Frailty and oral health: Findings from the Concord Health and Ageing in Men Project.

OBJECTIVE: To examine whether frailty in older men is associated with poorer oral health and lower levels of dental service utilisation. BACKGROUND: Poor oral health has been associated with some frailty components. Less is known about the link between frailty and oral health outcomes. METHODS: A cross-sectional analysis. Data were collected from 601 older men with both frailty status and oral health information. Frailty was defined as meeting three or more of the Cardiovascular Health Study criteria: weight loss, weakness, exhaustion, slowness and low activity. Dental service utilisation (DSU) behaviour was collected from self-response questionnaires and face-to-face interviews. Oral status (number of remaining and functional teeth, periodontal disease, active coronal decayed surface [ACDS] and self-rated oral health [SROH]) was recorded by two oral health therapists. The association between frailty and oral health behaviour and risk markers was modelled using logistic regression. RESULTS: Nineteen per cent of the participants were identified as frail. There were significant associations between frailty and dentition status (odds ratio [OR]: 2.49, 95% confidence interval [CI]: (1.17-5.30), and frailty and ACDS (OR: 3.01, CI: 1.50-6.08) but only ACDS remained significant after adjusting for confounders (adjusted OR: 2.46, CI: 1.17-5.18). There was no association between frailty and DSU and frailty and SROH. CONCLUSION: Frailty was independently associated with the presence of dental caries. However, DSU, SROH and other oral health markers were not significantly associated with frailty after adjusting for confounders. The prevalence of periodontal disease was high regardless of their frailty status.

Características de Autocuidado em Saúde Oral, Hábitos e Acesso a Serviço Odontológico por Idosos Rurais e Urbanos / Characteristics of oral health self-care, habits and access to dental service by rural and urban elderly / Características del autocuidado en salud bucal, hábitos y acceso al servicio odontológico por ancianos rurales y urbanos

O artigo buscou investigar as diferenças no estado de saúde oral entre idosos rurais e urbanos, incluindo características de autocuidado, hábitos e acesso a serviços odontológicos, através daPesquisa Nacional de Saúde de2013.Foram encontrados perfis diferentes depacientes,de acordo com a zonageográfica.Idosos urbanosmostraram melhores indicadores de saúde oral, agendamento com maior uso de tecnologiase menor busca de tratamentospor patologia oral que os idosos rurais.

We have investigated the differences related to oral health status between urban and rural elderly, including oral health self-care, habits and access to dental service characteristics. Data was obtained from Brazilian National Health Survey (2013). According to geographic area we have found different profiles. Urbans demonstrated better indicators of oral health status, more use of technology to appoint a dentistry consultation and less looking for treatment because oral pathology than rural elderly.

El artículo buscó investigar las diferencias en el estado de salud bucal entre ancianos rurales y urbanos, incluyendo características de autocuidado, hábitos y acceso a servicios dentales, a través de la Encuesta Nacional de Salud de 2013. Se encontraron diferentes perfiles de pacientes, segúnel área geográfica.Los ancianos urbanos mostraron mejores indicadores de salud bucal, programación con mayor uso de tecnologías y menor búsqueda de tratamientos para patología oral que los ancianos rurales.

Chewing function, general health and the dentition of older Australian men: The Concord Health and Ageing in Men Project.

OBJECTIVES: To describe the associations between chewing function with oral health and certain general health characteristics, in a population of community-dwelling older Australian men. METHODS: Analysis of data obtained from a cross-sectional analysis of the 4th wave of the Concord Health and Ageing in Men Project cohort of 614 participants, 524 whom were dentate, aged 78 years and over. Their chewing capacity was assessed using three main indicators: capacity to chew eleven food items ranging from boiled eggs through to fresh carrots and nuts; discomfort when eating; and interruption of meals. Associations with chewing were tested for dentate vs edentate participants, numbers of teeth present, active dental disease and key general health conditions such as disabilities, comorbidities and cognitive status. Log binomial regression models adjusted for age, country of birth, income, education and marital status. Prevalence ratios and 95% confidence intervals were estimated. RESULTS: Twenty-one per cent of participants could not eat hard foods, while 23.1% reported discomfort when eating, and 8.8% reported interrupted meals when eating. There was a threefold difference in the capacity of dentate men to chew firm meat over that of edentulous men (95% CI, 2.0-4.9); a 2.5 times greater likelihood of edentate men reporting discomfort when eating (95% CI: 1.5-4.3); and 1.9 times greater likelihood of edentate participants reporting having meals interrupted (95% CI: 1.4-2.6). Chewing/eating difficulties were associated with both dental status (number of teeth, active dental caries) and self-rated dental health. Fewer than 20 teeth and the presence of active coronal or root decay were associated with more discomfort when eating. General health conditions associated with chewing function included disability, physical activity, comorbidities, cognitive status and depression. Older men's self-rated oral health and general health perceptions were also associated with aspects of chewing function. Poorer self-reported oral health was associated with inability to eat hard foods (95% CI: 1.3-2.7) and with discomfort when eating (95% CI: 2.6-5.1), while poorer self-reported general health was associated with discomfort when eating (95% CI: 1.2-2.2). CONCLUSIONS: Falling rates of edentulism may lead to improved chewing and eating function in older men. Maintaining 20 or more natural teeth, and preventing active coronal and root caries should enhance chewing function and promote self-reported health and oral health. Lower capacity to chew hard foods and a higher reporting of discomfort when eating is associated with co-morbidity in older Australian men.

Relationship between dentition, anthropometric measurements, and metabolic syndrome in the elderly / Relação entre dentição, medidas antropométricas e síndrome metabólica em idosos

Abstract Introduction Tooth loss is a health disorder of the elderly population that may lead to masticatory deficiency and nutritional risks, inducing the biochemical changes of metabolic syndrome (MS). Objective To verify the relationship among number of teeth, anthropometric measurements, and MS in a group of elderly people. Material and method The study was developed in Porto Alegre, RS, Brazil, and it was divided into three phases. The first phase collected information from the database of all project participants and the second one collected sociodemographic, anthropometric, and biochemical data. The third phase was divided into two other phases: first, oral health interviews were applied to the elderly (281 patients evaluated by telephone and 23 visited at home) and second, 45 patients were randomly selected and invited to validate the data obtained by telephone with oral clinical examinations performed by a trained dental surgeon. The sample consisted of 304 individuals. The data collected were tabulated and analyzed using statistical tests. Result Elderly women with severe tooth loss present a significantly higher risk of developing MS. Thus, the maintenance of natural teeth in the elderly is a protective factor for the syndrome. Conclusion The findings support the hypothesis that the oral health of individuals, expressed by the number of teeth, may compromise and increase the risk of MS in the elderly.

Resumo Introdução A perda dentária é um distúrbio de saúde dos idosos que pode levar à deficiência mastigatória e riscos nutricionais, induzindo alterações bioquímicas da síndrome metabólica (SM). Objetivo Verificar a relação entre número de dentes, medidas antropométricas e SM em um grupo de idosos. Material e método O estudo foi desenvolvido na cidade de Porto Alegre, RS, Brasil, e foi dividido em três fases. A primeira fase coletou informações do banco de dados de todos os participantes do projeto e a segunda coletou dados sociodemográficos, antropométricos e bioquímicos. A terceira fase foi dividida em duas outras fases: primeiro foram aplicadas entrevistas de saúde bucal aos idosos (281 pacientes avaliados por ligações telefônicas e 23 atendidos em domicílio) e, segundo, 45 pacientes foram selecionados aleatoriamente e convidados a validar os dados obtidos por telefone com exames clínicos orais. A amostra foi composta por 304 indivíduos. Os dados coletados foram tabulados e analisados ​​por meio de testes estatísticos. Resultado Mulheres idosas com perda dentária severa apresentam um risco significativamente maior de desenvolver SM. Assim, a manutenção dos dentes naturais nos idosos é um fator protetor para a síndrome. Conclusão Os achados reforçam a hipótese de que a saúde bucal dos indivíduos, expressa pelo número de dentes, pode comprometer e aumentar o risco de SM em idosos.

Induced accumulation of Au, Ag and Cu in Brassica napus grown in a mine tailings with the inoculation of Aspergillus niger and the application of two chemical compounds.

This study evaluated the ability of Brassica napus for extracting gold (Au), silver (Ag) and copper (Cu) from a mine tailings, with the inoculation of two Aspergillus niger strains, and the application of ammonium thiocyanate (NH4SCN) or ammonium thiosulfate [(NH4)2S2O3]. After seven weeks of growth inoculated or non-inoculated plants were applied with 1 or 2 g kg-1 of either NH4SCN or (NH4)2S2O3, respectively. Eight days after the application of the chemical compounds, plants were harvested for determining the total dry biomass, and the content of Au, Ag, and Cu in plant organs. Application of (NH4)2S2O3 or NH4SCN resulted in enhanced Au-accumulation in stems (447% and 507%, respectively), while either (NH4)2S2O3+Aspergillus, or NH4SCN increased the Au-accumulation in roots (198.5% and 404%, respectively) when compared to the control. Treatments with (NH4)2S2O3 or (NH4)2S2O3+Aspergillus significantly increased (P ≤ 0.001) the accumulation of Ag in leaves (677% and 1376%, respectively), while NH4SCN + Aspergillus, and (NH4)2S2O3 enhanced the accumulation in stems (7153% and 6717.5%). The Ag-accumulation in roots was stimulated by NH4SCN+ Aspergillus, and (NH4)2S2O3+ Aspergillus (132.5% and 178%, respectively), when compared to the control. The combination of NH4SCN+Aspergillus significantly enhanced the Cu-accumulation in leaves (228%); whereas NH4SCN+ Aspergillus, or (NH4)2S2O3+ Aspergillus resulted in greater accumulation of Cu in stems (1233.5% and 1580%, respectively) than the control. Results suggest that either NH4SCN or (NH4)2S2O3 (with or without Aspergillus) improved the accumulation of Au and Ag by B. napus. Accumulation of Au and Ag in plant organs overpassed the hyperaccumulation criterion (> 1 mg kg-1 of plant biomass); whereas Cu-accumulation in stems and roots also overpassed such criterion (> 1000 mg kg-1) by applying either NH4SCN or (NH4)2S2O3 + A. niger.

Protocolo perioperatorio de asistencia nutricional en un Servicio de Cirugía General del Hospital Nacional Guillermo Almenara Irigoyen IPSS, Lima-Perú / Protocol of nutritional perioperative assistance in a general surgery service at Guillermo Almenara Irigoyen National Hospital, Lima -Perú

De enero de 1995 a febrero de 1996 en el Servicio de Cirugía General No 5 del Hspital Nacional Guillermo Almenara Irigoyen, se acordó elaborar un Protocolo de Evaluación y/o soporte nutricional de los pacientes en el pre y el post operatorio , con la finalidad de disminuir los índices de morbimortalidad. Luego de prolongadas sesiones de trabajo se llegó al consenso de proponer un protocolo para que sea aplicado y evaluado luego de su seguimiento, de tal manera que a luz de los resultados se defina su utilidad. Se definen parámetros de evaluación nutricional, pautas de manejo de la asistencia nutricional e indicaciones de nutrición enteral y parental.

Patología tumoral oftalmica en el hospital Dr. Luis E. Aybar: revisión de casos y estadísticas en el período 1980-1990 / Opthalmic tumoral pathology in the Hospital Dr. Luis E. Aybar: review of cases and statistic in the period 1980-1990

Un total de 129 patologías tumorales se diagnosticaron en el período 1980-1990 en el departamento de Anatomía Patológica del Hospital Dr. Luis E. Aybar en Santo Domingo, R. D., con una amplia gama de casos, entre los que se destacaron Carcicomas epidermoide, Retinoblastomas y Melanocarcicomas entre los malignos, en tanto que los Nevos y Papilomas fueron las lesiones benignas más frecuentes. Se hace estudio estadístico

Metodologia de la investigacion sobre servicios de salud / Methodology in health services research

Available in Spanish only. Documents from the 17th Meeting, English and Spanish, are bound together in one volume

Reunion del Comite Asesor sobre Investigaciones Medicas, 17. Organización Panamericana de la Salud; 2-6 mayo 1978