Pesquisa | SciELO

Abstract Objective: To summarize data of clinical trials that used silver diamine fluoride (SDF) to prevent and treat caries lesions and dentinal hypersensitivity. Material and Methods: Six electronic databases were searched in May 2022. The concentration of SDF, type of usage (alone/combined), dentition, anterior/posterior teeth, tooth region, dental tissue, number of the treated surfaces, the intervention environment, participants' age, frequency and duration of SDF application, purpose, and outcome were the extracted variables. The type of study, year of publication, authors, journals, and country were also investigated. Results: From 8860 articles, S3 were selected. Most were randomized (n=38), that applied 38% SDF (n=43), alone (n=44), on multiple surfaces (n=44), only in dentin (n=36), of the crown (n=46) of anterior and posterior (n=36) primary teeth (n=39). The studies were preferably carried out outside the clinic (n=3l), only in children (n=33), with reapplication of SDF (n=30), but did not inform the duration of application (n= 19). SDF was most used to treat (n=46) only caries lesions (n=50). They were published between 2001 and 2022, mainly in the Journal of Dentistry (n=10). China (n=19) and Lo E.GM (n=19) were the countries and authors that published the most, respectively. Conclusion: The silver diamine fluoride 38% alone was most used to treat caries lesions in the dentin of the crown of all primary teeth, preferably applied on multiple surfaces, requiring re application, and outside the clinic. Objective (SDF hypersensitivity Methods 2022 alone/combined, alonecombined alone/combined , combined (alone/combined) dentition anteriorposterior region tissue environment participants age purpose variables study publication journals investigated Results 886 articles S selected n=38, n38 n n=38 38 (n=38) n=43, n43 n=43 43 (n=43) n=44, n44 n=44 44 (n=44) n=36, n36 n=36 36 n=46 n46 46 (n=46 (n=36 n=39. n39 n=39 . 39 (n=39) n=3l, n3l nl n=3l 3l l (n=3l) n=33, n33 n=33 33 (n=33) n=30, n30 n=30 30 (n=30) n= (n 19. 19 19) n=50. n50 n=50 50 (n=50) 200 n=10. n10 n=10 10 (n=10) n=19 n19 (n=19 EGM E GM respectively Conclusion 202 (alone/combined 88 n3 n=3 3 (n=38 n4 n=4 4 (n=43 (n=44 (n=4 (n=3 (n=39 (n=3l (n=33 (n=30 1 n5 n=5 5 (n=50 20 n1 n=1 (n=10 (n=1 8 (n=5 2

https://doi.org/10.1590/pboci.2024.037

Percepção materna sobre os fatores que interferem na amamentação de prematuros
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Werneck, Bárbara Helem da Fonseca Patrocínio

; Oliveira, Juliana Cordeiro de

; Oliveira, Cláudia Gonçalves de

; Motta, Andréa Rodrigues

; Friche, Amélia Augusta de Lima

; Furlan, Renata Maria Moreira Moraes

CoDAS

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2024, Volume 36 Nº 5 elocation e20230252

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo verificar a associação entre a percepção das mães de prematuros a respeito dos fatores que podem interferir no aleitamento e as características socioeconômicas da mãe, da gestação e clínicas do recém-nascido. Método estudo qualiquantitativo observacional, descritivo e analítico do tipo transversal. Foram incluídas 114 mães de prematuros. Os dados foram coletados por meio de questionários, aplicados à alta hospitalar e análise dos prontuários. As respostas maternas sobre as interferências observadas no processo do aleitamento foram categorizadas por análise de conteúdo e associadas aos dados socioeconômicos, da gestação e do recém-nascido (RN). Resultados as percepções das mães quanto aos fatores que interferem na alimentação do RN ao seio materno foram divididas em quatro categorias semânticas: condições clínicas e/ou físicas do RN; condições clínicas, físicas e/ou psicoemocionais da mãe; rede de apoio; e estratégias para iniciar e/ou manter o aleitamento materno. Escolaridade, presença paterna, possuir outros filhos e tê-los amamentado apresentaram associação com a percepção materna de que suas condições clínicas, físicas e ou psicoemocionais interferem no aleitamento. Além disso, a rede de apoio esteve associada ao aleitamento materno exclusivo à alta. Conclusão escolaridade, presença paterna, multiparidade e ter amamentado filhos anteriores influenciaram a percepção materna de que suas condições clínicas, físicas e ou psicoemocionais apresentam interferência no aleitamento. Além disso, a menção à rede de apoio esteve associada com o aleitamento materno exclusivo à alta. mãe recémnascido. recémnascido recém nascido. nascido observacional transversal 11 questionários prontuários socioeconômicos RN. . (RN) semânticas eou Escolaridade paterna têlos tê los disso escolaridade 1 (RN

ABSTRACT Purpose to verify the association between the perception of mothers of premature infants regarding the features that may interfere with breastfeeding and the mother's socioeconomic data, pregnancy and the baby's clinical data. Methods observational, descriptive and analytical quali-quantitative cross-sectional study. One hundred and fourteen mothers of premature infants were included and data were collected through questionnaires, applied at hospital discharge, and analysis of medical records. Maternal responses about the interference observed in the breastfeeding process were categorized by content analysis and associated with socioeconomic, pregnancy and baby data. Results the mothers' perceptions regarding the factors that interfere with the baby's feeding at the mother's breast were divided into four semantic categories: clinical and/or physical conditions of the baby; clinical, physical and/or psycho-emotional conditions of the mother; support network; and strategies for initiating and/or maintaining breastfeeding. Education, paternal presence, having other children and having breastfed them were associated with the maternal perception that their clinical, physical and/or psycho-emotional conditions interfere with breastfeeding. In addition, the support network was associated with exclusive breastfeeding at discharge. Conclusion education, paternal presence, multiparity and having breastfed previous children influenced the maternal perception that their clinical, physical and/or psycho-emotional conditions interfere with breastfeeding. In addition, mention of the support network was associated with exclusive breastfeeding at discharge. mother s babys observational qualiquantitative quali quantitative crosssectional cross sectional study questionnaires discharge records categories andor or psychoemotional psycho emotional Education presence addition education

https://doi.org/10.1590/2317-1782/20242023252pt

A Data Mining Analysis on Niobium in Dentistry: Promising Alloys for Dental Materials Dentistry
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Leite, Karla Lorene de França

; Dias, Millene de Oliveira

; Tavares, Fernanda Oliveira Miranda

; Silva, Kenderson Santos

; Chevitarese, Ana Beatriz

; Martins, Mariana Leonel

; Masterson, Danielle

; Menezes, Livia Rodrigues de

; Gonçalves, Andrea Fonseca

; Maia, Lucianne Cople

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2024, Volume 24 elocation e230072

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To investigate the trends of research on niobium (Nb) in dentistry to determine its use in dental materials. Material and Methods: Electronic searches were carried out in six databases. Studies that evaluated niobium alloys in dentistry in vitro, in situ, and in vivo (humans and animals) were included. Data on publication year, authors, country, journal, study design, application area, niobium alloy, study approach, assay type and results (positive, negative and null compared to controls) were grouped and analyzed in VantagePoint™ and Excel. Descriptive analyses of frequency, cross-tables and co-occurrence matrices were performed. Results: After screening, 315 studies published between 1977 and 2021 were included, with an increase in publications between 2011 and 2021 (n = 209; 66.3%). “Doi, H” was the top author (n = 9; 2.8%), and Brazil was the most productive country (n = 70; 22.2%). “Dental Materials” was the major contributing journal (n = 24; 7.6%), and most studies were carried out in vitro (n = 266; 84.4%), under implant surfaces (n = 162; 51.4%), followed by dental prostheses (n = 77; 24.4%) and restorative materials (n = 27; 8.6%). The most common niobium was a ternary alloy (n = 147; 46.7%), which was mainly tested in vitro via structural characterization or material improvement (n = 131; 41.6%). Mechanical assays (n = 114; 36.2%) were the most prevalent. Positive effects of niobium were found in 264 articles (83.8%), and negative effects were found in 13 articles (4.1%). Conclusion: The number of studies on niobium has increased over time, resulting in improvements in the mechanical properties of materials used in dental practice. Objective Nb (Nb Methods databases situ humans animals included year authors design area approach positive, positive (positive controls VantagePoint Excel frequency crosstables cross tables cooccurrence co occurrence performed Results screening 31 197 202 201 n 209 66.3%. 663 66.3% . 66 3 66.3%) Doi, Doi “Doi H 9 2.8%, 28 2.8% , 2 8 2.8%) 70 22.2%. 222 22.2% 22 22.2%) Dental Materials 24 7.6%, 76 7.6% 7 6 7.6%) 266 84.4%, 844 84.4% 84 4 84.4%) 162 51.4%, 514 51.4% 51 51.4%) 77 24.4% 244 27 8.6%. 86 8.6% 8.6%) 147 46.7%, 467 46.7% 46 46.7%) 131 41.6%. 416 41.6% 41 41.6%) 114 36.2% 362 36 prevalent 26 83.8%, 838 83.8% 83 (83.8%) 1 4.1%. 4.1% (4.1%) Conclusion time practice 19 20 66.3 2.8 22.2 7.6 84.4 16 51.4 5 24.4 8.6 14 46.7 41.6 11 36.2 83.8 (83.8% 4.1 (4.1% 66. 2. 22. 7. 84. 51. 24. 8. 46. 41. 36. 83. (83.8 4. (4.1 (83. (4. (83 (4 (8 (

https://doi.org/10.1590/pboci.2024.092

Implications of Vitamin D Status for Children’s Bone Health: A Data Mining Analyses of Observational Studies Childrens Children s Health
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Martins, Mariana Leonel

; Arrepia, Beatriz Fernandes

; Jural, Lucas

; Vicente-Gomila, José

; Masterson, Daniele

; Maia, Lucianne Cople

; Visconti, Maria Augusta

; Fonseca-Gonçalves, Andréa

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2024, Volume 24 elocation e230054

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To investigate associations/correlations between bone alterations and vitamin D status in children through data mining analyses based on observational studies. Material and Methods: Searches in PubMed, Scopus, Web of Science, and Embase databases were performed to recover studies, published until October 2022, with healthy children, which investigated the vitamin D status, related or not to undesirable bone alterations linked to bone quality (bone mineral density and bone mineral content), fracture or anthropometry. Country, study design, area of expertise (medicine, nutrition, dentistry, others), bone outcome, 25-hydroxyvitamin D data (serum or intake levels), the exams for bone diagnosis, and the results were analyzed in the VantagePointTM software. Results: Of 20,583 studies, 27 were included. The USA (n=9; 33.3%) had the highest number of publications. Cross-sectional (n=11; 40.7%), case-control (n=9; 33.3%), and cohort studies (n=7; 25.9%) contemplated the medicine and nutritional areas without any study in dentistry. Studies about bone quality (n=21; 77.8%), analyzed through dual-energy X-ray absorptiometry (DXA; n=14; 51.8%), with association (n=16; 59.2%) between the low serum levels of 25-hydroxyvitamin D and undesirable bone alterations (n=14; 51.8%) were the most prevalent. Conclusion: Most studies were conducted in the medical area and showed an association between low bone quality and low levels of 25-hydroxyvitamin D, verified through DXA. Objective associationscorrelations associations correlations Methods PubMed Scopus Science 2022 content, content , content) anthropometry Country design medicine, (medicine nutrition dentistry others, others others) outcome 25hydroxyvitamin hydroxyvitamin 25 levels, levels) diagnosis software Results 20583 20 583 20,58 2 included n=9 n9 n 9 (n=9 33.3% 333 33 3 publications Crosssectional Cross sectional n=11 n11 11 (n=11 40.7%, 407 40.7% 40 7 40.7%) casecontrol case control 33.3%, n=7 n7 (n=7 25.9% 259 n=21 n21 21 (n=21 77.8%, 778 77.8% 77 8 77.8%) dualenergy dual energy Xray X ray DXA (DXA n=14 n14 14 51.8%, 518 51.8% 51 n=16 n16 16 (n=16 59.2% 592 59 (n=14 prevalent Conclusion 202 2058 58 20,5 n= (n= 33.3 n=1 n1 1 (n=1 40.7 4 25.9 n=2 n2 (n=2 77.8 51.8 5 59.2 205 20, (n 33. 40. 25. 77. 51. 59.

https://doi.org/10.1590/pboci.2024.048

Clinical Presentation and Risk Factors for Molar-Incisor and Second Primary Molar Hypomineralization: A Cross-Sectional Study MolarIncisor Incisor Hypomineralization CrossSectional Cross Sectional
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Rosa, Thamirys da Costa

; Silva, Fernanda Mafei Felix da

; Vieira, Fernanda Gabriela de Fátima

; Vieira, Alexandre Rezende

; Gonçalves, Andrea Fonseca

; Costa, Marcelo de Castro

; Neves, Aline de Almeida

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2024, Volume 24 elocation e230066

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To identify the clinical presentation of molar incisor hypomineralization (MIH) and hypomineralization of second primary molars (HSPM), including the distribution patterns of presence and severity of lesions, and to investigate the association of risk factors during the pre-and postnatal period with the presence of lesions. Material and Methods: This cross-sectional study was conducted with 160 individuals (72 with MIH/HSPM and 88 without lesions). The symmetry analysis regarding the presence and severity of MIH/HSPM was evaluated in pairs of homologous and opposite teeth. Sociodemographic and medical information was obtained using a detailed questionnaire. Data were analyzed by means of chi-square tests, Student’s t-test, and logistic regression (p<0.05). Results: Symmetry of presence and severity of hypomineralization lesions were present in homologous permanent teeth in 53.8% and 70.5% of cases, respectively, with statistically significant results only for the symmetrical pattern of severity of MIH lesions in the maxillary first molars (p=0.016) and mandibular first molars (p=0.02). Otherwise, a non-symmetric presence was statistically significant in homologous second primary molars (p=0.002) and opposite primary and permanent teeth (p≤0.001). An association between MIH/HSPM and systemic diseases during pregnancy and children medication was found (p<0.05); however, no evidence was found between these and MIH/HSPM severity. Conclusion: The symmetric pattern of severity of MIH lesions was statistically significant in permanent homologous teeth. Risk factors during pre and postnatal periods may be related to MIH/HSPM; however, these do not seem to interact with severity. Objective (MIH HSPM, HSPM , (HSPM) preand Methods crosssectional cross sectional 16 72 (7 MIHHSPM 8 . lesions) questionnaire chisquare chi square tests Students Student s ttest, ttest t test, test t-test p<0.05. p005 p p<0.05 0 05 (p<0.05) Results 538 53 53.8 705 70 5 70.5 cases respectively p=0.016 p0016 016 (p=0.016 p=0.02. p002 p=0.02 02 (p=0.02) Otherwise nonsymmetric non p=0.002 p0002 002 (p=0.002 p≤0.001. p0001 p≤0.001 001 (p≤0.001) however Conclusion (HSPM 1 7 ( p00 p<0.0 (p<0.05 53. 70. p=0.01 p001 01 (p=0.01 p=0.0 (p=0.02 p=0.00 p000 00 (p=0.00 p≤0.00 (p≤0.001 p0 p<0. (p<0.0 (p=0.0 p=0. p≤0.0 (p≤0.00 p<0 (p<0. (p=0. p=0 p≤0. (p≤0.0 p< (p<0 (p=0 p= p≤0 (p≤0. (p< (p= p≤ (p≤0 (p (p≤

https://doi.org/10.1590/pboci.2024.072

In-vitro effect of a single application of CPP-ACP pastes and different fluoridated solutions on the prevention of dental caries around orthodontic brackets Invitro In vitro CPPACP CPP ACP
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LEITE, Karla Lorene de França

; MARTINS, Mariana Leonel

; MONTEIRO, Amanda Souza Nunes

; VIEIRA, Thiago Isidro

; ALEXANDRIA, Adílis Kalina

; ROCHA, Gustavo Miranda

; FONSECA-GONÇALVES, Andréa

; PITHON, Matheus Melo

; CAVALCANTI, Yuri Wanderley

; MAIA, Lucianne Cople

Dental Press Journal of Orthodontics

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2023, Volume 28 Nº 6 elocation e2321383

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Avaliar in-vitro o efeito de uma aplicação única de cremes dentais de CPP-ACP e diferentes soluções fluoretadas na prevenção da cárie dentária ao redor de braquetes ortodônticos Material e Métodos: O conjunto dentes/braquetes (n=65) foi imerso em saliva artificial (1h em 37°C) randomizado e submetido a tratamento único (100µL; 1 min) de emulsão de fosfopeptídeo de caseína-fosfato de cálcio amorfo (CPP-ACP) e CPP-ACP associado ao flúor (CPP-ACPF); soluções de tetrafluoreto de titânio (TiF4) e fluoreto de sódio (NaF); e ausência de tratamento (GC). Biofilmes multiespécie (5 x 105 CFU/mL) foram formados na presença de sacarose a 2%. Após 24h, o pH e a concentração de fluoreto solúvel total (FST) foram analisados pelo meio de cultura. Foram avaliadas a presença de lesões de mancha branca (LMB), por meio da análise de macroscopia visual, e a porcentagem de perda de dureza (%PD). Também foi verificada a topografia do esmalte, usando microscopia eletrônica de varredura (MEV). Os dados foram analisados pelos testes Qui-quadrado, Kruskal-Wallis e Mann-Whitney (p < 0,05). Resultados: Os compostos contendo flúor levaram a uma redução do pH menor do que o CPP-ACP e GC (p<0,05). Houve diferença no FST entre os grupos (p <0,05), sendo TiF4> NaF > CPP-ACPF > CPP-ACP > GC. Quanto à presença de LMB e à %PD, o grupo NaF obteve os menores valores (p<0,05), enquanto TiF4 e CPP-ACPF foram semelhantes (p> 0,05). A MEV demonstrou que os grupos sem flúor tiveram uma dissolução superficial maior. Conclusão: Os grupos fluoretados, incluindo soluções e CPP-ACPF, foram mais eficazes do que o CPP-ACP sem flúor na redução da desmineralização do esmalte ao redor dos braquetes ortodônticos após uma única aplicação. Objetivo invitro in vitro CPPACP CPP ACP Métodos dentesbraquetes dentes n=65 n65 n 65 (n=65 1h h 37°C 37C C 37 100µL µL (100µL min caseínafosfato caseína fosfato (CPP-ACP CPPACPF ACPF (CPP-ACPF) TiF (TiF4 (NaF) . (GC) 5 ( 10 CFU/mL CFUmL CFU mL 2 2% 24h (FST cultura LMB, , (LMB) visual %PD. PD %PD (%PD) MEV. (MEV) Quiquadrado, Quiquadrado Qui quadrado, quadrado Qui-quadrado KruskalWallis Kruskal Wallis MannWhitney Mann Whitney p 0,05. 005 0,05 0 05 0,05) Resultados p<0,05. p005 p<0,05 (p<0,05) <0,05, <0,05 <0,05) p<0,05, p> maior Conclusão fluoretados CPPACPF, ACPF, n=6 n6 6 (n=6 3 (CPP-ACPF (TiF (NaF (GC (LMB (%PD (MEV 00 0,0 p00 p<0,0 (p<0,05 <0,0 n= (n= 0, p0 p<0, (p<0,0 <0, (n p<0 (p<0, <0 p< (p<0 (p<

ABSTRACT Objective: To assess the in-vitro effect of single applications of CPP-ACP pastes and different fluoridated solutions on the prevention of dental caries around orthodontic brackets. Material and Methods: Tooth/bracket sets (n=65) were immersed in artificial saliva (1h at 37ºC) and randomly subjected to single applications (100µL; 1min) of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP emulsion), CPP-ACP with fluoride (CPP-ACPF emulsion), solutions of titanium tetrafluoride (TiF4) or sodium fluoride (NaF), or no treatment (CG). Multispecies biofilm (5 x 105 CFU/mL) was formed in the presence of 2% sucrose. After 24 h, the pH and the concentration of total soluble fluoride (TSF) were analyzed by culture medium. The presence of active white spot lesions (WSL) evaluated by macroscopic examination and the percent surface mineral loss (%SML) were analyzed. Also, the topography of enamel was detected by analysis of scanning electron microscopy (SEM). The data was assessed by chi-square, Kruskal-Wallis, and Mann-Whitney tests (p < 0.05). Results: Fluoride-containing compounds led to a smaller pH reduction than did CPP-ACP and CG (p<0.05). There was difference in TSF between the groups (p<0.05), denoted as TiF4> NaF > CPP-ACPF > CPP-ACP > CG. Regarding the presence of WSL and %SML, the NaF group obtained lower values (p<0.05), while TiF4 and CPP-ACPF were similar (p>0.05). SEM demonstrated that fluoride-free groups had a larger surface dissolution. Conclusion: Fluoridated groups including solutions and CPP-ACPF were more effective than CPP-ACP in reducing enamel demineralization around orthodontic brackets after a single application. Objective invitro vitro CPPACP CPP ACP Methods Toothbracket Tooth bracket n=65 n65 n 65 (n=65 1h h 37ºC ºC 100µL µL (100µL 1min min phosphopeptideamorphous phosphopeptide amorphous emulsion, emulsion , emulsion) CPPACPF ACPF TiF (TiF4 NaF, (NaF) . (CG) 5 ( 10 CFU/mL CFUmL CFU mL 2 sucrose (TSF medium (WSL %SML SML (%SML Also SEM. (SEM) chisquare, chisquare chi square, square chi-square KruskalWallis, KruskalWallis Kruskal Wallis, Wallis Kruskal-Wallis MannWhitney Mann Whitney p 0.05. 005 0.05 0 05 0.05) Results Fluoridecontaining Fluoride containing p<0.05. p005 p<0.05 (p<0.05) p<0.05, p>0.05. p>0.05 (p>0.05) fluoridefree free dissolution Conclusion application n=6 n6 6 (n=6 (TiF (NaF (CG 1 (SEM 00 0.0 p00 p<0.0 (p<0.05 p>0.0 (p>0.05 n= (n= 0. p0 p<0. (p<0.0 p>0. (p>0.0 (n p<0 (p<0. p>0 (p>0. p< (p<0 p> (p>0 (p< (p>

https://doi.org/10.1590/2177-6709.28.6.e2321383.oar

Knowledge of health professionals about breastfeeding and factors that lead the weaning: a scoping review
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Duarte, Maysa Lannes

; Dias, Kairon Ribeiro

; Ferreira, Daniele Masterson Tavares Pereira

; Fonseca-Gonçalves, Andréa

Ciência & Saúde Coletiva

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Fev 2022, Volume 27 Nº 2 Páginas 441 - 457

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo Esta revisão avaliou o conhecimento dos profissionais de saúde (PS) sobre amamentação e fatores que levam ao desmame. Realizou-se buscas em quatro bancos de dados eletrônicos e literatura cinzenta. A estratégia de busca incluiu termos Mesh e sinônimos. Não se adotou restrição de idioma ou data. Estudos avaliando o conhecimento dos PS sobre amamentação e desmame foram elegíveis. Estudos recuperados pelas buscas foram avaliados por dois examinadores independentes. Dos 1.417 estudos recuperados, 35 foram incluídos. Muitos países e PS de diferentes áreas foram analisados. Nenhum estudo avaliou o conhecimento dos dentistas. Embora os PS conheçam os benefícios da amamentação, a duração recomendada pela Organização Mundial da Saúde, exclusiva ou não, não está alinhada com o endosso de todos os PS. Considerando o desmame, a informação é escassa. No entanto, os PS estão atentos às principais causas potenciais do desmame precoce. O conhecimento dos PS é conflitante sobre amamentação e incomum sobre o desmame. Não foram encontrados estudos que apresentassem dados sobre o conhecimento de dentistas sobre a temática. Investigações quanto ao conhecimento dos mesmos e medidas de educação para todos os PS são necessárias, considerando que são frequentemente questionados sobre o tema.

Abstract This review evaluated the knowledge of health professionals (HP) about breastfeeding and factors that leading the weaning. A search was performed in four electronics databases and the grey literature. The search strategy included Mesh terms and synonyms. No language or date restrictions were adopted. Studies that evaluated the knowledge of HP about breastfeeding and weaning were considered eligible. The studies retrieved by the searches were evaluated by two independently examiners. From 1,417 studies retrieved, 35 were included. Many countries and professionals from different health areas were analyzed. No studies evaluated the dentists’ knowledge. Although the included HP know the benefits of breastfeeding for health, the length of breastfeeding recommended by the World Health Organization, exclusive or not, was not aligned with all professionals’ endorsement. Information about weaning is scarce; however, HP are mindful of the main potential causes of early weaning. The knowledge of HP is conflicting about breastfeeding and unusual about weaning. Furthermore, no studies were found that presented data on the knowledge of dentists on the subject. Thus, assessments of dentists’ knowledge and education measures for HP are necessary since they are frequently questioned about these issues.

https://doi.org/10.1590/1413-81232022272.35672020

10.

Fast surveillance response reveals the introduction of a new yellow fever virus sub-lineage in 2021, in Minas Gerais, Brazil
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Andrade, Miguel Souza

; Campos, Fabrício Souza

; Oliveira, Cirilo Henrique de

; Oliveira, Ramon Silva

; Campos, Aline Alves Scarpellini

; Almeida, Marco Antônio Barreto de

; Fonseca, Vagner de Souza

; Simonini-Teixeira, Danilo

; Sevá, Anaiá da Paixão

; Temponi, Andrea Oliveira Dias

; Magalhães, Fernando Maria

; Chaves, Danielle Costa Capistrano

; Pereira, Maira Alves

; Lamounier, Ludmila Oliveira

; Menezes, Givaldo Gomes de

; Aquino-Teixeira, Sandy Micaele

; Gonçalves-dos-Santos, Maria Eduarda

; Bernal-Valle, Sofía

; Müller, Nicolas Felipe Drumm

; Cardoso, Jader da Cruz

; Santos, Edmilson dos

; Mares-Guia, Maria Angélica

; Albuquerque, George Rêgo

; Romano, Alessandro Pecego Martins

; Franco, Ana Cláudia

; Ribeiro, Bergmann Morais

; Roehe, Paulo Michel

; Abreu, Filipe Vieira Santos de

Memórias do Instituto Oswaldo Cruz

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2022, Volume 117 elocation e220127

Resumo: En | Texto: En | PDF: En

BACKGROUND In Brazil, the yellow fever virus (YFV) is maintained in a sylvatic cycle involving wild mosquitoes and non-human primates (NHPs). The virus is endemic to the Amazon region; however, waves of epidemic expansion reaching other Brazilian states sporadically occur, eventually causing spillovers to humans. OBJECTIVES To report a surveillance effort that led to the first confirmation of YFV in NHPs in the state of Minas Gerais (MG), Southeast region, in 2021. METHODS A surveillance network was created, encompassing the technology of smartphone applications and coordinated actions of several research institutions and health services to monitor and investigate NHP epizootics. FINDINGS When alerts were spread through the network, samples from NHPs were collected and YFV infection confirmed by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) and genome sequencing at an interval of only 10 days. Near-complete genomes were generated using the Nanopore MinION sequencer. Phylogenetic analysis indicated that viral genomes were related to the South American genotype I, clustering with a genome detected in the Amazon region (state of Pará) in 2017, named YFVPA/MG sub-lineage. Fast YFV confirmation potentialised vaccination campaigns. MAIN CONCLUSIONS A new YFV introduction was detected in MG 6 years after the beginning of the major outbreak reported in the state (2015-2018). The YFV strain was not related to the sub-lineages previously reported in MG. No human cases have been reported, suggesting the importance of coordinated surveillance of NHPs using available technologies and supporting laboratories to ensure a quick response and implementation of contingency measures to avoid YFV spillover to humans.

https://doi.org/10.1590/0074-02760220127

11.

The effect of socioeconomic aspects and dental history on pediatric patients’ dental anxiety
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AMORIM, Camila Silva de

; MENEZES, Bruna Silva de

; CHAVES, Janaina Nascimento Teixeira

; PEREIRA JUNIOR, Edson Paiva

; COQUEIRO, Raildo da Silva

; FONSECA-GONÇALVES, Andréa

; MAIA, Lucianne Cople

; PITHON, Matheus Melo

Brazilian Oral Research

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2022, Volume 36 elocation e106

Resumo: En | Texto: En | PDF: En

Abstract This study aimed to characterize the profile of dental anxiety in pediatric patients, identifying the effect exerted by socioeconomic factors using dental data. A cross-sectional study design with a sample of 120 children aged 7–12 years old was used. Data relating to anxiety levels prior to dental care, socioeconomic aspects (family income, education level, child’s school type), and child’s dental history (previous dental appointments, previous treatment, caries experience) were collected. Additionally, participants completed the Brazilian version of the Children’s Fear Survey Schedule- Dental Subscale (B-CFSS-DS) to assess dental anxiety. Descriptive analyses, chi-squared (X 2 ) tests, and Mann-Whitney U tests were performed, with a significance level of 5%. A total of 51 boys (42.5%) and 69 girls (57.5%) were included. There was no significant difference in dental anxiety between them. However, younger children had higher mean B-CFSS-DS scores (p = 0.036, Mann-Whitney). A higher prevalence of dental anxiety was found in participants from low-income families (p = 0.012, X 2 ) and in patients who did not receive endodontic treatment (p=0.034, X 2 ). Higher mean B-CFSS-DS scores were also observed in participants who did not receive endodontic treatment (p=0.001, Mann-Whitney) compared with those that did receive endodontic treatment. No relationship was found between education level, patient school type, first dental appointment, caries experience, and dental anxiety data. Younger children presented a profile of greater dental anxiety. Socioeconomic factors and dental data exerted some effect on dental anxiety, where children from low-income families and those not subjected to endodontic treatment displayed higher rates of dental anxiety.

https://doi.org/10.1590/1807-3107bor-2022.vol36.0106

12.

SECOND BRAZILIAN CONSENSUS ON THE MANAGEMENT OF CROHN’S DISEASE IN ADULTS: A CONSENSUS OF THE BRAZILIAN ORGANIZATION FOR CROHN’S DISEASE AND COLITIS (GEDIIB) CROHNS CROHN S ADULTS GEDIIB (GEDIIB
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IMBRIZI, Marcello

; BAIMA, Júlio Pinheiro

; AZEVEDO, Matheus Freitas Cardoso de

; ANDRADE, Adriana Ribas

; QUEIROZ, Natália Souza Freitas

; CHEBLI, Júlio Maria Fonseca

; CHEBLI, Liliane Andrade

; ARGOLLO, Marjorie Costa

; SASSAKI, Ligia Yukie

; PARRA, Rogerio Serafim

; QUARESMA, Abel Botelho

; VIEIRA, Andrea

; DAMIÃO, Adérson Omar Mourão Cintra

; MORAES, Antonio Carlos da Silva

; FLORES, Cristina

; ZALTMAN, Cyrla

; VILELA, Eduardo Garcia

; MORSOLETTO, Eloá Marussi

; GONÇALVES FILHO, Francisco de Assis

; PENNA, Francisco Guilherme Cancela e

; SANTANA, Genoile Oliveira

; ZABOT, Gilmara Pandolfo

; PARENTE, José Miguel Luz

; COSTA, Marcia Henriques de Magalhães

; ZERÔNCIO, Marco Antonio

; MACHADO, Marta Brenner

; CASSOL, Ornella Sari

; KOTZE, Paulo Gustavo

; FRÓES, Renata de Sá Brito

; MISZPUTEN, Sender Jankiel

; AMBROGINI JUNIOR, Orlando

; SAAD-HOSSNE, Rogério

; COY, Cláudio Saddy Rodrigues

Arquivos de Gastroenterologia

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2022, Volume 59 Supl. 1 Páginas 20 - 50

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Contexto: A doença inflamatória intestinal (DII) é uma doença imunomediada que inclui a doença de Crohn (DC) e a retocolite ulcerativa. A DC é caracterizada por um envolvimento intestinal transmural da boca ao ânus com sintomas recorrentes e remitentes que podem levar a danos intestinais progressivos e incapacidade ao longo do tempo. Objetivo: Orientar os tratamentos médicos mais seguros e eficazes de adultos com DC. Métodos: Este consenso foi desenvolvido por autores que representam gastroenterologistas e cirurgiões brasileiros especialistas em doenças colorretais (GEDIIB, Organização Brasileira de Doença de Crohn e Colite). Uma revisão sistemática das evidências mais recentes foi realizada para apoiar as recomendações/declarações. Todas as recomendações e declarações incluídas foram endossadas em um painel Delphi modificado pelas partes interessadas e especialistas em DII com uma concordância de pelo menos 80% ou mais. Resultados e conclusão: As recomendações médicas (intervenções farmacológicas e não farmacológicas) foram mapeadas de acordo com o estágio de tratamento e gravidade da doença em três domínios: manejo e tratamento (intervenções medicamentosas e cirúrgicas), critérios para avaliar a eficácia do tratamento médico, e acompanhamento/monitoramento do paciente após o tratamento inicial. O consenso é direcionado a clínicos gerais, gastroenterologistas e cirurgiões interessados em tratar e gerenciar adultos com DC e apoia a tomada de decisões de companhias de seguro de saúde, agências reguladoras e líderes ou administradores de instituições de saúde. Contexto (DII (DC ulcerativa tempo Objetivo Métodos GEDIIB, GEDIIB (GEDIIB Colite. Colite . Colite) recomendaçõesdeclarações recomendações/declarações 80 conclusão intervenções domínios cirúrgicas, cirúrgicas , cirúrgicas) médico acompanhamentomonitoramento acompanhamento monitoramento inicial gerais saúde 8

ABSTRACT Background: Inflammatory bowel disease (IBD) is an immune-mediated disorder that includes Crohn’s disease (CD) and ulcerative colitis. CD is characterized by a transmural intestinal involvement from the mouth to the anus with recurrent and remitting symptoms that can lead to progressive bowel damage and disability over time. Objective: To guide the safest and effective medical treatments of adults with CD. Methods: This consensus was developed by stakeholders representing Brazilian gastroenterologists and colorectal surgeons (Brazilian Organization for Crohn's disease and Colitis (GEDIIB)). A systematic review of the most recent evidence was conducted to support the recommendations/statements. All included recommendations and statements were endorsed in a modified Delphi panel by the stakeholders and experts in IBD with an agreement of at least 80% or greater consensus rate. Results and conclusion: The medical recommendations (pharmacological and non-pharmacological interventions) were mapped according to the stage of treatment and severity of the disease in three domains: management and treatment (drug and surgical interventions), criteria for evaluating the effectiveness of medical treatment, and follow-up/patient monitoring after initial treatment. The consensus is targeted towards general practitioners, gastroenterologists, and surgeons interested in treating and managing adults with CD and supports the decision-making of health insurance companies, regulatory agencies, and health institutional leaders or administrators. Background (IBD immunemediated immune mediated Crohns Crohn s (CD colitis time Objective Methods GEDIIB. GEDIIB . (GEDIIB)) recommendationsstatements recommendations/statements 80 rate conclusion pharmacological nonpharmacological non interventions domains drug interventions, , followup/patient followuppatient follow up/patient up patient practitioners decisionmaking decision making companies agencies administrators (GEDIIB) 8 followup uppatient (GEDIIB

https://doi.org/10.1590/s0004-2803.2022005s1-02

13.

SECOND BRAZILIAN CONSENSUS ON THE MANAGEMENT OF ULCERATIVE COLITIS IN ADULTS: A CONSENSUS OF THE BRAZILIAN ORGANIZATION FOR CROHN’S DISEASE AND COLITIS (GEDIIB) ADULTS CROHNS CROHN S GEDIIB (GEDIIB
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BAIMA, Júlio Pinheiro

; IMBRIZI, Marcello

; ANDRADE, Adriana Ribas

; CHEBLI, Liliane Andrade

; ARGOLLO, Marjorie Costa

; QUEIROZ, Natália Sousa Freitas

; AZEVEDO, Matheus Freitas Cardoso de

; VIEIRA, Andrea

; COSTA, Marcia Henriques de Magalhães

; FRÓES, Renata de Sá Brito

; PENNA, Francisco Guilherme Cancela e

; QUARESMA, Abel Botelho

; DAMIÃO, Aderson Omar Mourão Cintra

; MORAES, Antonio Carlos da Silva

; SANTOS, Carlos Henrique Marques dos

; FLORES, Cristina

; ZALTMAN, Cyrla

; VILELA, Eduardo Garcia

; MORSOLETTO, Eloá

; GONÇALVES FILHO, Francisco de Assis

; SANTANA, Genoile Oliveira

; ZABOT, Gilmara Pandolfo

; PARENTE, José Miguel Luz

; SASSAKI, Ligia Yukie

; ZERÔNCIO, Marco Antonio

; MACHADO, Marta Brenner

; CASSOL, Ornella Sari

; KOTZE, Paulo Gustavo

; PARRA, Rogerio Serafim

; MISZPUTEN, Sender Jankiel

; COY, Cláudio Saddy Rodrigues

; AMBROGINI JUNIOR, Orlando

; CHEBLI, Júlio Maria Fonseca

; SAAD-HOSSNE, Rogério

Arquivos de Gastroenterologia

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2022, Volume 59 Supl. 1 Páginas 51 - 84

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Contexto: As doenças inflamatórias intestinais são doenças imunomediadas que incluem a doença de Crohn (DC) e a retocolite ulcerativa (RCU). A RCU é uma doença progressiva que acomete a mucosa colorretal causando sintomas debilitantes levando a alta morbidade e incapacidade laboral. Como consequência da inflamação crônica do cólon, a RCU também está associada a um risco aumentado de câncer colorretal. Objetivo: Este consenso visa fornecer orientações sobre o manejo médico mais eficaz de pacientes adultos com RCU. Métodos: As recomendações do consenso foram desenvolvidas por gastroenterologistas e cirurgiões colorretais referências no Brasil (membros da Organização Brasileira para Doença de Crohn e Colite [GEDIIB]). Uma revisão sistemática, incluindo as evidências mais recentes, foi conduzida para apoiar as recomendações. Todas as recomendações foram endossadas pelas partes interessadas/especialistas em doença inflamatória intestinal usando um Painel Delphi modificado. O nível de concordância para alcançar consenso foi de 80% ou mais. Resultados e conclus ão: As recomendações médicas (farmacológicas e não farmacológicas) foram mapeadas de acordo com o estágio de tratamento e gravidade da doença em três domínios: manejo e tratamento (intervenções medicamentosas e cirúrgicas), critérios para avaliar a eficácia do tratamento médico, e acompanhamento/monitoramento do paciente após o tratamento inicial. O consenso foi direcionado a clínicos gerais, gastroenterologistas e cirurgiões que tratam pacientes com RCU e apoia os processos de tomada de decisão por companhias de seguro de saúde, agências reguladoras, líderes institucionais de saúde e administradores. Contexto DC (DC . (RCU) laboral cólon Objetivo Métodos membros GEDIIB. GEDIIB [GEDIIB]) sistemática recentes interessadasespecialistas interessadas especialistas modificado 80 ão farmacológicas domínios intervenções cirúrgicas, cirúrgicas , cirúrgicas) acompanhamentomonitoramento acompanhamento monitoramento inicial gerais reguladoras administradores (RCU [GEDIIB] 8 [GEDIIB

ABSTRACT Background: Inflammatory bowel diseases are immune-mediated disorders that include Crohn’s disease (CD) and ulcerative colitis (UC). UC is a progressive disease that affects the colorectal mucosa causing debilitating symptoms leading to high morbidity and work disability. As a consequence of chronic colonic inflammation, UC is also associated with an increased risk of colorectal cancer. Objective: This consensus aims to provide guidance on the most effective medical management of adult patients with UC. Methods: A consensus statement was developed by stakeholders representing Brazilian gastroenterologists and colorectal surgeons (Brazilian Organization for Crohn’s Disease and Colitis [GEDIIB]). A systematic review including the most recent evidence was conducted to support the recommendations and statements. All recommendations/statements were endorsed using a modified Delphi Panel by the stakeholders/experts in inflammatory bowel disease with at least 80% or greater consensus. Results and conclusion: The medical recommendations (pharmacological and non-pharmacological) were mapped according to the stage of treatment and severity of the disease onto three domains: management and treatment (drug and surgical interventions), criteria for evaluating the effectiveness of medical treatment, and follow-up/patient monitoring after initial treatment. The consensus targeted general practitioners, gastroenterologists and surgeons who manage patients with UC, and supports decision-making processes by health insurance companies, regulatory agencies, health institutional leaders, and administrators. Background immunemediated immune mediated Crohns Crohn s CD (CD . (UC) disability inflammation cancer Objective Methods GEDIIB. GEDIIB [GEDIIB]) statements recommendationsstatements stakeholdersexperts experts 80 conclusion pharmacological nonpharmacological non non-pharmacological domains drug interventions, interventions , interventions) followup/patient followuppatient follow up/patient up patient practitioners decisionmaking decision making companies agencies leaders administrators (UC [GEDIIB] 8 followup uppatient [GEDIIB

https://doi.org/10.1590/s0004-2803.2022005s1-03

14.

Research Trends on Preventive and Therapeutic Use of TIF4 for Dental Caries and Erosion TIF
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Chevitarese, Ana Beatriz

; Leite, Karla Lorene de França

; Marañón-Vásquez, Guido Artemio

; Masterson, Danielle

; Vicente-Gomila, José M.

; Gonçalves, Andréa Fonseca

; Pitton, Matheus

; Maia, Lucianne Cople

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2022, Volume 22 elocation e210195

Resumo: En | Texto: En | PDF: En

Abstract Objective: To evaluate TIF4 preventive and therapeutic use in caries and erosive lesions. Material and Methods: Searches were performed in six databases. Studies evaluating TiF4 use in vitro, in situ, and in vivo in caries and erosive lesions were included and imported into VantagePoint™ (VP). Data about publication year, authors, country, journal, study design, outcomes, TIF4 vehicles, application and intervention time, cariogenic challenge, erosive cycles, effects (positive/ negative /null) and approach (preventive/therapeutic) were analyzed through VP and Excel. Results: 93 published studies were included and an increase in publications was observed between 2010 and 2021. Forty-three authors published three or more articles, of which 67.4% were developed in Brazil and published in Caries Research (22.6%). 69.9% were in vitro studies with erosion assays (59.1%) and with preventive approaches (67.4%). The principal vehicle was a solution (69.9%) with a 1-min single application (58.0%) and with an intervention time of 5-7 days (22.6%). The principal cariogenic challenge in vitro was pH cycling (11.8%); in situ was sucrose + biofilm (6.2%); and in vivo, biofilm (6.2%). The most used erosive cycle was 4× per day in in vitro studies (20.4%) and 1× in vivo (2.1%). A positive effect was observed in prevention (41.9%) and treatment (24.7%) studies. Conclusion: TIF4 has shown a positive effect in prevention and therapeutic treatments for dental caries and erosion. Objective TIF Methods databases TiF VantagePoint VP. . (VP) year country journal design outcomes vehicles cycles positive/ (positive /null null preventive/therapeutic preventivetherapeutic (preventive/therapeutic Excel Results 9 201 2021 Fortythree Forty articles 674 67 4 67.4 22.6%. 226 22.6% 22 6 (22.6%) 699 69 69.9 59.1% 591 59 1 (59.1% 67.4%. (67.4%) (69.9% 1min min 58.0% 580 58 0 (58.0% 57 5 7 5- 11.8% 118 11 8 (11.8%) 6.2% 62 2 (6.2%) 6.2%. 20.4% 204 20 (20.4% 2.1%. 21 2.1% (2.1%) 41.9% 419 41 (41.9% 24.7% 247 24 (24.7% Conclusion (VP 202 67. 22.6 (22.6% 69. 59.1 (59.1 (67.4% (69.9 58.0 (58.0 11.8 (11.8% 6.2 (6.2% 20.4 (20.4 2.1 (2.1% 41.9 (41.9 24.7 (24.7 22. (22.6 59. (59. (67.4 (69. 58. (58. 11. (11.8 6. (6.2 20. (20. 2. (2.1 41. (41. 24. (24. (22. (59 (67. (69 (58 (11. (6. (20 (2. (41 (24 (22 (5 (67 (6 (11 (2 (4 ( (1

https://doi.org/10.1590/pboci.2022.079

15.

Knowledge of health professionals about breastfeeding and factors that lead the weaning: a scoping review
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Duarte, Maysa Lannes

; Dias, Kairon Ribeiro

; Ferreira, Daniele Masterson Tavares Pereira

; Fonseca-Gonçalves, Andréa

Ciência & Saúde Coletiva

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2022, Volume 27 Nº 2 Páginas 441 - 457

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232022272.35672020

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