Oral habits, sociopsychological orthodontic needs, and sociodemographic factors perceived by caregivers impact oral health-related quality of life in children with and without autism?

BACKGROUND: Caregivers play a crucial role in assessing the oral health-related quality of life (OHRQoL) of young individuals with autism spectrum disorder (ASD). AIM: This study assessed the impact of sociodemographic and oral conditions on OHRQoL and family dynamics in young individuals with and without autism, as perceived by guardians. DESIGN: This comparative cross-sectional study included young individuals aged 6 to 14 years and their guardians. Data were collected at a specialized institution and dental schools. Guardians completed the Parental-Caregiver Perceptions Questionnaire (P-CPQ), Family Impact Scale (FIS), and sociodemographic and oral habits questionnaires. The sociopsychological need for orthodontic treatment was assessed using the Index of Orthodontic Treatment Need (IOTN). RESULTS: The sample included 144 youths and caregivers. The ASD group had higher P-CPQ and FIS scores. Factors associated with poorer perceived OHRQoL included higher youth age, lower caregiver education, higher IOTN scores, teeth clenching (RR = 1.20; 95% CI: 1.01-1.41), and lip sucking. Lower parental education (RR = 1.75; 95% CI: 1.10-2.80) and higher IOTN scores from the caregiver's perspective impacted family dynamics. CONCLUSION: Caregivers of young individuals with ASD perceived a lower OHRQoL, and families in this group were more affected by sociodemographic and oral conditions.

Spatial-temporal distribution of maxillofacial injuries resulting from intimate partner violence against women.

BACKGROUND/AIM: Maxillofacial trauma resulting from intimate partner violence (IPV) represents an important oral health problem. In this sense, the aim of this study was to investigate the spatial-temporal distribution of maxillofacial trauma resulting from IPV against women, using a geostatistical approach. MATERIALS AND METHODS: An ecological study was carried out including the analysis of confirmed IPV cases against women treated at a Center for Forensic Medicine and Dentistry over a four-year observation period, as well as the evaluation of population data from the victims' places of residence extracted from the last demographic census of the Brazilian Institute of Geography and Statistics. Statistical analysis included: (i) finite mixture modeling to establish incidence trajectory patterns; (ii) Getis-Ord indicator (Gi*) for spatial autocorrelation; (iii) spatial regression analysis (p < .05). RESULTS: Two distinct trajectory patterns (TP1 and TP2) related to IPV incidence were identified using finite mixture modeling, suggesting spatial-temporal disparities at the regional level. In TP1, it was observed that IPV incidence was relatively low and remained stable over time, covering almost two-thirds (62.0%) of investigated spatial units. TP2 was characterized by higher IPV incidence with a tendency to increase in the last year, including more than one-third of neighborhoods (38.0%). Autocorrelation analysis showed a predominance of hot areas (hotspots) in the Eastern zone (p < .05) and in the Western zone (p < .05); and cold areas (coldspots) in the Northern zone (p < .05). In addition, statistically significant association was observed among neighborhoods with higher percentage of households with family householder without income and higher incidence of maxillofacial trauma resulting from IPV against women (ß = 5.305; SE = 1.741; p = .002). CONCLUSIONS: The findings indicate an association between higher IPV incidence against women, maxillofacial trauma, and socio-spatial vulnerability.

Comparative cross-sectional study of socio-psychological orthodontic needs and oral habits in Autism Spectrum Disorder.

OBJECTIVE: This cross-sectional study analyzed the socio-psychological need for orthodontic treatment in children and adolescents with and without Autism Spectrum Disorder (ASD) and its association with deleterious oral habits. METHODS: Children/adolescents aged 6-14 years old, with and without ASD, and their respective caregivers were included. Caregivers completed a questionnaire addressing children and adolescents' deleterious oral habits. To assess the socio-psychological need for orthodontic treatment, we utilized the aesthetic component of the Index of Orthodontic Treatment Needs (IOTN). Caregivers and an orthodontist independently used the standardized IOTN aesthetic attractiveness scale containing ten intraoral photographs and compared them with the most similar condition of the child/adolescent. Data collection occurred at two universities in northeastern Brazil and at an ASD referral center. Statistical analyses encompassed descriptive statistics, Shapiro-Wilk, Kruskal-Wallis, Mann-Whitney, and Chi-squared tests with linear trend (α5%). RESULTS: The study involved 144 participants, evenly divided into two groups (ASD and non-ASN). The ASD group showed higher average IOTN-AC scores as evaluated by both professionals (mean score = 4.78 [± 2.34], p = .182) and caregivers (mean score = 4.31 [± 2.71], p = .992). Caregivers reported notably elevated IOTN-AC scores in cases where onychophagy was absent (p = .049). CONCLUSIONS: Patients with ASD are indicated as having a relatively higher socio-psychological need for orthodontic treatment.

The Lower Pliocene marine gastropods of Santa Maria Island, Azores: Taxonomy and palaeobiogeographic implications.

In this work, all the Lower Pliocene gastropod assemblages of Santa Maria Island are revised. These all form part of the Touril Complex. Seventy-seven species are identified representing 61 genera. Two species are described as new: Bittium miradouroense nov. sp. and Erato mayeri nov. sp. The name Tritonium secans Bronn in Reiss 1862 is considered a junior subjective synonym of Monoplex comptus (A. Adams, 1855). Pleurotoma perturrita Bronn in Reiss 1862 is considered a junior subjective synonym of Crassopleura maravignae (Bivona, 1838). However, due to the difficulties in collecting from these deposits, this is likely to be a considerable underestimate of the original diversity of local Early Pliocene gastropod faunas. The assemblage reflects a fully tropical with mean annual sea surface temperatures (SSTs) estimated about 3.7°C to 6.3°C higher than the present-day 20.6°C, and with mean monthly SSTs ranging from 20°C to 28°C, with six months with mean SSTs over 24°C. The assemblages all represent relatively shallow water, fully saline marine environments. At genus level the assemblage is typical of that seen in the tropical Mediterranean-West African Palaeobiogeographical Province during the early Pliocene (MPPMU1; roughly equivalent to the Zanclean and earliest Piacenzian). At species level, 35% of the species taxa found in Santa Maria are also found in the Mediterranean during MPPMU1. There is a much weaker association with the northern warm temperate Pliocene Boreal-Celtic Province, with only 17% of species occurring in both. Moreover, most of those are ubiquitous European species with both wide geographic and stratigraphic distributions. The assemblage is relatively endemic (29%) suggesting that the Azorean subprovince/ecoregion, which is recognised today, was already in place in the Lower Pliocene. A small number of tonnoidean species found in Santa Maria are species known to have had an amphiatlantic distribution during the Pliocene, and for Distorsio mcgintyi Emerson & Puffer, 1953, a well-known and widely distributed tropical American Atlantic species from the Early Miocene to present-day, its presence in Santa Maria marks the most easterly range expansion for the species, as today is not found in the Azores.

Evaluating the taxonomic status of the large sized Tricolia Risso, 1826 in the Northeast Atlantic and Mediterranean Sea.

Despite a long history of taxonomic studies on the genus Tricolia Risso, 1826, there is a shortfall on thorough systematic molecular reviews of the taxon from the NE Atlantic and Mediterranean coasts. Aiming to assess the genetic distinctness among morphospecies and the taxonomic status of currently accepted large sized species in these areas, we conducted a molecular phylogenetic analysis of the genus based on one mitochondrial (cox1) and two nuclear (28S and ITS2) markers. Seven Tricolia species were consistently retrieved in the analyses, including a new genetic lineage in the NE Atlantic designated as Tricolia sp. 1. Molecular analyses revealed that only one species, T. azorica, occurs in the NE Atlantic archipelagos. The sister taxa T. pullus (Mediterranean) and T. picta (NE Atlantic) should be classified as distinct species, instead of subspecies of the T. pullus group (sensu Gofas 1982). Tricolia miniata is also a complex of species in the Mediterranean and future studies across the distribution range are necessary to clarify its status.

Morphospecies and molecular diversity of 'lace corals': the genus Reteporella (Bryozoa: Cheilostomatida) in the central North Atlantic Azores Archipelago.

BACKGROUND: As in most bryozoans, taxonomy and systematics of species in the genus Reteporella Busk, 1884 (family Phidoloporidae) has hitherto almost exclusively been based on morphological characters. From the central North Atlantic Azores Archipelago, nine Reteporella species have historically been reported, none of which have as yet been revised. Aiming to characterise the diversity and biogeographic distribution of Azorean Reteporella species, phylogenetic reconstructions were conducted on a dataset of 103 Azorean Reteporella specimens, based on the markers cytochrome C oxidase subunit 1, small and large ribosomal RNA subunits. Morphological identification was based on scanning electron microscopy and complemented the molecular inferences. RESULTS: Our results reveal two genetically distinct Azorean Reteporella clades, paraphyletic to eastern Atlantic and Mediterranean taxa. Moreover, an overall concordance between morphological and molecular species can be shown, and the actual bryozoan diversity in the Azores is greater than previously acknowledged as the dataset comprises three historically reported species and four putative new taxa, all of which are likely to be endemic. The inclusion of Mediterranean Reteporella specimens also revealed new species in the Adriatic and Ligurian Sea, whilst the inclusion of additional phidoloporid taxa hints at the non-monophyly of the genus Reteporella. CONCLUSION: Being the first detailed genetic study on the genus Reteporella, the high divergence levels inferred within the genus Reteporella and family Phidoloporidae calls for the need of further revision. Nevertheless, the overall concordance between morphospecies and COI data suggest the potential adequacy of a 3% cut-off to distinguish Reteporella species. The discovery of new species in the remote Azores Archipelago as well as in the well-studied Mediterranean Sea indicates a general underestimation of bryozoan diversity. This study constitutes yet another example of the importance of integrative taxonomical approaches on understudied taxa, contributing to cataloguing genetic and morphological diversity.

Spatio-temporal changes of road traffic noise pollution at ecoregional scale.

Noise pollution is a pervasive factor that increasingly threatens natural resources and human health worldwide. In particular, large-scale changes in road networks have driven shifts in the acoustic environment of rural landscapes during the past few decades. Using sampling plots from the Spanish Landscape Monitoring System (SISPARES), 16 km2 each, we modelled the spatio-temporal changes in road traffic noise pollution in Ecoregion 1 of Spain (approximately 66,000 km2). We selected a study period that was characterised by significant changes in the size of the road network and the vehicle fleet (i.e. between 1995 and 2014) and used standard and validated acoustic computation methods for environmental noise modelling (i.e. European Directive, 2002/49/EC) within sampling plots. We then applied a multiple linear regression to expand noise modelling throughout the whole of Ecoregion 1. Our results showed that the noise level increased by 1.7 dB(A) in average per decade in approximately 65% of the territory, decreased by 1.3 dB(A) per decade in about 33%, and remained unchanged in 2%. This suggests that road traffic noise pollution levels may not grow homogeneously in large geographical areas, maybe due to the concentration of large fast traffic flows on modern motorways connecting towns. Our research exemplifies how landscape monitoring systems such as cost-effective approaches may play an important role when assessing spatio-temporal patterns and the impact of anthropogenic noise pollution at large geographical scales, and even more so in a global context of constricted resources and limited availability of historical data on traffic and environmental noise monitoring.

Firearms, Violence-Related Injuries, and Victimization Profiles: An Approach Using Cluster Analysis.

The aim of this study was to characterize the profile of nonlethal victims of urban violence by firearms and to describe traumas suffered by victims, according to a medical-legal and forensic perspective. A cross-sectional and exploratory study was conducted at the Center of Forensic Medicine and Dentistry in northeastern Brazil. The sample consisted of 233 victims of urban violence by firearm who presented some type of trauma. Descriptive and multivariate statistics using cluster analysis (CA) were performed. The TwoStep Cluster method was chosen to characterize the profile of victims. The night shift (56.8%) and the period corresponding to Saturdays (20.0%) and Sundays (20.4%) concentrated the largest number of occurrences. Cases of trauma in more than one region of the body simultaneously prevailed (31.8%). Based on the CA results, the formation of two clusters with distinct victimization profiles was verified. Cluster 1 was mostly characterized by younger single victims who suffered violence by firearm in the urban area perpetrated by an unknown perpetrator, resulting in greater occurrence of isolated upper and lower limb traumas. In contrast, Cluster 2 consisted essentially of older, married, or stable-union victims who experienced firearm violence in the suburban area, perpetrated by a known aggressor, resulting in greater occurrence of multiple traumas, that is, affecting several regions of the body at the same time. These findings reveal different risk groups for urban violence by firearms and traumas, contributing to the planning of strategies with emphasis on health care, prevention, and promotion.

Head and face injuries in elderly patients victims of fall. A single trauma center analysis.

OBJECTIVE: The purpose of this study was to identify the profile of elderly victims of falls and the occurrence of injuries and fractures in the head and face regions. MATERIAL AND METHODS: Overall, 426 medical records of individuals aged 60 years or older of both genders hospitalized due to fall were analyzed. Data on gender, age group, period of occurrence, type of fall, presence of head and face injury and fracture of facial bones were collected. Data were organized with SPPS, version 20, and presented through descriptive and inferential statistics (Chi-square test). Poisson regression analysis was used (α<0.05). RESULTS: The majority of victims were women (62.4%), aged 80 years or older (45.5%). Occurrences were more frequent in the daytime period (65.6%) and falls were mostly from the self-height (93.7%). Head and face lesions were found in 14.1% and 5.9% of victims, respectively. However, the presence of facial fracture was low (1.9%). Association between gender and occurrence of head (p=0.001) and face injury (p=0.017) was observed. The presence of "head injury" was associated with variables "type of fall" (p<0.001) and "existence of bone fracture" (p<0.001). CONCLUSION: Women aged 80 or over are the main victims of falls. Occurrences are common in the daytime period and due to falls from self height. Although soft tissue injuries in head and face were common, facial fractures showed low frequency.

Facial Injuries and the Gender Issue: Expressions of Violence in a Metropolitan Region of Northeastern Brazil.

The aims of this investigation were to describe the profile of men and women victims of violence and identify factors associated with the severity of facial trauma. A retrospective study was carried out from 762 records of victims attended at the Institute of Legal Medicine and Dentistry located in a metropolitan region of Northeastern Brazil. The dependent variable was type of facial trauma suffered by victims. Independent variables were the sociodemographic characteristics of victims, characteristics of aggressors and circumstances of violence. Descriptive, bivariate (c2 test) and multivariate statistics were made through logistic regression. Level of significance was set at p < 0.05. The mean age of victims was 29.78 years (SD=13.33). Based on the final regression model, male subjects [odds ratio (OR)=2.22, 95% CI=1.08-4.57, p=0.030], assaulted by other male subjects (OR=4.88; 95% CI=1.12-21.26; p=0.035) through instrument (OR=6.67; 95% CI=2.85-15.60; p<0,001) or mixed aggressions (OR=4.34; 95% CI=1.44-13.02; p=0.009) were more likely to exhibit facial bone fractures or dentoalveolar fractures. The findings highlight that men and women present important victimization differentials in relation to interpersonal violence and facial trauma. Victim's gender, aggressor's gender and mechanism of aggression may exert influence on facial trauma patterns.

Niveles séricos de 25-hidroxivitamina D y su relación con síndrome metabólico en una población de hombres jóvenes no diabéticos / Serum levels of 25-hydroxy vitamin D and their relationship to metabolic syndrome in a population of young nondiabetic men

Resumen Introducción: los niveles no suficientes de vitamina D (VD) se han asociado a varias patologías no osteomusculares; sin embargo, es motivo de controversia si éstos se asocian a mayor prevalencia de síndrome metabólico (SM). Objetivo: determinar y comparar la frecuencia de insuficiencia y deficiencia de 25-hidroxivitamina D (25(OH)D) entre hombres jóvenes obesos no diabéticos y controles con peso normal, y su correlación con el estado de SM. Material y métodos: estudio de corte transversal, que incluyó 62 individuos con peso normal y 47 en obesidad, se determinaron los niveles séricos de 25(OH)D y se midieron parámetros antropométricos y bioquímicos para establecer criterios de SM. Resultados: de los 47 sujetos con obesidad, 25 tenían SM, mientas que ninguno de los sujetos de peso normal cumplía con dichos criterios. No se encontraron diferencias estadísticamente significativas en cuanto a la presencia de síndrome en correlación con los niveles de vitamina D (p=0.94). La media de los niveles séricos de 25(OH)D para la población total fue 30.6±8.3 ng/ mL; en sujetos normopeso 30.8±8.5 ng/mL y entre los obesos con SM fue 30.1±9.2 ng/mL y sin SM de 30.6±7.5 ng/mL. Por otro lado no hubo una correlación significativa entre los parámetros individuales de síndrome metabólico y los niveles séricos de VD, tanto de manera global, como en el análisis por subgrupos. Conclusión: no hubo una correlación significativa entre los niveles séricos de 25(OH)D con el estado de SM, tampoco se identificó ningún tipo de correlación significativa entre éstos y los parámetros antropométricos y bioquímicos estudiados.(Acta Med Colomb 2020; 45. DOI:doi.org/10.36104/amc.2020.1323).

Abstract Introduction: insufficient levels of vitamin D (VD) have been associated with several non-musculoskeletal diseases. However, whether they are associated with a greater prevalence of metabolic syndrome (MS) is a matter of controversy. Objective: to determine and compare the frequency of 25-hydroxy vitamin D (25(OH)D) insufficiency and deficiency in young, obese nondiabetic men and normal weight controls, and its correlation with metabolic syndrome. Material and methods: a cross-sectional study which included 62 normal weight and 47 obese individuals. Serum levels of 25(OH)D were ascertained and anthropometric and biochemical parameters were measured to establish MS criteria. Results: of the 47 obese subjects, 25 had MS, while none of the normal weight subjects met the criteria. There were no statistically significant differences in the presence of the syndrome related to the vitamin D levels (p=0.94). The mean serum 25(OH)D level for the total population was 30.6±8.3 ng/mL; in normal weight subjects it was 30.8±8.5 ng/mL, in obese subjects with MS it was 30.1±9.2 ng/mL, and in obese subjects without MS it was 30.6±7.5 ng/mL. Furthermore, there was no significant correlation between the individual MS parameters and serum VD, either globally or on subgroup analysis. Conclusion: there was no significant correlation between serum 25(OH)D levels and MS, nor was any significant correlation found between these and the anthropometric and biochemical parameters studied.(Acta Med Colomb 2020; 45. DOI:https://doi.org/10.36104/amc.2020.1323).

Access to oral healthcare services of adolescents of a large-size municipality in northeastern Brazil.

The aim of this study was to describe and evaluate access to oral health services among adolescents enrolled in public schools of Campina Grande, Paraíba, Brazil, a large-size municipality in the Northeast of Brazil. An observational, descriptive, analytical, quantitative, and cross-sectional study was carried out through a school survey, in which four validated questionnaires were applied to 438 adolescents aged 12 to 19 years. Data were processed using the SPSS statistical software version 20.0, with bivariate analysis and multivariate analysis through Poisson regression. About 90.9% of adolescents reported having visited the dentist at least once; however, when considering the last 6 months, this percentage fell to 48.4%. Adolescents used private services (50.2%) or the public service (49.8%). About 70.6% of interviewees reported dental treatment (61.1%) as the main reason for seeking the service. Through multivariate analysis, it was observed that the demand for the service was higher among female adolescents (60.5%, p <0.001); the other variables did not present statistically significant differences. In conclusion, the access to oral healthcare services reported by adolescents was good, but there is still a considerable part of this population with no access. Variables that presented significant associated with dental services were gender and toothache history, but only gender remained significant in the multivariate model.

Breastfeeding Behavior in Brazilian Children with Congenital Zika Syndrome.

Congenital Zika Syndrome (CZS) is a condition that has emerged only recently, bringing together multiple changes, including significant changes in the stomatognathic system, which may compromise sucking behavior and consequently the breastfeeding practice. The aim of this study was to investigate the breastfeeding behaviors in children with CZS. A longitudinal study was carried out in two reference centers in Northeastern Brazil. The nonprobabilistic sample consisted of 79 children diagnosed with physical, neurological, and behavioral alterations compatible with CZS. Information regarding the child, nutritive, and nonnutritive sucking behavior and changes related to the sucking reflex was collected. Data were presented through descriptive and inferential statistics. In the bivariate analyses, the chi-squared test was used and 5% significance level was adopted. The majority of children had severe microcephaly (59.7%). Breastfeeding was performed at birth in most of CZS children (89.9%) but only 36.6% of them presented exclusive breastfeeding in the six months of life. Bottle feeding and pacifier were used in 89.9% and 55.7%, respectively. Sucking and swallowing difficulties and occurrence of gastroesophageal reflux were observed in 27.8%, 48.0%, and 29.2% of children, respectively. Early weaning was associated with bottle feeding (p=0.005) and pacifier sucking (p=0.003). Although breastfeeding practice at birth constitutes a behavior adopted by most of mothers, adherence to this exclusive habit until the first six months of life was low since the children presenting a large number of comorbidities with direct interference in the suction reflex, sucking, and swallowing difficulty.

Tooth pain and associated factors among adolescents of a large population municipality in Northeastern Brazil. / Dor de dentes e fatores associados entre adolescentes de um município de grande porte populacional no Nordeste brasileiro.

The aim of this study was to describe and analyze history of toothache and associated factors among adolescent students enrolled in public schools of a city in Northeastern Brazil. An observational, descriptive, quantitative and cross-sectional study was conducted through the application of 4 questionnaires with 458 adolescents. By bivariate analysis, the prevalence of toothache in life was higher among younger adolescents (76.9%; p = 0.004), who have visited the dentist at least once (74.8%; p = 0.001) and who reported fear (74.9%; p = 0.006). The occurrence of dental pain in the last 6 months was low, where male (77.4%; p = 0,001) and older adolescents (73.1%; p = 0.031) reported no occurrence of pain. Through multivariate analysis, the highest prevalence of dental pain in life remained among younger adolescents (76.9%; p = 0.003) and who reported dental fear (74.9%; p = 0.006). The prevalence of toothache in the last 6 months remained low through multivariate analysis, among male and older adolescents. It could be concluded that the prevalence of toothache in life was higher than in the last 6 months, showing significant association with gender, age, visit to the dentist and dental fear.

O objetivo deste estudo foi descrever e analisar o histórico de dor de dente e seus fatores associados, entre adolescentes de escolas públicas de um município do Nordeste do Brasil. Realizou-se uma pesquisa observacional, descritiva, quantitativa e transversal, através da aplicação de quatro questionários junto a 458 adolescentes. Pela análise bivariada, a prevalência de dor de dente na vida foi alta entre os adolescentes de menor idade (76,9%; p = 0,004), que visitaram o Cirurgião-Dentista alguma vez (74,8%; p = 0,001) e que relataram medo frente ao atendimento odontológico (74,9%; p = 0,006). Todavia, nos últimos 6 meses, a prevalência de dor de dente foi baixa, na qual os adolescentes do sexo masculino (77,4%; p < 0,001) e de maior idade (73,1%; p = 0,031) relataram justamente não terem sentido dor. Quando da análise multivariada, a maior prevalência de dor de dente na vida se manteve entre os adolescentes de menor idade (76,9%; p = 0,003) e que relataram medo (74,9%; p = 0,006). A prevalência de dor de dente nos últimos 6 meses se manteve baixa na análise multivariada, entre os adolescentes do sexo masculino e de maior idade. Conclui-se que a prevalência de dor de dente na vida foi maior do que nos últimos 6 meses, havendo associação significativa com os fatores: sexo, idade, visita ao Cirurgião-Dentista e sensação de medo.

Dor de dentes e fatores associados entre adolescentes de um município de grande porte populacional no Nordeste brasileiro / Tooth pain and associated factors among adolescents of a large population municipality in Northeastern Brazil

Resumo O objetivo deste estudo foi descrever e analisar o histórico de dor de dente e seus fatores associados, entre adolescentes de escolas públicas de um município do Nordeste do Brasil. Realizou-se uma pesquisa observacional, descritiva, quantitativa e transversal, através da aplicação de quatro questionários junto a 458 adolescentes. Pela análise bivariada, a prevalência de dor de dente na vida foi alta entre os adolescentes de menor idade (76,9%; p = 0,004), que visitaram o Cirurgião-Dentista alguma vez (74,8%; p = 0,001) e que relataram medo frente ao atendimento odontológico (74,9%; p = 0,006). Todavia, nos últimos 6 meses, a prevalência de dor de dente foi baixa, na qual os adolescentes do sexo masculino (77,4%; p < 0,001) e de maior idade (73,1%; p = 0,031) relataram justamente não terem sentido dor. Quando da análise multivariada, a maior prevalência de dor de dente na vida se manteve entre os adolescentes de menor idade (76,9%; p = 0,003) e que relataram medo (74,9%; p = 0,006). A prevalência de dor de dente nos últimos 6 meses se manteve baixa na análise multivariada, entre os adolescentes do sexo masculino e de maior idade. Conclui-se que a prevalência de dor de dente na vida foi maior do que nos últimos 6 meses, havendo associação significativa com os fatores: sexo, idade, visita ao Cirurgião-Dentista e sensação de medo.

Abstract The aim of this study was to describe and analyze history of toothache and associated factors among adolescent students enrolled in public schools of a city in Northeastern Brazil. An observational, descriptive, quantitative and cross-sectional study was conducted through the application of 4 questionnaires with 458 adolescents. By bivariate analysis, the prevalence of toothache in life was higher among younger adolescents (76.9%; p = 0.004), who have visited the dentist at least once (74.8%; p = 0.001) and who reported fear (74.9%; p = 0.006). The occurrence of dental pain in the last 6 months was low, where male (77.4%; p = 0,001) and older adolescents (73.1%; p = 0.031) reported no occurrence of pain. Through multivariate analysis, the highest prevalence of dental pain in life remained among younger adolescents (76.9%; p = 0.003) and who reported dental fear (74.9%; p = 0.006). The prevalence of toothache in the last 6 months remained low through multivariate analysis, among male and older adolescents. It could be concluded that the prevalence of toothache in life was higher than in the last 6 months, showing significant association with gender, age, visit to the dentist and dental fear.

Changes and drivers in Spanish landscapes at the Rural-Urban Interface between 1956 and 2018.

This paper presents unique comprehensive quantitative measures of the changes in Spanish rural landscapes, specifically in relation to the Rural-Urban Interface (RUI). Our objective was to investigate the urbanisation process in rural areas of Spain, thus the expansion of the RUI in an environmentally complex study area (it includes arid regions, continental areas or high mountains). The data were produced by the Spanish Rural Landscapes Monitoring System project (SISPARES), which has carried out five separate surveys for 1956, 1984, 1998, 2008 and 2018. SISPARES data provide RUI quantification by identifying urban patches, using aerial images, in a permanent network of 206 stratified random landscape sampling units (4 × 4 km each) deliberately located in rural areas. The cost-effective and spatio-temporal SISPARES approach enables the production of landscape geographical models at each survey date and the modelling of its evolution over each time period. We hypothesised that the RUI expansion did not follow a homogeneous spatio-temporal pattern, and therefore neither did the drivers responsible for it. Building on SISPARES data, we evaluated through CART analyses the relationship of RUI expansion with relevant environmental and anthropogenic driving factors, such as climate, bedrock, landscape composition and human population density. The historical narrative perspective was also used to aid discussion of the results. Historically, Spain contained few areas of RUI, but major changes were determined in the initial study period (1956-1984), which conformed a seminal geographic pattern for subsequent RUI increment. In contrast, the RUI expansion did not increase greatly during the following periods, between 1984 and 2018. The RUI expansion has been primarily driven by anthropogenic factors, constrained by the environmental characteristics of Spain. The expansion pattern is likely to has shifted from a national scale in the 1950s, to a continental scale at later dates as the result of the changes in socio-political scenarios.

Trends of maxillofacial injuries resulting from physical violence in Brazil.

BACKGROUND/AIM: A large proportion of interpersonal violence results in maxillofacial injuries. The monitoring of maxillofacial injuries in the context of gender violence has been little explored. The aim of this study was to analyze trends in cases of maxillofacial injuries resulting from interpersonal physical violence considering the gender of the victim and perpetrator. MATERIALS AND METHODS: A time-series study was conducted. Data regarding maxillofacial injury cases due to interpersonal physical violence were collected from reports at a forensic institute of a city in northeastern Brazil, between 2008 and 2014 (84 months). Rates of interpersonal physical violence per 100 000 inhabitants were determined for each gender. A negative binomial regression model was used to evaluate trends. The cycle plot was used to investigate the occurrence of seasonality, considering subseries for each month. RESULTS: A total of 3561 reports were analyzed, revealing higher rates of female victims and male perpetrators throughout the series. There was no indication of seasonality. The annual percentage of injuries involving male victims reduced significantly by 6.8% (P < .001), while injuries involving female victims increased significantly by 4.5% (P = .002). Regarding perpetrators, rates remained constant over time, following the same pattern for both genders. CONCLUSIONS: The data demonstrate greater victimization involving maxillofacial injuries against women perpetrated more often by men, with a trend toward an increase in female victims and a reduction in male victims.

Access to oral healthcare services of adolescents of a large-size municipality in northeastern Brazil

Abstract: The aim of this study was to describe and evaluate access to oral health services among adolescents enrolled in public schools of Campina Grande, Paraíba, Brazil, a large-size municipality in the Northeast of Brazil. An observational, descriptive, analytical, quantitative, and cross-sectional study was carried out through a school survey, in which four validated questionnaires were applied to 438 adolescents aged 12 to 19 years. Data were processed using the SPSS statistical software version 20.0, with bivariate analysis and multivariate analysis through Poisson regression. About 90.9% of adolescents reported having visited the dentist at least once; however, when considering the last 6 months, this percentage fell to 48.4%. Adolescents used private services (50.2%) or the public service (49.8%). About 70.6% of interviewees reported dental treatment (61.1%) as the main reason for seeking the service. Through multivariate analysis, it was observed that the demand for the service was higher among female adolescents (60.5%, p <0.001); the other variables did not present statistically significant differences. In conclusion, the access to oral healthcare services reported by adolescents was good, but there is still a considerable part of this population with no access. Variables that presented significant associated with dental services were gender and toothache history, but only gender remained significant in the multivariate model.

The Echinoderm Fauna of the Azores (NE Atlantic Ocean).

In more than 150 years of research in the waters surrounding the Azores, several publications on the fauna of echinoderms of the archipelago have been produced, in the form of papers, notes, reports, reviews, and monographs. This work attempts to summarize the present knowledge on this marine group in the Azorean exclusive economic zone (i.e., waters within 200 nautical miles of the archipelago's shores). A short review of the history of the species' taxonomy is given, with key references, geographical distribution, ecology, additional notes and, when possible, figures. We herein report 172 species of echinoderms (6 crinoids, 55 ophiuroids, 45 asteroids, 36 holothurians, and 30 echinoids) from the Azores Archipelago, most of them inhabiting deep waters (>200 m). Only 29 shallow-water species were recorded locally (≤50 m depth). In general, the echinoderm species present in the Azores are characterized by a wide geographical distribution in the Atlantic Ocean. Only nine taxa (all deep-water species, >840 m) appear to be restricted to the Azorean waters. Overall, the knowledge of the echinoderm fauna of the Azores is out-dated, with many species last collected in the archipelago over 100 years ago. A recent interest in the Azorean Mid-Atlantic waters has brought oceanographic cruises back to the archipelago, thus providing new opportunities for the renewal of 150 years of echinoderm studies in the area.

Restructuring of the 'Macaronesia' biogeographic unit: A marine multi-taxon biogeographical approach.

The Azores, Madeira, Selvagens, Canary Islands and Cabo Verde are commonly united under the term "Macaronesia". This study investigates the coherency and validity of Macaronesia as a biogeographic unit using six marine groups with very different dispersal abilities: coastal fishes, echinoderms, gastropod molluscs, brachyuran decapod crustaceans, polychaete annelids, and macroalgae. We found no support for the current concept of Macaronesia as a coherent marine biogeographic unit. All marine groups studied suggest the exclusion of Cabo Verde from the remaining Macaronesian archipelagos and thus, Cabo Verde should be given the status of a biogeographic subprovince within the West African Transition province. We propose to redefine the Lusitanian biogeographical province, in which we include four ecoregions: the South European Atlantic Shelf, the Saharan Upwelling, the Azores, and a new ecoregion herein named Webbnesia, which comprises the archipelagos of Madeira, Selvagens and the Canary Islands.