Total Number Of Visits Research Articles

Association of Questionnaire-Assessed Fall Risk With Uncontrolled Blood Pressure and Therapeutic Inertia Among Older Adults.

Therapeutic inertia (TI), or failure to escalate or initiate BP lowering medications when BP is uncontrolled, increases with advancing age and may in part be due to perceived fall risk. This study examined the association of a fall risk assessment, based on patient response to three questions administered by trained staff, with uncontrolled BP (≥140/90mmHg) during a clinic visit and with TI during clinic visits with uncontrolled BP among 13893 patients age ≥65 years corresponding to 41122 primary care visits. Separate generalized linear mixed effects models were used to examine the association of fall risk (low, moderate, and high) with uncontrolled BP and with TI at a clinic visit after adjustment for demographics, comorbidities, and total number of visits. Baseline mean age was 73.0 years (standard deviation [SD] 5.6), 43.3% were men and questionnaire-assessed fall risk severity was low in 73.6%, moderate in 14.3%, and high in 12.2%. Compared to low fall risk, the adjusted odds of uncontrolled BP during a clinic visit were 0.97 (95% CI: 0.89, 1.06) and 0.90 (95% CI: 0.82, 0.98) with moderate and high fall risk, respectively. In contrast, adjusted odds of TI during a clinic visit with BP ≥140/90mmHg was 1.16 (95% CI: 1.01, 1.34) and 1.30 (95% CI: 1.11, 1.52) with moderate and high fall risk, respectively, compared to low fall risk. These findings suggest that perceived fall risk severity may be one of several factors that influence hypertension management in older adults.

The use of visual and olfactory cues by adult Spodoptera frugiperda (Lepidoptera: Noctuidae) while foraging.

The fall armyworm Spodoptera frugiperda (J.E. Smith; Lepidoptera: Noctuidae) is a notorious invasive insect pest. It is very important to understand the foraging behavior of this pest to develop more effective lures to monitor the immigration of this pest. In this study, the use of visual and olfactory cues in the foraging behavior of S. frugiperda was investigated through an attraction experiment in which color (produced from 8 different colored artificial flowers), odor (produced from honey water), and odorous color (produced from artificial flowers supplemented with honey water) were used. When we used 8 different colors to elicit adult responses, S. frugiperda showed a significant color preference despite limited activity (i.e., the total number of visits to the attractant), with black being the most preferred color, followed by orange preferred by both sexes and blue and green preferred only by females. When honey water was used as an attractant, S. frugiperda had relatively greater odor activity than color activity. When we sprayed the artificial flowers with honey, S. frugiperda showed even greater activity in terms of odor color than in terms of color or odor. Compared with male S. frugiperda, female adult S. frugiperda presented greater activity in response to all types of attractants. These findings suggest that S. frugiperda adults rely primarily on olfaction for foraging, with vision as a secondary sense, and that the combined use of olfactory and visual cues increases foraging efficiency. These results provide reference data for designing trapping strategies to monitor and control S. frugiperda.

Factors that Influence Recovery From Concussion in Young Children and Preadolescents

Objective: To examine differences in the presentation and management of concussion in younger children (aged 4–8 years) versus preadolescents (9–12 years) and identify factors that influence recovery time. Design: Retrospective analysis of prospectively collected data. Setting: Pediatric sports medicine and orthopedics clinic. Patients: Three hundred seventy-five patients aged 4 to 12 years diagnosed with concussion between 2020 and 2022. Independent Variables: Age, gender, race/ethnicity, mechanism of injury (sport vs nonsport related), neurodevelopmental or psychiatric diagnosis, concussion history, Post-Concussion Symptom Scale (PCSS) score, and Vestibular Ocular Motor Screening (VOMS) overall change scores. Main Outcome Measures: Days since injury (DSI) to initial visit, total number of visits, recovery time (days). Results: Groups significantly differed in DSI (P = 0.01) and overall VOMS change score (P = 0.03). No differences were observed between groups on total number of visits or recovery time. Patients with fewer DSI [odds ratio (OR) = 1.15], less change in overall VOMS score (OR = 1.02), lower PCSS scores (OR = 1.02), and who were injured in sport were less likely to experience a protracted recovery. Conclusions: Younger children with concussion may be appropriately treated with a similar approach to preadolescent patients despite greater DSI and differences in VOMS change scores, without sacrificing overall recovery time. Consistent with research in older cohorts, protracted recovery was seen in nonsport patients, and patients seen sooner at a specialty concussion clinic were less likely to experience a protracted recovery, endorsed lower PCSS scores, and had lower overall VOMS change scores. Further research is needed to solidify a child-specific paradigm to concussion management.

Impact of family engagement on client participation in coordinated specialty care for first episodes of psychosis

BackgroundCoordinated specialty care (CSC) programs for first episodes of psychosis are increasingly offered in the United States. A component of CSC programs is active family engagement in treatment, though research on the impact of this engagement is limited. This study examined the characteristics of families engaged compared to families not engaged in treatment, and the impact of family engagement on client participation and medication adherence over the first 6 months of treatment.MethodsUsing data from the Early Psychosis Intervention Network (EPINET) research hub in Minnesota (EPI-MINN), we compared two groups of individuals: clients who had a family member(s) engaged in their treatment vs. clients who did not. Family engagement was defined as any treatment services provided to a family member(s) by CSC clinical staff. The groups were compared on intake demographic variables, duration of untreated psychosis (DUP), hospitalizations, symptom severity, and functioning. A comparison of the total number of treatment visits during the first 6 months of treatment was tested using both nonparametric (Mann Whitney U) and parametric (ANCOVA) tests. Group comparisons on self ratings of “intent to attend visits,” “intent to complete the program,” and medication adherence were tested with ANCOVA and Chi-Square.ResultsFamily-engaged clients were younger, with less years of education, and more often White; clients without family engagement were more often Black. Family engagement was positively associated with increased total number of visits for all interventions with the exceptions of client peer support and case management visits. Family engagement increased clients’ self-reported intent to attend visits, though not intention to complete the program, which was moderately to markedly high in both groups. No differences were noted with medication adherence, with high rates of adherence across the entire study sample.ConclusionsOverall, results of the study support the benefits of family engagement in CSC on client participation, though future research is needed to understand why Black families are less engaged and what treatment adaptations are needed to reduce these racial differences. The results also support the value of CSC programs for medication adherence, a critical factor in symptom reduction and mental health recovery.

Homeward Stroke Recovery: Results of a Home Rehabilitation Program

Evaluate the feasibility of a homeward stroke recovery (HSR) program by measuring functional outcomes, intervention fidelity, and Profit & Loss. A retrospective observational analysis of 23 stroke survivors discharged to a home healthcare (HHC) program offering early and intensive rehabilitative therapy within 24 hours of index hospitalization. Functional outcomes include timed up-and-go, transfer functional independent measures, and Barthel Index. Clinical outcomes are mortality, all-cause 30-day hospital readmission, and fall rates. Process measures consist of time-to-first HHC visit, number of physical therapy (PT) and occupational therapy (OT) visits from initial evaluation, and total number of visits by clinician type. Financial outcomes include average daily gross HSR revenue compared with an inpatient rehabilitation facility (IRF) stay and average daily net HSR profit. Functional outcomes significantly improved across all measures ( p < .001) without reported falls, deaths, and only one unrelated readmission. On average, HSR began within 1.6 days from hospital discharge including 4.2 PT and 3.7 OT visits within 5 days of respective initial evaluation. Patients received an average of 9.4 nursing, 9.2 PT, 6.4 OT, and 2.2 speech therapy visits. Exploratory analyses demonstrated similar functional recovery despite longer hospitalization (rs = 0.43; p = .039). Revenue per day was lower for HSR than IRF services but costs exceeded the reimbursement rates for this program. The HSR program is feasible given that patients realized significant functional improvement with negligible consequences. Reimbursement reform is necessary to sustain and scale the program. Further studies with larger sample sizes are warranted.

Doxycycline prophylaxis for the prevention of sexually transmitted infections: A systematic review and meta-analysis of randomized controlled trials

ObjectivesTo investigate the effects of doxycycline pre- and post-exposure prophylaxis (doxy-PrEP/PEP) on bacterial sexually transmitted infections (STIs) by conducting a systematic review and meta-analysis. MethodsPubMed, Embase, and CENTRAL were searched for randomized controlled trials (RCTs), including ongoing studies published until November 7, 2023. Our primary endpoint was the incidence of bacterial STIs measured as the number of visits with an STI per total number of visits. Random-effects model was used to estimate pooled effect sizes. The study was registered with PROSPERO, CRD42023478486. ResultsWe identified six eligible studies containing data from seven articles and four conference abstracts, enrolling men who have sex with men (MSM), transgender women (TGW), and cisgender women (CGW). The pooled analysis of 1,766 participants with 602 newly diagnosed STIs showed a 56% decrease in the overall STI incidence using doxy-PrEP/PEP (RR = 0.44; 95% CI: 0.30-0.65; I2 = 73%). For doxy-PEP, including MSM and TGW only, the RR observed for overall STI incidence was 0.40 (95% CI: 0.28-0.57; I² = 37%), 0.19 (95% CI: 0.08-0.44; I² = 39%) for chlamydia, 0.23 (0.14-0.36; I² = 0%) for syphilis and 0.55 (95% CI: 0.34-0.87; I² = 41%) for gonorrhea. No serious adverse events were reported in the studies. The certainty of evidence regarding the efficacy of doxy-PEP among MSM and TGW was graded as high. ConclusionDoxy-PEP significantly reduces the number of new cases of chlamydia and syphilis and is potentially effective against gonorrhea, influenced by local resistance patterns. Thus, it is a promising tool in the prevention of bacterial STIs among MSM and TGW.

Strategi Promosi Program Dokumenter Televisi “Doctive: Persona” Melalui Media Sosial Instagram

One of the success factors of a television program is program promotion. For this reason, a producer has a role to determine the right promotional strategy. The aim of this study is to create a promotional strategy for documentary programs via social media Instagram to attract attention and to provide information about the program being created to the wider public. The creation method used to create promotional content uses the Canva and Adobe Premiere applications which are used to edit video clips and make them into trailers as part of the program's promotional content. The promotional technique used is sharing content about the program through feeds, reels and Instagram stories. Based on the results of the insight review of the Instagram account used as promotional media, it was found that the total number of visits to all uploaded content was 449 visits in one week. The promotion strategy via Instagram social media is successful and it is used appropriately by sharing content in which the features provided by the Instagram can attract the public's attention.

Vaccine Hesitancy in HIV Patients Following the COVID-19 Pandemics

Introduction: The prevalence of vaccine hesitancy has been on the rise for several years in the United States leading up to the Covid19 pandemic. During the pandemic, there was controversy and media attention surrounding the effectiveness and safety of the Covid19 vaccine, with many individuals, including patients with HIV, refusing vaccination, despite evidence of its benefit. There are further concerns that patients with HIV are reluctant to receive additional vaccines that existed prior to the Covid19 pandemic. In this study, we evaluated the rate of refusal of non-Covid19 vaccines in the pre- and post-period after release of the Covid19 vaccine. Methods: We measured and compared the number of vaccines offered and refused at each visit over the total number of visits for 195 patients with HIV during a pre-Covid (approximately 18 months before the release of the Pfizer vaccine to the public on August 23, 2021) and post-Covid period (approximately 18 months after the previously mentioned date). The vaccines studied included the following: tetanus, pneumococcal, shingles, hepatitis A/B, and influenza. The data was collected using hospital records from Athena and Cerner, as well as Michigan State Records. Data was analyzed using descriptive statistics and the Wilcoxon signed ranks test. The Mann-Whitney U test, Kruskal-Wallis test and Pearson’s correlation were performed for the Covid19 vaccine statistics. In all statistical tests, a p-value less than 0.05 was taken to indicate statistical significance. Results: Collectively, there were more refusals in the period after release of the Covid19 vaccine for non-Covid19 vaccines. This was also the case for all individual vaccines, except Hepatitis A. There was an overall statistically significant difference (p <0.001) in the distribution of vaccine refusals between the pre-Covid19 and post-Covid19 period. This was observed for the Pneumococcal (p=0.026), Hepatitis B (p=0.035), and Shingles vaccine (p <0.001) respectively. The Covid19 vaccine was more likely to be refused in female patients (p=0.005), non-white patients (p=0.02), and younger patients (p=0.04, r= -0.21). Discussion/Conclusion: This study provides evidence that there is an increase in non-Covid19 vaccine hesitancy following the release of the Covid19 vaccine in patients with HIV at Ascension St. John Hospital. Given the small size of the study population and this study being an initial evaluation, more will need to be performed. This is to further test these findings in other regions of the United States.

Association between stringency of lockdown measures and emergency department visits during the COVID-19 pandemic: A Dutch multicentre study.

The COVID-19 outbreak disrupted regular health care, including the Emergency Department (ED), and resulted in insufficient ICU capacity. Lockdown measures were taken to prevent disease spread and hospital overcrowding. Little is known about the relationship of stringency of lockdown measures on ED utilization. This study aimed to compare the frequency and characteristics of ED visits during the COVID-19 outbreak in 2020 to 2019, and their relation to stringency of lockdown measures. A retrospective multicentre study among five Dutch hospitals was performed. The primary outcome was the absolute number of ED visits (year 2018 and 2019 compared to 2020). Secondary outcomes were age, sex, triage category, way of transportation, referral, disposition, and treating medical specialty. The relation between stringency of lockdown measures, measured with the Oxford Stringency Index (OSI) and number and characteristics of ED visits was analysed. The total number of ED visits in the five hospitals in 2019 was 165,894, whereas the total number of visits in 2020 was 135,762, which was a decrease of 18.2% (range per hospital: 10.5%-30.7%). The reduction in ED visits was greater during periods of high stringency lockdown measures, as indicated by OSI. The number of ED visits in the Netherlands has significantly dropped during the first year of the COVID-19 pandemic, with a clear association between decreasing ED visits and increasing lockdown measures. The OSI could be used as an indicator in the management of ED visits during a future pandemic.

DENTAL CARIES IN CHILDREN OF POLTAVA BEFORE AND DURING THE FIRST YEAR OF WAR (retrospective analysis over 20 years)

Due to the military conflict and the COVID-19 pandemic, Ukraine and the city of Poltava are facing challenges in medical services, including dentistry. Analyzing the dynamics of caries treatment in children in Poltava before and during the war is crucial for assessing the impact of wartime on the municipal dental care system. The aim of this study is to analyze the dynamics of caries treatment in children based on annual reports from the Municipal Pediatric Clinical Dental Polyclinic before and during the wartime. A retrospective analysis of the statistical reporting of the Municipal Pediatric Clinical Dental Polyclinic for the years 2002, 2012, and 2018-2022 was conducted. During the analysis, annual indicators of the Polyclinic were studied, including the total number of visits, number of primary visits, number of treated teeth due to caries and its complications in temporary and permanent teeth. Calculations included the average number of visits per person, the proportion of complicated caries in temporary and permanent teeth, and the quality indicator of complicated caries treatment. The study revealed a 51.43% decrease in clinic visits over the last 20 years. In 2022, there was a sharp increase in primary visits to 24,655, possibly due to internally displaced children. The number of filled permanent teeth increased by 25% in 2022 compared to 2021. The proportion of complicated caries in temporary teeth significantly rose from 0.23 to 0.84 from 2002 to 2022. Additionally, there was a 25% increase in the absolute values of the quality indicator of complicated caries treatment in temporary teeth from 2002 to 2012 and a 12% increase up to 2022, indicating a rise in the number of cases of treating complicated caries in temporary teeth by extraction. These findings highlight the need for further research on the war's impact on the prevalence of caries and its complications in the pediatric population. This research is crucial for developing effective strategies for the prevention and treatment of dental diseases.

The Burden of Skin Cancer in the Military Health System, 2017-2022.

This retrospective observational study investigates skin cancer prevalence and care patterns within the Military Health System (MHS) from 2017 to 2022. Utilizing the MHS Management Analysis and Reporting Tool (most commonly called M2), we analyzed more than 5 million patient encounters and documented skin cancer prevalence in the MHS beneficiary population utilizing available demographic data. Notable findings included an increased prevalence of skin cancer in the military population compared with the civilian population, a substantial decline in direct care (DC) visits at military treatment facilities compared with civilian purchased care (PC) visits, and a decreased total number of visits during COVID-19 restrictions.

Wild insects and honey bees are equally important to crop yields in a global analysis

AbstractAimMost of the world's food crops are dependent on pollinators. However, there is a great deal of uncertainty in the strength of this relationship, especially regarding the relative contributions of the honey bee (often a managed species) and wild insects to crop yields on a global scale. Previous data syntheses have likewise reached differing conclusions on whether pollinator species diversity, or only the number of pollinator visits to flowers, is important to crop yield. This study quantifies the current state of these relationships and links to a dynamic version of our analyses that updates automatically as studies become available.LocationGlobal.Time PeriodPresent.Taxa studiedInsect pollinators of global crops.MethodsUsing a newly created database of 93 crop pollination studies across six continents that roughly triples the number of studies previously available, we analysed the relationship between insect visit rates, pollinator diversity, and crop yields in a series of mixed‐effects models.ResultsWe found that honey bees and wild insects contribute roughly equal amounts to crop yields worldwide, having similar average flower visitation rates and producing similar increases in yield per visit. We also found that pollinator species diversity was positively associated with increased crop yields even when total visits from all species are accounted for, though it was less explanatory than the total number of visits itself.Main conclusionsOur analysis suggests a middle ground where honey bees are not responsible for the vast majority of crop pollination as has often been assumed in the agricultural literature, and likewise wild insects are not vastly more important than honey bees, as recent global analyses have reported. We also conclude that while pollinator diversity is less important than the number of pollinator visits, these typically involve many species, underscoring the importance of conserving a diversity of wild pollinators.

Comparing Rates of Undiagnosed Hypertension and Diabetes in Patients With and Without Substance Use Disorders.

Individuals with substance use disorders (SUDs) have increased risk for developing chronic conditions, though few studies assess rates of diagnosis of these conditions among patients with SUDs. To compare rates of undiagnosed hypertension and diabetes among patients with and without an SUD. Cross-sectional analysis using electronic health record (EHR) data from 58 primary care clinics at a large, urban, healthcare system in New York. Patients who had at least two primary care visits from 2019-2022 were included in our patient sample. Patients without an ICD-10 hypertension diagnosis or prescribed hypertension medications and with at least two blood pressure (BP) readings ≥ 140/90mm were labeled 'undiagnosed hypertension,' and patients without a diabetes diagnosis or prescribed diabetes medications and with A1C/hemoglobin ≥ 6.5% were labeled 'undiagnosed diabetes.' We calculated themean number of patients with and without an ICD-10 SUD diagnosis who were diagnosed and undiagnosed for each condition. We used multivariate logistic regression to assess the association between being undiagnosed for each condition, and having an SUD diagnosis, patient demographic characteristics, clinical characteristics (body mass index, Elixhauser comorbidity count, diagnosed HIV and psychosis), the percentage of visits without a BP screening, and the total number of visits during the time period. The percentage of patients with undiagnosed hypertension (2.74%) and diabetes (22.98%) was higher amongst patients with SUD than patients without SUD. In multivariate models, controlling for other factors, patients with SUD had significantly higher odds of having undiagnosed hypertension (OR: 1.81; 95% CI: 1.48, 2.20) and undiagnosed diabetes (OR: 1.93; 1.72, 2.16). Being younger, female, and having an HIV diagnosis was also associated with significantly higher odds for being undiagnosed. We found significant disparities in rates of undiagnosed chronic diseases among patients with SUDs, compared with patients without SUDs.

Pregnancy assistance for foreign women in Trentino Region (Northern Italy): retrospective cohort epidemiological study.

to identify any differences between Italian and foreign women in the access to prenatal care, including the number and appropriate scheduling of visits, the execution of diagnostic, blood, and microbiological tests and the use of specific healthcare services. retrospective cohort epidemiological study, based on the monitoring of current information flows. data extrapolated from the Birth Attendance Certificate information flow of the Autonomous Province of Trento (Northern Italy) between 2012 and 2016. A total of 23,165 women with data regarding citizenship were included in the analysis. outcome variables used to assess appropriateness of antenatal care were medically assisted procreation techniques, use of invasive prenatal diagnosis, gestational age at the first appointment, total number of appointments and ultrasounds during pregnancy, blood and microbiological tests taken, and participation in antenatal classes. data indicates a significant difference in the use of chorionic villus sampling, testing for Cytomegalovirus, and vaginal-rectal swab for the detection of group B streptococcus, which are lower in the foreign population. Furthermore, there is a statistically significant difference in the gestational age at which the first appointment is attended, in the total number of visits, and in the number of ultrasounds performed during pregnancy as well as in participation in antenatal classes. this study reveals significant differences in access and use of pregnancy assistance between foreign and Italian women. There are also differences in terms of social determinants of health, with a concentration of unemployment and low education in the foreign population. It is therefore necessary to identify the factors that can potentially create health inequalities, considering the socioeconomic determinants and the specific needs of migrant women.

Enhancing Immunization Uptake for Influenza and Pertussis in Thai Pregnant Women through Educational Sessions

Objective: To describe influenza and pertussis vaccine uptake among pregnant women before and after receiving an educational session. Materials and Methods: An interventional study was conducted at a tertiary care hospital and a specialized obstetric hospital in Thailand. In the first phase, the medical records of the non-intervention pregnant women received antenatal care (ANC) at the study sites were reviewed. In the second phase, the pregnant women completed a questionnaire about their knowledge and factors for vaccine acceptance then enrolled into the intervention, received an educational session. The vaccine uptake between phases were compared using chi-square test. Potential factors of vaccine acceptance were examined using multivariate logistic regression. Results: Between May 2019 and July 2020, 785 pregnant women were enrolled with 375 in the non-intervention group and 410 in the intervention group. The median age of the pregnant women was 30 years (IQR of 26 to 34). Influenza vaccine uptake among the non-intervention group was 55.5% compared to 65.6% in the intervention group (p=0.004). The factor for influenza vaccine acceptance was the total number of visits at the ANC clinic at ten times or more (OR 1.38, 95% CI 1.04 to 1.84, p=0.03). Pertussis vaccine uptake was 52.8% in the non-intervention group compared to 67.0% in the intervention group (p=0.001). The factor for pertussis vaccine acceptance was receiving ANC at the tertiary care hospital (aOR 6.73, 95% CI 4.42 to 10.27). The most common reasons for not getting the vaccine were the concern of vaccine safety with 25.6% for influenza vaccine and 26.3% for pertussis vaccine. Conclusion: The educational session increased the vaccine uptake for influenza and pertussis in Thai pregnant women. Keywords: Immunization; Influenza; Pertussis; Pregnancy; Education

Continuity of care for patients with dementia during COVID-19 pandemic: flexibility and integration between in-person and remote visits.

During the pandemic, the Cognitive Disorders Unit of San Raffaele Hospital (Milan, Italy) offered patients the opportunity to undergo neuropsychological evaluations and cognitive training through telemedicine. We conducted an investigation to assess how patients responded to this option and to determine if telemedicine could ensure continuity of care. Between October 2019 and May 2022, a total of 5,768 telemedicine appointments and 8,190 in-person outpatient appointments were conducted, resulting in an increase in the rate of telemedicine activity from 16.81% in January 2020 to 23.21% in May 2022. Peaks in telemedicine activity reached 85.64% in May 2020 and 83.65% in February 2021, both representing a significant portion of the total activity. Interestingly, there was a notable positive correlation between telemedicine activity and the worsening of the Italian pandemic (r = 0.433, p = 0.027). During the peaks of contagion, the total number of visits remained stable, highlighting that telemedicine effectively served as a valuable and efficient tool to ensure continuity of care for vulnerable patients. This was evident from the integration of remote visits with in-person appointments.

Digital transformation of the promotion of educational services of Kazakhstani universities

Digital channels have become the modern priority channels for promoting educational services. Integration into the international educational space, changes in the priority of communication channels, and digital transformation have led to the need to rethink existing approaches to the digital promotion of educational services of Kazakhstani universities. Particular interest in modernizing the promotion of educational services is caused by the fact that representatives of the new generation, Generation Z, are now becoming consumers of educational services. The basis of this study was the analysis of digital promotion channels as the main source of information and value, the needs of generation Z, who are now becoming the main consumers of the services of universities, including those in Kazakhstan. The purpose of the study is to determine the priorities for the digital promotion of educational services, to build a model for the digital promotion of university educational services, taking into account the needs of key consumers—generation Z, digital channels, and educational programs of the university. Hypothesis: priorities for digital promotion of educational services of universities should be differentiated depending on the popularity and technical parameters of the sites. The web resources similarweb.com, pagespeed.web.dev, wordstat.yandex.ru, sitechecker.pro were used as analysis tools. A correlation analysis of queries on university websites and the core values of generation Z was carried out. The closeness of the pairwise correlation between the total number of visits and website performance, search engine optimization, recommendations, and special features was determined. Based on the research, a model for promoting the university’s educational services has been structured, highlighting key components: educational programs, digital technologies, and the values of generation Z.

The prevalence and patterns of common chief complaints among patients at Taif University Dental Hospital, Saudi Arabia

Background: The primary reasons for individuals seeking dental care, often referred to as chief complaints (CC), have significant importance in the process of gathering patient histories and devising treatment strategies before commencing treatment. Aim: The aim of this study was to assess and describe the prevalence and patterns of CC among a sample of dental patients attending the University Dental Hospital (UDH) at Taif University, Taif City, Saudi Arabia, and also to examine the association between the type of CC and gender and age. Settings and Design: This study was a retrospective study. Materials and Methods: The process of data extraction and organization included the use of a standardized form. The form primarily consisted of demographic characteristics, including age and sex, as well as CC. The dataset comprises information gathered from a sample of 900 dental patients who sought treatment at the dental clinics of the UDH at Taif University during the period from September 2022 to December 2022. Statistical Analysis: All statistical analyses were conducted using the Statistical Package for the Social Sciences (SPSS) software, version 17 (Chicago Inc.). Results: The most primary complaints stated by patients were related to dental pain and the need for restorative procedures, involving 83.7% of the total number of visits. Dental pain was the most common CC (48.4%), followed by teeth restorations (35.3%), a routine checkup (6.6%), tooth cleaning (6.3%), and others (3.3%). There was a significant association between the CCs and the patient’s age and gender (P < 0.001). Conclusions: The findings of this study highlight the importance of acquiring an accurate CC. Moreover, dental pain and the need for restorative procedures were identified as the key reasons for seeking dental care.

Longitudinal impact of screening colonoscopy on greenhouse gas emissions.

Colonoscopy is the gold-standard screening test for colorectal cancer. However, it has come under scrutiny for its carbon footprint and contribution to greenhouse gas (GHG) emissions compared to other medical procedures. Notwithstanding, screening colonoscopies may have a positive effect on GHG emissions that is unknown. This study estimated the carbon emissions prevented by screening colonoscopies in the U.S. Using the reported number of screening colonoscopies performed annually in the U.S. and the absolute risk reduction (ARR) reported in the NorDICC trial, we calculated the expected minimum number of cancer treatment and surveillance visits prevented through screening based on the cancer stage. The average carbon emission averted per mile traveled was computed using the Environmental Protection Agency's (EPA) GHG equivalencies calculator. The final estimate of carbon emissions averted over a decade by screening colonoscopies performed in one year was determined. 6.3 million screening colonoscopies performed in one year prevent 1,134,000 colorectal cancers over a ten-year period. Of these, 38∙3% (434,254) are localized, 38∙8% (440,281) are regional, and 22∙9% (259,465) are metastatic disease. The minimum number of post-diagnosis visits prevented is 11 for stage I, ≥ 21 for stage II, ≥25 for stage III, and ≥ 20 for stage IV disease, comprised of diagnostic, surgical evaluation, chemotherapy, and surveillance visits. The total number of visits prevented by screening is 2,388,397 for stage I, 5,254,421 for stage II, 13,120,369 for stage III, and 9,210,972 for stage IV disease. Approximately 395 million miles of travel and 158,263 metric tons of CO2, equivalent to 177 million pounds of coal burned, 19 billion smartphones charged, or 18 million gallons of gasoline consumed, were saved over ten years through screening. Colorectal cancer screening decreases cancer-related GHG emissions and minimizes the environmental impact of cancer treatment.

COVID-19 Resulted in Reduction Trainee Bedside Experience, But No Reduction in Surgical Experience

Because of the concerns regarding residency process during the pandemic, this study aimed to investigate the volume of clinical interactions of orthopaedic residents at a tertiary hospital by reporting the number of patients treated in the outpatient clinic, inpatient ward, and operating room. This retrospective chart study evaluated variables such as volume of clinical interactions of orthopaedic residents at a tertiary hospital by reporting the number of patients treated in the outpatient clinic, inpatient ward, and operating room, from an orthopaedic department in a tertiary trauma center throughout the COVID-19 pandemic era. Comparing these measures was an indirect evaluation tool for measuring the amount of work completed and clinical exposure gained by the residents. Occupancy percentage, hospitalization days, admissions to the department, and attendance of the outpatient clinic were all decreased during the pandemic. No significant changes were evident in the total number of surgeries nor the number of elective surgeries during the pandemic. Overall, a reduction in overall hospitalization days, admissions to the department, total number of visits in the outpatient clinic, and occupancy percentage of the ward was observed during COVID-19. However, there was no difference in the average number of monthly surgeries between the pre-COVID-19 and COVID-19 timeframes. Level III, retrospective comparative review.