and certification are reasoned. A methodology is proposed for the introduction of legally fixed components of the hygienic training system into the structure of preventive measures of Rospotrebnadzor bodies to get rid of formalization in the mode of constant monitoring of the level of knowledge of sanitary and epidemiological orientation of employees in epidemiologically significant facilities.&#x0D; Thus, the integration of the risk-oriented model into the system of hygienic training will in the future prevent a decrease in the quality of knowledge in the field of hygiene and epidemiology among employees in epidemiologically significant facilities and positively affect the sanitary and epidemiological situation in the country.

Studi Eksperimen: Edukasi Sleep Hygiene dan Terapi Kognitif Perilaku terhadap Kecanduan Gawai Remaja di Kota Jambi

Device users in Indonesia are dominated by teenagers. Excessive use of gadgets can lead to gadget addiction and the risk of experiencing mental health problems. The purpose of this study was to determine the effect of sleep hygiene education and cognitive behavioral therapy on adolescent device addiction in Jambi City. The research design used was "quasi experimental pre-post test with control group". The number of samples in this study were 130 people with 65 people in the intervention group, and 65 people in the control group. The sampling method is purposive sampling. The measurement tools used in this study were the internet addiction test (IAT) questionnaire and the sleep quality questionnaire: the Pittsburgh sleep quality index (PSQI). The statistical test used is the paired sample t-test. The results showed that there was a significant effect of providing sleep hygiene education and cognitive behavioral therapy on adolescent gadget addiction p=0.000 (p &lt;0.05) in the intervention group. Whereas in the control group which was only given sleep hygiene education there was also a significant effect p=0.013 (p &lt;0.05). Providing nursing interventions needs to be carried out for all adolescents by nurses in the community to prevent device addiction from occurring and also to help the condition of adolescents who are addicted to devices.

Tinea Corporis Et Cruris

MS, a 15-year-old boy, ethnic Acehnese, address Paya Bakong with number RM 024395, was taken by his parents to the skin and genital polyclinic at Cut Meutia Hospital on Monday, 10 October 2022. Autoanamnesis was carried out with the elderly, the patient found that the main complaint was reddish spots, scaly, well defined with active lesion edges and central healing, accompanied by itching in the abdominal area, since 2 months ago. A reddish spot appears with white scales the size of a coin on the stomach, the spot gradually grows wider and grows to the size of a palm. Then the spots also appeared on the hands, left leg and left groin. The red spots feel very itchy, especially when sweating and hot air and get better after bathing. According to the patient, itching is not affected by the food consumed every day. The patient only noticed a reddish spot 2 months ago, which prompted him to see a doctor. The patient lives in a dormitory because he attends a boarding school. History of bathing and changing clothes 2 times a day, towels are used alone and the clothes that the patient often uses are shirts and frequent outdoor activities. The patient said that he often sweats profusely, but does not immediately change his clothes. Dermatological status in the lateral abdominal region dextra et sinistra et manus sinistra et inferior extremitas sinistra et cruris sinistra shows hyperpigmented erythematous macule-patches, firm boundaries, multiple, irregular with active edges and central healing, nummular-plaque size, partly covered with medium scale with a white layer. Based on history, physical examination, dermatology, the working diagnosis in this patient is tinea corporis et cruris. Treatment was given oral drug itraconazole 2x100 mg and miconazole cream 15gr 2x1 applied in a thin layer. As well as being given an explanation of the disease, its causes, treatment options, prevention and education for body hygiene, not using clothes towels with other family members.