Objectives
A multicentre survey was designed to evaluate the impact of COVID-19 outbreak on dental practice worldwide, estimate the COVID-19 related symptoms/signs, work attitudes and behaviour and the routine use of protective measures and personal protective equipment (PPE).
Methods
A global survey using a standardized questionnaire with research groups from 36 countries was designed. The questionnaire was developed and pretested during April 2020 and contained three domains: 1) personal data; 2) COVID-19 positive rate and symptoms/signs presumably related to the coronavirus; 3) working conditions and PPE adopted after the outbreak. Countries’ data were grouped by the country positive rate (CPR) during the survey period and by Gross-National-Income
per
capita. An ordinal multinomial logistic regression model was carried out with COVID-19 self-reported rate referred by dental professionals as dependent variable to assess the association with questionnaire items.
Results
A total of 52,491 questionnaires were returned with a male/female ratio of 0.63. Out of the total respondents, 7,859 dental professionals (15%) reported symptoms/signs compatible with COVID-19. More than half of the sample (n=27,818; 53%) stated to use FFP2/N95 masks, while 21,558 (41.07%) used eye protection. In the bivariate analysis, CPR and N95/FFP2 were significantly associated (OR=1.80
95%
CI=1.60/2.82 and OR=5.20
95%
CI=1.44/18.80, respectively), while Gross-National-Income was not statistically associated with CPR (OR=1.09
95%
CI=0.97/1.60). The same significant associations were observed in the multivariate analysis
.
Conclusions
Oral health service provision has not been significantly affected by COVID-19, although access to routine dental care was reduced due to country-specific temporary lockdown periods. While the dental profession has been identified at high-risk, the reported rates of COVID-19 for dental professionals were not significantly different to those reported for the general population in each country. These findings may help to better plan oral health care for future pandemic events.
Irreversible degradation of quercetin and rutin, dissolved in methanol and water, induced by continuous UV-irradiation from two different sub-ranges (UV-B and UV-C) has been studied in this work. The degradation of both flavonoids is related to formation of UV-induced degradation products: both processes follow first-order kinetics. The degradation and products formation rate constants are both dependent on the involved UV-photons energy input in both solvents
The stabilities and antioxidant action of two selected flavonoids, quercetin and rutin, dissolved in methanol and water, toward continuous UV--irradiation from three different sub-ranges (UV-A, UV-B and UV-C) were studied. The flavonoids underwent degradation (bleaching) following first-order kinetics. The bleaching rates were highly dependent on the energy input of the involved UV-photons. The antioxidant activities of the two flavonoids on UV-induced lecithin lipid peroxidation were studied by the thiobarbituric acidmalondialdehyde (TBA-MDA) test, and appeared to be also affected by the continuous UV irradiation. The energy input of the incident UV-photons again played a major governing role, but an impact of the flavonoids structures cannot be neglected.
Laser photolysis techniques have been used to characterize the reactivity of triplet state lipoidal benzophenone derivatives toward fatty acids and glycerides in benzene solution. The reactivities of benzophenone-4-heptyl-4'-pentanoic acid (BHPA) toward fatty acid compounds having different configurations of olefinic bonds have been determined. The rates of hydrogen abstraction are found to be lower when compared with similar measurements using benzophenone alone. However, the contribution of physical quenching of the triplet derivative by double bonds also appears to be slightly lower than that found with benzophenone itself. The hydrogen abstraction efficiencies of three other benzophenone derivatives toward linoleic acid in benzene have also been measured. For benzophenone incorporated into a fatty acid molecule, there is a limited relationship between structure and photoreactivity. Finally, these sensitizers have been incorporated into mixed SDS/linoleate micelles to determine the effects of molecular organization on photochemical behavior of the sensitizer and lipid.
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