ABSTRACT
Resumo: Introdução: O estresse é um estado no qual ocorrem ameaças à homeostase do organismo, com respostas adaptativas fisiológicas e comportamentais. A ansiedade é uma sensação desagradável advinda da percepção de uma ameaça potencial futura. Quando prolongados, ambos levam a repercussões metabólicas, cardiovasculares, imunológicas e neuropsiquiátricas. Os estudantes universitários são mais susceptíveis a sintomas de estresse e ansiedade do que a população em geral. A técnica de mindfulness permite que os seus praticantes se tornem mais conscientes de suas emoções, passando a responder de forma habilidosa ao estresse e à ansiedade Objetivo: Este estudo teve como objetivo avaliar a eficácia de um programa de mindfulness na redução de sintomas de estresse e ansiedade em estudantes de Medicina e Odontologia. Método: Trata-se de um ensaio clínico, randomizado, simples-cego. Acadêmicos regularmente matriculados do primeiro ao oitavo período desses cursos de uma instituição de ensino superior responderam ao Inventário de Sintomas de Stress para Adultos de Lipp (ISSL) (n = 418) e ao Inventário de Ansiedade Traço-Estado (IDATE) (n = 369). Os participantes que apresentaram sintomas de estresse e/ou ansiedade e aceitaram participar da intervenção (n = 59) foram randomizados em grupos mindfulness (programa modificado de duas semanas) e de controle. Ao final da intervenção, o ISSL e o IDATE foram reaplicados. Resultado: As prevalências globais de estresse e ansiedade foram de 67% (n = 280) e 76,4% (n = 282), respectivamente. Ao final da segunda semana, a redução dos sintomas de estresse e ansiedade foi de 30,8% e 22,2%, respectivamente. Não houve diferença estatisticamente significativa entre os grupos mindfulness e de controle (p > 0,05). Conclusão: Percebe-se uma alta prevalência de sintomas de estresse e ansiedade na população estudada. Um programa de mindfulness em formato reduzido não foi capaz de diminuir significativamente os sintomas de estresse e ansiedade em comparação ao grupo de controle, em acadêmicos de Medicina e Odontologia dessa instituição.
Abstract: Introduction: Stress is a state in which the body homeostasis is threatened, leading to adaptive, physiological and behavioral responses. Anxiety is an unpleasant feeling that occurs whenever a future potential threat is perceived. Whenever these states are prolonged, both lead to metabolic, cardiovascular, neuropsychiatric and immunological consequences. University students are more susceptible to stress and anxiety symptoms than the general population. Mindfulness is a technique that allows its practitioners to become more aware of their emotions, dealing with stress in a more skilled way. Objective: To; evaluate the efficacy of a modified mindfulness program in reducing stress and anxiety symptoms in medicine and dentistry undergraduate students. Methods: This was a single blinded, randomized, clinical trial. Students from the aforementioned courses enrolled in the 1st to the 8th semesters of a higher education institution, answered Lipp's Inventory of Stress symptoms for Adults (ISSL) (n=418) and the State-Trace Anxiety Inventory (STAI) (n=369). Those who showed a positive score for symptoms of stress and/or anxiety and accepted to take part in the intervention (n=59), were randomized into one of the two groups - mindfulness (a 2-week modified program), or control. After the intervention, the students were asked to answer the STAI and ISSL tools once again. Results: The global prevalence of stress and anxiety symptoms were 67% (n=280) and 76.4% (n=282), respectively. At the end of the second week, symptoms of stress and anxiety decreased 30.8% and 22.2%, respectively. There were no statistically significant differences between the mindfulness and control groups (p>0.05). Conclusion: Symptoms of stress and anxiety are highly prevalent among the studied population. Among medicine and dentistry undergraduate students in this higher education institution, a shortened mindfulness program was unable to reduce symptoms of stress and anxiety in a statistically significant way when compared to a control group.
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Abstract: Background: Exposure to UVR provides benefits related to vitamin D synthesis, but also causes harms, since UVB is considered a complete carcinogen. There is no definition of the level of sun exposure and the proportion of exposed body required for proper synthesis of vitamin D in the skin without causing it damage. Objectives: This study aims to analyze the sun exposure index, vitamin D levels and clinical changes in the skin caused by constant sun exposure in the fishermen population. Methods: It is a cross-sectional, observational and analytical study. The sample consisted of fishermen and was calculated in 174 individuals. The questionnaire was applied, the dermatological examination was carried out and the examinations of calcidiol, parathyroid hormone, calcium and phosphorus were requested. Data were expressed as percentages. The comparative analysis was done through the Chi-square test, and the correlations were established through the Pearson's linear coefficient. Results: We observed that there was vitamin D deficiency in a small part of the cases (11.46%), and the frequency of diagnosis of skin cancer was 2.7% of the cases surveyed. Study Limitations: The difficulty in categorizing the sun exposure index. Conclusion: The fact that fishermen expose themselves to the sun chronically and have been exposed to the sun for more than 15 years, between 21 and 28 hours a week, and without photoprotection, were indicative factors for protection against vitamin D deficiency. Chronic exposure to sun and high vitamin levels D may be indicative of protection of this population against skin cancer.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Skin Neoplasms/etiology , Skin Neoplasms/epidemiology , Sunlight , Ultraviolet Rays , Vitamin D/biosynthesis , Vitamin D Deficiency/rehabilitation , Vitamin D Deficiency/epidemiology , Vitamin D/blood , Brazil/epidemiology , Body Mass Index , Nutritional Status , Cross-Sectional Studies , Surveys and Questionnaires , DietABSTRACT
Objective: To evaluate the influence of gustatory stimuli on the buffering capacity of saliva. Material and Methods: The buccal ph of 18 male volunteers aged 18-35 years was measured after a mouthwash with 20 ml of water as a control, and in individual disposable cups they collected the saliva for two minutes. Then, each of chewed bubble gum with sugar for two minutes, discarding the gum and made new collection of saliva, for two minutes in other disposable cups individualized. After collection, each volunteer was again subject to regular brushing with toothpaste and waited another ten minutes. The same procedure was repeated with all other substances. Salivary buffer capacity was determined by Ericsson technique. Data were submitted to analysis of variance and the means were compared by the Scott-Knott grouping test and Mann-Whitney test at 5% probability. Estimates of Pearson correlations were calculated in order to determine possible associations between the variables. Results: It was not found statistically significant differences between the initial pH variation and after eating food (p>0.05), or between gustatory stimulation and variation of salivary buffer capacity (p>0.05). Conclusion: There is no influence of gustatory stimulus aroma and flavor on the variation of salivary buffer capacity.
Subject(s)
Humans , Male , Adolescent , Adult , Saliva/metabolism , Taste Buds , Diet , Taste Perception , Hydrogen-Ion Concentration , Salivation , Brazil , Buffers , Analysis of Variance , Statistics, NonparametricABSTRACT
ABSTRACT Purpose: to analyze the association of self-reported vocal symptoms with personal, occupational and clinical aspects and relate them to the quality of life of teachers/professors of the federal network of vocational and technological education. Methods: study carried out with 157 teachers from a federal public institution of vocational and technological education, who answered the World Health Organization Quality of Life questionnaire (WHOQOL-bref), Quality of Life in the Voice (V-RQOL) questionnaire and a data form (on social information, health conditions, vocal symptoms, habits, organization and working environment). Statistical analysis was performed using the Chi-square test. Results: 29% of the teachers presented vocal symptoms. The prevalent complaints were dry throat (38.2%), cough (37.6%) and hoarseness (30.6%). There was a higher prevalence of symptoms in females. For the WHOQOL-bref, the average was 71.3 points, which is considered regular. The domain with the highest score was the psychological one with 75.3. Regarding V-RQOL, the average score in the global domain was 92.5 points, and the physical score was the most compromised one. 90.5% of teachers showed low voice impact on quality of life. Conclusion: although these teachers present vocal complaints, they do not reflect in the limitation of the quality of life.
RESUMO Objetivo: analisar a associação de sintomas vocais autorreferidos com aspectos pessoais, ocupacionais, clínicos e relacionar com a qualidade de vida de professores da rede federal de ensino profissional e tecnológico. Métodos: estudo com 157 docentes de uma instituição pública federal de educação profissional e tecnológica, que responderam aos questionários World Health Organization Quality Of Life/bref (WHOQOL-bref), Qualidade de Vida em Voz (QVV) e o formulário de dados (sociais, condições de saúde, sintomas vocais, hábitos, organização e ambiente de trabalho). A análise estatística foi realizada por meio do teste Qui-quadrado. Resultados: 29% dos professores apresentaram sintomas vocais. As queixas prevalentes foram garganta seca (38,2%), tosse (37,6%) e rouquidão (30,6%). Houve maior prevalência dos sintomas no sexo feminino. Para o WHOQOL-bref, a média foi 71,3 pontos, considerada regular. O domínio com maior pontuação foi o psicológico com 75,3. Quanto ao QVV, o escore médio no domínio global foi de 92,5 pontos, sendo o físico o mais comprometido. 90,5% dos docentes apresentaram baixo impacto da voz na qualidade de vida. Conclusão: embora os docentes apresentem queixas vocais, elas não se refletem na limitação da qualidade de vida.
ABSTRACT
Objective: To evaluate the impact of tooth loss on the quality of life of patients at the Cesmac University Center. Material and Methods: A cross-sectional study was performed, whose sample was composed of 224 volunteers from various health units of the selected health service with at least 12 years of age and one missing tooth. Quality of Life (QOL) was assessed using the Oral Health Impact Profile (OHIP -14) and tooth loss was assessed with the dental chart. A structured interview that assessed the socio-economic condition of the individual was also applied. For interpretation of the OHIP-14, values were assigned using the multiplicative method: 0-3 points = no impact; 3.01 to 6 points = low impact; 6.01 to 10 points = moderate impact; and> 10.01 points = high impact. All volunteers received guidance on oral health and, when necessary, a referral to the dental care provided by this institution was performed. Results: The mean OHIP ranged from no impact (30.9%) to high impact (27.8%). The correlation between the number of missing teeth and QOL scores was statistically significant (p <0.05), as well as the correlation between number of missing teeth and age of volunteers (p <0.0001). The dimensions of the OHIP-14 that showed the most influenced domains were pain, psychological discomfort, psychological disability. Conclusion: Increasing age has shown influence on tooth and tooth loss affected the QOL of volunteers. QOL may be influenced by other factors such as loss of anterior teeth and schooling.
Subject(s)
Humans , Male , Female , Child , Dental Care , Oral Health , Quality of Life/psychology , Tooth Loss , Brazil , Statistics, Nonparametric , Surveys and QuestionnairesABSTRACT
O objetivo deste trabalho foi avaliar o efeito de diferentes tratamentos de superfície da cerâmica Y-TZP na resistência de união, durabilidade e discrepância marginal. Para os testes de resistência adesiva, foram obtidos 144 corpos de prova (cp) da cerâmica VITA In-Ceram YZ for InLab (5,25 x 3,75 x 4,5 mm), que foram divididos em 6 grupos (G) (n=24), conforme o tratamento de superfície: G1: sem tratamento (controle); G2: jateamento com partículas de alumínio revestidas por sílica (CoJet®-Sand, 3M ESPE AG) (silicatização); G3: vitrificação 1 (Glaze Spray VITA AKZENT), condicionamento com ácido fluorídrico (HF) (1 min); G4: vitrificação 1 (Glaze Spray VITA AKZENT), silicatização; G5: vitrificação 2 (Glaze VITA AKZENT), condicionamento com HF (1 min); G6: vitrificação 2 (Glaze VITA AKZENT), silicatização. Após todos os tratamentos, as superfícies foram silanizadas por 5 min (ESPE-SIL) e a cimentação com Panavia F (Kuraray) foi realizada. Metade dos espécimes de cada tratamento foi ensaiada 24h após cimentação (SECO), a outra metade foi submetida à armazenagem (150 dias) e termociclagem (12.000x) (TC), e então realizado o ensaio de cisalhamento (1 mm/min). G7: G1+TC; G8: G2+TC; G9: G3+TC; G10: G4+TC; G11: G5+TC; G12: G6+TC. Superfícies tratadas foram analisadas por perfilometria óptica 3D para obtenção dos dados de rugosidade (Ra) e microscopia eletrônica de varredura (MEV) (1000x). Análise por energia dispersiva de raio-X (EDS) foi realizada para determinar os elementos químicos presentes na superfície de cada grupo. Para a análise de adaptação marginal foram confeccionadas 60 infraestruturas (adaptadas em um troquel metálico) nas quais foram realizados os mesmos tratamentos de superfície. Os dados obtidos foram analisados estatisticamente. Constata-se que tanto na condição Seco como na condição TC os grupos que receberam tratamento de superfície via vitrificação (vitrificação 1 e vitrificação 2) apresentaram mais alta resistência de união comparada ao grupo...
The aim of this study was to evaluate the effect of different surface treatments of Y-TZP ceramic on bond durability and marginal fit. 144 specimens of VITA In-Ceram YZ for InLab ceramic (5.25 x 3.75 x 4.5 mm) were obtained and divided into 6 groups (n=24) according to the surface treatment: G1: no treatment (control); G2: chairside tribochemical silica coating system (CoJet®-Sand, 3M ESPE AG) (Cojet); G3: vitrification 1 (Glaze Spray VITA AKZENT), conditioning with hydrofluoric acid (HF) (1 minute); G4: vitrification 1 (Glaze Spray VITA AKZENT), Cojet; G5: vitrification 2 (Glaze VITA AKZENT), conditioning with HF (1 minute); G6: vitification 2 (Glaze VITA AKZENT), Cojet. Then, the ceramic surfaces were silanized and the cement Panavia F (Kuraray) was applied. Half of the specimens from each treatment was tested 24 hours after cementation (DRY), the remaining specimens were stored in distilled water for150 days, thermocycled(12,000x) (AGING) and then the shear test was performed (1mm/minute). Conditioned surfaces were evaluated by 3D optical profilometry in order to obtain roughness data (Ra) and analysed by scan electronic microscopy (SEM) (1000x). Analysis by energy x-ray dispersive (EDS) was performed to determine the chemical elements present in each surface group. For analysis of marginal adaptation 60 crowns were produced (adapted into a metal die) and the same surface treatments were carried out on the internal surface of the crowns. The data were analysed using. The results suggest the vitrification 1 and vitrification 2 groups showed the highest bond strength compared to the control group. The highest marginal discrepancies were observed in the vitrification groups (117.36±29.61 to 105.78±12.23) comparing with the other groups (55.29±8.71 and 55.04±8.55). The proposed new surface treatment changed the Y-TZP ceramic morphology improving its adhesion to the resin cement...
Subject(s)
Cell Adhesion , Ceramics , Vitrification , Air Abrasion, DentalABSTRACT
O presente estudo avaliou a resistência da união entre a superfície da cerâmica VITA OMEGA 900 (VITA) e dois cimentos resinosos. Foram confeccionados quatorze blocos da cerâmica com dimensões de 6mm x 6mm x 5mm (recomendações do fabricante), os quais foram duplicados em resina composta (W3D MASTER, Wilcos, Brasil). Uma das faces de cada bloco cerâmico (6mm x 5mm) foi tratada com ácido fluorídrico a 10% (Dentsply) e cimentada com dois diferentes cimentos resinosos: Panavia F (Kuraray) and Rely X (3M/ESPE) sob carga constante de 750g, à face do bloco de resina composta correspondente. Os conjuntos cerâmica-cimento-resina composta foram divididos em. dois grupos (n=7): grupo do Panavia F e grupo do Rely X. Cada conjunto foi cortado e foram obtidas oito amostra por conjunto. Cada uma foi fixada com cianoacrilato em um paquímetro adaptado e acoplado em máquina de ensaios universal (EMIC) com velocidade de 0,5mm/min. Os dados (MPa) foram submetidos ao teste estatístico paramétrico t de amostras independentes cujos resultados indicaram que o grupo do Panavia F (média = 16,07 MPa ; dp = 3,61) não diferiu estatisticamente (t= 1,27; gl=12; p-valor = 0,228) do grupo do RelyX (média = 13, 71 ; dp = 3.33) ao nível de significância de 5%. De acordo com os resultados obtidos foi possível concluir que os dois cimentos resinosos usados nesse estudo foram eficientes para cimentação intra-oral.