Medical imaging services are the key tool to diagnose many diseases and have an important role in monitoring treatment and predicting outcome. The current study conducted to evaluate advanced medical imaging services (CT and MRI) at Governmental Hospitals-Gaza Governorates, Palestine. Triangulated study design was used (checklist, questionnaire and key informant interview). The researcher used arbitrated checklist to evaluate medical imaging facilities. Census study conducted on all Radiologic Technologists and medical imaging departments at three main governmental hospitals in the Gaza Strip, which offered advanced medical imaging. In addition, three key informant interviews with Radiologic Technologists manager were conducted. Researcher have directly interviewed 20 participants (75% Males; 80% older than 30; 90% bachelor and master degrees and 80% more than 10 years' experience). Researcher have directly interviewed 20 participants (75% Males; 80% older than 30; 90% bachelor and master degrees and 80% more than 10 years' experience). Each RT at European Gaza hospital is expected to perform 25 cases in the morning shift against 6 and 13 cases at Indonesia and Al-Shifa Hospital, respectively. Both of Computed Tomography and Magnetic Resonance Imaging departments showed that "60%, 78% and 91%" and "86%, 100% and 90%" followed standard regarding to their structures, occupational safety and essential supplies, respectively. An observable shortage in number of radiographic machines and Radiologic Technologists at all advanced medical imaging departments. All departments showed clear defect in structure, design and essential supplies. Critical readings were observed respecting to insufficient radiation protection tools and holding of Thermoluminescence Dosimeters.
Background : Dental implant treatment is nowadays a common option for replacing missing teeth. Implant insertion is a surgical technique which can be complemented with ridge augmentation procedures. Some degree of post-operative pain is to be expected. For many patients this is an unknown experience. There is limited evidence on the immediate daily management of post-implant surgical pain and impact on the quality of life.Aim/Hypothesis : To investigate the level of pain and analgesic regimes experienced by patients having single and multiple implant placements.Material and Methods : Consecutive patients who were having 1-3 implants placed were recruited from the private practice in South East England of an experienced oral surgeon. Two groups were created, single and multiple implant placement. Edentulous patients and smokers were excluded in this survey. Any patients on long-term analgesia were also excluded. Participants were then asked to complete a pain diary for recording the time, the type and the dosage of pain relief that they took in the first 4 days after the surgery. They were also asked to complete a visual analogue scale (VAS) every morning and every evening in the first 4 days following the surgery indicating the amount of pain they experienced.Results : Consecutive patients who were having 1-3 implants placed were recruited from the private practice in South East England of an experienced oral surgeon. Two groups were created, single and multiple implant placement. Edentulous patients and smokers were excluded in this survey. Any patients on long-term analgesia were also excluded. Participants were then asked to complete a pain diary for recording the time, the type and the dosage of pain relief that they took in the first 4 days after the surgery. They were also asked to complete a visual analogue scale (VAS) every morning and every evening in the first 4 days following the surgery indicating the amount of pain they experienced.
Conclusion and Clinical Implications :The early results of this on-going study show that minor implant surgery is a well tolerated procedure by patients who experience moderate pain on the day of surgery, mild on Day 2 and pain free by Day 3. Levels of discomfort appear to be readily controlled with simple analgesics, most commonly Paracetamol.
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