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Article ; Online: Patient perception of service quality to preanesthetic oral examination: a cross-sectional study using the SERVQUAL model.

Wu, Ju-Hui / Lee, Kun-Tsung / Cheng, Kuang-I / Du, Je-Kang / Lee, Chen-Yi

2024 Volume 24, Issue 1, Page(s) 120

Abstract: Background: A phase-III interdisciplinary quality improvement program, the preanesthetic oral examination (PAOE), was implemented as a new program in an academic medical center to prevent perioperative dental injuries. This study was aimed at surveying ... ...

Abstract	Background: A phase-III interdisciplinary quality improvement program, the preanesthetic oral examination (PAOE), was implemented as a new program in an academic medical center to prevent perioperative dental injuries. This study was aimed at surveying the perceived service quality and satisfaction of patients who had undergone PAOE based on the SERVQUAL model. Methods: This cross-sectional survey was conducted at the Kaohsiung Medical University Hospital using convenience sampling. Patients referred for PAOE (PAOE group) and those who had voluntarily availed dental services (control group) were recruited. A modified SERVQUAL questionnaire was used to assess the perceived service quality and patient satisfaction with dental services. Cronbach's alpha for SERVQUAL was 0.861. Results: We enrolled 286 (68.8%) and 130 (31.2%) participants in the PAOE and control groups, respectively. The path analysis revealed that the PAOE group scored lower in dimensions of reliability (β = -0.074, P = 0.003), responsiveness (β = -0.148, P = 0.006), and empathy (β = -0.140, P = 0.011). Furthermore, reliability (β = 0.655, P < 0.001) and responsiveness (β = 0.147, P = 0.008) showed a direct effect on patient satisfaction. Overall, participants were highly satisfied with the dental services. Conclusions: The PAOE group showed lower satisfaction and perceived quality of dental services compared to the control group. Although implementing an interdisciplinary program reduces the perceived service quality, its influence is limited. Employing an interdisciplinary teamwork is a win-win strategy encouraged to improve patient safety and reduce malpractice claims. Future suggestions should focus on establishing waiting times that are considered reasonable by patients. Patient-centered education related to the risk of perioperative dental injuries should be provided, and awareness of oral conditions for patient safety should be improved. Moreover, interprofessional education in continuous and undergraduate programs is necessary to improve professional quality.
MeSH term(s)	Humans ; Cross-Sectional Studies ; Reproducibility of Results ; Research Design ; Tooth Injuries ; Perception
Language	English
Publishing date	2024-01-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2091511-1
ISSN	1472-6831 ; 1472-6831
ISSN (online)	1472-6831
ISSN	1472-6831
DOI	10.1186/s12903-024-03853-2
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Comparison of the plaque-removal efficacy of ultra-soft single-headed, triple-headed, and T-shaped toothbrushes and the subjective perceptions of users.

Wu, Ju-Hui / Li, Jhen-Yi / Du, Je-Kang / Lee, Chen-Yi

Journal of oral science

2023 Volume 65, Issue 2, Page(s) 102–106

Abstract: Purpose: To compare the plaque-removal efficacy of ultra-soft single-headed, triple-headed, and T-shaped toothbrushes and the subjective perceptions of users.: Methods: In this randomized, single-blind, crossover study, 30 healthy adult participants ... ...

Abstract	Purpose: To compare the plaque-removal efficacy of ultra-soft single-headed, triple-headed, and T-shaped toothbrushes and the subjective perceptions of users. Methods: In this randomized, single-blind, crossover study, 30 healthy adult participants were randomly divided into three groups of 10, who tested the three types of toothbrushes in differing order, with a 1-week washout period between the tests. Dental plaque scores were recorded before and after toothbrushing, and questionnaires on subjective perceptions after toothbrushing were collected. Results: The participants included 16 female participants and 14 male participants (average age: 29.4 ± 6.7 years). All three toothbrush types were effective in reducing dental plaque by 36-46%; however, the cleaning effect of the ultra-soft single-headed toothbrush was inferior to that of the triple-headed and T-shaped toothbrushes, the difference being statistically significant. The users' subjective perceptions suggested that the ultra-soft single-headed toothbrush was significantly superior to the other two toothbrush types. Plaque scores for the lower posterior tooth surfaces were higher than those for the upper posterior tooth surfaces, particularly on the left side, for both the ultra-soft single-headed and T-shaped toothbrushes. Conclusion: Healthcare practitioners should identify the type of toothbrush bristles used by individuals and provide appropriate oral health information.
MeSH term(s)	Adult ; Humans ; Male ; Female ; Young Adult ; Toothbrushing ; Dental Plaque/prevention & control ; Single-Blind Method ; Cross-Over Studies ; Dental Plaque Index ; Equipment Design
Language	English
Publishing date	2023-03-01
Publishing country	Japan
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	1434462-2
ISSN	1880-4926 ; 1343-4934
ISSN (online)	1880-4926
ISSN	1343-4934
DOI	10.2334/josnusd.22-0307
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Article ; Online: Acceptance and experience of digital dental technology, burnout, job satisfaction, and turnover intention for Taiwanese dental technicians.

Teng, Tang-Yun / Wu, Ju-Hui / Lee, Chen-Yi

BMC oral health

2022 Volume 22, Issue 1, Page(s) 342

Abstract: Background: Digital dental technology (DDT) has progressed and been introduced to Taiwan in the recent years, gradually changing the industry ecology. Many studies have demonstrated that DDT is more accurate and faster than conventional dental ... ...

Abstract	Background: Digital dental technology (DDT) has progressed and been introduced to Taiwan in the recent years, gradually changing the industry ecology. Many studies have demonstrated that DDT is more accurate and faster than conventional dental technology. However, there is a paucity of research exploring dental technicians' perspectives on digital dental techniques, and their burnout, job satisfaction, and turnover intention. Methods: This cross-sectional survey with convenience sampling was conducted at the conference venue of the Taiwan Association of Dental Technology to investigate the perspectives of dental technicians. We used the snowballing method in this study; two sampling methods were adopted, a convenience sampling of dental technicians to complete a survey, followed by asking the survey participants of the convenience sample to invite their colleagues to participate in the online survey. The survey questionnaire included questions on demographics, work-related information, acceptance and experiences of dental technicians toward DDT, occupational burnout, job satisfaction, and turnover intention. Regression models were used to determine the predictors of job satisfaction and determinants of turnover intention. Results: In total, 341 valid questionnaires were obtained. Overall, the participants reported long working hours (95.5%), positive score on the DDT acceptance scale, moderate job satisfaction, higher personal burnout, and work burnout, along with lower over-commitment. Among them, 32.9% and 28.2% reported the intention to leave their organization and profession, respectively. The stepwise multiple regression model revealed that higher work burnout decreased job satisfaction, while higher DDT acceptance and position as employer increased job satisfaction. The binary logistic regression models revealed that geographical area of workplace, work burnout, and job satisfaction were significant predictors of turnover intentions. Conclusions: Many Taiwanese dental technicians reported turnover intentions and higher burnout. With the trend of digitalization in the dental industry, even though most dental technicians had a positive outlook toward DDT, its influence on job satisfaction appears limited. Retaining good and professional talents required of a dental technician is crucial, especially as Taiwan's dental care becomes increasingly specialized. Strategies for improving the work environment and occupational health of dental technicians should thus be the focus of future studies.
MeSH term(s)	Humans ; Burnout, Professional ; Cross-Sectional Studies ; Dental Technicians ; Intention ; Job Satisfaction ; Surveys and Questionnaires ; Technology, Dental
Language	English
Publishing date	2022-08-11
Publishing country	England
Document type	Journal Article
ZDB-ID	2091511-1
ISSN	1472-6831 ; 1472-6831
ISSN (online)	1472-6831
ISSN	1472-6831
DOI	10.1186/s12903-022-02359-z
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Article ; Online: Betel quid chewing and cessation in the sociocultural context of Paiwan people from Taiwan: a qualitative study.

Lee, Chen-Yi / Chang, Yong-Yuan

Journal of ethnicity in substance abuse

2019 Volume 20, Issue 3, Page(s) 395–414

Abstract: Although recent medical studies have found a significant correlation between betel quid chewing and oral cancer, some Taiwanese aboriginal people continue the traditional betel quid culture. Using the transtheoretical model framework, we conducted a ... ...

Abstract	Although recent medical studies have found a significant correlation between betel quid chewing and oral cancer, some Taiwanese aboriginal people continue the traditional betel quid culture. Using the transtheoretical model framework, we conducted a qualitative study to examine the stages of behavioral change in betel quid chewing in the Paiwan sociocultural context. We conducted in-depth interviews with 20 aboriginal chewers of betel quid. Results of a content analysis showed significant patterns in the precontemplation, contemplation, action, and maintenance stages, but none in the preparation stage. Relapse was most likely to occur between the contemplation and action stages. In the precontemplation stage, interviewees showed no motivation to change their chewing behavior due to shared positive attitudes of psychosocial benefits and cultural identity. In the contemplation stage, dependent-type chewers were aware of oral damage and pain caused by chewing betel quid but could not resist their cravings; social-type chewers showed approach-avoidance conflicts between social needs and cessation. Chewers entered the action stage once they decided to quit; "to stop immediately" or "reduce quantity" were the most frequent strategies reported. In this stage, chewers endured withdrawal symptoms and refused betel quid from others but tended to relapse easily. Participants entering the maintenance stage were not affected by withdrawal symptoms and did not have ulcers or pain. Future research should identify ways to preserve traditional aboriginal culture while encouraging aboriginal people to quit betel quid chewing to promote the prevention and treatment of oral cancer.
MeSH term(s)	Areca ; Humans ; Mastication ; Population Groups ; Qualitative Research ; Taiwan
Language	English
Publishing date	2019-09-14
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2052900-4
ISSN	1533-2659 ; 1533-2640
ISSN (online)	1533-2659
ISSN	1533-2640
DOI	10.1080/15332640.2019.1657544
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ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Development and questionnaire-based evaluation of virtual dental clinic: a serious game for training dental students.

Wu, Ju-Hui / Du, Je-Kang / Lee, Chen-Yi

Medical education online

2021 Volume 26, Issue 1, Page(s) 1983927

Abstract: Background: The volume of literature about serious gaming in dental education has increased, however, none of the previous studies have developed a serious game for closing the gap between preclinical and clinical training.: Objective: Virtual Dental ...

Abstract	Background: The volume of literature about serious gaming in dental education has increased, however, none of the previous studies have developed a serious game for closing the gap between preclinical and clinical training. Objective: Virtual Dental Clinic (VDC) is a serious game that was created to help develop clinical reasoning skills in dental students. This study aimed to evaluate VDC as an educational tool and its effectiveness on clinical skill and knowledge gain among clerkship dental students. Methods: The following three stages of VDC design and testing were addressed from 2016 to 2020: development, validation, and application. The VDC was developed using Unity game engine. In the validation stage, the content validity was reviewed by five visiting staff; construct validity and face validity were examined by 9 postgraduate-year dentists and 14 clerkship dental students. Concurrent validity and predictive validity were examined by 34 fifth-year dental students during their clerkship from September, 2018 to May, 2019, the associations between VDC experiences, clerkship performance, and the score on a national qualification test were explored. In the application stage, the VDC was set up as a self-learning tool in the Family Dentistry Department from August, 2019, quantitative and qualitative analyses were conducted using the 92 clerkship students' feedback. Results: The VDC showed good validity and a high potential for education in practice. Students who have used VDC received significantly higher scores on qualification test (p = 0.029); the VDC experiences significantly predicted higher performance score on periodontics (p = 0.037) and endodontics (p = 0.040). After the outbreak of COVID-19 pandemic, significantly higher proportion of students confirmed the value of VDC as an assistant tool for learning clinical reasoning (p = 0.019). Conclusions: The VDC as an educational tool, and the effectiveness on clinical reasoning skills and knowledge gain among clerkship dental students has been validated and confirmed in this study.
MeSH term(s)	COVID-19 ; Clinical Clerkship ; Clinical Competence ; Dental Clinics ; Humans ; Pandemics ; SARS-CoV-2 ; Students, Dental ; Students, Medical ; Surveys and Questionnaires
Language	English
Publishing date	2021-10-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2052877-2
ISSN	1087-2981 ; 1087-2981
ISSN (online)	1087-2981
ISSN	1087-2981
DOI	10.1080/10872981.2021.1983927
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Article ; Online: Situational simulation teaching effectively improves dental students' non-operational clinical competency and objective structured clinical examination performance.

Wu, Ju-Hui / Lin, Pei Chen / Lee, Kun-Tsung / Liu, Hsin-Liang / Lu, Peih-Ying / Lee, Chen-Yi

BMC medical education

2024 Volume 24, Issue 1, Page(s) 533

Abstract: Background: Appropriate communication with dental patients enhances treatment outcomes and patient satisfaction. Implementing simulated patient interviews courses can improve patient-centered care and reduce conflict during clerkship training. Therefore, ...

Abstract	Background: Appropriate communication with dental patients enhances treatment outcomes and patient satisfaction. Implementing simulated patient interviews courses can improve patient-centered care and reduce conflict during clerkship training. Therefore, this study explored the relationship among student participation in a situational simulation course (SSC), academic performance, clerkship performance, and objective structured clinical examination (OSCE) performance. Methods: This study was conducted with a sample of fifth-year dental students undergoing clerkship training. After implementing a situational simulation course to investigate the relationship among participation in SSC, academic performance, clerkship performance, and OSCE performance, a path analysis model was developed and tested. Results: Eighty-seven fifth-year dental students were eligible for the SSC, and most (n = 70, 80.46%) volunteered to participate. The path analysis model revealed that academic performance had a direct effect on OSCE performance (β = 0.281, P = 0.003) and clerkship performance (β = 0.441, P < 0.001). In addition, SSC teaching had a direct effect on OSCE performance (β = 0.356, P < 0.001). Conclusions: SSCs can enhance dental students' non-operational clinical competency and OSCE performance effectively. Simulated patient encounters with feedback, incorporated into the dental curricula, have led to improved communication. Based on our findings, we suggest implementing SSC teaching before the OSCE to improve communication and cognitive skills.
MeSH term(s)	Humans ; Clinical Competence ; Educational Measurement ; Students, Dental ; Education, Dental/methods ; Education, Dental/standards ; Female ; Male ; Clinical Clerkship ; Simulation Training ; Patient Simulation ; Academic Performance
Language	English
Publishing date	2024-05-14
Publishing country	England
Document type	Journal Article
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-024-05546-4
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Article: Programmable Digital-Microfluidic Biochips for SARS-CoV-2 Detection.

Wang, Yuxin / Chan, Yun-Sheng / Chae, Matthew / Shi, Donglu / Lee, Chen-Yi / Diao, Jiajie

Bioengineering (Basel, Switzerland)

2023 Volume 10, Issue 8

Abstract: Biochips, a novel technology in the field of biomolecular analysis, offer a promising alternative to conventional testing equipment. These chips integrate multiple functions within a single system, providing a compact and efficient solution for various ... ...

Abstract	Biochips, a novel technology in the field of biomolecular analysis, offer a promising alternative to conventional testing equipment. These chips integrate multiple functions within a single system, providing a compact and efficient solution for various testing needs. For biochips, a pattern-control micro-electrode-dot-array (MEDA) is a new, universally viable design that can replace microchannels and other micro-components. In a Micro Electrode Dot Array (MEDA), each electrode can be programmatically controlled or dynamically grouped, allowing a single chip to fulfill the diverse requirements of different tests. This capability not only enhances flexibility, but also contributes to cost reduction by eliminating the need for multiple specialized chips. In this paper, we present a visible biochip testing system for tracking the entire testing process in real time, and describe our application of the system to detect SARS-CoV-2.
Language	English
Publishing date	2023-08-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2746191-9
ISSN	2306-5354
ISSN	2306-5354
DOI	10.3390/bioengineering10080923
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Article ; Online: Retrospective study of the styloid process in a Taiwanese population using cone beam computed tomography.

Chu, Mio-Ieng / Chen, Chia-Hui / Lee, Chen-Yi / Chen, Yuk-Kwan

Journal of dental sciences

2021 Volume 17, Issue 1, Page(s) 345–353

Abstract: Background/purpose: Review of literature, evaluation of the styloid process (SP) using cone beam computed tomography (CBCT) has not been performed in a Taiwanese population. Our study aimed to evaluate the different characteristics of SP using CBCT in a ...

Abstract	Background/purpose: Review of literature, evaluation of the styloid process (SP) using cone beam computed tomography (CBCT) has not been performed in a Taiwanese population. Our study aimed to evaluate the different characteristics of SP using CBCT in a Taiwanese population. Materials and methods: CBCT scans of 121 patients (55 males, 66 females; mean age, 27 ± 9.09 years) were evaluated to assess the length, morphological type, calcification pattern, and angulation of the SP. A SP length greater than or equal to 30.00 mm is considered to indicate an elongated SP (ESP). ESP was classified in terms of morphology as Type I: uninterrupted; Type II: pseudo-articulated; or Type III: segmented. The calcification pattern of SP was categorized as Type A: calcified outline; Type B: partially calcified; Type C: nodular; or Type D: completely calcified. The transverse and sagittal angles between the bilateral SP were also measured. Results: One-hundred and nine patients had a bilateral SP and 12 patients had a unilateral SP. The mean SP length was 26.34 ± 7.44 mm. Forty-two (34.71%) patients had an ESP. The most common ESP morphology was Type 1, followed by Type II, then Type III, while the calcification pattern prevalence was of the descending order Type B, Type A, Type C, and Type D. The mean transverse and sagittal angles were 66.90 ± 5.41° and 26.67° ± 6.50°, respectively. Conclusion: The present study was the first to evaluate the characteristics of SP in a Taiwanese population using CBCT. The data contribute a useful basis for clinical investigation of the SP in future.
Language	English
Publishing date	2021-11-03
Publishing country	Netherlands
Document type	Journal Article
ISSN	2213-8862
ISSN (online)	2213-8862
DOI	10.1016/j.jds.2021.10.013
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Book ; Online: Cross-Resolution Flow Propagation for Foveated Video Super-Resolution

Lee, Eugene / Hsu, Lien-Feng / Chen, Evan / Lee, Chen-Yi

2022

Abstract: The demand of high-resolution video contents has grown over the years. However, the delivery of high-resolution video is constrained by either computational resources required for rendering or network bandwidth for remote transmission. To remedy this ... ...

Abstract	The demand of high-resolution video contents has grown over the years. However, the delivery of high-resolution video is constrained by either computational resources required for rendering or network bandwidth for remote transmission. To remedy this limitation, we leverage the eye trackers found alongside existing augmented and virtual reality headsets. We propose the application of video super-resolution (VSR) technique to fuse low-resolution context with regional high-resolution context for resource-constrained consumption of high-resolution content without perceivable drop in quality. Eye trackers provide us the gaze direction of a user, aiding us in the extraction of the regional high-resolution context. As only pixels that falls within the gaze region can be resolved by the human eye, a large amount of the delivered content is redundant as we can't perceive the difference in quality of the region beyond the observed region. To generate a visually pleasing frame from the fusion of high-resolution region and low-resolution region, we study the capability of a deep neural network of transferring the context of the observed region to other regions (low-resolution) of the current and future frames. We label this task a Foveated Video Super-Resolution (FVSR), as we need to super-resolve the low-resolution regions of current and future frames through the fusion of pixels from the gaze region. We propose Cross-Resolution Flow Propagation (CRFP) for FVSR. We train and evaluate CRFP on REDS dataset on the task of 8x FVSR, i.e. a combination of 8x VSR and the fusion of foveated region. Departing from the conventional evaluation of per frame quality using SSIM or PSNR, we propose the evaluation of past foveated region, measuring the capability of a model to leverage the noise present in eye trackers during FVSR. Code is made available at https://github.com/eugenelet/CRFP. Comment: 12 pages, 8 figures, to appear in IEEE/CVF Winter Conference on Applications of Computer Vision (WACV) 2023
Keywords	Computer Science - Computer Vision and Pattern Recognition ; Computer Science - Artificial Intelligence
Subject code	910
Publishing date	2022-12-27
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Book ; Online: Few-Shot and Continual Learning with Attentive Independent Mechanisms

Lee, Eugene / Huang, Cheng-Han / Lee, Chen-Yi

2021

Abstract: Deep neural networks (DNNs) are known to perform well when deployed to test distributions that shares high similarity with the training distribution. Feeding DNNs with new data sequentially that were unseen in the training distribution has two major ... ...

Abstract	Deep neural networks (DNNs) are known to perform well when deployed to test distributions that shares high similarity with the training distribution. Feeding DNNs with new data sequentially that were unseen in the training distribution has two major challenges -- fast adaptation to new tasks and catastrophic forgetting of old tasks. Such difficulties paved way for the on-going research on few-shot learning and continual learning. To tackle these problems, we introduce Attentive Independent Mechanisms (AIM). We incorporate the idea of learning using fast and slow weights in conjunction with the decoupling of the feature extraction and higher-order conceptual learning of a DNN. AIM is designed for higher-order conceptual learning, modeled by a mixture of experts that compete to learn independent concepts to solve a new task. AIM is a modular component that can be inserted into existing deep learning frameworks. We demonstrate its capability for few-shot learning by adding it to SIB and trained on MiniImageNet and CIFAR-FS, showing significant improvement. AIM is also applied to ANML and OML trained on Omniglot, CIFAR-100 and MiniImageNet to demonstrate its capability in continual learning. Code made publicly available at https://github.com/huang50213/AIM-Fewshot-Continual. Comment: 20 pages, 44 figures, accepted by International Conference of Computer Vision 2021 (ICCV 2021)
Keywords	Computer Science - Machine Learning ; Computer Science - Artificial Intelligence ; Computer Science - Computer Vision and Pattern Recognition
Subject code	004
Publishing date	2021-07-29
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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