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BACKGROUND: Pulpectomy is used to treat primary teeth with irreversibly inflamed or necrotic pulp tissue. There is, however, a lack of consensus on clinical protocols for teaching pulpectomy at dental schools. AIM: To determine what faculty members at Brazilian dental schools are teaching about pulpectomy in primary teeth. DESIGN: A cross-sectional, observational study was conducted using a 39-question survey available via the Google Forms® platform. A snowball sampling strategy was used for recruitment. Invitations to participate were sent via e-mail, WhatsApp® and Instagram®. The data were analysed descriptively. RESULTS: A total of 177 (58.4%) responses were obtained. Most faculty members recommended the use of Kerr hand files (66.1%), and 1% sodium hypochlorite was the most common choice for the irrigating solution (35.3%). Iodoform pastes were the first choice of faculty members (41.6%), and 60.5% of the faculty members recommended composite resin as the definitive restoration. CONCLUSION: Similarities were found in the teaching of pulpectomy for primary teeth among faculty members at dental schools in Brazil.

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BACKGROUND: Accurate information is essential so that HIV infection can be detected in time for initiation of HIV/AIDS treatment. Immigrants are at high risk for delayed HIV testing and diagnosis, but foreign residents in Japan also seem to face barriers to accessing HIV/AIDS care. We aimed to assess their knowledge level of HIV/AIDS and awareness of public health centers in Japan (PHCs), and to explore factors related to these items. METHODS: We conducted a cross-sectional study of Brazilians, the largest group of foreigners living in Shiga, using an anonymous, self-administered questionnaire survey in Brazilian Portuguese and Japanese via the Internet and mail. A multiple logistic regression analysis was used to examine the factors related to "Knowledge of HIV/AIDS" and "Awareness of PHCs". RESULTS: A total 182 Brazilians responded. More than half of them were beginners in Japanese. Most respondents were familiar with HIV/AIDS, but only 58% knew the existence of PHCs, and only 25% knew that HIV testing is available at PHCs free of charge and anonymously. A multiple logistic regression analysis showed that PHCs were less recognized by those with intermediate (odds ratio: 5.70, 95% confidence interval: 1.53-21.23) and beginner (odds ratio: 6.81, 95% confidence interval: 1.98-23.45) Japanese proficiency than by those with advanced. CONCLUSIONS: This survey revealed the knowledge level of HIV/AIDS and awareness of PHC among Brazilians in Shiga. Their lack of awareness of PHCs due to language barriers may lead to delays in HIV testing among them. Therefore, it is important for PHCs to disseminate information about medical services related to HIV/AIDS in Portuguese and plain Japanese to facilitate their access to HIV testing. However, PHC efforts alone are not enough. Medical interpreters who are familiar with Brazilian culture and customs, and the clinics that employ them, could help the Brazilian community and PHCs to overcome the language barrier and provide efficient and appropriate medical care to Brazilians. This would be one way to eliminate delays in HIV testing for Brazilians in Shiga.

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Outdoor thermal comfort (OTC) surveys require synchronous monitoring of meteorological variables for direct comparisons against subjective thermal perception. The Universal Thermal Climate Index (UTCI) is a feasible index as it integrates meteorological conditions as a single value irrespective of urban morphological attributes or biological sex, age and body mass. ERA5-HEAT (Human thErmAl comforT) is a downloadable reanalysis dataset providing hourly grids of UTCI climate records at 0.25° × 0.25° spatial resolution from 1979 to present. We here evaluate for the first time whether it is possible to use ERA5-HEAT data as a proxy for the UTCI measured onsite during OTC surveys. A dataset comprising 1640 survey responses gathered over 14 OTC campaigns in Curitiba, Brazil (25°26'S, 49°16'W) was analysed. We assessed the bias obtained between the Dynamic Thermal Sensation, an index derived from the UTCI, and the thermal sensation reported by survey participants by considering locally measured meteorological variables and ERA5-HEAT reanalysis data. As ERA5-HEAT data are given on an hourly basis, prediction bias can be greatly reduced when accounting for survey responses close to the hour. In terms of seasons, the fall and winter seasons have diminished mean bias, though with larger spread than in summer. In terms of UTCI stress categories, prediction bias is lower for the thermal comfort range. When comparing reanalysis data against WMO station data as proxy candidates for survey field data, the former presented lower bias, less spread in terms of standard deviation and higher correlation to in situ data.

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ABSTRACT BACKGROUND: Stroke is one of the main causes of death worldwide. Educational interventions on stroke are potentially effective in reducing the period between the onset of symptoms and the initial emergency medical assistance. OBJECTIVES: To assess high school students' knowledge of stroke. DESIGN AND SETTING: Cross-sectional study conducted in high schools in northeastern Brazil. METHODS: A self-structured questionnaire survey regarding stroke awareness was applied among high school students in northeastern Brazil. Data were collected between 2018 and 2019. The chi-square test and other descriptive statistics were used. Univariate and multivariate analyses were performed using logistic regression. RESULTS: A total of 1,788 students were analyzed. Eighty percent (n = 1430) of them did not have the minimum knowledge on how to act in a stroke situation. Only 10% (n = 179) presented the ideal knowledge on how to act. Males presented lower levels of knowledge on risk factors (odds ratio, OR: 0.62%; 95% confidence interval, CI: 0.49-0.79) and signs and symptoms of stroke (OR: 0.63%; 95% CI: 0.52-0.77). Students with ≥ 10 years of schooling (OR: 1.64%; 95% CI: 1.30-2.07) demonstrated greater knowledge of signs and symptoms of stroke. Students aged 18 years (OR: 1.70%; 95% CI: 1.14-2.52) demonstrated greater knowledge than other ages regarding the telephone number of the emergency medical services. CONCLUSIONS: There was a knowledge deficit with regard to recognizing stroke and activating the emergency medical services. The findings apply to the sample investigated and suggest that there is a need for stroke educational interventions, starting in high school.

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Courtyards have been used over many centuries as an interesting architectural feature that extends the living area, with good opportunities for relaxation, contemplation, and also for social interactions in such interface with the outdoor environment. Those areas can also act as climate modifiers and have tempering effects in hot regions. Depending on their geometrical features, courtyards can promote excellent shading and natural ventilation opportunities in tropical regions. This study is focused on the evaluation of two historic courtyards with very distinct solar exposure in a city located in a tropical savannah climate. Field monitoring was carried out alongside surveys with visitors to the courtyards. Results showed the potential of both courtyards in reducing the level of heat stress during peak daytime hours with their climate tempering function. The deeper courtyard yielded steadier cooling effect during daytime than the shallower one. Heat stress, here interpreted in terms of the universal thermal climate index (UTCI) was also more reduced in the deep courtyard. For the subjective part, there was a larger fluctuation of thermal sensation votes for a low level of heat stress in the shallower courtyard but less so and even an opposite pattern for higher heat stress. In essence, the geometric shape of the evaluated courtyards was considered to be paramount to provide thermal attenuation to their visitors due to the interplay between shading and solar access, even though the effect was not observed in their TS votes for increasing heat stress.

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OBJECTIVE: To assess whether treating patients with a presymptomatic patent ductus arteriosus (PDA), based on early routine echocardiography, performed regardless of clinical signs, improved outcomes. STUDY DESIGN: This multicenter, survey-linked retrospective cohort study used an institutional-level questionnaire and individual patient-level data and included infants of <29 weeks of gestation born in 2014-2016 and admitted to tertiary neonatal intensive care units (NICUs) of 9 population-based national or regional neonatal networks. Infants in NICUs receiving treatment of presymptomatic PDA identified by routine echocardiography and those not were compared for the primary composite outcome (early death [≤7 days after birth] or severe intraventricular hemorrhage) and secondary outcomes (any in-hospital mortality and major morbidities). RESULTS: The unit survey (response rates of 86%) revealed a wide variation among networks in the treatment of presymptomatic PDA (7%-86%). Among 246 NICUs with 17 936 infants (mean gestational age of 26 weeks), 126 NICUs (51%) with 7785 infants treated presymptomatic PDA. The primary outcome of early death or severe intraventricular hemorrhage was not significantly different between the NICUs treating presymptomatic PDA and those who did not (17% vs 21%; aOR 1.00, 95% CI 0.85-1.18). The NICUs treating presymptomatic PDA had greater odds of retinopathy of prematurity treatment (13% vs 7%; aOR 1.47, 95% CI 1.01-2.12); however, it was not significant in a sensitivity analysis excluding Japanese data. CONCLUSIONS: Treating presymptomatic PDA detected by routine echocardiography was commonplace but associated with no significant benefits. Well-designed trials are needed to assess the efficacy and safety of early targeted PDA treatment.

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The "One Health" (OH) approach has been recognized by world health authorities such as FAO/OIE/WHO, advocating for effective, multi-sectoral, and transdisciplinary collaboration. However, there is a lack of published evidence of the awareness of the OH concept in Colombia and other countries in the Latin American Region. In order to explore existing collaboration amongst the animal health, human-public health, environmental health sectors, and to describe the perception, knowledge, and barriers on OH in Colombia and other countries of Latin America, an online questionnaire-based survey was distributed among key professionals representing the three OH pillars (August 2018-August 2020). Overall, 76 key respondents from 13 countries (Colombia, México, Chile, Brazil, Argentina, Bolivia, Costa Rica, Ecuador, Perú, Guatemala, Nicaragua Uruguay, and Venezuela) completed the questionnaire. Respondents worked in institutions of animal (59%), public (20%), human (7%), and environmental health (7%); they mainly belonged to higher academic institutions (59%), followed by ministries (11%), and research organizations (9%). Most participants (92%) were familiar with the OH term and 68% were aware of the formal cooperation among sectors in their countries, mostly on zoonoses; in 46% of the cases, such connections were established in the last 5 years. The main reported limiting factors to intersectorality were the lack of commitment of policy-makers, resources, and budget for OH (38%) and the "siloed approach" of sectors and disciplines (34%). Respondents ranked a median score of 3.0 (1-5 scoring) in how good OH activities are implemented in their countries, and a median score of 2.0 in the citizen awareness on OH as regards their countries. The most important OH issues were identified in vector-borne diseases, rabies, wrong and/or improper use of antimicrobials, emerging viral diseases, food-borne diseases, neglected parasitic diseases, deforestation, and ecosystem fragmentation. Although there is a high-perceived importance on conjoint cooperation, OH implementation, and operationalization remain weak, and the environmental component is not well-integrated. We consider that integration and implementation of the OH Approach can support countries to improve their health policies and health governance as well as to advocate the social, economic, and environmental sustainability of the Region.

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The implementation of waste selective collection (SC) schemes in low-income countries is a challenge although it is one important way for improving environmental sustainability. The inclusion of the population is necessary for gaining effective results, and social surveys are support methods for understanding citizens' involvement and behaviour. The aim of the research is to assess the support of the citizens concerning the formal and informal recycling in a low-middle income country. The study presents a questionnaire survey conducted in 2018 in La Paz, Bolivia, where 774 citizens were interviewed for evaluating their support to the formal and informal SC systems. Two questionnaires were submitted to two different users' categories: users of the formal recyclable waste gathering points; and citizens of the neighbourhoods. Evidence of the survey shows that about 8% of the population supports the formal SC while about 48% are used to selecting their waste at home. About 79.2% of them bring the waste to the informal recycling shops or provide it to waste pickers, throwing the waste into or nearby the mixed containers in order to facilitate their collection. This research demonstrates how social inclusion is important for planning recycling systems within a developing big city, starting from the SC. Results suggest that the informal sector can be an effective means for improving the recycling behaviour of the citizens. The study can be of interest to stakeholders involved in introducing recycling policies in developing cities where the SC rate is still low, and informal waste collection exists.

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Sociodemographic characteristics, including regional variations, have been associated with different food consumption patterns. Behavioral factors and lifestyle variables may also contribute to different food dietary trends. In this way, the present study intended to investigate the consumption habits of the most relevant types of dairy products around the world and relate them to sociodemographic factors, for example, age, sex, education and country as well as with some anthropometric and behavioral aspects, for example, body mass index, satisfaction with body weight and exercise or sedentary lifestyles. One other objective of the study was to categorize the lifestyles of the participants, according to measured variables linked with hours of inactivity or exercise, in order to use these as possible differentiating variables for the consumption of dairy products. The study involved a questionnaire survey undertaken on a non-probabilistic convenience sample of participants from Portugal (PT) and Brazil (BR), and participation was voluntary and anonymous. The data analysis involved different statistical techniques: basic statistics, chi-square tests, factor analysis, cluster analysis and tree classification analysis. The results showed that semi skimmed milk is never consumed by about half of the participants (47.4% for PT and 46.7 for BR), and those numbers increase for skimmed (64.8% for PT and 50.9% for BR), chocolate flavored milk (82.6% for PT and 65.6% for BR) and enriched milks (94.8% for PT and 85.3% for BR). Cheeses are also consumed in the two countries by small numbers of people. The number of participants consuming imported cheeses in both countries was particularly low (only 4.0% consume these more than once a week in both countries), suggesting national products may be preferred. It was further observed that those who consume cheese do it seldom (once a week) or sometimes (2-3 times per week). Butter is also consumed by only about half of the adult population (43.8% for PT and 49.5% for BR), but the percentage of those who never consume butter increases for skimmed butter (66.0% for PT and 82.6% for BR) and unsalted butter (70.2% for PT and 69.1% for BR). The consumption of yogurts also follows similar low consumption patterns. The most frequently consumed yogurt types in Portugal are liquid (30.5% consume regularly) and natural yogurts (34.8% consume regularly), while in Brazil the most frequent are creamy fruit pulp yogurt (14.4% consume regularly), liquid (13.7% consume regularly) and Greek type yogurt (10.2% consume regularly). A factor analysis and a cluster analysis established groups according to lifestyles, as follows: 1-Screeners, 2-Exercisers, 3-Travelers and 4-Others. These lifestyles were found to be influential in the consumption of dairy products for all classes of dairy tested: milk, cheese, yogurt and butter. For example, the screeners were found to consume more milk, more butter, more cheese and more yogurt. Additionally, other influential factors were age, sex, education, BMI and satisfaction with body weight. Nevertheless, country was not a meaningfully discriminant variable in relation to the other variables included in the classification analysis. The results concluded that, despite some small differences in the patterns of consumption of dairy products in both countries, the levels of consumption of dairy products are extremely low, for all classes studied (milk, cheese, yogurt or butter). Additionally, it was concluded that some factors are influential on the level of consumption of dairy products, and therefore decision makers can plan their interventions according to the characteristics of the targeted segments of the population, according to lifestyle, age, sex, education, BMI and satisfaction with body weight.

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This study investigated the knowledge and use of edible flowers (EF) in two countries, Portugal, in Europe, and Costa Rica, in Latin America, and aimed to evaluate the similarities and/or differences regarding the utilization of EF in gastronomy. This work consisted of a questionnaire survey, undertaken on a sample of 290 participants. The results indicate that most people surveyed (87%) have heard about EF but believe there is not enough information about them (96%). Only one third of participants consider there are risks associated with the consumption of EF, being those related to toxicity and pesticides. Significant differences (p < 0.05) were found between participants from the two countries but not with different professional areas. About half (48%) of the participants had already consumed EF, mostly for decoration or confection of dishes (77% positive answers) and in salads (75%). The flowers consumed most frequently were chamomile and rose, respectively, in Costa Rica and Portugal. Reasons pointed out to consume EF include decoration, taste, novelty and aroma, while aspects such as nutritional value or antioxidant capacity are prized by fewer consumers. EF were mostly acquired in supermarkets, cultivated at home or collected in the wild. In general, most participants (85%) consider the use of EF in gastronomy interesting, but less than one third (27%) believe we should eat EF more often. Finally, discriminant function analysis revealed that country was the variable for which the differences in the consumption of EF was more pronounced, while education level and age group showed the lowest variability between groups.

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This study aimed to evaluate the perceptions and attitudes of artisanal cheese producers (n = 40) in Brazil regarding the implementation of traceability. A questionnaire consisting of 16 statements using a 5-point Likert scale was applied, and descriptive statistics and factor analysis were used for data analysis. The implementation of a traceability system can reduce the number of consumer complaints and the loss of products, in addition to increasing supplier control and process safety, thus protecting health and increasing consumer confidence. However, we did not find consensus on the relationship between implementation of a traceability system and rapid recalls in crisis episodes, or on the reduction in recalls and their negative impact on consumers. Because of the costs that drive implementation of this technology, some artisanal cheese producers do not consider a traceability system as a current reality to monitor their production. We concluded that Brazilian artisanal cheese producers have limited awareness of the impact of traceability implementation, which restricts investments in the system.

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The implementation of solid waste selective collection (SC) systems is quite difficult in low-middle income countries. Lack of awareness, infrastructure, administrative support and knowledge about recycling are the main barriers for its operation, reducing the possibility of successes. This paper introduces the methodological approach for assessing a recyclable waste SC project in a Bolivian public University. The waste fractions generated before (2016) and after (2019) the action were assessed, as well as the opinion and knowledge of the students, providing reliable indicators of the improvements and benefits obtained. Results of the waste characterization analysis reported that, after one month of implementation of the system, about 15 kg of plastic and 37.1 kg of paper and cardboard were collected, about 8 wt% and 42.9 wt% of the recyclable waste produced. At the same time, the questionnaire survey allows demonstrating that the SC behavior of the students improved considerably from 2018 to 2019, (t[608] = -7.654, p < 0.05***), as well as the satisfaction about the waste collection service provided (t[608] = -6.6224, p < 0.05***) and about the diffusion of information with awareness campaigns (t[608] = -8.708, p < 0.05***). The project and the phases followed for its implementation can be of reference for other local and international stakeholders, for replicating the study in other Universities and public areas. The novelty of the study is the introduction of a step by step methodology for assessing the SC of recyclable waste for supporting the recycling policies of developing cities in low-middle income countries and for boosting sustainable development according to the principle of the circular economy.

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Abstract To reveal the associated factors of quality of life (QoL) in children with inborn errors of metabolism (IEM), their siblings, and their primary caregivers and partners, we conducted an anonymous questionnaire survey in Japan. Descriptive, correlation, and multiple regression analyses were performed. Fifty-six children with IEM, 35 siblings, 143 primary caregivers, and 86 partners completed our questionnaires. There were significant positive correlations between higher QoL in children with IEM and lower disease influence (r »0.46) and higher perceived emotional support (r »0.67). We could not find any associated factor of siblings' QoL. Lower parental distress, higher family empowerment, and higher household income contributed to higher QoL in primary caregivers (adjusted R2 » 0.636). Higher household income, lower anxiety about childrearing, and higher satisfaction in the relationship with the child and entire family contributed to higher QoL of partners (adjusted R2 » 0.398). We concluded that developing effective interventions to improve QoL is needed for the entire family in future outpatient settings.

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Aim: A cross-sectional questionnaire survey was conducted to obtain information on the use of rotary nickel ­titanium endodontic instruments was conducted among General Dental Practioner A two sectioned questionnaire was mailed to 200 randomly general practioners to obtain information on usage of Nickel ­Titanium endodontic instrument and data was collected. Results: Forty-six percent of the general practioners had used rotary NiTi instruments. 76% dentists use NiTi files for five or more times a week. Most of the dentist used NiTi file coronally &apically. General dentists experienced more file fracture at size 20 and 25 with 0.02 and 0.04 taper. Conclusions: Dentists are familiar with limitations of NiTi instruments and techniques. Current study showed the awareness of dentists about benefits of NiTi rotary instruments application comparing to traditional techniques and also the high percent usage of these instruments among general dentists.

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To assess whether the seroprevalence of canine distemper virus (CDV) and canine parvovirus (CPV) in domestic dogs is higher in urban versus rural areas of the Araucanía region in Chile and risk factors for exposure, a serosurvey and questionnaire survey at three, urban-rural paired sites was conducted from 2009 to 2012. Overall, 1161 households were interviewed of which 71% were located in urban areas. A total of 501 blood samples were analysed. The overall CDV and CPV seroprevalences were 61% (CI 90%: 58-70%) and 47% (CI 90%: 40-49%), and 89% (CI 90%: 85-92%) and 72% (CI 90%: 68-76%) in urban and rural areas, respectively. The higher seroprevalence in domestic dogs in urban areas suggests that urban domestic dogs might be a maintenance host for both CDV and CPV in this region. Due to the presence of endangered wild canids populations in areas close to these domestic populations, surveillance and control of these pathogens in urban dog populations is needed a priority.

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Objetivos: este levantamento avaliou o conhecimento dos implantodontistas de Porto Alegre (Rio Grande do Sul, Brasil) sobre a interação dos bisfosfonatos com a osteonecrose dos maxilares (Bronj), sua incidência e as modalidades de tratamento utilizadas. Material e métodos: um questionário com 15 perguntas foi respondido pelos profissionais entre julho e setembro de 2012. Um total de 84 participantes (60 homens e 24 mulheres, com idade entre 31 e 40 anos, e exercendo a especialidade entre um e cinco anos após a conclusão do curso) forneceu respostas. Resultados: 1) Sobre bisfosfonatos, 75% relataram já ter contato com o assunto pre­viamente à especialização, além do tema ter sido abordado no curso; 2) A maioria relatou questionar seus pacientes sobre o uso dos bisfosfonatos e via de administração (intraoral ou endovenosa): 88,1%. Quando o paciente utilizava a medicação, a conduta era buscar orientações com o médico assistente (57,1%), solicitar exames complementares (16,7%), não realizar a cirurgia (25%), ou suspender a medicação (1,2%); 3) Em relação ao exame CTX, os especialistas relataram conhecê-lo (83,3%) e solicitá-lo (63,1%); 4) Os profissionais (38,1%) com casos de Bronj no consultório os associaram aos bisfosfonatos de uso oral e não endovenoso (117 casos contra 29 casos); 5) Os tratamentos mais utilizados para a Bronj foram o debridamento cirúrgico (51,2%), ressecção com reconstrução ou ob­turador (29,8%) e enxágue com antimicrobianos (2,4%). Conclusão: dentro dos limites deste estudo, o grau de consciência dos profissionais sobre a prevenção, indicação de tratamento e encaminhamento médico de pacientes com Bronj feito pelos implantodontistas entrevistados é significativo

Objectives: this survey evaluated the knowledge of implant dentistry professionals of Porto Alegre (Rio Grande do Sul, Brazil) on the relationship between bisphosphonates and jaw osteonecrosis (Bronj), its incidence, and associated treatment modalities. Material and methods: a questionnaire with 15 items was sent to colleagues between July-September 2012. Eighty-four participants (60 men, 24 women) provided answers, with most between 31 to 40 years-old and one and five years of practice after the Specialist course´s conclusion. Results: 1) Regarding bisphosphonates, 75% reported previous contact with and that this issue was addres­sed in the Specialization course; 2) Most of them reported to ask patients about bisphosphonates and administration modes (intra-oral or intravenous) (88.1%). Also, the clinical decision process for patients under medication was to ask a physician (57.1%), to request complimentary exams (16.7%), no surgeries (25%), or to recommend avoiding bisphosphonates (1.2%); 3) About CTX examining, most specialists said to recognize (83.3%) and request it (63.1%); 4) From professionals (38.1%) with Bronj cases, those were associated to intra-oral and not to intravenous administrations (117 against 29); 5) The most used treatments for Bronj were surgical debridement (51.2%), resection and recons­truction with an obturator (29.8%), and rinsing with antimicrobial agents (2.4%). Conclusion: within the limits of this study, the level of awareness on prevention, indications for treatment, and referral to a physician of Bronj patients by surveyed implant dentistry professionals is significant

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