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Braz. oral res. (Online) ; 36: e011, 2022. tab, graf
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1355932


Abstract Mucopolysaccharidosis (MPS) is a heterogeneous group of rare, chronic, progressive and systemic inherited disorders resulting from deficiency or lack of lysosomal enzymes responsible for the degradation of glycosaminoglycans. Products of nitrosative stress have been previously detected in blood and urine samples of patients with MPS. However, it is unclear whether they are present in the saliva of MPS patients and also if they correlate with salivary parameters such as flow and pH. This study compared the salivary levels of NOX (NO2- + NO3-), nitrite (NO2-), protein (albumin), erythrocyte and leukocyte numbers, as well as the salivary flow rate and pH values of samples obtained from 10 MPS patients and 10 healthy subjects. MPS patients exhibited higher salivary levels of NOX and NO2- when compared to healthy subjects (p < 0.05). Albumin was only detected in six saliva samples of MPS patients and, erythrocytes and leukocytes were detected in 60% and 40% of the MPS patients, respectively. In addition, salivary flow rate and pH averages were statistically lower in this group when compared to healthy samples (p < 0.05). Overall, the data indicates that the salivary levels of NO products can be used in combination with other heath indicators to monitor MPS disorders.

Braz. oral res. (Online) ; 36: e006, 2022. tab, graf
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1355933


Abstract The aim of this scoping review was to provide sufficient information about the effectiveness of ozone gas in virus inactivation of surfaces and objects under different environmental conditions. The review was performed according to the list of PRISMA SrC recommendations and the JBI Manual for Evidence Synthesis for Scoping Reviews. The review was registered in Open Science Framework (OSF). EMBASE (Ovid), Lilacs, LIVIVO, MEDLINE (PubMed), SciELO, Scopus and Web of Science were primary sources, and "gray literature" was searched in OpenGray and OpenThesis. A study was included if it reported primary data on the effect of ozone gas application for vehicle-borne and airborne virus inactivation. No language or publication date restriction was applied. The search was conduct on July 1, 2020. A total of 16,120 studies were screened, and after exclusion of noneligible studies, fifteen studies fulfilled all selection criteria. Application of ozone gas varied in terms of concentration, ozone exposure period and the devices used to generate ozone gas. Twelve studies showed positive results for inactivation of different virus types, including bacteriophages, SARS-CoV-2 surrogates and other vehicle-borne viruses. Most of the studies were classified as unclear regarding sponsorship status. Although most of the population has not yet been vaccinated against COVID-19, disinfection of environments, surfaces, and objects is an essential prevention strategy to control the spread of this disease. The results of this Scoping Review demonstrate that ozone gas is promising for viral disinfection of surfaces.

Cad. Saúde Pública (Online) ; 38(1): e00311620, 2022. tab, graf
Article in English | LILACS | ID: biblio-1355971


This study aimed to analyze part of the financial resources used to fund public health actions in the 26-Brazilian capitals, from 2008 to 2018. This is a time-trend ecological study involving revenue and expenditure indicators provided by the Information System on Public Budget for Health (SIOPS). The values were deflated based on the Extended National Consumer Price Index of 2018 in Brazil to allow the comparison over the years. The mean annual variation of health investments, in Brazilian Reais (BRL) was assessed using linear regressions. Pearson's correlation coefficients were estimated between federal revenues and expenditures with the capitals' resources. All capitals presented statistically significant positive correlations for the origin of the budget resource invested in health. The lowest coefficient was found in the capital city of Macapá (Amapá State) (r = 0.860) and the highest, in Fortaleza (Ceará State) (r = 0.997). Belo Horizonte (Minas Gerais State) was the capital with the highest annual increase in federal transfers (about BRL 67.91 per year) and Teresina (Piauí State) presented the highest annual increase in health expenditures among the capitals (about BRL 55.42 per year). We found a increase in the transfers of the Brazilian Unified National Health System (SUS) and municipal resources in almost all capitals, but there are still inequalities in the distribution of financial resources among Brazilian capitals from different regions. Health funding is affected by the municipalization of SUS and it is not the single factor affecting the access and quality of health services.

O estudo teve como objetivo analisar parte dos recursos utilizados para financiar ações de saúde pública nas 26 capitais brasileiras entre 2008 e 2018. O estudo ecológico de tendências temporais envolveu indicadores de receitas e gastos fornecidos pelo Sistema de Informação sobre Orçamento Público em Saúde (SIOPS). Os valores foram deflacionados com base no Índice de Preços ao Consumidor Amplo de 2018 no Brasil para permitir a comparação ao longo dos anos. A variação anual média dos investimentos em saúde, em Reais (BRL), foi avaliada com o uso de regressões lineares. Os coeficientes de correlação de Pearson foram estimados entre as receitas e gastos federais com os recursos das capitais. Todas as capitais apresentaram correlações estatisticamente positivas com a origem do recurso orçamentário investido em saúde. O menor coeficiente foi encontrado na cidade de Macapá (Amapá) (r = 0,860), e o mais alto em Fortaleza (Ceará) (r = 0.997). Belo Horizonte (Minas Gerais) foi a capital com o maior aumento anual em transferências federais (cerca de BRL 67,91 por ano) e Teresina (Piauí) apresentou o maior aumento anual nos gastos em saúde (cerca de BRL 55,42 por ano). Houve um aumento real nas transferências no Sistema Único de Saúde (SUS) e nos recursos municipais em quase todas as capitais, mas ainda persistem desigualdades na distribuição dos recursos financeiros entre as capitais brasileiras das cinco regiões. O financiamento da saúde é afetado pela municipalização do SUS, e não é o único fator que afeta o acesso e a qualidade dos serviços de saúde.

El objetivo fue analizar la parte de recursos financieros utilizados para financiar acciones de salud públicas en 26 capitales brasileñas, entre 2008 y 2018. Se trata de un estudio ecológico de tendencia temporal, implicando indicadores de ingresos y gastos proporcionados por el Sistema de Información sobre el Presupuesto Público para Salud (SIOPS). Se deflactaron los valores basados en el Índice de Precios al Consumidor, ampliado de 2018 en Brasil, para permitir la comparación a lo largo de los años. La variación anual media de inversiones en salud, en Reales brasileños (BRL), fue evaluada usando regresiones lineales. Se estimaron los coeficientes de correlación de Pearson entre los ingresos y gastos federales, respecto a los recursos de las capitales. Todas las capitales presentaron estadísticamente correlaciones positivas significativas respecto a la fuente presupuestaria originaria invertida en salud. El coeficiente más bajo se encontró en la capital de Macapá (Amapá) (r = 0.860) y el más alto en Fortaleza (Ceará) (r = 0.997). Belo Horizonte (Minas Gerais) fue la capital con el incremento anual más alto en transferencias federales (cerca de BRL 67.91 por año) y Teresina (Piauí) presentó el incremento anual más alto en gastos de salud entre todas las capitales (sobre BRL 55.42 por año). Hubo un incremento real de transferencias en el Sistema Único de Salud brasileño (SUS), así como recursos municipales en casi todas las capitales, pero existen todavía inequidades en la distribución de recursos financieros entre las capitales brasileñas de diferentes regiones. La financiación de la salud está afectada por la municipalización del SUS, y no es el único factor que afecta al acceso y calidad de los servicios de salud.

Humans , Budgets , Brazil , Public Health , Health Expenditures , Healthcare Financing
Säo Paulo med. j ; 139(4): 331-340, Jul.-Aug. 2021. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1290248


ABSTRACT BACKGROUND: Individuals' quality of working life and motivation are directly related to their satisfaction and wellbeing. Although studies on the quality of life of family health workers have been conducted, there are none correlating these professionals' wellbeing with this work model. OBJECTIVE: To review the scientific literature in order to identify the levels of quality of life, in their dimensions, of Family Health Strategy workers. DESIGN AND SETTING: Systematic review of observational studies developed through a partnership between two postgraduate schools (Piracicaba and Uberlândia). METHODS: The review followed the PRISMA recommendations and was registered in the PROSPERO database. Ten databases were used, including the "grey literature". Two evaluators selected the eligible studies, collected the data and assessed the risk of biases, independently. The JBI tool was used to assess the risk of bias. A complementary statistical analysis was conducted on the means and standard deviations of the results from the WHOQOL-100 and WHOQOL-bref questionnaires. RESULTS: The initial search presented 1,744 results, from which eight were included in the qualitative analysis. The studies were published between 2007 and 2018. The total sample included 1,358 answered questionnaires. All the studies presented low risk of bias. The complementary analysis showed that the environmental factor (mean score 56.12 ± 2.33) had the most influence on the quality of life of community health workers, while physical health (mean score 14.29 ± 0.21) had the most influence on graduate professionals. CONCLUSION: Professionals working within the Family Health Strategy had dimensions of quality of life that varied according to their professional category.

Braz. dent. j ; 32(1): 16-25, Jan.-Feb. 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1180723


Abstract The aim of this study was to assess and compare RANK, RANKL, and OPG immunoexpression in dentigerous cyst, odontogenic keratocyst, and ameloblastoma. The protocol was registered in PROSPERO (CRD42018105543). Seven databases (Embase, Lilacs, LIVIVO, PubMed, Scopus, SciELO, and Web of Science) were the primary search sources and two databases (Open Grey and Open Thesis) partially captured the "grey literature". Only cross sectional studies were included. The JBI Checklist assessed the risk of bias. A meta-analysis with random effects model estimated the values from the OPG and RANKL ratio reported by the individual studies and respective 95% confidence intervals. The heterogeneity among studies was assessed with I2 statistics. Only nine studies met the inclusion criteria and were considered in the analyses. The studies were published from 2008 to 2018. Two studies presented low risk of bias, while seven studies presented moderate risk. The meta-analysis showed the highest OPG>RANKL ratio for dentigerous cyst (ES=43.3%; 95% CI=14.3-74.8) and odontogenic keratocyst (ES=36.8%; 95% CI=18.8-56.7). In contrast, the highest OPG<RANKL ratio was found for ameloblastoma (ES=73.4%; 95% CI=55.4-88.4) and it was higher in the stromal region compared to the odontogenic epithelial region. The results may explain the aggressive potential of ameloblastoma from the higher OPG<RANKL ratio in this tumor, while it was lower for dentigerous cyst and odontogenic keratocyst.

Resumo O objetivo deste estudo foi avaliar e comparar a imunoexpressão de RANK, RANKL e OPG em cisto dentígero, ceratocisto odontogênico e ameloblastoma. O protocolo foi registrado no PROSPERO (CRD [Oculto]). Sete bancos de dados (Embase, Lilacs, LIVIVO, PubMed, Scopus, SciELO e Web of Science) foram as principais fontes de pesquisa e duas bases de dados (Open Grey e Open Thesis) capturaram parcialmente a "literatura cinza". Apenas estudos transversais foram incluídos. A ferramenta JBI avaliou o risco de viés. Uma metanálise com modelo de efeitos aleatórios estimou os valores da razão OPG e RANKL relatados pelos estudos individuais e seus respectivos intervalos de confiança de 95%. A heterogeneidade entre os estudos foi avaliada por meio do teste I2. Apenas nove estudos preencheram os critérios de inclusão e foram considerados nas análises. Os estudos foram publicados entre 2008 e 2018. Dois estudos apresentaram baixo risco de viés, enquanto sete estudos apresentaram risco moderado. A meta-análise mostrou a maior razão OPG> RANKL para cisto dentígero (ES=43,3%; IC95%=14,3-74,8) e ceratocisto odontogênico (ES=36,8%; IC95%=18,8-56,7). Por outro lado, a maior razão OPG <RANKL foi encontrada para ameloblastoma (ES=73,4%; IC95%=55,4-88,4) e foi maior na região estromal em comparação com a região epitelial odontogênica. Os resultados podem explicar o potencial agressivo do ameloblastoma devido a uma maior proporção OPG <RANKL nesse tumor, enquanto tal proporção foi menor no cisto dentígero e no ceratocisto odontogênico.

Humans , Ameloblastoma , Dentigerous Cyst , Odontogenic Cysts , Odontogenic Tumors , Cross-Sectional Studies
Clinics ; 76: e2659, 2021. tab, graf
Article in English | LILACS | ID: biblio-1278908


This study aimed to compare the effectiveness of 0.12% chlorhexidine alone and 0.12% chlorhexidine in combination with toothbrushing to prevent ventilator-associated pneumonia (VAP) in mechanically ventilated patients. The Embase, Latin American and Caribbean Health Science Literature, PubMed, Scientific Electronic Library Online, Scopus, LIVIVO, Web of Science, Cochrane Library, OpenThesis, and Open Access Thesis and Dissertations databases were used. Only randomized controlled trials without restrictions on the year or language of publication were included. Two reviewers assessed the risk of bias using the Joanna Briggs Institute Critical Appraisal Tool. A meta-analysis using a random-effects model estimated the combined relative risk (RR). The Grading of Recommendations, Assessment, Development and Evaluations approach was used to assess the certainty of the evidence. Initially, 2,337 studies were identified, of which 4 were considered in the systematic review and 3 in the meta-analysis (total sample: 796 patients). The studies were published between 2009 and 2017. All eligible studies had a low risk of bias. The meta-analysis revealed that the risk of VAP was 24% lower in patients receiving chlorhexidine combined with toothbrushing than in those receiving chlorhexidine alone (RR: 0.76; 95% confidence interval: 0.55-1.06), with moderate certainty of evidence and without statistical significance. In conclusion, considering the limitations of this study, a standard protocol for the prevention of VAP is not yet recommended. More studies with larger sample sizes are needed to draw strong conclusions. However, considering that toothbrushing is a simple intervention, it should be a common practice in mechanically ventilated patients, especially among patients with coronavirus disease.

Humans , Pneumonia, Ventilator-Associated/prevention & control , Respiration, Artificial , Toothbrushing , Chlorhexidine , Intensive Care Units
Braz. oral res. (Online) ; 35: e016, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1142612


Abstract This study aimed to assess whether the reductions in serum urea and creatinine levels are different from the reductions in salivary urea and creatinine levels that occur after hemodialysis in chronic renal patients. The systematic review protocol was registered in the PROSPERO database. Eight databases were searched to identify pretest-posttest studies of chronic kidney disease patients undergoing hemodialysis, with no language or year restrictions. The JBI Critical Appraisal Tool was used to assess the risk of bias. Meta-analyses using random-effect models were conducted to compare salivary and serum correlations and to pooled mean and proportion differences from pre- to posthemodialysis urea and creatinine levels by subgroup analysis. The I2 test was used to assess heterogeneity, and a meta-regression was performed to statistically assess correlations and differences in the pooled effects pre- and postdialysis. The Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) was used to assess the certainty of evidence. The search resulted in 1404 records, and only six studies (n = 252 participants) fulfilled the eligibility criteria and were included. The studies were published between 2013 and 2018. All studies showed a significant reduction in both salivary and serum urea/creatinine levels. All eligible studies presented a low risk of bias. The meta-analysis shows a moderate to high correlation between salivary and blood levels of urea (r: 0.79; 95% CI: 0.56-1.00) and creatinine (r: 0.64; 95%CI: 0.16-1.00), with a very low level of certainty. The reductions in salivary urea and creatinine levels are similar to and correlated with the reductions in blood urea and creatine levels after hemodialysis among chronic kidney disease patients.

Humans , Saliva , Renal Dialysis , Creatinine
Clinics ; 76: e2780, 2021. tab, graf
Article in English | LILACS | ID: biblio-1278921


This study aimed to systematically review the literature to assess the effect of preemptive intravenous ibuprofen on pain reduction after lower third molar surgery. Nine databases (PubMed, Scopus, LILACS, SciELO, Embase, Web of Science, Cochrane, Open Gray, and Open Thesis) were used as sources of research, including "grey literature." The protocol was registered in PROSPERO. Only randomized clinical trials evaluating the effects of preemptive intravenous ibuprofen on pain during and immediately after the extraction of lower third molars were included, without restrictions of year and language. Two reviewers independently performed the study selection, data extraction, and assessment of the risk of bias. The "Joanna Briggs Institute for Randomized Controlled Trials" tool was used to assess the risk of bias. Each study was categorized according to the percentage of positive responses to the questions corresponding to the assessment instrument. The results were measured narratively/descriptively. The initial search resulted in 3,257 records, of which only three studies (n=150 participants) met the eligibility criteria and were included in the qualitative analysis. All studies were published in 2019. The risk of bias ranged from low to moderate. Two studies found significant pain reduction within 48 h after the procedure. In conclusion, the use of preemptive intravenous ibuprofen for extracting third molars reduces pain and analgesic consumption after the surgical procedure.

Humans , Ibuprofen/therapeutic use , Molar, Third/surgery , Pain, Postoperative/prevention & control , Randomized Controlled Trials as Topic
Biosci. j. (Online) ; 36(5): 1794-1805, 01-09-2020. ilus
Article in English | LILACS | ID: biblio-1147937


This study aimed to analyze the tissue reaction caused by carvacrol paste associated or not with laser photobiomodulation (LPBM) at λ660 nm in the subcutaneous tissue of rats. Sixty Wistar rats were divided into four groups and they received the following interventions: subcutaneous implantation of empty polyethylene tubes (CTR), implantation of tubes containing carvacrol paste (CVC), implantation of empty tubes and LPBM (LLLT), and implantation of tubes containing carvacrol paste and LPBM (CVCLT). The animals were euthanized at three, eight, and 15 days after surgery. The inflammatory reaction and fibroplasia were analyzed histomorphometrically. Significant differences among the groups were determined by ANOVA and Tukey's test (p<0.05). In the 3-day period, the CVCLT group had low inflammatory infiltration (p<0.01). In the 8- and 15-day periods, the LLLT and CVCLT groups presented a low amount of lymphocytic inflammatory infiltrate (p<0.01 and p<0.05). Regarding the formation of fibrous tissue, the CVC group had the highest formation of type III collagen in the 8-day period (p<0.001). In the 15-day period, the CVCLT group had a lower formation of type I collagen than the CTR and LLLT groups (p<0.05). The use of the carvacrol paste associated with photobiomodulation optimizes the inflammatory period and tissue repair.

Este estudo teve como objetivo analisar a reação tecidual causada pela pasta de carvacrol associada ou não à fotobiomodulação a laser (LPBM) a λ660 nm no tecido subcutâneo de ratos. Sessenta ratos Wistar foram divididos em quatro grupos e receberam as seguintes intervenções: implantação subcutânea de tubos de polietileno vazios (CTR); implantação de tubos contendo pasta de carvacrol (CVC); implantação de tubos vazios e LPBM (LLLT); implantação de tubos contendo pasta de carvacrol e LPBM (CVCLT). Os animais foram eutanasiados aos 03, 08 e 15 dias após a cirurgia. A reação inflamatória e a fibroplasia foram analisadas histologicamente. Diferenças significativas entre os grupos foram determinadas pelo teste ANOVA e teste de Tukey (p<0,05). No período de três dias, o grupo CVCLT apresentou menor infiltração inflamatória (p<0,01). No período de 8 e 15 dias, os grupos LLLT e CVCLT apresentaram menor quantidade de infiltrado inflamatório linfocitário (p<0,01 e p<0,05). Em relação à formação de tecido fibroso, o grupo CVC apresentou maior formação de colágeno tipo III no período de 8 dias (p<0,001). No período de 15 dias, o grupo CVCLT apresentou menor formação de colágeno tipo I em relação aos grupos CTR e LLLT (p<0,05). O uso da pasta de carvacrol associado à fotobiomodulação a laser otimiza o período inflamatório e o reparo tecidual.

Wound Healing , Endodontics , Laser Therapy
Biosci. j. (Online) ; 36(5): 1806-1815, 01-09-2020. ilus, tab
Article in English | LILACS | ID: biblio-1147938


Orthodontics figures as one of the largest community of specialists in Brazil. Unfortunately, numbers are high not only for the professionals but also for the lawsuits against them. The aim of this study was to screen the Brazilian jurisprudence in order to identify the reasons that motivated patients against orthodontists and motivated Judges towards convictions in lawsuits. The sample consisted of 395 lawsuits retrieved from the State Civil Courts of Brazil (n=27). The lawsuits were founded on conflicts between orthodontists and patients. Case-specific legal information were registered, such as patients' main reason behind the lawsuit and the decision in second instance. Chi-square and relative risk tests were calculated to investigate the influence of research variables towards conviction. Most of the lawsuits were judged in the State of São Paulo (n=151; 38.2%) and were published between 2011 and 2017 (rho: 0.797). The main reasons behind the lawsuits against orthodontists were the dissatisfaction with treatment outcomes (n=143, 36.2%), the occurrence of periodontal disease (n=45, 11.4%) and the need for tooth extractions (n=43, 10.9%). Statistically significant outcomes were detected between convictions in first and second instances and between convictions and the contractual obligation of result (p<0.001). The combination of I) patients' dissatisfaction and II) judgments under the obligation of results in second instance figure as the main risk factors for the prosecution and conviction of orthodontists.

A Ortodontia figura como uma das maiores especialidades no Brasil. Infelizmente, os números não são elevados apenas no que concerne aos profissionais, mas também quanto aos processos judiciais contra eles. O objetivo deste trabalho foi pesquisar a jurisprudência Brasileira para identificar as razões que levam os Ortodontistas a serem processados pelos pacientes e os motivos que levam os Magistrados a condená-los. A amostra consistiu de 395 processos judiciais obtidos dos Tribunais Judiciais Brasileiros (n=27). Todos os processos descreveram lides entre Ortodontistas e pacientes. Informações demográficas e legais foram registradas, como a queixa principal do paciente ao instaurar o processo e a decisão do Magistrado em segunda instância. Os testes de Qui-quadrado e de risco relativo foram utilizados para verificar a influência das variáveis sobre o desfecho. A maioria dos processos foi julgada no Estado de São Paulo (n=151; 38.2%) e publicada entre 2011 e 2017 (rho: 0.797). O principal motivo de processo contra Ortodontistas foi a insatisfação do paciente com os resultados do tratamento (n=143, 36.2%), seguido da ocorrência de doença periodontal (n=45, 11.4%) e da necessidade de extrações (n=43, 10.9%). Resultados estatisticamente significantes foram observados entre julgamentos em primeira e segunda instância e entre condenação e julgamento sob a obrigação de resultado (p<0.001). A combinação da I) insatisfação do paciente com II) o julgamentos sob a obrigação de resultados emergiram como principais fatores de risco para condenações.

Forensic Dentistry
Rev. bras. enferm ; 73(5): e20190645, 2020. tab, graf
Article in English | LILACS-Express | LILACS, BDENF | ID: biblio-1115388


ABSTRACT Objectives: to perform a systematic review and meta-synthesis of qualitative studies about the work-related quality of life of Family Health Strategy professionals. Methods: this systematic review was developed to answer the following PVO question: "Which factors (variables) are associated with the work-related quality of life (outcome) of Family Health Strategy professionals (population)?" The PubMed, Scopus, Embase, SciELO, Web of Science, LILACS, Science Direct, OpenThesis, OpenGrey, and OATD databases were selected. The meta-synthesis analyzed the main codes and secondary codes of all included studies. Results: the database search resulted in 1,744 reports; six were considered eligible for the meta-synthesis. Four factors were considered for the quality of work life: working conditions; work processes; interpersonal relationships; and personal aspects. Conclusions: although this study confirms the adequacy of aspects commonly related to the quality of work life, other factors are important in the case of FHS professionals, especially work context.

RESUMEN Objetivos: desarrollar una revisión sistemática y metaanálisis de estudios cualitativos sobre la calidad de vida relacionada al trabajo de profesionales de Salud de la Familia. Métodos: la revisión sistemática se desarrolló para responder la siguiente pregunta pautada en metodología PVO: "¿Cuáles factores (variables) están asociados con la calidad de vida relacionada al trabajo (resultado) de profesionales de Estrategia Salud de la Familia (población)?". Fueron seleccionadas las bases PubMed, Scopus, Embase, SciELO, Web of Science, LILACS, Science Direct, OpenThesis, OpenGrey y OATD. La metasíntesis analizó las categorías principales y subcategorías de todos los estudios incluidos. Resultados: la búsqueda en bases halló 1.744 registros, seis de ellos fueron considerados elegibles para la calidad de vida relacionada al trabajo: condiciones laborales, proceso de trabajo, relaciones interpersonales y aspectos personales. Conclusiones: Aunque este estudio confirme que algunos aspectos habitualmente relacionados con la calidad de vida son adecuados, hay otros factores importantes para los profesionales de Salud de la Familia, particularmente el ámbito laboral.

RESUMO Objetivos: desenvolver uma revisão sistemática e metanálise de estudos qualitativos sobre a qualidade de vida relacionada ao trabalho de profissionais da Saúde da Família. Métodos: a revisão sistemática foi desenvolvida para responder à seguinte questão pautada no método PVO: "Quais fatores (variáveis) estão associados com a qualidade de vida relacionada ao trabalho (resultado) de profissionais da Estratégia Saúde da Família (população)?" As bases de dados PubMed, Scopus, Embase, SciELO, Web of Science, LILACS, Science Direct, OpenThesis, OpenGrey e OATD foram selecionadas. A metassíntese analisou as categorias principais e subcategorias de todos os estudos incluídos. Resultados: a busca na base de dados resultou em 1.744 registros, e seis deles foram considerados elegíveis para a metassíntese. Quatro fatores foram considerados para a qualidade de vida relacionada ao trabalho: condições de trabalho, processo de trabalho, relações interpessoais e aspectos pessoais. Conclus ões : embora este estudo confirme a adequação de aspectos comumente relacionados à qualidade de vida no trabalho, outros fatores são importantes no caso dos profissionais da Saúde da Família, especialmente o contexto de trabalho.

J. Bras. Patol. Med. Lab. (Online) ; 56: e1752020, 2020. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1134612


ABSTRACT Objectives: To characterize scientific production and identify deglutition changes in individuals with oropharyngeal cancer subjected to conservative therapy. Methods: The search was applied to five electronic database [Scientific Electronic Library Online (Scielo), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), US National Library of Medicine National Institutes of Health (PubMed), Web of Science, and Scopus], besides the search of grey literature in the databases (OpenThesis e OpenGrey), avoiding selection and publication bias. Prospective longitudinal studies concerning the theme: deglutition disorders in individuals with oropharyngeal cancer subjected to conservative therapy were considered eligible. The risk of bias and the evaluation of individual methodological quality of the selected studies were measured by "The Joanna Briggs Institute Critical Appraisal tools for use in JBI Systematic Reviews" for prospective and longitudinal studies. Results: The search resulted in 899 records and after analysis four of them fulfilled the eligibility criteria. Among the studies included, all individuals presented some type of deglutition changes, the most common were: reduced of strength and retraction of the base of the tongue, delayed deglutition trigger, reduced laryngeal elevation, presence of residues on tongue and palate, in the pharyngeal area, valleculae, and posterior pharyngeal wall, as well as in the vestibules and in pyriform sinuses. Conclusion: The evidence from this systematic review suggests that conservative therapies cause deglutition changes or amplify the pre-existing ones, regardless of the type and magnitude of radiation, as well as tumor staging. However, there is little standardization in the research methodologies, making a meta-analysis study difficult to conduct.

RESUMEN Objetivos: Caracterizar la producción científica e identificar las alteraciones de deglución en personas con cáncer de orofaringe sometidas a tratamiento conservador. Métodos: Se realizó una búsqueda en cinco bases de datos electrónicas [Scientific Electronic Library Online (Scielo), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), US National Library of Medicine National Institutes of Health (PubMed), Web of Science y Scopus], además de la literatura gris en las bases de datos OpenThesis y OpenGrey, evitando sesgo de selección y publicación. Se consideraron elegibles los estudios longitudinales prospectivos sobre el tema: trastornos de deglución en pacientes con cáncer de orofaringe sometidos a tratamiento conservador. El riesgo de sesgo y la calidad metodológica individual de los estudios seleccionados se evaluaron mediante la herramienta de evaluación crítica del Instituto Joanna Briggs (JBI) para uso de sus revisiones sistemáticas, estudios prospectivos y longitudinales. Resultados: La búsqueda encontró 899 registros y, tras análisis, cuatro de ellos cumplieron los criterios de elegibilidad. Entre los estudios incluidos, todos los pacientes presentaron algún tipo de trastorno de la deglución. Los más frecuentes fueron: fuerza y retracción reducidas de la base de la lengua, retraso en el disparo de la deglución, elevación laríngea reducida, presencia de residuo en lengua y paladar, en región faríngea, valléculas y pared posterior de la faringe, así como en el interior de los vestíbulos y en los senos piriformes. Conclusión: Esta revisión sistemática sugiere que los tratamientos conservadores producen alteraciones de deglución o intensifican aquellas que ya existen, independientemente del tipo y de la intensidad de radiación, así como de la estadificación del tumor. Hay, sin embargo, poca estandarización en las metodologías de investigación, lo que hace difícil un estudio de metanálisis.

RESUMO Objetivos: Caracterizar a produção científica e identificar as alterações da deglutição em indivíduos com câncer de orofaringe submetidos à terapia conservadora. Métodos: Realizou-se uma busca em cinco base de dados eletrônicas [Scientific Electronic Library Online (Scielo), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), US National Library of Medicine National Institutes of Health (PubMed), Web of Science e Scopus], além da busca da literatura cinzenta nas bases de dados (OpenThesis e OpenGrey), evitando viés de seleção e publicação. Foram considerados elegíveis estudos longitudinais prospectivos sobre o tema: alterações de deglutição em indivíduos com câncer de orofaringe submetidos à terapia conservadora. O risco de viés e a qualidade metodológica individual dos estudos selecionados foram avaliados pela ferramenta de avaliação crítica do Joanna Briggs Institute (JBI) para uso de suas revisões sistemáticas, estudos prospectivos e longitudinais. Resultados: A busca resultou em 899 registros e, após análise, quatro deles atenderam aos critérios de elegibilidade. Entre os estudos incluídos, todos os indivíduos apresentaram algum tipo de alteração de deglutição; os mais frequentes foram: força e retração da base da língua reduzidas, atraso no disparo da deglutição, elevação laríngea reduzida, presença de resíduo em língua e palato, em região faríngea, valéculas e parede posterior da faringe, bem como no interior dos vestíbulos e em seios piriformes. Conclusão: Esta revisão sistemática sugere que as terapias conservadoras produzem distúrbios de deglutição ou intensificam os já existentes, independentemente do tipo e da intensidade de radiação, bem como do estadiamento do tumor. Há, no entanto, pouca padronização nas metodologias das pesquisas, dificultando um estudo de metanálise.

Int. j. odontostomatol. (Print) ; 13(4): 481-485, dic. 2019. tab, graf
Article in English | LILACS | ID: biblio-1056488


ABSTRACT: The pigmented lesions of the oral cavity may be endogenous or exogenous. Endogenous lesions are benign and usually caused by melanin, and they are called gingival melanin pigmentations. Among the options for depigmenting these areas, laser therapy stands out for being a minimally invasive procedure. This study aims to report a clinical case of the gingival depigmentation technique using a high-power diode laser in the anterior maxillary region, for the ablation of the pigmented tissue to improve gingival aesthetics. The patient had an aesthetic complaint of the darkened aspect of the gingiva in the anterior maxillary and mandibular portions. After local anesthesia, we started depigmentation with high-power diode laser and performed ablation from the attached gingiva toward the free marginal gingiva. The patient returned after 30 and 180 days presenting healthy gingiva and absence of melanin repigmentation. Thus, we concluded that the diode laser was a good alternative for melanin depigmentation because it is a procedure with lower morbidity and satisfactory postoperative results.

RESUMEN: Las lesiones pigmentadas de la cavidad oral pueden ser endógenas o exógenas. Las endógenas son benignas y generalmente causadas por la melanina, denominándose pigmentaciones melánicas gingivales. Entre las opciones para la despigmentación de estas regiones, se destaca la laserterapia, por ser un procedimiento poco invasivo. Este trabajo tuvo como objetivo relatar un caso clínico de la técnica de despigmentación gingival utilizando láser de diodo de alta intensidad en la región anterior de los maxilares para ablación del tejido pigmentado con la finalidad de mejorar la estética gingival. El paciente presentaba como queja estética el aspecto oscurecido de la encía en la región anterior de la maxila y de la mandíbula. Tras aplicar anestesia local, se inició la despigmentación con láser de diodo de alta intensidad, siendo que la ablación se realizó a partir de la encía insertada hacia la encía marginal libre. El paciente regresó tras 30 y 180 días, presentando encía saludable y con ausencia de repigmentación melánica. Así fue posible concluir que el láser de diodo mostró ser una buena alternativa para la despigmentación melánica, ya que se presentó como un procedimiento con menor morbidad y buen resultado postoperatorio.

Humans , Male , Adult , Laser Therapy/methods , Lasers, Solid-State/therapeutic use , Gingival Diseases/surgery , Melanosis/surgery , Brazil , Cosmetic Techniques/instrumentation , Informed Consent
Biosci. j. (Online) ; 35(5): 1614-1621, sept./oct. 2019. ilus, tab, graf
Article in English | LILACS | ID: biblio-1049068


To evaluate the influence of mesofacial, brachyfacial and dolichofacial facial patterns on giving an individual the profile of a crime suspect in the eyes of public security agents.This study had a cross-sectional design, conducted with public security agents of both sexes (n=100), where images of facial composites (police sketches) of individuals with different facial patterns (mesofacial, brachyfacial and dolichofacial) were used. With these images in hand, a questionnaire was created, divided into three parts: the first in which all the images were presented together, allowing comparison among them; the second, in which each image was evaluated separately followed by questions and the third that consisted on a visual analog scale that presented a bar with marks going from 0 to 100, where 0 represented the untrustworthy individual, 50 the individual who could be trusted, and 100 a very trustworthy individual. When all the data had been obtained statistical analyses were performed using the Chi-square and Friedman tests. The level of significance adopted was 5% (α=0.05). The dolichofacial individual was associated with security agents as the most prone to commit crimes and became more insecure and distrustful when compared to the mesofacial and brachyfacial individuals (p <0.001). The dolichofacial profile had a negative influence on the judgment of security agents who attributed to it, a character suspected of a crime and a low level of trustworthiness

Avaliar a influência dos padrões faciais mesofacial, braquifacial e dolicofacial em conceder um perfil de suspeito a cometer crimes aos olhos dos agentes de segurança pública. Este estudo teve delineamento transversal, realizado com agentes de segurança pública de ambos os sexos (n = 100), onde imagens de retratos- falados de indivíduos com diferentes padrões faciais (mesofacial, braquifacial e dolicofacial) foram utilizadas. De posse dessas imagens, foi criado um questionário, dividido em três partes: a primeira em que todas as imagens foram apresentadas juntas, permitindo a comparação entre elas; a segunda, em que cada imagem foi avaliada separadamente seguida de perguntas e a terceira consistiu em uma escala analógica visual que apresentava uma barra com marcações de 0 a 100, onde 0 representava o indivíduo não confiável, 50 o indivíduo em quem se podia confiar, e 100 um indivíduo muito confiável. Após a obtenção dos dados, foram realizadas análises estatísticas utilizando os testes Qui-quadrado e Friedman. O nível de significância adotado foi de 5% (α = 0,05). O indivíduo dolicofacial foi associado pelos agentes de segurança como o mais propenso a cometer crimes e passou mais insegurança e desconfiança, quando comparado aos indivíduos mesofacial e braquifacial (p<0,001). O perfil dolicofacial influenciou negativamente no julgamento dos agentes de segurança que atribuíram-lhe caráter suspeito a cometer crimes e baixo grau de confiabilidade.

Social Perception , Crime , Face , Judgment
Ciênc. Saúde Colet ; 24(10): 3793-3803, Oct. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1039473


Resumo Embora haja uma unanimidade nas falas dos gestores que o Sistema Único de Saúde é subfinanciado, é unânime também o fato de haver problemas na eficiência da gestão dos gastos. Nesta perspectiva, este estudo faz uma avaliação da eficiência técnica em saúde dos sete municípios da região de saúde Rota dos Bandeirantes do estado de São Paulo no período de 2009 a 2012, utilizando-se o Índice de Eficiência Técnica em Saúde. Este índice é composto por meio de indicadores estruturais e indicadores de resultados, oriundos principalmente, do sistema de pactuação de metas e indicadores e coletados da base de dados do Departamento de Informática do SUS. Identificou-se que apenas o município de Barueri atingiu alta eficiência técnica em saúde, enquanto que os demais apresentaram baixa eficiência. Concluiu-se que os municípios com maior receita disponível e maior gasto per capita atingiram os melhores resultados nos indicadores de saúde e, portanto, melhores índices de eficiência técnica em saúde. Todavia alguns municípios, mesmo com uma pequena estrutura, atingiram resultados melhores que seus vizinhos, demostrando eficiência na gestão de sua estrutura e, desta forma, o recurso mostrou-se como condição necessária para que haja eficiência, porém, não suficiente.

Abstract Although administrators unanimously agree that the Brazilian Unified Health System (SUS) is underfunded, it is also unanimous that there are problems in the efficiency of expenditures management. From this perspective, this study assessed the health technical efficiency in the seven cities of the Rota dos Bandeirantes health region of the state of São Paulo, Brazil, from 2009 to 2012, through the Health Technical Efficiency Index. This index includes structure and results indicators, mainly from the goals and indicators agreement system, and it is collected from the database of the SUS Informatics Department. It was identified that only one city reached high health technical efficiency, while the other cities presented low efficiency. It was concluded that cities with higher income available and higher per capita expenditures achieved the best health indicator results and, therefore, better health technical efficiency indexes. However, some cities, even though small in structure, obtained better results than neighboring cities, which shows structure management efficiency. Thus, the resource represented an essential condition for efficiency, however not sufficient.

Humans , Health Status Indicators , Health Expenditures , National Health Programs/organization & administration , Brazil , Cities , Healthcare Financing , National Health Programs/economics
J. Bras. Patol. Med. Lab. (Online) ; 55(5): 550-567, Sept.-Oct. 2019. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1040217


ABSTRACT Squamous cell carcinoma is a malignant neoplasm that affects the structures and tissues of the oral cavity. Interleukins (IL) synthesized from a tumor modulate a cascade reaction that may influence the prognosis of the disease. We aim to investigate in the literature whether interleukins are mediators that negatively or positively influence the prognosis of patients with oral squamous cell carcinoma. A systematic review study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) instructions. PubMed (including MedLine), Scopus, Web of Science, SciELO and Latin American and Caribbean Health Sciences (LILACS) databases were used as the primary sources for the study; OpenGrey and OpenThesis were used to search for "gray literature". The search conducted in seven general databases resulted in a set of 858 studies, while the search conducted in two databases for gray literature resulted in 82 studies, totaling 940 studies. From these, 15 studies were selected for this systematic review (eight studies presented low bias risk; four studies presented moderate bias risk; and three studies presented high risk of bias). Although they may act on the anti-tumor immune response pathways, the IL evaluated in the present systematic review (IL-4, IL-6, IL-8, IL-10, IL-12 and IL-13) tend to present a response associated with the intensification of carcinogenesis and poor prognosis in patients with oral squamous cell carcinoma.

RESUMEN El carcinoma de células escamosas es una neoplasia maligna que afecta las estructuras y los tejidos de la cavidad oral. Interleucinas (IL) sintetizadas a partir de un tumor modulan una cascada de reacciones que puede influenciar el pronóstico de la enfermedad. Nuestro objetivo es investigar en la literatura si las IL son mediadoras que influyen negativamente o positivamente en el pronóstico de pacientes con carcinoma oral de células escamosas. Un estudio de revisión sistemática fue realizado bajo las instrucciones del Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Las bases de datos PubMed (incluyendo MedLine), Scopus, Web of Science, SciELO y Latin American and Caribbean Health Sciences (LILACS) fueron usadas como fuentes primarias de estudio; OpenGrey y OpenThesis, para pesquisar la literatura gris. La búsqueda realizada en siete bases de datos generales resultó en un conjunto de 858 estudios, mientras la búsqueda realizada en dos bases de datos para literatura gris resultó en 82 estudios, totalizando 940 investigaciones. Entre ellas, 15 fueron elegidas para la presente revisión sistemática (ocho estudios presentaron bajo riesgo de sesgo; cuatro, riesgo moderado; tres, riesgo alto). A pesar de poder actuar en vías de respuesta inmune antitumoral, las IL evaluadas en esta revisión (IL-4, IL-6, IL-8, IL-10, IL-12, y IL-13) suelen presentar una respuesta asociada a la intensificación del proceso de carcinogénesis y al pronóstico desfavorable en pacientes portadores de carcinoma oral de células escamosas.

RESUMO O carcinoma de células escamosas é uma neoplasia maligna que afeta as estruturas e os tecidos da cavidade oral. Interleucinas (IL) sintetizadas a partir de um tumor modulam uma cascata de reações que poderá influenciar o prognóstico da doença. Objetiva-se investigar na literatura se as interleucinas são mediadores que influenciam negativamente ou positivamente o prognóstico de pacientes com carcinoma de células escamosas intraoral. Um estudo de revisão sistemática foi realizado segundo as instruções do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). As bases de dados PubMed (incluindo MedLine), Scopus, Web of Science, SciELO e Latin American and Caribbean Health Sciences (LILACS) foram utilizadas como fontes de estudo primárias; OpenGrey e OpenThesis, utilizadas para pesquisar a "literatura cinzenta". A busca realizada em sete bases de dados gerais resultou em um conjunto de 858 estudos, enquanto a realizada em duas bases de dados para literatura cinza, em 82 estudos, totalizando 940 pesquisas. Destas, 15 foram selecionadas para a presente revisão sistemática (oito estudos apresentaram baixo risco de viés; quatro, moderado risco de viés; e três, alto risco de viés). Apesar de poderem atuar nas vias de resposta imune antitumoral, as IL avaliadas nesta revisão (IL-4, IL-6, IL-8, IL-10, IL-12 e IL-13) tendem a apresentar uma resposta associada à intensificação do processo de carcinogênese e ao prognóstico desfavorável em pacientes portadores do carcinoma de células escamosas intraoral.

Int. j. odontostomatol. (Print) ; 13(3): 292-298, set. 2019. tab, graf
Article in English | LILACS | ID: biblio-1012425


ABSTRACT: This case describes the treatment of Class II malocclusion in a patient missing one of the maxillary central incisors due to traumatic impaction. The treatment approach consisted in the extraction of the remaining maxillary central incisor, followed by diastema closure and re-anatomization of lateral incisors into central incisors. The results obtained were considered satisfactory concerning occlusal, aesthetic and functional aspects. This therapeutic approach may be used as an alternative for similar cases.

RESUMEN: Este caso clínico describe el tratamiento de la mala oclusión de Clase II en un paciente con ausencia de uno de los incisivos centrales superiores debido a impactación. El abordaje del tratamiento consistió en la extracción de este elemento dental y del otro incisivo central, seguido del cierre de los diastemas y reanatomización de los incisivos laterales en incisivos centrales. Los resultados obtenidos fueron considerados satisfactorios con relación a los aspectos oclusales, estéticos y funcionales. Así, esta planificación se puede utilizar como una nueva alternativa de abordaje terapéutico para estos casos.

Humans , Female , Adult , Orthodontics, Corrective/methods , Tooth Movement Techniques/methods , Malocclusion, Angle Class II/surgery , Tooth Extraction , Radiography, Panoramic , Cephalometry , Treatment Outcome
Ciênc. Saúde Colet ; 24(8): 2909-2922, ago. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1011878


Resumo Trata-se de uma revisão sistemática e metanálise para estimar e comparar as prevalências de fluorose dental em localidades brasileiras abastecidas com água tratada sem suplementação de flúor e em localidades que utilizam de água de origem subterrânea. Em dezembro de 2016 foram buscados estudos transversais em 8 bases de dados incluindo a "literatura cinzenta". As prevalências foram estimadas utilizando modelo misto de efeitos aleatórios considerando as localidades como subgrupo. A heterogeneidade entre os estudos foi avaliada através da estatística I2 e do teste Q de Cochran. Foram encontrados 1.038 registros, dos quais apenas 18 artigos preencheram os critérios de inclusão, sendo submetidos para análise. O modelo metanalítico estimou em 8,92% (IC95%:5,41% até 14,36%) a prevalência de fluorose dental em municípios com água tratada sem suplementação de flúor e em 51,96% (IC95%: 31,03% até 72,22%) em municípios abastecidos por poços artesianos. A heterogeneidade entre os estudos foi alta, I2 = 95% (p < 0,01) no primeiro subgrupo de municípios e I2 = 98% (p < 0,01) no segundo subgrupo. A prevalência foi significativamente maior (p < 0,001) em populações expostas à água de poços artesianos, indicando que a presença de flúor natural em concentrações elevadas representa um fator de risco para a ocorrência de fluorose dental.

Abstract This systematic review and meta-analysis aimed to estimate and compare the prevalences of dental fluorosis in Brazilian cities supplied with non-fluoridated water and in locations that uses groundwater. In December of 2016, cross-sectional studies were searched in eight databases, including the "grey literature". The prevalences were estimated through a mixed random effects model considering the locations as subgroups. The heterogeneity among the studies was assessed with I2 statistics and the Cochran's Q test. A total of 1038 records were found, from which only 18 articles met the inclusion criteria and were subjected to analysis. The meta-analytic model estimated a prevalence of dental fluorosis of 8.92 % (95 % CI: 5.41 % to 14.36 %) in cities supplied with non-fluoridated water, and of 51.96 % (95 % CI: 31.03 % to 72.22 %) in cities supplied by artesian wells. The heterogeneity among the studies was high: I2 = 95 % (p < 0.01) in the first subgroup of cities and I2 = 98 % (p < 0.01) in the second subgroup. The prevalence was significantly higher (p < 0.001) in populations exposed to artesian well water, indicating that the presence of natural fluoride at high concentrations represents a risk factor for the occurrence of dental fluorosis.

Humans , Groundwater/chemistry , Fluorides/chemistry , Fluorosis, Dental/epidemiology , Brazil/epidemiology , Prevalence , Risk Factors , Cities
Int. j. odontostomatol. (Print) ; 13(2): 172-179, jun. 2019. tab
Article in English | LILACS | ID: biblio-1002301


ABSTRACT: Childhood is a period of life when the human being is constantly going through progressive steps of psychosocial, physical, and mental development. The quality of hygiene habits of family members will be reflected on the characteristics and attitudes of children, which significantly increases the responsibility of the family in oral hygiene education. The present study aimed to observe the influence of maternal satisfaction with the dentist in children's oral care. This is a cross-sectional design, which sample included 100 mothers from a city in Southern Brazil. From a questionnaire prepared for this purpose and adapted from previous research, the mothers were interviewed from January to July 2015. The results presented showed that most mothers work outside the home (46.4 %) but monitor their children during toothbrushing (50.7 %). For most mothers, the dentist represents satisfaction (37.1 %) and the main reason for seeking the dentist is oral health (44.3 %). It was found that mothers who encourage their children to use dental floss and monitor them during toothbrushing are the mothers who feel satisfied with the dentist (P < 0.05). In addition, mothers know that caries is a disease and its occurrence is related to diet habits, however, they add chocolate milk and sugar to their children's bottle. Thus, it was concluded that satisfaction with the dentist influences mothers on oral hygiene habits adopted by their children regarding the use of dental floss and toothbrushing monitoring.

RESUMEN: La infancia es un período de la vida en que el ser humano está en constante y progresivo desarrollo psicológico, físico y mental. La calidad de la higiene oral de otros miembros de la familia se va a reflejar directamente en las características y actitudes de los niños, aumentando significativamente la responsabilidad de la familia en la educación sobre higiene oral. El presente trabajo tuvo como objetivo observar la influencia que tiene la satisfacción de la madre con el cirujano dentista respecto a las acciones de la salud oral de los niños. Se trató de un estudio de tipo transversal, cuya muestra no probabilística contó con 100 madres de una ciudad del Sur de Brasil. A partir de un cuestionario elaborado para este fin y adaptado de investigaciones anteriores, las madres fueron entrevistadas en el período de enero a julio de 2015. Los resultados mostraron que la mayoría de las madres trabajaban fuera de la casa (46,4 %), pero acompañaban a su hijo durante el cepillado (50,7 %). La mayoría de ellas estaba conforme con la atención del cirujano dentista (37,1 %) y el mayor motivo de su búsqueda fue la salud oral (44,3 %). Se verificó que las madres que incentivaban el uso del hilo dental por parte de los hijos y que realizaban el acompañamiento durante el cepillado eran las madres que se sentían conformes con la atención del cirujano dentista (p<0,05). Además de esto, las madres saben que la caries es una enfermedad y que su surgimiento tiene relación con la alimentación, pero igualmente le incorporaban cacao en polvo y azúcar a la mamadera de sus hijos. De esta manera, fue posible concluir que, la satisfacción con la atención del cirujano dentista influye a las madres en los hábitos de higiene oral adoptados por sus hijos, en lo relativo al uso del hilo dental y el cepillado dental.

Humans , Female , Child, Preschool , Child , Adult , Oral Health/standards , Patient Satisfaction , Dentists , Oral Hygiene , Brazil , Cross-Sectional Studies , Surveys and Questionnaires , Ethics Committees, Research , Informed Consent , Mothers
Biosci. j. (Online) ; 35(2): 650-658, mar./apr. 2019. tab, graf
Article in English | LILACS | ID: biblio-1048618


The present study aimed to characterize the procedures performed by the oral and maxillofacial surgery team at a Brazilian reference hospital in a Brazilian city, as well as to describe the time trend of the number of services related to different types of surgery. It is a time-series study that assessed the data from the medical records of patients assisted at a reference hospital in a city in the state of Mato Grosso (Brazil), from 2011 to 2017. The data were assessed using descriptive statistical analysis, correspondence analysis (CA), and time trend analysis. A total of 1488 medical records were evaluated, the majority of which corresponded to male patients (59%), extractions were the most performed procedures (46.2%), local anesthesia was the most applied technique (50.3%), and the procedures were mostly performed in an outpatient environment (53.2%). There was a decreasing global time trend (R2 = 0.248; p < 0.001). Male patients are the most assisted in hospital care and are particularly related to more invasive procedures; there is also a decreasing curve of assistance over the years in the oral and maxillofacial surgery and traumatology service of the hospital studied.

O presente estudo teve como objetivo caracterizar os procedimentos realizados pela equipe de cirurgia bucomaxilofacial em um hospital brasileiro de referência de uma cidade brasileira, bem como descrever a tendência temporal da quantidade de atendimentos relacionados a diferentes tipos de cirurgia. Trata-se de um estudo de série temporal que avaliou os dados dos prontuários de pacientes atendidos em um hospital de referência em uma cidade do estado do Mato Grosso (Brasil) entre os anos de 2011 e 2017. Os dados foram avaliados por meio de uma análise estatística descritiva, teste de Análise de correspondência (AC) e análise de tendência temporal. No total, 1488 registros foram avaliados, dos quais a maioria correspondia a pacientes do sexo masculino (59%), exodontias foram os procedimentos mais realizados (46,2%), a técnica anestésica mais empregada foi a local (50,3%) e os procedimentos foram realizados em sua maioria em âmbito ambulatorial (53,2%). A tendência temporal global foi decrescente do tempo global (R2 = 0,248; p <0,001). Os pacientes do sexo masculino são os mais assistidos no atendimento hospitalar e estão particularmente relacionados a procedimentos mais invasivos; há também uma curva decrescente de assistência ao longo dos anos no serviço de cirurgia oral e bucomaxilofacial do hospital estudado.

Medical Records , Health Surveys , Dental Care , Dentists