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Differences in dental care for pregnant women in the public sector after the creation of Previne Brasil
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Soares, Giovanna Mendonça

; Raso, Giovanna Freitas

; Santos, Isadora Custódio Moreira

; Martins, Heron Ataide

; Silveira, Ana Beatriz Vieira da

; Oliveira, Daniela Silva Barroso de

; Lima, Daniela Coêlho de

; Gomes, Heloisa de Sousa

Brazilian Journal of Oral Sciences

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2024, Volume 23 elocation e245360

Resumo: En | Texto: En | PDF: En

Aim To compare performance differences among dental surgeons in the public sector of the state of Minas Gerais regarding prenatal dental care before and after the establishment of Previne Brasil. Methods A cross-sectional study was conducted, gathering data through a structured questionnaire. The sample consisted of dental surgeons working in the public sector of municipalities in MG and utilizing the snowball effect. Data analysis was performed using the IBM-SPSS® version 29.0, employing Pearson’s Chi-square statistical test (P<0.05). Results Out of the 28 State Health System (SRS) present in MG. A total of 1696 responses were collected, but after applying the exclusion criteria, 1001 responses remained, specifically related to dental surgeons working in MG public sector. 78.6% comprised professionals who graduated before 2019, while 20.1% graduated after that year. The morning and the second or other gestational trimesters were the most common periods considered optimal for caring for pregnant women. A significant portion of the professionals had not undergone any specific courses or training on this topic, reporting an average satisfaction level of 5.52 regarding the accessibility of information during their education aimed at this audience. Conclusion Variances were observed in the care provided to pregnant women by dental surgeons working in the public sector of Minas Gerais, distinguishing those trained before and after the implementation of Previne Brasil. The debunking of myths and taboos stands as crucial for enhancing the acceptance of prenatal dentistry. Brasil crosssectional cross sectional conducted questionnaire effect IBMSPSS® IBMSPSS IBM SPSS® SPSS IBM-SPSS 290 29 0 29.0 Pearsons Pearson s Chisquare Chi square P<0.05. P005 P P<0.05 . 05 (P<0.05) 2 SRS (SRS 169 collected criteria 100 remained 786 78 6 78.6 2019 201 20 1 20.1 year topic 552 5 52 5.5 audience dentistry 29. P00 P<0.0 (P<0.05 16 10 7 78. 20. 55 5. P0 P<0. (P<0.0 P<0 (P<0. P< (P<0 (P< (P

https://doi.org/10.20396/bjos.v23i00.8675360

Maternal Education Level as a Risk Factor for Early Childhood Caries
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Silveira, Ana Beatriz Vieira da

; Bergo, Beatriz Rezende

; Rodrigues, Rodrigo

; Oliveira, Josy dos Santos de

; Fernandes, Leandro Araújo

; Gomes, Heloísa de Sousa

; Lima, Daniela Coelho de

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2024, Volume 24 elocation e220138

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To determine the prevalence and risk factors associated with dental caries in Brazilian preschool children aged 2 to 5 years. Material and Methods: The following independent variables were evaluated: dental caries, dental trauma, and malocclusions. Data were analyzed using the Mann-Whitney test and Poisson regression (p<0.05). Results: The prevalence of dental caries in preschoolers was 55.1%. Child age, family income, maternal education, and tooth color alteration from trauma were significantly associated with dental caries (p<0.05). The final adjusted multivariate model showed a significant association between maternal education and dental caries; children of mothers with low education were 1.89 times more likely to have caries (PR: 1.89; 95%CI: 1.40-2.55) (p<0.01). Children with tooth color change from trauma were more likely to have dental caries (PR: 1.69; 95%CI: 1.22-2.34 (p=0.001). Conclusion: Child age, family income, maternal education, tooth discoloration and discoloration color are risk factors for the development of caries disease in children. Also, children of mothers with low educational levels have a higher chance of developing dental caries. Objective years Methods evaluated malocclusions MannWhitney Mann Whitney p<0.05. p005 p p<0.05 . 0 05 (p<0.05) Results 551 55 1 55.1% age income 189 89 1.8 PR (PR 95%CI 95CI CI 95 1.402.55 140255 1.40 2.55 40 1.40-2.55 p<0.01. p001 p<0.01 01 (p<0.01) 1.69 169 69 1.222.34 122234 1.22 2.34 22 34 1.22-2.3 p=0.001. p0001 p=0.001 001 (p=0.001) Conclusion Also p00 p<0.0 (p<0.05 55.1 18 8 1. 9 402 1.402.5 14025 140 1.4 255 2.5 4 1.40-2.5 (p<0.01 1.6 16 6 222 1.222.3 12223 122 1.2 234 2.3 3 1.22-2. p000 p=0.00 00 (p=0.001 p0 p<0. (p<0.0 55. 1.402. 1402 14 25 2. 1.40-2. 1.222. 1222 12 23 1.22-2 p=0.0 (p=0.00 p<0 (p<0. 1.402 1.40-2 1.222 1.22- p=0. (p=0.0 p< (p<0 1.40- p=0 (p=0. (p< p= (p=0 (p (p=

https://doi.org/10.1590/pboci.2024.067

Evaluation of the expression of nerve fiber markers in healthy and inflamed dental pulp
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DE ARRUDA, José Alcides Almeida

; GOMES, Heloisa de Sousa

; SAMPAIO, Felipe Cavalcanti

; BRUNO, Kely Firmino

; ESTRELA, Carlos

; MENDONÇA, Elismauro Francisco

; ARANTES, Diego Antonio Costa

Brazilian Oral Research

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2023, Volume 37 elocation e020

Resumo: En | Texto: En | PDF: En

Abstract The diagnosis of irreversible pulpitis (IP) depends on clinical data, especially the chief complaint of the patient, visual inspection, response to the application of stimuli, and radiographic examination. The characterization of nerve fibers (NF) in IP may contribute to better interpret painful symptoms, but has been barely explored. This study sought to characterize the density and integrity of NF in 16 samples of IP and in five healthy pulps (HP) using S-100 and PGP 9.5 markers. Immunohistochemistry was performed to determine the density/mm2 of S-100+ and PGP 9.5+ in NF. The amount of degenerated NF was obtained by subtracting the total NF density from the amount of intact NF. Associations between NF density and integrity and symptomatology were calculated. All samples were positive for S-100 and PGP 9.5. Compared to HP samples (38.20/mm2), IP samples had a lower density of intact NF (6.24/mm2). A significantly higher density of degenerated NF was found in IP samples with spontaneous pain (39.59/mm2) compared to those with provoked pain (23.96/mm2) (p = 0.02). No association was observed between intensity of the inflammatory infiltrate and NF density and integrity (p > 0.05). The findings of this study suggest that pulpitis may involve different stages of degeneration and may be more advanced in cases with spontaneous pain. The symptoms reported by affected individuals do not appear to depend on the intensity of the inflammatory infiltrate, but rather on the integrity of NF. (IP data patient inspection stimuli examination (NF explored 1 (HP S100 S 100 S-10 95 9 5 9. markers densitymm2 densitymm mm2 mm density/mm S100+ 100+ calculated 38.20/mm2, 3820mm2 38.20/mm2 , 38 20 (38.20/mm2) 6.24/mm2. 624mm2 6.24/mm2 . 6 24 (6.24/mm2) 39.59/mm2 3959mm2 39 59 (39.59/mm2 23.96/mm2 2396mm2 23 96 (23.96/mm2 p 0.02. 002 0.02 0 02 0.02) 0.05. 005 0.05 05 0.05) S10 10 S-1 3820mm 38.20/mm 3 2 (38.20/mm2 624mm 6.24/mm (6.24/mm2 39.59/mm 3959mm (39.59/mm 23.96/mm 2396mm (23.96/mm 00 0.0 S1 S- (38.20/mm (6.24/mm 0.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0020

Assessment of child's dental anxiety/fear and stress during dental treatment: a systematic review by CEDACORE
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Gomes, Heloisa de Sousa

; Anabuki, Anna Alice

; Viana, Karoline Alves

; Abreu, Lucas Guimarães

; Batista, Aline Carvalho

; Hosey, Marie Therese

; Costa, Luciane Rezende

Brazilian Oral Research

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2022, Volume 36 elocation e067

Resumo: En | Texto: En | PDF: En

Abstract: There is a lack of evidence on the correlation between salivary biomarkers and subjective measures of dental fear and anxiety in children. This systematic review aimed to retrieve the scientific evidence comparing the results of dental anxiety measured by salivary biomarkers with patient-reported outcomes in pediatric dental setting. The PECOS was as follows: population: pediatric patients aged ≤ 18 years; exposure: patient-reported outcome measures, such as scales and/or questionnaires; comparator: salivary biomarkers; outcome: anxiety, fear, phobia or stress during dental treatment; study design: observational studies or controlled trials. Electronic searches were conducted in PubMed, Scopus, Web of Science, and Ovid databases. Studies that compared scales/questionnaires and salivary biomarkers for the evaluation of dental anxiety, fear, and stress in children/adolescents during dental treatment were included. Certainty of evidence was assessed with GRADE. Risk of bias of the included studies was assessed with the Cochrane tool or the University of Adelaide tool. From the 314 studies identified, eight were included. Participants’ age ranged from three to 13 years. The most used salivary biomarkers and instruments were cortisol and the Dental Subscale of the Children's Fear Survey Schedule, respectively. Most studies showed a weak correlation between objective and subjective measures. The main issues regarding bias were on allocation concealment, blinding of assessors, follow up, and exposure assessment. Certainty of evidence was low/very low. Evidence of salivary biomarkers and patient-reported outcome measures to investigate anxiety, fear and stress in children during in the dental environment is limited. There was no correlation between subjective and objective measures in almost all included studies.

https://doi.org/10.1590/1807-3107bor-2022.vol36.0067

Management of acute stroke and urgent neurointerventional procedures during COVID-19 pandemic: recommendations on the Scientific Department on Cerebrovascular Diseases of the Brazilian Academy of Neurology, Brazilian Society of Cerebrovascular Diseases and Brazilian Society of Neuroradiology
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MONT’ALVERNE, Francisco José Arruda

; LIMA, Fabrício Oliveira

; NOGUEIRA, Raul Gomes

; FREITAS, Carlos Clayton Macedo de

; NETO, Octávio Marques Pontes

; SILVA, Gisele Sampaio

; OLIVEIRA, Maura Salaroli de

; FRUDIT, Michel

; CALDAS, Jose Guilherme Mendes Pereira

; ABUD, Daniel Giansante

; CONFORTO, Adriana Bastos

; CARVALHO, Fernanda Martins Maia

; DIAS, Francisco Antunes

; BAZAN, Rodrigo

; AVELAR, Wagner Mauad

; MORO, Carla Heloísa Cabral

; MAGALHÃES, Pedro Silva Correa de

; MIRANDA, Maramelia

; BARBOSA, Leandro de Assis

; FIOROT JUNIOR, José Antonio

; CARDOSO, Fabrício Buchdid

; REBELLO, Leticia Costa

; PARENTE, Bruno de Sousa Mendes

; FARIA, Mário de Barros

; FREITAS, Gabriel Rodriguez de

; ZÉTOLA, Viviane de Hiroki Flumignan

; OLIVEIRA-FILHO, Jamary

; BEZERRA, Daniel da Cruz

; RODRIGUES, Jorge Luis Nobre

; KUSTER, Gustavo

; MARTINS, Sheila

; CARVALHO, João José Freitas de

Arquivos de Neuro-Psiquiatria

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Jul 2020, Volume 78 Nº 7 Páginas 440 - 449

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

RESUMO Introdução: A pandemia causada pelo novo coronavírus da síndrome respiratória aguda grave 2 (SARS-CoV-2, COVID-19) apresenta novos e importantes desafios à gestão de saúde no Brasil. Além da difícil missão de prestar atendimento aos milhares de pacientes infectados pelo COVID-19, os sistemas de saúde têm que manter a assistência às emergências médicas comuns em períodos sem pandemia, tais como o acidente vascular cerebral (AVC), que continuam ocorrendo e requerem tratamento com presteza e eficiência. A alocação de recursos materiais e humanos para o enfrentamento à pandemia não pode comprometer o atendimento ao AVC agudo, uma emergência cujo tratamento é tempo-dependente e se não realizado implica em importante impacto na mortalidade e incapacitação a longo prazo. Objetivo: Este trabalho resume as recomendações do Departamento Científico de Doenças Cerebrovasculares da Academia Brasileira de Neurologia, da Sociedade Brasileira de Doenças Cerebrovasculares e da Sociedade Brasileira de Neurorradiologia para o tratamento do AVC agudo e para a realização de procedimentos de neurointervenção urgentes durante a pandemia de COVID-19, incluindo o uso adequado de ferramentas de triagem e equipamentos de proteção pessoal (para pacientes e profissionais de saúde), além da alocação apropriada de pacientes.

ABSTRACT Introduction: Although the 2019 severe acute respiratory syndrome coronavirus 2 infection (SARS-CoV-2, COVID-19) pandemic poses new challenges to the healthcare system to provide support for thousands of patients, there is special concern about common medical emergencies, such as stroke, that will continue to occur and will require adequate treatment. The allocation of both material and human resources to fight the pandemic cannot overshadow the care for acute stroke, a time-sensitive emergency that with an inefficient treatment will further increase mortality and long-term disability. Objective: This paper summarizes the recommendations from the Scientific Department on Cerebrovascular Diseases of the Brazilian Academy of Neurology, the Brazilian Society of Cerebrovascular Diseases and the Brazilian Society of Neuroradiology for management of acute stroke and urgent neuro-interventional procedures during the COVID-19 pandemic, including proper use of screening tools, personal protective equipment (for patients and health professionals), and patient allocation.

https://doi.org/10.1590/0004-282x20200053 2310 downloads

Crossover Studies of Pediatric Dental Sedation are Inappropriate
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Gomes, Heloisa Sousa

; Daher, Anelise

; Costa, Paulo Sucasas

; Batista, Aline Carvalho

; Costa, Luciane Rezende

Brazilian Dental Journal

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Jul 2019, Volume 30 Nº 4 Páginas 404 - 409

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

Resumo Pouco se sabe sobre o impacto de um delineamento cruzado nos desfechos de ensaios clínicos randomizados voltados ao comportamento de crianças durante tratamento odontológico. Este estudo objetivou avaliar o efeito da sequência de administração do sedativo, da droga em si e da idade dos participantes no comportamento de crianças que receberam duas consultas odontológicas consecutivas. Dezoito crianças saudáveis não colaboradoras, 2-5 anos de idade, foram randomizadas em dois grupos: G1 - 1,0 mg/kg midazolam oral (primeira sessão) e placebo oral (segunda sessão); G2 - placebo (primeira) e 1,0 mg/kg midazolam oral (segunda). Um observador treinado avaliou o comportamento infantil. Os dados foram analisados por ANOVA de três fatores (alfa=0,05). Midazolam [média(DP); 71,7%(16,5)] e placebo [48,6%(33,1)] resultaram em mais comportamento não cooperativo quando administrados na primeira sessão comparado com a segunda (p=0,001). Com o uso do placebo, crianças de 2-3 anos de idade exibiram mais comportamento não cooperativo [G1 54,9%(36,2); G2 80,5%(8,3)] que as de 4-5 anos de idade (p=0,04). Além disso, a porcentagem de redução do comportamento não cooperativo foi maior em crianças mais velhas em G1 (76,2%) e em crianças mais novas em G2 (32,9%). Considerando a avaliação do comportamento infantil sob sedação, a primeira sessão odontológica influenciou a segunda visita. Os resultados deste estudo confirmam a especulação de que o delineamento cruzado é inadequado para avaliar o comportamento odontológico relacionado à ansiedade/comportamento infantil; os resultados dos ensaios cruzados de sedação odontológica devem ser tratados com extrema cautela.

Abstract Crossover studies continue to be published in spite of warnings about their inherent risks in relation to behavioral outcomes. This study took the opportunity of access to secondary data analysis in order to demonstrate the impact of a crossover design on the outcomes of randomized clinical trials aimed at the behavior of children during dental treatment. We evaluated the effect of the sequence of sedative administration, the sedative and the participant’s age on the behavior of children undergoing two sequential dental visits. Eighteen uncooperative healthy young children were equally randomly assigned to: (G1) 1.0 mg/kg oral midazolam (first session) and oral placebo (second session); (G2) oral placebo (first) and 1.0 mg/kg oral midazolam (second). One trained observer assessed children’s behavior. Data were analyzed by three-way mixed ANOVA. Both midazolam [mean(SD); 71.7%(16.5)] and placebo [48.6%(33.1)] produced more struggling behavior when they were administered in the first session compared to the second one (p=0.001). For the placebo, children aged 2-3 years exhibited more struggling behavior [G1 54.9%(36.2); G2 80.5%(8.3)] than those aged 4-5 years (p=0.04). Also, the reduction of percentage of struggling behavior was higher in G1 for older children (76.2%) and in G2 for younger children (32.9%). There were significant interactions between drug and sequence of administration, and between drug and age. The results of our study confirm the conventional wisdom that crossover study design is inappropriate to evaluate children’s behavior/anxiety related-dental treatment under sedation and the results of crossover studies of dental sedation should be treated with extreme caution.

https://doi.org/10.1590/0103-6440201902852 1127 downloads

Intima-Media Thickness in the Carotid and Femoral Arteries for Detection of Arteriosclerosis in Human Immunodeficiency Virus-Positive Individuals
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Godoi, Emmanuelle Tenório Albuquerque Madruga

; Brandt, Carlos Teixeira

; Lacerda, Heloisa Ramos

; Godoi, Jocelene Tenório Albuquerque Madruga

; Oliveira, Dinaldo Cavalcanti de

; Costa, Gabriela Farias Araujo Sousa

; Santos Junior, Gerson Gomes dos

; Leite, Kaliene Maria Estevão

; Godoi, Juannicelle Tenório Albuquerque Madruga

; Vasconcelos, Adriana Ferraz de

Arquivos Brasileiros de Cardiologia

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Jan 2017, Volume 108 Nº 1 Páginas 3 - 11

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

Resumo Fundamento: Pessoas que vivem com o HIV (HIV +) têm maior prevalência de aterosclerose e a desenvolvem mais precocemente do que a população geral. Objetivos: Foi avaliar e comparar as prevalências de aterosclerose avaliada pela medida da espessura mediointimal (EMI) das carótidas comuns e femorais, e do índice tornozelo-braquial (ITB) nos grupos controle e HIV com e sem inibidores de protease (IPs). Métodos: Foram incluídas 80 pessoas com HIV + [40 usavam IPs e 40 não] e 65 controles. O diagnóstico de aterosclerose foi determinado pela medição da EMI (carótidas e femorais) e do ITB. Fatores de risco clássicos para aterosclerose e específicos para o HIV foram comparados entre os grupos, usando testes estatístcos. O valor de p ≤ 0,05 foi cosiderado significativo. Resultados: A EMI > P75 ou presença de placa foi mais elevada no grupo de HIV sem IP que no controle (37,5% vs 19%, p = 0,04). A análise comparativa mostrou diferença significativa (p=0,014) na EMI nas artérias carótidas entre HIV + com IPs (0,71 ± 0,28 mm), sem IPs (0,63 ± 0,11 mm) e controles (0,59 ± 0,11 mm), A EMI na femoral não teve diferença significante entre os grupos. Não houve diferença significante entre os grupos controle e de HIV + quanto ao ITB. No entanto, observou-se uma diferença significativa (p=0,015) no ITB entre os grupos HIV + sem IPs (1,17 [1,08 - 1,23]), e controles [1,08 (1,07 - 1,17)]. Conclusão: Em pacientes com HIV, a aterosclerose é mais prevalente e parece ocorrer mais precocemente, com características distintas, em comparação a indivíduos HIV-negativos.

Abstract Background: The prevalence of atherosclerosis is higher in HIV-positive people, who also experience it earlier than the general population. Objectives: To assess and compare the prevalence of atherosclerosis evaluated by the intima-media thickness of carotid and femoral arteries, and by the ankle-brachial pressure index (ABPI) in HIV patients treated or not treated with protease inhibitors (PIs) and controls. Methods: Eighty HIV+ subjects (40 using PIs and 40 not using PIs) and 65 controls were included in the study. Atherosclerosis was diagnosed by (carotid and femoral) ITM measurement and ABPI. Classical risk factors for atherosclerosis and HIV were compared between the groups by statistical tests. A p ≤ 0.05 was considered significant. Results: An IMT > P75 or the presence of plaque was higher in the HIV+ than in the control group (37.5% vs 19%, p = 0.04). Comparative analysis showed a significant difference (p=0.014) in carotid IMT between HIV+ with PIs (0.71 ± 0.28 mm), without PIs 0.63 ± 0.11 mm and, and controls (0.59 ± 0.11 mm). There was no significant difference in femoral IMT between the groups or in ABPI between HIV+ subjects and controls. However, a significant difference (p=0.015) was found between HIV+ patients not treated with PIs (1.17 [1.08 - 1.23]), and controls 1.08 [1.07 - 1.17]). Conclusion: In HIV patients, atherosclerosis is more prevalent and seems to occur earlier with particular characteristics compared with HIV-negative subjects.

https://doi.org/10.5935/abc.20160197 2424 downloads

Correlation between balance, speed, and walking ability in individuals with chronic hemiparesis
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Britto, Heloisa Maria Jácome de Sousa

; Mendes, Luciana de Andrade

; Moreno, Cínthia de Carvalho

; Silva, Emília Márcia Gomes de Souza e

; Lindquist, Ana Raquel Rodrigues

Fisioterapia em Movimento

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Mar 2016, Volume 29 Nº 1 Páginas 87 - 94

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

Resumo Alterações no equilíbrio e marcha são sequelas frequentes em sujeitos com hemiparesia. Este trabalho objetivou verificar se há correlação entre equilíbrio estático e funcional, velocidade e capacidade de deambular. Participaram do estudo 17 sujeitos com hemiparesia crônica, de ambos os sexos (58,8% de homens) com média de idade de 56,3±9,73 anos. A avaliação do equilíbrio estático foi realizada por baropodometria computadorizada em duas condições sensoriais: olhos abertos (AO) e fechados (OF). O equilíbrio funcional foi avaliado pela Escala Equilíbrio de Berg e a capacidade de deambulação, pela Categoria de Deambulação Funcional. A velocidade da marcha foi avaliada por meio da Cinemetria. A normalidade dos dados foi verificada pelo teste de Kolmogorov-Smirnov e as variáveis foram correlacionadas pelos testes de Pearson ou Spearman. O equilíbrio funcional apresentou correlação positiva com a velocidade (p = 0,005; r = 0,64) e com a capacidade de deambulação (p = 0,019; r = 0,56). As oscilações antero-posteriores (AP) e médio-laterais (ML) com OA e OF apresentaram correlações negativas com velocidade da marcha (OA: amplitude AP (p = 0,0049 e r = -0,48); desvio médio ML (p = 0,019 e r = -0,56) / OF: desvio médio AP (p = 0,018 e r = -0,56) e ML (p = 0,032 e r = -0,52); amplitude AP (p = 0,014 e r = -0,57) e ML (p = 0,032 e r = -0,52); instabilidade postural (p = 0,019 e r = -0,55) e com capacidade de deambulação (OA: desvio médio AP (p = 0,05 e r = -0,47) e amplitude AP (p = 0,024 e r = -0,54). Os resultados sugerem a existência de correlações entre o equilíbrio estático e funcional com a velocidade de marcha e capacidade de deambular, bem como que o treino do equilíbrio pode ser um importante componente para protocolos de recuperação da marcha.

Abstract Alterations in balance and gait are frequently present in patients with hemiparesis. This study aimed at determining whether there is a correlation between static and functional balance, gait speed and walking capacity. To that end, 17 individuals with chronic hemiparesis of both sexes (58.8% men and 42.25 women), mean age of 56.3 ± 9.73 years, took part in the study. Static balance was assessed by computerized baropodometry, under two different sensory conditions: eyes open (EO) and eyes closed (EC). Functional balance was evaluated by Berg Balance Scale and walking ability by the Functional Ambulation Classification. Gait speed was assessed by kinemetry. The Kolmogorov-Smirnov test was used to verify data distribution normality. Parametric variables were correlated by Pearson's test and their non-parametric parameters by Spearman's test. Functional balance showed a positive correlation with gait speed (p=0.005; r=0.64) and walking ability (p = 0.019; r = 0.56). Anteroposterior (AP) and mediolateral (ML) alterations with EO and EC exhibited negative correlations with gait speed (EO: AP amplitude (p = 0.0049 and r = -0.48); mean ML deviation (p = 0.019 and r =-0.56)/ EC: mean AP deviation (p = 0.018 and r = -0.56) and mean ML deviation (p = 0.032 and r = -0.52); AP amplitude (p = 0.014 and r = -0.57) and ML amplitude (p = 0.032 and r = -0.52); postural instability (p = 0.019 and r = -0.55)) and walking ability (EO: mean AP deviation (p = 0.05 and r = -0.47) and AP amplitude (p = 0.024 and r = -0.54)). The results suggest correlations between static and functional balance and gait speed and walking ability, and that balance training can be an important component of gait recovery protocols.

https://doi.org/10.1590/0103-5150.029.001.AO09 3864 downloads

Oral midazolam reduces cortisol levels during local anaesthesia in children: a randomised controlled trial
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GOMES, Heloisa Sousa

; CORRÊA-FARIA, Patrícia

; SILVA, Tarcília Aparecida

; PAIVA, Saul Martins

; COSTA, Paulo Sérgio Sucasas

; BATISTA, Aline Carvalho

; COSTA, Luciane Rezende

Brazilian Oral Research

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2015, Volume 29 Nº 1 elocation 00305

Resumo: En | Texto: En | PDF: En

Little is known about whether midazolam sedation can reduce salivary cortisol levels and consequently influence children’s behaviour during dental treatment. The aim of this study was to evaluate the effect of midazolam sedation on salivary cortisol and its correlation with children’s behaviour during restorative dental treatment. Eighteen healthy children, aged two to five years, were randomly assigned to two dental treatment appointments, both with physical restraint: oral midazolam 1 mg/kg (MS) and placebo (PS). An observer assessed the children’s behaviour (videos) using the Ohio State University Behavioral Rating Scale (OSUBRS). The children’s saliva was collected just after waking up, on arrival at the dental school, 25 minutes after local anaesthesia, and 25 minutes after the end of the procedure. Salivary cortisol levels were determined using the enzyme-linked immunoabsorbent assay. The data were analysed by bivariate tests and multivariate analysis of variance (5% level). Salivary cortisol levels were lower in the MS group than in the PS group at the time of anaesthesia (p = 0.004), but did not vary during the appointment within sedation (p = 0.319) or placebo (p = 0.080) groups. Children’s behaviour was negative most of the time and did not differ between MS and PS; however, the behaviour (OSUBRS) did not correlate with salivary cortisol levels. Oral midazolam is able to control salivary cortisol levels during dental treatment of pre-schoolers, which might not lead to better clinical behaviour.

https://doi.org/10.1590/1807-3107BOR-2015.vol29.0125 2920 downloads

10.

Úlcera venosa: avaliação clínica, orientações e cuidados com o curativo
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Brito, Chara Keith Diógenes

; Nottingham, Iale Cardoso

; Victor, Janaína Fonseca

; Feitoza, Sarah Maria de Sousa

; Silva, Máguida Gomes da

; Amaral, Heloísa Esteves Gurgel do

Rev Rene

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Abr 2013, Volume 14 Nº 3 Páginas 470 - 480

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

The objective was to analyze the clinical profile of venous ulcers, getting familiar with received recommendations and investigating healing procedures. This is an exploratory-descriptive transversal research. The sample consisted of 51 patients with venous ulcers assisted in two vascular surgery cli nics in Fortaleza from August to November 2011. Results revealed the existence of venous ulcer for more than one year in 60.8% of cases being that 44.1% of them suffered at least one relapse. The most important healing initiatives according to the patients were: rest (45.1%), limb elevation (23.5%) dressing application (19.6%). As for the place in which the dressing was prepared, 76.5% mentioned home as the primary location. It is suggested that further research on guidelines and dressing care should be carried out, as it is only through researchers' adherence to guideli nes in different scenarios that we can learn more about venous ulcer care.

El objetivo fue analizar las características clínicas de las úlceras venosas, conocer las directrices recibidas e investigar los procedimientos para realización de curativos. Investigación exploratoria y descriptiva transversal. La muestra constituida por 51 pacientes con úlceras venosas, acompañados en dos clínicas de cirugía vascular en Fortaleza, CE, Brasil, de agosto a noviembre de 2011. Los resultados señalaron la existencia de úlcera venosa encima de un año (60,8%) y por lo menos una recurrencia (44,1%), las acciones más importantes para la curación, según portadores: descanso (45,1%), elevar el miembro (23,5%) preparar el aderezo (19,6%). En cuanto al lugar de realización del curativo, 76,5% mencionaron el hogar como principal. Se sugieren nuevas investigaciones sobre las orientaciones y atención curativa porque sólo con la adhesión de los investigadores en diferentes escenarios se puede conocer más adecuadamente las interfaces de atención dirigida a pacientes con úlceras venosas.

Objetivou-se analisar as características clínicas das úlceras venosas, conhecer as orientações recebidas e investigar os procedimentos com a realização do curativo. Pesquisa exploratório-descritiva, transversal. A amostra foi constituída por 51 portadores de úlcera venosa, acompanhados em dois ambulatórios de cirurgia vascular, em Fortaleza, de agosto a novembro de 2011. Os resultados revelaram a existência de úlcera venosa acima de um ano (60,8%) e pelo menos uma recidiva (44,1%), as ações mais importantes para a cicatrização, segundo os portadores, foram: repouso (45,1%), elevar o membro (23,5%) fazer o curativo (19,6%). Quanto ao local de realização do curativo 76,5% referiram o domicílio como local principal. Sugere-se que novas pesquisas sobre as orientações e cuidados com o curativo sejam realizadas, pois somente com a adesão de pesquisadores em diferentes cenários pode-se conhecer com maior propriedade todas as interfaces do cuidado direcionado aos portadores de úlcera venosa.

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