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Dentists continue services via teledentistry and with tighter protocols

first_imgThis article is part of The Jakarta Post’s “Forging the New Norm” special coverage series, on how people are forging their lives anew to adjust to the new realities of COVID-19 in Indonesia.Dentists and dental clinics in Indonesia are attempting to minimize the high risks they face amid the COVID-19 pandemic by embracing telemedicine and tighter health protocols in order to continue treating patients and to keep their businesses afloat.Dental procedures frequently generate formations of droplets and fine water particles in the air that can carry the novel coronavirus that causes COVID-19, which may end up on the clothes of, or be inhaled by, both dental healthcare personnel and patients. Read also: Indonesian dentists walk on tightrope as practices forced to close due to COVID-19The Indonesian Dentists Association (PDGI) has advised the public not to see dentists unless for emergency or serious dental problems, such as oral bleeding or severe dental pain during the COVID-19 pandemic. In April, the PDGI reported that six dentists had died of COVID-19 after treating patients.“Patients can understand their degrees of urgency by consulting the dentists virtually. It has never been more obvious that dental organizations must embrace teledentistry,” PDGI chair Sri Hananto Seno told The Jakarta Post on Thursday.Take pictures Many patients, including Intan Kurnia Marka, have decided to postpone going to the dentist. Intan, herself a 24-year-old dental student in Yogyakarta, has skipped her routine braces checkups during the outbreak. “A loose bracket is a common problem for people with braces but it doesn’t need emergency care. I fear the COVID-19 transmission more,” she said.Hananto said that patients nowadays might want to communicate with dentists online, especially if their dentists have established good relationships with them. Hananto, for example, asks his patients to take several pictures of their mouth and send them through WhatsApp so he can analyze the problem.“This is the closest we can get to solving the dilemma of whether to continue to work and keep earning or to reduce the risk of COVID-19 transmission,” he said, adding that in outbreak epicenter Jakarta, the COVID-19 situation had prompted nearly 70 percent of dentists to stop practicing and lose their source of income.Hananto said the PDGI, which has 272 branches across the country, was also starting to collaborate with telemedicine apps such as Klikdokter and Halodoc so that dentists could register easily.Limited servicesDentistry, however, has yet to settle on an established new normal. Dentists and clinics are still grappling with how best to serve needy patients and the results are either a limited service or a costly one.Artist Yustiansyah Lesmana told the Post that his wife, whose gums had swollen, went to RE Martadinata Dental Naval Hospital in Central Jakarta on May 8 where she was asked to cover the cost of personal protective equipment (PPE) for the medical workers in order to obtain emergency treatment. They did not use the national healthcare system BPJS Kesehatan because that system requires the patient to go see their nearest dentist first before being treated as a dental emergency in the hospital.“My wife was expected to pay Rp 500,000 [US$ 33.50] outside the treatment fees. We declined to see the dentist eventually,” he said. The couple spent hours, calling several dentists and clinics, to find a dentist that could treat Yustiansyah’s wife’s problem. Finally, they went to the University of Indonesia clinic in Salemba, where she left her number and was called and treated remotely by a dentist because the dental clinic was closed to visitors.RE Martadinata Dental Naval Hospital head Col. Agus Gamal Mulya said the policy of patients buying PPE for dentists applied to general patients, to partially cover the cost of PPE given the scarcity of protective gear in the first weeks of the outbreak and subsequent skyrocketing prices.“We needed to procure protective gear but were unable to do it without aid from other parties. A set of PPE cost around Rp 500,000 per staff member. Meanwhile, a patient with an emergency case is treated by two personnel, a doctor and a dental assistant. We decided to charge the patient for the PPE at half the cost if they agreed,” Agus told the Post on Tuesday.He added that the policy did not apply to patients covered by the Health Care and Social Security Agency (BPJS Kesehatan).Atika Nurmalia was also only able to obtain a limited dental service recently. Unable to bear the incessant pain from her swollen gums, the 24-year-old woman from Kudus regency in Central Java, decided to see a dentist, despite her fear of contracting COVID-19.When she visited the clinic, she went through a body temperature check and was told to maintain physical distance. However, she was surprised when she saw the dentist only wore a surgical mask and did not examine her mouth at all.“I was not told to open my mouth, I didn’t even remove my mask. I understand that must be dangerous to do especially as the dentist only wore a mask but what’s the point then of visiting the dentist?” she said. Her experience demonstrated the necessary shift in dental practice as some procedures may be now carried out without visiting a hospital or clinic.Tighter protocolsEndodontist Rio Suryantoro, who owns a clinic in Tebet, South Jakarta, said he had been conducting assessments regarding COVID-19 through WhatsApp as a routine procedure.“If a patient needs emergency care, we must first assess their condition and travel history in the last 14 days before agreeing to an arrangement. Meanwhile, all kinds of nonemergency practices should be postponed,” he told the Post.Rio added that even with such precheck measures, the risks were still high as long as the patients were not tested for COVID-19, especially as some COVID-19 patients could be showing no symptoms.“Now is a good time for dental professionals to learn about and improve infection control. All this time, both dental patients and staff could be exposed to various viruses and bacteria through direct or indirect contact with fluids, but even the standard precautions are often overlooked,” said Rio.The standard precautions in dental practices include hand hygiene, use of PPE such as gloves, masks and eyewear, safe injection practices, sterile instruments and a clean and disinfected environment.In the future, patients may expect to see all dental staff wearing gowns, masks, face shields, gloves and boots. Hananto of the PDGI said this protective gear was an absolute condition for any dentists who wanted to work during this pandemic.Hananto added, however, that not all dental healthcare personnel could afford protective gear. The PDGI has received 5,000 PPE items from the National Disaster Mitigation Agency (BNPB) and distributed them to several regions. This amount is far from enough to cover all 34,000 dentists across the country, according to Hananto.“Without an effective vaccine, the pandemic will last but we can’t stop working forever. The way to work is by wearing full protective gear,” he said.Topics :last_img read more

Mourinho hails Diego Costa as ‘special player’ after Swansea hat-trick

first_imgChelsea boss Jose Mourinho described Diego Costa as a “special” player after the Spain striker fired the Blues two points clear in the Premier League.Costa, who passed a late fitness test on a hamstring injury, scored a hat-trick as Chelsea beat Swansea 4-2.The £32m summer signing from Atletico Madrid has seven goals in his first four games for the west London club.”He is one of the best strikers at this moment in football,” Mourinho told BBC Sport. “He is a special player.”Costa cancelled out John Terry’s early own-goal with a header on the stroke of half-time and pounced twice after the break from close range to swing the match Chelsea’s way.He departed to a standing ovation from the home fans, who then watched Costa’s replacement Loic Remy score his first goal for the club since joining for £10.5m from QPR. “The team is an attacking team that creates a lot of chances and spaces for a striker,” said Mourinho.”The second goal is a brilliant collective action. [Cesc] Fabregas had a fantastic assist and Diego put the ball in the net. Diego is a good player but he is in a good team.”Costa’s goals have added another dimension to a side that finished third in the league last season.He has already scored two more league goals than Fernando Torres and Demba Ba each managed for Chelsea in the whole of last season, and only two fewer than Samuel Eto’o.Former England striker Alan Shearer believes Costa’s muscular forward play and finishing make him “tailor-made” for the Premier League. “Everything impressed me about Diego Costa today,” Shearer told BBC Radio 5 live. “He is looking the real deal. When it is not going as it should be for Chelsea, they have a goalscorer who can get them out of it.”And he added on Match of the Day: “When you consider it took Fernando Torres 43 games to get seven goals, Costa definitely makes a difference.”What Chelsea have now is a guy that, when they are playing poorly, can score goals and pull them through. Chelsea did not play well against Swansea but just before half-time they got a corner and he scored.”He is always available. He always wants the ball to feet and if you want to push him around and bully him it is alright because he will do the same to you.”As well as goals, he can assist also. He can do pretty much everything. He has made a great start. He will get a bagful of goals this season if he stays fit because that team will create chances for him.” Former Blues winger Pat Nevin believes the only thing that can stop Costa scoring is injury.”He looks like he will pick up a few injuries because he puts himself about, but he has got everything,” the Scot said on BBC Radio 5 live.”We knew he was strong and a natural finisher, but he has quick feet and a great knowledge of the game.”He can play others in and is a complete centre-forward.”last_img read more

Venus Williams may follow Serena in ending Indian Wells boycott

Venus Williams has boycotted the BNP Paribas Open in Indian Wells since 2001 but said she may follow her younger sister Serena’s lead and return to the event next year.Serena competed in the tournament earlier this month for the first time since a 2001 final that was marred by the behaviour of spectators who booed and heckled the American and her family.The reaction was in apparent response to Venus having withdrawn from that year’s semi-final versus Serena just minutes before the match, citing injury.”I have heard so much about how much the tournament has just improved in general in terms of the fans and the players. So it will be something to see for me,” Venus, 34, said after beating Caroline Wozniacki to reach the Miami Open quarter-finals.Serena received a standing ovation at the start of her first match back at Indian Wells where she reached the semi-finals before withdrawing due to a knee problem.Venus said she was delighted to see how her sister handled the return and the response she received from the crowd. “It was wonderful to see. I definitely watched every moment, and it was great to see her and my family there,” said Venus.”Next year will be a big year for us being an Olympic year. I can’t exactly say what my schedule will be, but it was wonderful to see her reception.”In 2001, spectators at Indian Wells booed Serena during the final and jeered her sister and father Richard Williams when the pair arrived to watch the match.Richard Williams alleged he had heard racist taunts. “As I said I think the tournament’s amazing. I also said next year is an Olympic year, so my whole focus is on trying to get to the Olympics,” said Venus.”It would be awesome to return, but I don’t know what my schedule is next year. It’s going to be all around that.” Serena, 33, welcomed the notion of her sister heading back to the California tournament.”She would get a wonderful welcome, I would think,” Serena said after beating Svetlana Kuznetsova to reach the last-eight in Miami.”We will see how the schedule works out for her and for me both.”– read more

One hundred times Benzema

first_imgIf Benzema could choose a moment to give a blow on the table there couldn’t be a better one than this, Now that his ability for the goal is in question. There are already four matches that chains without marking. Worse, he has only scored two goals in the last twelve. But benzema He has written his story in Madrid with lyrics from Champions. Today meets 100 matches of white in the competition and in them he has scored 52 goals. They are 0.52 goals per game, an average higher than 0.45 signing in the league championship with the Madrid shirt. Before arriving at Bernabeu, had already scored 12 goals (two of them in previous phase matches) in 19 games with the Olimpyque in the Champions.The Classic postponed to December 18 was a turning point this season for the French striker, who for a moment had managed to forget the figure of Christian. Benzema scored 16 goals in the first 21 games of the year. But from that Classic he stopped dead until he got only two targets in the next 12. “It means a lot the Champions League. There is something different around her. The emotions are different. It’s not that you give less in other competitions, but there’s something else in this one, I don’t know what it is. Everything that revolves around her is incredible and there is more pressure. ” Benzema made this reflection just a few hours ago in the for the official UEFA channel. Not surprisingly, he is the fourth top scorer of the competition: He has 62 goals (ten of them with Olimpyque), they only beat him Raul (71 in Real Madrid Y Schalke), Messi (114 with the Barça) and Cristiano (127 between Madrid, United and Juventus). And he’s tied with another killer, Lewandowski (62 with the Bayern and the Borussia). “The 50 goals of Cristiano will be shared by others”, It was the message that the club spread to justify the non-signing of a born scorer. It was thought of Asensio, Bale, Vinicius, Jovic … but especially in Benzema. The Frenchman has made a threat of being the reference. He went from marking el 8% of the goals of Madrid in the last campaign that coincided with Cristiano (12 of 152) to score 29% in last season 30 of 101. In this one he wears 24% (18 of 73). But more was expected of him. Today, in your fetish competition, you can hit the table …last_img read more

14 Deaths, 75 Quarantined In Cape Mount

first_imgThe Grand Cape Mount County Health Team (CHT) has reported 14 deaths and  75 persons quarantined for allegedly coming into direct contact with suspected Ebola patients in the area.The report says that from January 1 to 6, the CHT recorded 14 deaths, which took place in Tienii, Gbesseh,  Jorjoama and Camp #3 in Tewor District, where the virus is said to be prevalent.Mr. Samuel Zayzay, Surveillance Officer for the county, gave the troubling report at the County Ebola Taskforce coordination meeting held in Robertsport last Wednesday, according to information reaching the Daily Observer.Meanwhile, Imam Mohammed A. Paasewe, County Superintendent, also disclosed that local authorities in collaboration with the CHT, national and international partners have set up Ebola awareness and prevention measures to fight the virus.In a related development, the Assistant Health Minister Tolbert Nyenswah said the government had sent a six-man technical team to the county to beef up the strength of the local Ebola Taskforce in eradicating the virus from the county.He said government’s decision to dispatch the team to the county was because of the constant outbreak of new Ebola cases there and the need for greater efforts to curb the virus.The six-man team will work with the CHT and local and international partners in fighting the further spread of the virus.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)last_img read more