Прегледај по Аутор "Pavlic, Verica"
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- СтавкаBehavior change due to COVID-19 among dental academics—The theory of planned behavior: Stresses, worries, training, and pandemic severity(PLOS, 2020) Ammar, Nour; Aly, Nourhan M.; Folayan, Morenike O.; Khader, Yousef; Virtanen, Jorma I.; Al-Batayne, Ola B.; Mohebbi, Simin Z.; Attia, Sameh; Howald, Hans-Peter; Boettger, Sebastian; Maharani, Diah A.; Rahardjo, Anton; Khan, Imran; Madi, Marwa; Rashwan, Maher; Pavlic, Verica; Cicmil, Smiljka; Choi, Youn-Hee; Joury, Easter; Castillo, Jorge L.; Noritake, Kanako; Shamala, Anas; Galluccio, Gabriella; Polimeni, Antonella; Phantumvanit, Prathip; Mancino, Davide; Kim, Jin-Bom; Abdelsalam, Maha M.; Arheiam, Arheiam; Dama, Mai A.; Nyan, Myat; Hussein, Iyad; Alkeshan, Mohammad M.; Vukovic, Ana P.; Iandolo, Alfredo; Kemoli, Arthur M.; El Tantawi, MahaObjective COVID-19 pandemic led to major life changes. We assessed the psychological impact of COVID-19 on dental academics globally and on changes in their behaviors. Methods We invited dental academics to complete a cross-sectional, online survey from March to May 2020. The survey was based on the Theory of Planned Behavior (TPB). The survey collected data on participants’ stress levels (using the Impact of Event Scale), attitude (fears, and worries because of COVID-19 extracted by Principal Component Analysis (PCA), perceived control (resulting from training on public health emergencies), norms (country-level COVID-19 fatality rate), and personal and professional backgrounds. We used multilevel regression models to assess the association between the study outcome variables (frequent handwashing and avoidance of crowded places) and explanatory variables (stress, attitude, perceived control and norms). Results 1862 academics from 28 countries participated in the survey (response rate = 11.3%). Of those, 53.4% were female, 32.9% were <46 years old and 9.9% had severe stress. PCA extracted three main factors: fear of infection, worries because of professional responsibilities, and worries because of restricted mobility. These factors had significant dose-dependent association with stress and were significantly associated with more frequent handwashing by dental academics (B = 0.56, 0.33, and 0.34) and avoiding crowded places (B = 0.55, 0.30, and 0.28). Low country fatality rates were significantly associated with more handwashing (B = -2.82) and avoiding crowded places (B = -6.61). Training on public health emergencies was not significantly associated with behavior change (B = -0.01 and -0.11). Conclusions COVID-19 had a considerable psychological impact on dental academics. There was a direct, dose-dependent association between change in behaviors and worries but no association between these changes and training on public health emergencies. More change in behaviors was associated with lower country COVID-19 fatality rates. Fears and stresses were associated with greater adoption of preventive measures against the pandemic.
- СтавкаGingival melanin depigmentation by Er:YAG laser: A literature review(Taylor & Francis, 2017) Pavlic, Verica; Brkic, Zlata; Marin, Sasa; Cicmil, Smiljka; Gojkov-Vukelic, Mirjana; Aoki, AkiraLaser ablation is recently suggested as a most effective and reliable technique for depigmentation of melanin hyperpigmented gingiva. To date, different lasers have been used for gingival depigmentation (CO2, diode, Nd:YAG, Er:YAG and Er,Cr:YSGG lasers). The use of Er:YAG laser for depigmentation of melanin hyperpigmented gingiva has gained increasing importance in recent years. The purpose of this study was to report removal of gingival melanin pigmentation using an Er:YAG laser in a literature review. The main outcomes, such as improvement of signs (clinical parameters of bleeding, erythema, swelling and wound healing), symptoms (pain) and melanin recurrence/repigmentation were measured. The literature demonstrated that depigmentation of gingival melanin pigmentation can be performed safely and effectively by Er:YAG laser resulting in healing and an esthetically significant improvement of gingival discoloration. Thus, Er:YAG laser seems to be safe and useful in melanin depigmentation procedure. However, the main issue in giving the final conclusion of the optimal Er:YAG laser use in melanin depigmentation is that, to date, studies are offering completely discrepant Er:YAG laser procedure protocols (complex settings of laser parameters), and different criteria for the assessment of depigmentation and repigmentation (recurrence), thus hampering the comparison of the results. Therefore, further studies are necessary to give an optimal recommendation on the use of Er:YAG laser in gingival melanin hyperpigmentation.
- СтавкаPerceived Preparedness of Dental Academic Institutions to Cope with the COVID-19 Pandemic: A Multi-Country Survey(MDPI, 2021) Ammar, Nour; Aly, Nourhan M.; Oluwatoyin Folayan, Morenike; Khader, Yousef; Mohebbi, Simin Z.; Attia, Sameh; Howaldt, Hans-Peter; Boettger, Sebastian; Virtanen, Jorma; Madi, Marwa; Maharani, Diah A.; Rahardjo, Anton; Khan, Imran; Al-Batayneh, Ola B.; Rashwan, Maher,; Pavlic, Verica; Cicmil, Smiljka; Noritake, Kanako; Galluccio, Gabriella; Polimeni, Antonella; Shamala, Anas A.; Arheiam, Arheiam; Mancino, Davide; Phantumvanit, Prathip; Kim, Jin-Bom; Choi, Youn-Hee; Dama, Mai A.; Abdelsalam, Maha M.; Castillo, Jorge L.; Nyan, Myat; Hussein, Iyad; Joury, Easter; Vukovic, Ana P.; Iandolo, Alfredo; Kemoli, Arthur M.; Tantawi, Maha ElDental academic institutions are affected by COVID-19. We assessed the perceived COVID- 19 preparedness of these institutions and the characteristics of institutions with greater perceived preparedness. An international cross-sectional survey of dental academics was conducted from March to August 2020 to assess academics’ and institutional attributes, perceived preparedness, and availability of infection prevention and control (IPC) equipment. Principal component analysis (PCA) identified perceived preparedness components. Multilevel linear regression analysis assessed the association between perceived preparedness and fixed effect factors (academics’ and institutions’ attributes) with countries as random effect variable. Of the 1820 dental academics from 28 countries, 78.4% worked in public institutions and 75.2% reported temporary closure. PCA showed five components: clinic apparel, measures before and after patient care, institutional policies, and availability of IPC equipment. Significantly less perceived preparedness was reported in lower-middle income (LMICs) (B = 1.31, p = 0.006) and upper-middle income (UMICs) (B = 0.98, p = 0.02) countries than in high-income countries (HICs), in teaching only (B = 0.55, p < 0.0001) and in research only (B = 1.22, p = 0.003) than teaching and research institutions and in institutions receiving 100 patients daily than those receiving >100 patients (B = 0.38, p < 0.0001). More perceived preparedness was reported by academics with administrative roles (B = 0.59, p < 0.0001). Academics from low-income countries (LICs) and LMICs reported less availability of clinic apparel, IPC equipment, measures before patient care, and institutional policies but more measures during patient care. There was greater perceived preparedness in HICs and institutions with greater involvement in teaching, research, and patient care.
- СтавкаPeriodontal Disease in Young Adults as a Risk Factor for Subclinical Atherosclerosis: A Clinical, Biochemical and Immunological Study(MDPI, 2023) Cicmil, Smiljka; Cicmil, Ana; Pavlic, Verica; Krunić, Jelena; Sladoje Puhalo, Dragana; Bokonjić, Dejan; Čolić, MiodragAlthough a strong relationship between periodontal disease (PD) and atherosclerosis was shown in adults, little data are published in younger PD patients. Therefore, this study aimed to investigate and correlate clinical parameters of PD, pro- and immunoregulatory cytokines in gingival crevicular fluid (GCF) and serum, biochemical and hematological parameters associated with atherosclerosis risk, and carotid intima-media thickness (IMT) in our younger study participants (n = 78) (mean age 35.92 3.36 years) who were divided into two equal groups: subjects with and without PD. PD patients had higher values of IMT, hs-CRP, triglycerides, total cholesterol, and LDL; most proinflammatory and Th1/Th17-associated cytokines in GCF; and IL-8, IL-12, IL-18, and IL-17A in serum compared to subjects without PD. These cytokines in GCF positively correlated with most clinical periodontal parameters. Clinical periodontal parameters, TNF- and IL-8 in GCF and IL-17A, hs-CRP, and LDL in serum, had more significant predictive roles in developing subclinical atherosclerosis (IMT 0.75 mm) in comparison with other cytokines, fibrinogen, and other lipid status parameters. Hs-CRP correlated better with the proinflammatory cytokines than the parameters of lipid status. Except for serum IL-17A, there was no significant association of clinical and immunological PD parameters with lipid status. Overall, these results suggest that dyslipidemia and PD status seem to be independent risk factors for subclinical atherosclerosis in our younger PD population.