ABSTRACT
OBJECTIVES:: Brazilians who are free of traditional atherogenic risk factors frequently suffer myocardial infarctions (MI). Calcified carotid artery plaque (CCAP) on panoramic images (PIs) has been shown to be a validated "risk indicator" of future MIs. The diagonal earlobe crease (DELC) is likewise a validated "risk indicator" of future MI. We sought to determine the prevalence of DELC+ among patients having CCAP+ on their PIs. METHODS:: In a masked cross-sectional study, three dentists evaluated PIs of patients (N = 481) over age 55 for presence of CCAP+. Among the CCAP+ cohort, the presence of DELC+ was determined by two additional dentists masked to the presence of CCAP+ on PIs. A control group (CCAP-) comprised of individuals with PIs devoid of plaque was similarly evaluated for evidence of DELC+. RESULTS:: A mixed-gender group (8.6%) of patients (N = 41; mean age 67.5 ± 6.8) evidenced CCAP+ on their PIs and approximately 88% of these individuals (N = 36) had concomitant DELC+. Among members of the control group (N = 41), 17 patients were DELC+. Our results demonstrated that among the full mixed-gender cohort (N = 82), the association between CCAP+ and DELC+ was statistically significant (p = 0.0001). However, when adjusting for gender, only the CCAP+ men were significantly (p = 0.00011) more likely to evidence DELC+ on clinical examination. CONCLUSIONS:: Males with atherosclerosis of their carotid arteries as evidenced by PIs displaying calcified atheromas are significantly more likely to evidence a DELC+ than those without an imaged atheroma.
Subject(s)
Carotid Artery Diseases , Carotid Stenosis , Plaque, Atherosclerotic , Radiography, Panoramic , Aged , Carotid Artery Diseases/diagnostic imaging , Carotid Stenosis/diagnostic imaging , Cross-Sectional Studies , Humans , Male , Middle Aged , Plaque, Atherosclerotic/diagnostic imaging , Prevalence , Risk FactorsABSTRACT
Trata-se de uma pesquisa de campo convergente assistencial por desenvolver ações que aliam a teoria e a prática. O estudo se desenvolveu com 129 idosos do município de Pinhais; 22 eram diabéticos. Identificou-se o que os idosos sabiam sobre a sua condição crônica da diabetes antes e após as reuniões. Nestas reuniões desenvolvemos ações para a educação por meio de técnicas de educação em saúde, verificando-se, após estas atividades, mudanças significativas nos relatos dos participantes do estudo, o que comprova a afirmação da OMS a educação não é somente parte do tratamento da diabetes é o próprio tratamento.
Subject(s)
Humans , Aged , Diabetes Mellitus/prevention & control , Patient Education as Topic , Health Education/methods , AgedABSTRACT
O emprego de placa interoclusal no tratamento do briquismo visa a diminuiçäo da sintomatologia dolorosa, do ranger de dentes e a proteçäo dentária. Neste estudo foram avaliados quatro pacientes portadores de briquismo que receberam placas interoclusais. As queixas principais foram desgaste de dentes e dores faciais, freqüentes em masseter. O exame radiográfico mostrou alteraçöes degenerativas em todos os casos. Após um período de quatro meses houve diminuiçäo da intensidade dos desgastes observados nas placas interoclusais, bem como melhora da sintomatologia. Entretanto, houve persistência do hábito parafuncional
