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25 Sep 2021 (Vol 44 , Iss 05 )

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Teikyo Medical Journal


Journal ID : TMJ-07-08-2021-10549
Total View : 655

Title : Increasing Oral Hygiene Level with Android-Based Healthy Food E-book

Abstract :

Many methods are used to get the maximum oral health, through promotion, such as toothbrush education and demonstration for elementary school children. One way to improve children's behavior in maintaining oral and dental hygiene is to provide dental health education about how to brush teeth properly and correctly by using tools or media that are popular with children nowadays. According to current trends, the Android-based Healthy Food e-book is one of the right methods to change children's behavior. This study aims to determine the effect of an Android-based healthy food E-book on improving knowledge, parents’ role, and the Debris Index. This is quasi-experiment research. Samples of 150, 5th-grade elementary students, are divided into control and intervention groups. The intervention group was given dental health education with a brushing demonstration using a jaw model and accompanied by an Android-based healthy food E-book and the control group was given dental health education only. The data of the Debris Index were gathered by 4- time-weekly examinations. Knowledge and Parents’ role were gathered by questionnaire before and after the intervention. The data were analyzed with t-test (p=0.05). The results showed that there were significant differences (p<0.05) in the Debris Index, knowledge, and parents’ role in improving oral and dental hygiene between the intervention and control groups. This study concludes that counseling with an Android-based healthy food e-book, as a breakthrough innovation, accompanied by brushing teeth demonstrations, can reduce the debris index, following increasing knowledge and parents’ role to improve dental and mouth hygiene.

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Journal ID : TMJ-07-08-2021-10548
Total View : 754

Title : Evaluation of Methicillin Resistant Staphylococcus aureus (MRSA) Diagnostic Test: A Systematic Review Study Evaluating Antibiotic Disc, Chromogenic Media, and Polymerase Chain Reaction Methods

Abstract :

The infection caused by Staphylococcus aureus that is resistant to beta lactam antibiotic known as methicillin-resistant S. aureus (MRSA). This bacteria less the choice of effective antibiotic, increase hospital stay and cost, and mortality. Because of these problems, MRSA diagnostic testing must be done accurately. The gold standard of MRSA diagnostic testing PCR. Other that PCR, some methods that can be used for MRSA detection are antibiotic disc and chromogenic media. The three of them have diverse sensitivity, specificity, and turnaround time. Evaluating the diagnostic testing accuracy can be done by using sensitivity, specificity, and turnaround time. Based on the description above, this study has been carried out to evaluate the MRSA diagnostic test using antibiotic discs, chromogenic media, and PCR with a systematic review method. This research used Preferred Reporting Items for Systematic Review and Meta-Analyses of Diagnostic Test Accuracy (PRISMA-DTA) for extracting and synthesizing data. 2,239 articles yielded and 59 of them fit the eligibility criteria used in this systematic review. Quadas-2 tool was used for risk of bias analysis. The sensitivity and specificity of MRSA diagnostic methods using antibiotic disc, chromogenic media and PCR were: 47,3-100% and 66,2-100%; 70-100% and 30-100%, 57,69-100% and 78,6-100% respectively. The incubation time is 16-48 hours for antibiotic disc, 18-48 hours for chromogenic media. The turnaround time is 36-48 hours for disc antibiotic and 58 minutes-6,5 hours for PCR. High resource laboratories can use PCR as a diagnostic method for MRSA, while limited resources laboratories can use antibiotic disc and chromogenic media. We conclude that MRSA diagnostic method using PCR has higher specificity and faster turnaround time than antibiotic disc, while chromogenic media has higher sensitivity than those two methods.

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Journal ID : TMJ-07-08-2021-10547
Total View : 654

Title : The impact of dysfunctional severity on general quality of life in patients with temporomandibular disorders

Abstract :

Temporomandibular disorders (TMDs) are associated with pain and dysfunction that can affect the quality of life. This study was designed to evaluate the import of dysfunctional severity on the quality of life in TMD patients. This case-control study involved 60 TMD and 60 non-TMD subjects. The Helkimo dysfunction index was used for classifying the TMD patients into mild, moderate and severe groups (n=20). The quality of life (QoL) was assessed using the World Health Organization Quality of Life-Brief Version Questionnaire (WHOQOL-BREF) in the control and different TMD classifications. The data were analyzed by one-way analysis of variance (ANOVA) and Tukey post hoc test. There was no significant difference in the scores of physical, psychological, social and environmental subscales among the four groups (P>0.05), but a significant between-group difference was noted in the overall subscale (P=0.003). Tukey test revealed that the mean overall subscale score in the severe group (49.37± 18.35) was significantly lower than that of the mild group (66.06± 17.97). Although QoL was lower in moderate and severe TMDs than mild cases and the control group, but the statistical difference between groups was only observed in the overall subscale. These data indicate that other factors than the severity of TMD could play a role in QoL of affected patients.

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Journal ID : TMJ-05-08-2021-10538
Total View : 403

Title : Protection of constitutional rights and freedoms of citizens of European states in the context of overcoming the socio-psychological problems of the COVID-19 pandemic with the use of medical and social technologies

Abstract :

The article considers the peculiarities of the influence of COVID-19 on the socio-psychological behavior of citizens of European countries in the framework of respect for constitutional rights and freedoms. The peculiarities of the influence of COVID-19 on the behavior of children have been clarified through the analysis of public opinion polls of children with children from 3 to 18 years of age in Italy and Spain. The paper examines the social and psychological features of family conflicts in European countries that led to divorce during COVID-19. The article considers the influence of social and psychological disorders within European countries influencing the actualization of manifestations of social anomie within both individual European societies and the European community as a whole. The paper examines the experience of Japanese scientists in the field of electronic technologies for overcoming sleep disorders as prevention and overcoming the consequences of behavioral disorders as an element of social anomie. The article considers the possibility of using cognitive-behavioral group therapy of social anxiety disorder as an element of prevention in overcoming social anomie and as a guarantee of respect for the constitutional rights and freedoms of citizens. The possibilities of using garden therapy as a technology of prevention of prevention of behavioral and mental disorders at the level of personality and social anomie at the regional and global levels are investigated in the work.

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Journal ID : TMJ-26-03-2021-10531
Total View : 433

Title : Legal and social aspects of patient rights’ ensuring in order to access quality and blood component safety: international experience and necessity for its implementation in Ukraine

Abstract :

The article raises the issue of patient rights’ ensuring to access high-quality and blood component safety, both, as in Ukraine as in other countries. The importance of effective national blood service creation in each state in order to affirm and ensure human rights in health care is emphasized. The best international experience in this field is analyzed in the work. In accordance with the international law principles the main directions of its implementation in Ukraine are outlined. In particular, the need to create an education system, aimed at promoting donation, was emphasized in the article. The creation of an electronic system for blood donation and its components, training of donor recruitment specialists, ensuring the key bioethical principle of equality of patients in matters of blood donation and its elements, the development of a modern system for determining the quality and safety of donor blood and its components and etc. are offered in the issue.

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