Dental Prosthesis Needs and Associated Factors in Native Brazilian Kiriri Indians: a CrossSectional Study / Necessidades de Próteses Dentárias e Fatores Associados em Índios Kiriri Nativos Brasileiros: um Estudo Transversal

This study evaluated the dental prosthesis needs and associated factors in indigenous Brazilian adults from Northeastern Brazil. Dental prosthesis needs were assessed in a representative sample of 225 Indians. Edentulous area and current indication for tooth extraction according to periodontal status or non-restorable condition were registered in a clinical chart. Bivariate and logistic analyses were applied to assess associations of dental prosthesis needs and prosthesis type with age, sex, income, education, smoking, moderate or severe periodontitis, plaque index, dental caries experience, and previous dental visit. Prosthetic treatment was necessary in 83% of the participants. These individuals required 339 dental prostheses, including removable partial dentures (60.2%), fixed (33.6%), and complete dentures (6.2%). Regression analysis showed that age ≥35 years [odds ratio (OR) 5.95, 95% confidence interval (CI) 1.97­17.91, p=0.002] and caries experience ≥3 [OR 4.01, 95%CI 1.78­9.02, p=0.001] were significantly associated with prosthesis needs. The type of prosthesis required was associated with sex, age, educational level, periodontitis, caries experience, and plaque index (p≤0.03). In conclusion, the need for prosthetic rehabilitation was high in this population, and sociodemographic factors, dental plaque level, caries experience, and periodontitis were associated with the required type of prosthesis. These data can be used to plan the allocation of resources to promote preventive and curative strategies in this population.(AU)

Este estudo avaliou as necessidades de prótese dentária e fatores associados em adultos indígenas brasileiros do Nordeste do Brasil. As necessidades de prótese dentária foram avaliadas em uma amostra representativa de 225 índios. A área edêntula e a indicação para extração dental, de acordo com o estado periodontal ou condição não restaurável, foram registradas em um prontuário clínico. Análises bivariadas e logísticas foram aplicadas para avaliar as associações das necessidades de prótese dentária e tipo de prótese com idade, sexo, renda, escolaridade, tabagismo, periodontite moderada ou grave, índice de placa, experiência de cárie dentária e consulta odontológica anterior. O tratamento protético foi necessário em 83% dos participantes. Esses indivíduos necessitaram de 339 próteses dentárias, incluindo próteses parciais removíveis (60,2%), fixas (33,6%) e próteses totais (6,2%). A análise de regressão mostrou que idade ≥35 anos [odds ratio (OR) 5,95, intervalo de confiança de 95% (IC) 1,97­17,91, p=0,002] e experiência de cárie ≥3 [OR 4,01, IC 95% 1,78­9,02, p=0,001] foram significativamente associados às necessidades de prótese. O tipo de prótese necessária foi associado ao sexo, idade, escolaridade, periodontite, experiência de cárie e índice de placa (p≤0,02). Em conclusão, a necessidade de reabilitação protética foi alta nesta população e fatores sociodemográficos, nível de placa dentária, experiência de cárie e periodontite foram associados ao tipo de prótese necessária. Estes dados podem ser usados para planejar a alocação de recursos para promover estratégias preventivas e curativas nessa população.(AU)

Acinic cell carcinoma of the oral and maxillofacial region: an international multicenter study

Abstract The aim of this study was to describe the prevalence, clinicopathological, and prognostic features of acinic cell carcinoma (AciCC) of the oral and maxillofacial region. AciCC cases were retrospectively retrieved from 11 pathology centers of three different countries. Medical records were examined to extract demographic, clinical, pathologic, and follow-up information. A total of 75 cases were included. Females (65.33%) with a mean age of 45.51 years were mostly affected. The lesions usually presented as an asymptomatic (64.28%) nodule (95.66%) in the parotid gland (70.68%). The association of two histopathological patterns was the most common finding (48.93%) and the tumors presented mainly conventional histopathological grades (86.11%). Surgical treatment was performed in the majority of the cases (59.19%). Local recurrence was observed in 20% of the informed cases, regional metastasis in 30.43%, and distant metastasis in 12.50%. The statistical analysis showed that the cases with a solid histopathological pattern (p=0.01), high-grade transformation (p=0.008), recurrence (p=0.007), and regional metastasis (p=0.03) were associated with poor survival. In conclusion, high histopathological transformation, presence of nodal metastasis, and recurrence were prognostic factors for AciCC of the oral and maxillofacial region.

Whole-exome sequencing of oral epithelial dysplasia samples reveals an association with new genes

Abstract The genetic basis of oral epithelial (OED) is unknown, and there is no reliable method for evaluating the risk of malignant transformation. Somatic mutations are responsible for the transformation of dysplastic mucosa to invasive cancer. In addition, these genomic variations could represent objective markers of the potential for malignant transformation. We performed whole-exome sequencing of 10 OED samples from Brazilian and Chilean patients. Using public genetic repositories, we identified 41 deleterious variants that could produce high-impact changes in the amino acid structures of 38 genes. In addition, the variants were filtered according to normal skin and Native American genome profiles. Finally, 13 genes harboring 15 variants were found to be exclusively related to OED. High-grade epithelial dysplasia samples showed a tendency to accumulate highly deleterious variants. We observed that 62% of 13 OED genes identified in our study were also found in head and neck squamous cell carcinoma. Among the shared genes, eight were not identified in oral squamous cell carcinoma. To our knowledge, we have described for the first time 13 genes that are found in OED in a Latin American population, of which five genes have already been observed in oral squamous cell carcinoma. Through this study, we identified genes that may be related to basal biological functions in OED.

The use of micronucleus assay in exfoliated oral cells in patients undergoing fixed orthodontic therapy: a systematic review with meta-analysis

Abstract The aim of this systematic review was to evaluate published papers regarding the micronucleus assay in oral mucosal cells of patients undergoing orthodontic therapy (OT). A search of the scientific literature was made in the PubMed, Scopus, and Web of Science databases for all data published until November, 2021 using the combination of the following keywords: "fixed orthodontic therapy," "genetic damage", "DNA damage," "genotoxicity", "mutagenicity", "buccal cells", "oral mucosa cells," and "micronucleus assay". The systematic review was designed according to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Nine studies were retrieved. Some authors demonstrated that OT induces cytogenetic damage in oral mucosal cells. Out of the nine studies included, two were classified as strong, five as moderate, and two as weak, according to the quality assessment components of the Effective Public Health Practice Project (EPHPP). Meta-analysis data revealed no relationship between mutagenicity in oral cells and OT in different months of treatment. At one month, the SMD = 0.65 and p = 0.08; after three months of OT, the SMD = 1.21 and p = 0.07; and after six months of OT, the SMD = 0.56 and p = 0.11. In the analyzed months of OT, I2 values were >75%, indicating high heterogeneity. In summary, this review was not able to demonstrate that OT induces genetic damage in oral cells. The study is important for the protection of patients undergoing fixed OT, given that mutagenesis participates in the multi-step process of carcinogenesis.

Survival of young and elderly adults with oral squamous cell carcinoma in a population in northeastern Brazil

To compare the profile and overall survival of young adults and elderly people diagnosed with SCC. Methods: A retrospective study was carried out at a High Complexity Oncology Unit, between 2010 and 2016. A descriptive analysis, a bivariate analysis using the chi-square and Fisher's exact test and the Kaplan-Meier estimator were performed. The predictor variables were tested using the log-rank test and those with statistical significance and the literature were maintained for the Cox regression model. Results: 282 cases of SCC were recorded, with only 12.4% diagnosed in young adults. The profile was similar between groups, with the majority of cases of the disease occurring in males, smokers and alcohol consumers. The lesions predominantly located on the tongue and were diagnosed in an advanced stage of the disease, resulting in 35.7% of deaths. The median survival time was 30 months in the elderly and 31 months in young people. In the multivariate analysis, age was not statistically significant, only staging and treatment were predictors of reduced overall survival. Conclusion: Tumor staging, and treatment were prognostic factors for the disease

Calcifying odontogenic cyst with AOT-like features: a case report and literature review / Cisto odontogênico calcificante com características adenomatóides: relato de caso e revisão de literatura

Odontogenic lesions are a heterogeneous group of diseases that presents differences in their biological behavior and the occurrence of variable inductive interactions. Calcifying odontogenic cyst (COC), or Gorlin's cyst, is a well-recognized example of these lesions. We describe a case of COC with AOT-like areas and highlights its morphological diversity. A 60-year-old pheoderma man presented with a large swelling in the anterior buccal region of the mandible. Panoramic radiography revealed a well-defined, unilocular, radiolucent lesion associated with important root resorption. Complete enucleation of the lesion was performed and the histopathological findings met the criteria for the diagnosis of COC, although the cyst exhibited unusual AOT-like features. The patient has been recurrence free for 6 months after surgery. COCs with AOT-like features are rare, and reflect the multipotentiality and complexity of the inductive effects of the odontogenic epithelium with the ectomesenchyme. Enucleation seems to be the most indicated treatment, similar to classical COC (AU)

As lesões odontogênicas são um grupo heterogêneo de patologias que apresentam diferenças no seu comportamento biológico, e ocorrência de interações indutivas variáveis. O cisto odontogênico calcificante (COC), ou cisto de Gorlin, é um exemplo bem conhecido destas lesões. Descrevemos um caso de COC com áreas adenomatóides e destacamos a sua diversidade morfológica. Paciente do sexo masculino, 60 anos de idade, apresentou um aumento de volume na região anterior da mandíbula. A radiografia panorâmica revelou uma lesão bem definida, unilocular e radiolúcida associada a uma reabsorção radicular importante. A enucleação completa da lesão foi realizada e os achados histopatológicos preencheram os critérios para o diagnóstico de COC, embora o cisto exibisse características adenomatóides pouco usuais. O paciente permanece livre de recidivas durante 6 meses após a cirurgia. Os COCs com características adenomatóides são raros, e refletem a multipotencialidade e complexidade dos efeitos indutivos do epitélio odontogênico com o ectomesênquima. A enucleação parece ser o tratamento mais indicado, semelhante ao COC clássico. (AU)

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil

Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients' histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil's Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System.

Escala de Crenças sobre Educação Sexual (ECES): evidências de validade no Brasil / Sex Education Belief Scale (SEBS): evidence of validity in Brazil / Escala de Creencias de Educación Sexual (ECES): evidencia de validez en Brasil

Este estudo tem como objetivo realizar a adaptação transcultural e produzir evidências de validade de uma escala para medir crenças sobre educação sexual no contexto brasileiro. Participaram desta pesquisa 580 universitários de cursos de licenciaturas, que responderam a um questionário contendo a versão adaptada da escala. Foram realizados procedimentos para adaptação transcultural do instrumento original e uma Análise Fatorial Exploratória (AFE) do instrumento adaptado. A versão final da Escala de Crenças sobre Educação Sexual (ECES), composta por dez itens distribuídos em um único fator com uma capacidade de explicação de variância de 47,9%, apresentou boas evidências de validade e fidedignidade, com coeficiente alfa de Cronbach de 0,895 e boa conexão com um instrumento correlato. Os resultados indicam que a ECES consiste em uma boa ferramenta de medida, contextualizada com a realidade brasileira

In view of the debate on sexuality education in schools, this study aim to perform cross-cultural adaptation and produce evidence of the validity of a scale to measure beliefs about sex education in the Brazilian context. A total of 580 university students participated in the study and answered a questionnaire containing the adapted version of the scale. Procedures were performed for cross-cultural adaptation of the original instrument and an Exploratory Factor Analysis (EFA) of the adapted instrument. The final version of the Sex Education Belief Scale (ECES), consisting of ten items distributed in a single factor with an explanatory capacity of variance of 47.9%, showed good evidence of validity and reliability, with a Cronbach's alpha coefficient of 0.895 and good connection with a related instrument. The results indicate that the SSEBS consists of a good measurement tool, contextualized with the Brazilian reality

Ante el debate sobre educación sexual en las escuelas, este estudio tiene como objetivo realizar una adaptación transcultural y producir evidencia de la validez de una escala para medir las creencias sobre la educación sexual en el contexto brasileño. El estudio incluyó a 580 estudiantes universitarios que respondieron un cuestionario que contenía la versión adaptada de la escala. Se realizaron procedimientos para la adaptación transcultural del instrumento original y una Análisis Factorial Exploratoria (AFE) del instrumento adaptado. La versión final de la Escala de Creencias de Educación Sexual (ECES), que consta de diez ítems distribuidos en un solo factor con una capacidad explicativa de variación del 47.9%, mostró buena evidencia de validez y confiabilidad, con un coeficiente alfa de Cronbach de 0.895 y buena conexión con un instrumento correlacionado. Los resultados indican que el ECES consiste en una buena herramienta de medición, contextualizada con la realidad brasileña

Assessment of the relationship between tooth inclination and gingival and alveolar bone dimensions using computed tomography of the maxillary anterior teeth: a cross-sectional study

ABSTRACT Objective: The present study aimed to investigate the relationship between tooth inclination and gingival and bone dimensions in maxillary anterior teeth. Methods: This cross-sectional study included cone-beam computed tomography (CBCT) images of 160 maxillary anterior teeth (30 individuals). Tooth inclination, gingival and bone thickness, and distances from cementoenamel junction to alveolar bone crest and gingival margin were measured in the labial surface. The correlations were analyzed using Pearson and partial correlation tests (p≤0.05). Results: In the central incisors, tooth inclination was positively and significantly related to apical bone thickness (R = 0.34, p= 0.001). In the canines, tooth inclination was negatively and significantly related to cervical bone thickness (R = - 0.34, p= 0.01) and positively associated to apical bone thickness (R = 0.36, p= 0.01) and to gingival margin-cementoenamel junction distance (R = 0.31, p= 0.03). In the lateral incisors, tooth inclination was not associated with gingival or bone dimensions. Conclusions: In the central incisors, the greater the labial tooth inclination, the greater is the apical bone thickness. In the canines, the greater the labial tooth inclination, the smallest is the cervical bone thickness, the greater is the apical bone thickness, and the greater is the gingival margin. Gingival and bone dimensions should be assessed when planning orthodontic treatment involving buccal movement of central incisors and canines.

RESUMO Objetivo: O presente estudo teve como objetivo investigar a relação entre a inclinação dentária e as dimensões ósseas e gengivais em dentes anteriores superiores. Métodos: Esse estudo transversal incluiu imagens de tomografia computadorizada de feixe cônico (TCFC) de 160 dentes anteriores superiores divididos em três grupos (incisivo central, incisivo lateral e canino). Todos os pacientes tinham 18 anos ou mais, não tinham tratamento ortodôntico prévio nem história clínica que pudesse afetar as dimensões ósseas ou gengivais. A inclinação dentária, a espessura do osso e da gengiva e as distâncias da junção cemento-esmalte à crista óssea alveolar e à margem gengival foram medidas na face vestibular. As correlações foram analisadas por meio dos testes de Pearson e de correlação parcial (p≤0,05). Resultados: Nos incisivos centrais, a inclinação dentária foi positiva e significativamente relacionada à espessura do osso apical (R = 0,34, p= 0,001). Nos caninos, a inclinação dentária foi negativa e significativamente relacionada à espessura do osso cervical (R = - 0,34, p= 0,01) e positivamente associada à espessura do osso apical (R = 0,36, p= 0,01) e à distância entre a margem gengival e a junção cemento-esmalte (R = 0,31, p= 0,03). Nos incisivos laterais, a inclinação do dente não foi associada às dimensões do osso ou da gengiva. Conclusões: Nos incisivos centrais, quanto maior a inclinação vestibular do dente, maior a espessura do osso apical. Nos caninos, quanto maior a inclinação vestibular do dente, menor a espessura do osso cervical, maior a espessura do osso apical e maior a margem gengival. As dimensões ósseas e gengivais devem ser avaliadas ao se planejar o tratamento ortodôntico envolvendo a movimentação vestibular dos incisivos centrais e caninos.

Differential protein expression of osteoclastogenic factors in odontogenic cysts and tumors

Abstract: The osteolytic activity of odontogenic cysts and tumors is directly associated with their growth and aggressiveness. The influence of proteins expressed by epithelial and mesenchymal cells on this biological event differs between indolent cystic lesions, aggressive cystic lesions, and odontogenic tumors. The objective of this study was to compare the immunohistochemical expression of factors that stimulate (receptor activator of nuclear factor kappa-Β ligand - RANKL, cathepsin K - CatK and matrix metallopeptidase 8 - MMP-8) and inhibit (osteoprotegerin - OPG) osteoclastogenesis between dentigerous cyst (DC), glandular odontogenic cyst (GOC), odontogenic keratocyst (OKC), and ameloblastoma (AB). Paraffin-embedded sections of nine DCs, nine GOCs, 20 OKCs, 21 ABs, and four dental follicles (DFs) were subjected to immunohistochemistry. Immunoreactivity was analyzed semiquantitatively and quantitatively in epithelium and connective tissue, respectively. The proteins were immunoexpressed in epithelial and mesenchymal cells of all lesions studied. The expression of RANKL and CatK was higher in OKC, AB, and GOC (p<0.005). Higher expression of OPG was found in DF and DC compared to the other markers (p<0.005). MMP-8 expression was high in GOC and OKC. This study demonstrated the differential expression of factors that inhibit and stimulate bone resorption during the development of DC, GOC, OKC, and AB. Higher expression of RANKL and CatK was observed in more aggressive lesions. OPG appears to be one of the molecules responsible for the slower growth of DC.

Prejudice against sexual and gender diversity and beliefs about sex education among university students / Preconceito contra diversidade sexual e de gênero e crenças sobre educação sexual entre estudantes universitários

Discrimination against sexual and gender minorities is a persistent problem in several contexts. This article sought to investigate prejudice against sexual and gender diversity and beliefs about sex education among students of licenciatura (Brazilian term for a bachelor of education degree with a specialization) courses from different areas, and whether there are differences in the manifestation of these attitudes and beliefs between freshmen and seniors. Five hundred eighty university students participated in this study and the data was collected through scales to measure sexual and gender prejudice and beliefs about sex education, and through a sociodemographic characterization form. The results showed that prejudice and belief indices varied by area of study and differences were observed in the mean values of beliefs, but not in those of prejudice, between freshmen and seniors. The importance of more investments is emphasized so that undergraduate students present lower levels of this type of prejudice when completing their respective courses.

A discriminação de minorias sexuais e de gênero é um problema persistente em diversos contextos. Neste artigo buscou-se investigar preconceito contra diversidade sexual e de gênero e crenças sobre educação sexual entre estudantes de cursos de licenciatura de áreas distintas e se há diferenças nas manifestações dessas atitudes e crenças entre ingressantes e concludentes. Participaram deste estudo 580 estudantes universitários e os dados foram coletados através de escalas para medir preconceito sexual e de gênero e crenças sobre educação sexual e de uma ficha de caracterização sociodemográfica. Os resultados mostraram que os índices de preconceito e de crenças variaram por área e foram observadas diferenças nas médias de crenças, mas não nas de preconceito, entre ingressantes e concludentes. Ressalta-se a importância de que haja mais investimentos voltados à conscientização dos estudantes de graduação para que, ao concluírem seus respectivos cursos, apresentem menores níveis desse tipo de preconceito.

Innovation in Pharmaceutical Assistance

Abstract Innovation is the driving force that is able to create and transform products, processes, and organization in the health system. Innovation in the field of pharmaceutical assistance covers a wide spectrum of aspects, from drug discovery to pharmaceutical care, contributing to the improvement in treatments through novel drugs or methods. This work will present the major characteristics of innovation with special emphasis on aspects pertaining to pharmaceutical assistance. The types and models of innovation, as well as the interaction between academia and industry, will be presented with examples of successful products and methods. In addition, the challenges and perspectives for innovation in pharmaceutical assistance will be discussed with a focus on drug discovery.

Long term dental transversal stability of Class II division 1 treated with cervical headgear

ABSTRACT Introduction: In several conditions, outcome stability is a great challenge for Orthodontics. Previous studies have reported that relapse commonly occurs along the years after orthodontic treatment finishing. Objective: The aim of the present study was to evaluate in the long-term transversal dental arch changes of Class II division 1 patients treated with cervical headgear and fixed appliance. Methods: Plaster study casts of 20 patients treated with cervical headgear without dental extractions were 3D-scanned and evaluated in three distinct times: initial (T1), immediate post-treatment (T2) and long-term retention (T3 - minimum 20 years). Transversal teeth distance of maxillary and mandibular canines, premolars and first molars were measured. Results: A statistically significant increase during treatment was observed for all maxillary teeth transversal distances (p< 0.05). In turn, a significant reduction was observed in the long term (p<0.05). For the mandibular teeth, canine transversal distance presented statistically significant constriction in the retention period (p<0.05). Mandibular first molars distance was significantly expanded by treatment (p<0.05) and remained stable in the long term. The changes observed for the other teeth or other times were considered not statistically relevant. Conclusions: For the accessed sample, transversal changes occurred during treatment and retention phases in Class II division 1 patients treated with cervical headgear and fixed appliance. Relapse was considered statistically relevant, even with the institution of a retention protocol.

RESUMO Introdução: Em várias condições, a estabilidade dos resultados é um grande desafio para a Ortodontia. Estudos prévios relataram que a recidiva ocorre, comumente, ao longo dos anos, após o término do tratamento ortodôntico. Objetivo: O objetivo da presente pesquisa foi avaliar as alterações transversais da arcada dentária em longo prazo de pacientes Classe II, divisão 1, tratados com aparelho extrabucal cervical e aparelho fixo. Métodos: Modelos de gesso de 20 pacientes tratados com AEB cervical, sem extrações dentárias, foram escaneados e avaliados em três momentos distintos: inicial (T1), pós-tratamento imediato (T2) e acompanhamento de longo prazo (T3, mínimo de 20 anos). A distância transversal entre os caninos superiores e inferiores, pré-molares e primeiros molares foi medida. Resultados: Foi observado aumento estatisticamente significativo durante o tratamento para todas as distâncias transversais dos dentes superiores (p < 0,05). Por sua vez, foi observada redução significativa em longo prazo (p < 0,05). Para os dentes inferiores, a distância transversal intercaninos apresentou constrição estatisticamente significativa no período de contenção (p < 0,05). A distância dos primeiros molares inferiores aumentou significativamente com o tratamento (p < 0,05) e permaneceu estável em longo prazo. As alterações observadas para os outros dentes ou outros tempos foram consideradas sem significância estatística. Conclusões: Para a amostra estudada, as alterações transversais ocorreram durante as fases de tratamento e contenção em pacientes Classe II, divisão 1, tratados com aparelho extrabucal de tração cervical e aparelho fixo. A recidiva foi considerada estatisticamente significativa, mesmo com a instituição de um protocolo de contenção.

A compilation of host plants and their gall-inducing insects for the Caatinga Biome / Uma compilação de plantas hospedeiras e seus insetos galhadores para o bioma Caatinga

Caatinga is a seasonally dry tropical forest, one of the richest in plant species. Unfortunately, many groups of herbivorous insects associated with these plants are poorly known. This study aimed to investigate the diversity of gall-inducing insects (GII) and host plants (HP) in the Caatinga. For this, we compiled the information available in the literature of inventories on GII and their HP communities, and the described gall midge species. We found 100 species, 72 genera, and 32 families of HP hosting a total of 156 morphospecies of GII and 12 species of described cecidomyiids. Plant species with only one GII species represented 74% of hosts, but in super HP (i.e., HP with a high number of GII), despite the small number of HP species, there were many GII species. Fabaceae was also the most specious family, with 30% of HP species and 40% of GII. Furthermore, our results showed a low number of species of HP and GII for the Brazilian Caatinga, that we discussed this pattern with the following arguments, first, it is likely that the number of galling insect inventories for the Caatinga is under-sampled, second the Caatinga has a relatively smaller number of plant species when compared to other biomes, and finally, we argue that the Caatinga is a seasonally dry tropical forest where the deciduousness represents a relevant factor in the colonization and performance rates of GII.

A Caatinga é uma floresta tropical sazonalmente seca, uma das mais ricas em espécies vegetais. Infelizmente, muitos grupos de insetos herbívoros associados a essas plantas são pouco conhecidos. Este estudo teve como objetivo investigar a diversidade de insetos galhadores (IG) e plantas hospedeiras (PH) na Caatinga. Para isso, nós compilamos as informações disponíveis na literatura de inventários sobre a comunidade de IG e suas PH, e as espécies descritas de cecidomiídeos. Nós encontramos 100 espécies, 72 gêneros e 32 famílias de PH abrigando um total de 156 morfoespécies de IG e 12 espécies descritas de cecidomiídeos. Espécies de plantas com apenas uma espécie de IG representaram 74% das hospedeiras, mas para as super PH (ou seja, PH com alto número de IG), apesar do pequeno número de espécies de PH, havia muitas espécies de IG. Fabaceae foi a família mais rica, com 30% das espécies de PH e 40% dos IG. Além disso, nossos resultados mostraram um baixo número de espécies de PH e IG para a Caatinga brasileira, e discutimos esse padrão com os seguintes argumentos, primeiro, é provável que o número de inventários de insetos galhadores para a Caatinga seja subamostrado, segundo a Caatinga possui um número relativamente menor de espécies vegetais quando comparada a outros biomas e, por fim, argumentamos que a Caatinga é uma floresta tropical sazonalmente seca onde a deciduidade representa um fator relevante para as taxas de colonização e desempenho dos IG.

The effect of dental plaque level and self-performed oral hygiene on periodontal status: a cross-sectional study in Brazilian Indigenous / O efeito do nível da placa dentária e da higiene bucal autorrealizada no estado periodontal: um estudo transversal em indígenas brasileiros

Objective: This study evaluated the associations of periodontal status with dental plaque index and frequency of toothbrushing and flossing in Kiriri Brazilian Indigenous people. Methods: Gingival bleeding, periodontal clinical attachment level, and dental plaque index were clinically evaluated in 204 adult Brazilian indigenous. They were categorized as healthy, gingivitis, or periodontitis. Sociodemographic data and oral hygiene habits were registered. Bivariate and logistic regression analyses were performed (p≤0.05). Results: Gingivitis [odds ratio (OR): 2.83; 95% confidence interval (CI), 1.52­5.25; p=0.001] and periodontitis (OR: 6.88; 95%CI, 1.44­32.78; p=0.02) were associated with plaque index level, but not with toothbrushing or flossing frequency (p ≥0.55). Conclusion: Gingivitis and periodontitis were associated with higher plaque index, but not with the frequency of toothbrushing and flossing. To enhance this population's periodontal health, a prevention program focused on improving the quality of self-performed oral hygiene should be planned and implemented.

Objetivo: avaliar as associações do estado periodontal com o índice de placa dentária, a frequência de escovação e o uso do fio dental em Indígenas Brasileiros Kiriri. Métodos: sangramento gengival, nível de inserção clínica periodontal e índice de placa dentária foram avaliados, clinicamente, em 204 indígenas brasileiros adultos. Eles foram classificados como saudáveis, com gengivite ou periodontite. Dados sociodemográficos e hábitos de higiene bucal foram registrados. Foram realizadas análises bivariadas e de regressão logística (p≤0,05). Resultados: gengivite [Odds Ratio (OR): 2,83; Intervalo de confiança de 95% (IC), 1,52-5,25; p = 0,001] e periodontite (OR: 6,88; IC 95%, 1,44­32,78; p = 0,02) foram associados ao nível de índice de placa, mas não à frequência de escovação ou uso do fio dental (p ≥0,55). Conclusão: gengivite e periodontite foram associados a maior índice de placa, mas não com frequência de escovação e uso do fio dental. Para melhorar a saúde periodontal dessa população, um programa de prevenção com foco na melhoria da qualidade da higiene bucal autorrealizada deve ser planejado e implantado.

Dragonflies and Damselflies in a region of the Triângulo Mineiro, Minas Gerais: checklist and taxonomic additions / Libélulas de uma região do Triângulo Mineiro, Minas Gerais: lista de espécies e adições taxonômicas

Abstract: Remaining freshwater systems are historically under threat mainly due to human activities such as agriculture and urbanization. The consequences of such activities are innumerous, and among them there is a decrease of suitable habitats for threatened fauna. In the Brazilian Cerrado, the odonatofauna of palm swamps and riparian forests are still poorly explored, a fact that difficult conservation efforts of the group. Thus, we performed an inventory in several urban and rural sites containing these phytophysiognomies in Uberlândia, Triângulo Mineiro region, western Minas Gerais state. In total, we found 101 Odonata species, seven families and 46 genera in the municipality, with 76 and 66 species, respectively, belonging to palm swamp and forest sites. From this diversity, eight species were first records in the state of Minas Gerais: Neuraeschna claviforcipata Martin, 1909, Phyllocycla cf. medusaBelle, 1988, Diastatops intensa Montgomery, 1940, Oligoclada pachystigma Karsch, 1890, O. xanthopleura Borror, 1931, Angelagrion nathaliaeLencioni, 2008, Telebasis sanguinalis Calvert, 1909 and Telebasis simulacrum (Calvert, 1909). We also sampled Erythrodiplax anaGuillermo-Ferreira & Vilela 2016, a species listed as endangered (EN) by the IUCN red list. Additionally, we include some taxonomic notes of Forcepsioneura machadorum females, a newly discovered species in the region. Our results contribute to the Odonata database in Brazil and highlights the importance inventories in poorly explored aquatic ecosystems.

Resumo: Os sistemas remanescentes de água doce estão historicamente ameaçados, principalmente devido às atividades humanas, como agricultura e urbanização. As consequências de tais atividades são inúmeras, e entre elas há a diminuição de habitats adequados para a fauna ameaçada. No cerrado brasileiro, a odonatofauna de veredas e matas ripárias ainda são pouco exploradas, fato que dificulta os esforços de conservação do grupo. Assim, realizamos um inventário em diversos pontos urbanos e rurais com essas fitofisionomias em Uberlândia, na região do Triângulo Mineiro, oeste de Minas Gerais. No total, foram encontradas 101 espécies de Odonata, sete famílias e 46 gêneros no município, com 76 e 66 espécies, respectivamente, pertencentes a pontos de veredas e de matas. Dessa diversidade, oito espécies foram os primeiros registros no estado de Minas Gerais: Neuraeschna claviforcipata Martin, 1909, Phyllocycla cf. medusa Belle, 1988, Diastatops intensa Montgomery, 1940, Oligoclada pachystigma Karsch, 1890, O. xanthopleura Borror, 1931, Angelagrion nathaliaeLencioni, 2008, Telebasis sanguinalis Calvert, 1909 e Telebasis simulacrum (Calvert, 1909). Nós também coletamos Erythrodiplax anaGuillermo-Ferreira & Vilela 2016, uma espécie listada como em perigo (EN) pela lista vermelha da IUCN. Além disso, incluímos algumas notas taxonômicas de fêmeas de Forcepsioneura machadorum, uma espécie recém-descoberta na região. Nossos resultados contribuem para o banco de dados Odonata no Brasil e destacam a importância dos inventários em ecossistemas aquáticos pouco explorados.

Tritrophic interaction between the Mexican sunflower, the aphid Aphis gossypii and natural enemies in a greenhouse experiment

The establishment of invasive plants negatively affects natural environments. Invasive herbivores that attack weeds can be used as a form of biological control, but natural enemies of herbivores must be associated with this interaction to prevent the invasive phytophagous from become a local pest. We performed a greenhouse experiment to evaluate how the cotton aphid, Aphis gossypii, a ok and invasive herbivore, affects the performance of the weed Tithonia diversifolia, the Mexican sunflower. We also examined the relationship between the aphid and local natural enemies. Seedlings of T. diversifolia were divided in two groups: one infested by the aphid and another not infested. After 22 days, we assessed the relationship between aphid abundance and the presence of natural enemies (Coccinelidae and Aphidius platensis) on infested plants, and compared the vegetative performance of the two seedling groups. Both natural enemies were positively related to high aphid density on infested plants. Plants infested by the aphid presented foliar necrosis and senescence, and a reduction of around 50% in leaf number, foliar area, shoot length and shoot, root and total plant weight compared to non-infested plants. These results indicate potential biological control of Mexican sunflower seedlings by the cotton aphid, and control of this aphid by the studied natural enemies.

Sobrevida de adultos jovens com carcinoma de células escamosas oral em uma população do Brasil / Survival of young adults with oral squamous cell carcinoma in a brazilian population / Supervivencia de adultos jóvenes con carcinoma de células escamosas orales en una población de Brasil

RESUMO Objetivo Analisar o perfil e a sobrevida de adultos jovens com carcinoma de células escamosas oral, atendidos entre 2010 a 2016 na Unidade de Alta Complexidade em Oncologia de Feira de Santana, Brasil. Métodos Coorte retrospectiva, realizada através das informações dos prontuários de todos os pacientes jovens atendidos no referido centro. Foi realizada análise descritiva das variáveis, teste exato de Fisher, curva de Kaplan-Meier e teste log rank. Resultados Um total de 35 pacientes foram registrados. A maioria era do sexo masculino, fumantes e etilistas. Os tumores estavam localizados predominantemente em língua, diagnosticados tardiamente e classificados como bem diferenciado, tendo como tratamento de escolha cirurgia associada a radioterapia e quimioterapia. O tempo mediano de sobrevida foi de 31 meses e 22,8% dos pacientes foram a óbito. As variáveis que apresentaram significância estatística em relação ao tempo de sobrevida foram a localização do tumor e o tipo de tratamento. Conclusão O perfil e o baixo tempo de sobrevida refletem a necessidade de uma maior atenção à doença nesta população.(AU)

ABSTRACT Objective To analyze the profile and survival in young adults with oral squamous cell carcinoma, attended at the High Complexity in Oncology of Feira de Santana, Brazil, between 2010 and 2016. Methods Retrospective cohort, performed through the information of the medical records of all young patients attended in the referred center. Descriptive analysis of the variables, Fisher's exact test, Kaplan-Meier curve and log-rank test were performed. Results A total of 35 patients were registered. The majority were male, smokers and former alcoholics. Tumors were predominantly localized in the tongue, diagnosed at late stages, classified as well differentiated and treated mainly with surgery associated to radiotherapy and chemotherapy. The median survival time was 31 months and 22.8% of the patients died. The variables that presented statistical significance in relation to the survival time were the tumor site and the type of treatment. Conclusion The profile and low survival time reflect the need for greater attention to the disease in this population.(AU)

RESUMEN Objetivo Analizar el perfil y la supervivencia de adultos jóvenes con carcinoma de células escamosas atendidos en el Centro de Alta Complejidad en Oncología de Feira de Santana (Brasil), durante el periodo 2010-2016. Métodos cohorte retrospectivo realizado mediante la información de registros médicos de todos los pacientes jóvenes atendidos en el centro médico mencionado. Asimismo, se hizo un análisis descriptivo de las variables, test exacto de Fisher, curva de Kaplan-Meier y una prueba de rango logarítmico. Resultados Se registró un total de 35 pacientes: la mayoría, hombres fumadores y exalcohólicos. Gran parte de los tumores fueron hallados en la lengua y diagnosticados en la última fase; asimismo, se clasificaron, se diferenciaron y se trataron con cirugía apoyada en radioterapia y quimioterapia. El tiempo promedio de supervivencia fue de 31 meses. El 22,8% de los pacientes fallecieron. Las variables que demostraron una gran significancia estadística en relación con el tiempo de supervivencia fueron la ubicación del tumor y el tipo de tratamiento. Conclusión El perfil y el escaso tiempo de supervivencia demuestran que es necesaria una mejor atención de la enfermedad que padece esta población.(AU)

Dragonflies and damselflies (Insecta: Odonata) from a Cerrado area at Triângulo Mineiro, Minas Gerais, Brazil / Libélulas e donzelinhas (Insecta: Odonata) de uma área de Cerrado no Triângulo Mineiro, Minas Gerais, Brasil

Abstract: Odonata is considered, among the aquatic insect orders, the second largest group in number of species. Its global richness is estimated in about 6,000 described species. The Brazilian richness represents around 14% of the world's odonatofauna, however, the knowledge on Brazilian dragonflies distribution is still poor. This study purpose an inventory of the dragonflies species present in aquatic habitats from a Preserved Area according to the Brazilian Forest Code, located in the Cerrado biome at Triângulo Mineiro, Minas Gerais. In the dry season, from April to June of 2017, we collected 680 specimens belonging to 36 species and six families. Among the collected species, Elasmothemis williamsoni was observed by the first time in Minas Gerais State, and we also found a new species of Tigriagrion (Zygoptera: Coenagrionidae) which is being described by taxonomists. Considering the fast agricultural advance over natural Cerrado systems, species lists can be important to define priority conservation areas for odonate species.

Resumo: Odonata é considerada a segunda ordem de insetos com maior número de espécies de insetos aquáticos. Sua riqueza global é estimada em cerca de 6.000 espécies descritas. A odonatofauna encontrada no Brasil representa cerca de 14% da riqueza mundial, no entanto, o conhecimento sobre a distribuição de libélulas brasileiras ainda é incipiente. Este estudo teve como objetivo um inventário das espécies de libélulas presentes em habitats aquáticos de uma Área Preservada de acordo com o Código Florestal Brasileiro, localizada no bioma Cerrado do Triângulo Mineiro, em Minas Gerais. Na estação seca, de abril a junho de 2017, foram coletados 680 espécimes pertencentes a 36 espécies e seis famílias. Entre as espécies coletadas, Elasmothemis williamsoni foi observada pela primeira vez no Estado de Minas Gerais, e foi encontrada também uma nova espécie de gênero Tigriagrion (Zygoptera: Coenagrionidae) que está sendo descrita. Considerando o rápido avanço da agricultura sobre os sistemas naturais do Cerrado, as listas de espécies podem ser importantes para definir áreas prioritárias para a conservação de espécies de Odonata.

Association between parent materials and soil attributes along different geological environments in western Pará, Brazil / Associação entre materiais de origem e atributos de solos ao longo de diferentes ambientes geológicos no oeste do Pará, Brasil

The expansion of the agricultural frontier into different geological environments in the west of the state of Pará, northern Brazil, makes it necessary to know the influence of the parent material on local soil attributes. This study aimed to evaluate the influence of different parent materials on five soil profiles along a lithosequence exposed by the BR-163 highway, which runs from north to south through western Pará. The soils were classified, morphologically described and their main horizons sampled for physical, mineralogical and chemical analyses, including the determination of micronutrients, forms of phosphorus and secondary forms of iron. Multivariate analysis was used to group the different soil-parent material associations. The results demonstrated that the diversity of the parent material was a determinant of soil attributes, and was a conditioning factor for the formation of different clay minerals. Multivariate analysis grouped the soils along the lithosequence into a group formed by profiles derived from basic and intermediate igneous rocks, and a second group consisting of profiles derived from sediments and sedimentary rocks. The profile derived from acidic igneous rock showed greater similarity with the profiles derived from sedimentary materials in comparison to those derived from other igneous rocks.

A expansão da fronteira agrícola em diferentes ambientes geológicos no oeste do Estado do Pará, norte do Brasil, torna necessário conhecer a influência do material de origem sobre os atributos dos solos locais. Este estudo teve como objetivo avaliar a influência de diferentes materiais de origem sobre cinco perfis de solo ao longo de uma litosequência exposta pela rodovia BR-163, que vai de norte a sul pelo oeste do Pará. Os solos foram classificados, morfologicamente descritos e seus principais horizontes amostrados para análises físicas, mineralógicas e químicas, incluindo a determinação de micronutrientes, formas de fósforo e formas secundárias de ferro. Análises multivariadas foram usadas para agrupar as diferentes associações solo-material de origem. Os resultados demonstraram que a diversidade do material de origem foi determinante para os atributos do solo, sendo um fator condicionante para a formação de diferentes argilominerais. A análise multivariada agrupou os solos ao longo da litosequência em um grupo formado por perfis derivados de rochas ígneas básicas e intermediárias, e um segundo grupo constituído por perfis derivados de sedimentos e rochas sedimentares. O perfil derivado de rocha ígnea ácida apresentou maior similaridade com os perfis derivados de materiais sedimentares em comparação àqueles derivados de outras rochas ígneas.