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      Prevalence of Muscular Skeletal Disorders among Qualified Dental Assistants

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          Abstract

          The occupation of dental assistants (DAs) involves many health risks of the musculoskeletal system due to static and prolonged work, which can lead to musculoskeletal disorders (MSDs). The aim of the study was to investigate the prevalence of MSDs in DAs in Germany. Methods: For this purpose, an online questionnaire analyzed 406 (401 female participants and 5 male participants, 401w/5m) DAs. It was based on the Nordic Questionnaire (lifetime, 12-month, and seven-day MSDs’ prevalence separated into neck, shoulder, elbow, wrist, upper back, lower back, hip, knee, and ankle), and occupational and sociodemographic questions as well as questions about specific medical conditions. Results: 98.5% of the participants reported complaints of at least one body region in their lives, 97.5% reported at least one complaint in the last 12 months and 86.9% affirmed at least one complaint in the last seven days. For lifetime, 12-month and seven-day prevalence, the neck was the region that was most affected followed by the shoulder, the upper back and the lower back. Conclusion: The prevalence of MSDs among German (female) DAs was very high. The most affected area is the neck, followed by the shoulder, the lower back, and the upper back. It, therefore, seems necessary to devote more attention to ergonomics at the working practice of DAs as well in education and in dental work.

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          Rheumatoid arthritis: pathological mechanisms and modern pharmacologic therapies

          Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease that primarily affects the lining of the synovial joints and is associated with progressive disability, premature death, and socioeconomic burdens. A better understanding of how the pathological mechanisms drive the deterioration of RA progress in individuals is urgently required in order to develop therapies that will effectively treat patients at each stage of the disease progress. Here we dissect the etiology and pathology at specific stages: (i) triggering, (ii) maturation, (iii) targeting, and (iv) fulminant stage, concomitant with hyperplastic synovium, cartilage damage, bone erosion, and systemic consequences. Modern pharmacologic therapies (including conventional, biological, and novel potential small molecule disease-modifying anti-rheumatic drugs) remain the mainstay of RA treatment and there has been significant progress toward achieving disease remission without joint deformity. Despite this, a significant proportion of RA patients do not effectively respond to the current therapies and thus new drugs are urgently required. This review discusses recent advances of our  understanding of RA pathogenesis, disease modifying drugs, and provides perspectives on next generation therapeutics for RA.
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            Web-based questionnaires: the future in epidemiology?

            The traditional epidemiologic modes of data collection, including paper-and-pencil questionnaires and interviews, have several limitations, such as decreasing response rates over the last decades and high costs in large study populations. The use of Web-based questionnaires may be an attractive alternative but is still scarce in epidemiologic research because of major concerns about selective nonresponse and reliability of the data obtained. The authors discuss advantages and disadvantages of Web-based questionnaires and current developments in this area. In addition, they focus on some practical issues and safety concerns involved in the application of Web-based questionnaires in epidemiologic research. They conclude that many problems related to the use of Web-based questionnaires have been solved or will most likely be solved in the near future and that this mode of data collection offers serious benefits. However, questionnaire design issues may have a major impact on response and completion rates and on reliability of the data. Theoretically, Web-based questionnaires could be considered an alternative or complementary mode in the range of epidemiologic methods of data collection. Practice and comparisons with the traditional survey techniques should reveal whether they can fulfill their expectations.
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              Gender variations in clinical pain experience

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                16 May 2020
                May 2020
                : 17
                : 10
                : 3490
                Affiliations
                [1 ]Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Theodor-Stern-Kai 7, 60596 Frankfurt am Main, Germany; yvonne_haas@ 123456gmx.de (Y.H.); antonia_naser@ 123456web.de (A.N.); j.lampe@ 123456med.uni-frankfurt.de (J.H.); maltry@ 123456med.uni-frankfurt.de (L.M.); holzgreve@ 123456med.uni-frankfurt.de (F.H.); wanke@ 123456med.uni-frankfurt.de (E.M.W.); brueggmann@ 123456med.uni-frankfurt.de (D.B.); groneberg@ 123456med.uni-frankfurt.de (D.A.G.)
                [2 ]Department of Orthodontics, School of Dentistry, University Medical Centre of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany; erbe@ 123456uni-mainz.de
                [3 ]Institute of Dentistry, Goethe-University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany; w.betz@ 123456em.uni-frankfurt.de
                [4 ]Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Center Hamburg-Eppendorf (UKE), Principles of Prevention and Rehabilitation Department (GPR), Institute for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 20251 Hamburg, Germany; albert.nienhaus@ 123456bgw-online.de
                Author notes
                [* ]Correspondence: ohlendorf@ 123456med.uni-frankfurt.de ; Tel.: +49-069-6301-6650
                Article
                ijerph-17-03490
                10.3390/ijerph17103490
                7277800
                32429484
                10fa75cd-164d-4b92-bbbc-3e3930c70bc4
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 30 March 2020
                : 11 May 2020
                Categories
                Article

                Public health
                msd,musculoskeletal,pain,prevalence,dental assistants,dental profession,dentist,dental education,questionnaire

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