ABSTRACT
La candidiasis es la infección micótica más común de la cavidad bucaly es causada por el hongo Candida. Dentro de la población geriátricala candidiasis oral es uno de los tres principales motivos de consulta. El crecimiento en superfi cies es parte natural del modo de vivir del hongo Candida y es común que colonice las prótesis dentales, dando como resultado estomatitis por uso de dentadura o estomatitis subplaca.El diagnóstico de estomatitis por dentadura es relevante, ya quealrededor de 50 por ciento de las personas de edad promedio de 65 a 74 años, y 70 por ciento de 75 a 84 años utilizan prótesis dentales removibles. El objetivo del presente estudio fue determinar la frecuencia de candidiasis oral asociada a prótesis dentales removibles en los pacientes de la ClínicaOdontológica de la Universidad Anáhuac México Norte durante el periodo enero-mayo de 2016. Material y métodos: Se realizó un estudiodescriptivo, transversal y observacional. La muestra estuvo conformada por pacientes portadores de prótesis dentales removibles que acudieron a la Clínica Odontológica de la Universidad Anáhuac México Norte.Se interrogó al paciente respecto al uso de la prótesis y su condición de salud, posterior a la exploración clínica se tomó la citología exfoliativa de la mucosa debajo de la prótesis removible. Resultados: La muestraestuvo constituida por 22 pacientes de la clínica de prótesis removible,seis eran portadores de prótesis, de éstos 83 por ciento fueron positivos a candidiasis. Conclusiones: La falta de indicaciones sobre el cuidado, uso ehigiene de las prótesis dentales o la falta de apego a estas indicacionespor parte del paciente ocasionan el desarrollo de estomatitis subplaca.
Candidiasis is the most common mycotic infection in oral cavity andcaused by fungi candid. Oral candidiasis is one of three principalreasons for consultation in a geriatric population. A natural part of theway of living of the fungi Candida is the growth on surfaces. It growthmakes common that the fungi Candida colonize the dental prostheses,so the denture stomatitis or dental-related stomatitis is development.Denture stomatitis diagnosis is quite important because from the totalpopulation using dental removable prostheses around of 50% is between65-74 years old and 70% is between 75-84 years old. The ofthis study was identifying oral candidiasis frequency related to dentalremovable prostheses in patients from Universidad Anahuac, DentalSchool (México Norte), from January 2016 to May 2016. Material andmethods: Was made a descriptive, cross and observational study. Thesample was integrated by patients using dental removable prostheses,who went to Universidad Anahuacs dental school (México Norte). Thepatients were interrogated about dental removable prostheses use andtheir health condition, after clinic exploration and exfoliative cytologywas taken from mucosa below dental removable prostheses. Results: 22patients from dental service using removable prosthesis constituted thesample, from this 22 patients only 6 were using a removable prosthesisand from this 6 patients only 83% were positive to oral candidiasis.Conclusions: Instructions scare about care, use, and hygiene of dentalprosthesis as well as not follow these instructions for patients partmake possible denture stomatitis development.
Subject(s)
Humans , Male , Adult , Female , Middle Aged , Candidiasis, Oral/epidemiology , Candidiasis, Oral/etiology , Denture, Partial, Removable/adverse effects , Stomatitis, Denture/diagnosis , Stomatitis, Denture/pathology , Age and Sex Distribution , Cross-Sectional Studies , Candida albicans/isolation & purification , Candida albicans/growth & development , Epidemiology, Descriptive , Schools, Dental/standards , Mexico , Observational Studies as Topic , Data Interpretation, Statistical , Cytological Techniques/methodsABSTRACT
Ameloblastoma is a common and unpredictable odontogenic tumor with high relapse rates. Several studies assessing the proliferative capacity of these neoplasms have been published, mainly using the protein Ki-67. Cell counts must be completed to determine the cell proliferation rate. Multiple methods have been developed for this purpose. The most widely used method is the labeling index, which has undergone changes over time to better facilitate cell counting. Here, we compared manual cell counting methods with automated cell counting (ImmunoRatio) to determine the relative effectiveness of these methods. The results suggest that ImmunoRatio, a free software tool, may be highly advantageous and provide results similar to manual cell counting methods when used with the appropriate calibration. However, ImmunoRatio has flaws that may affect the labeling index results. Therefore, this automated cell counting method must be supplemented with manual cell counting methods.
Subject(s)
Ameloblastoma/immunology , Cell Count/methods , Ki-67 Antigen/immunology , Ameloblastoma/pathology , Automation , Humans , Staining and LabelingABSTRACT
BACKGROUND: We undertook this study to make an accurate cost/benefit and cost/effectiveness assessment of the "Telemedicina Anáhuac" project, which provides virtual satellite medical care via fixed teleconsultations and movable units in rural/marginal areas. METHODS: The basis of the study was a bibliographical analysis of health areas. RESULTS: When making a monetary analysis and observing fair profits, accessibility and increase in coverage in these populations, it is easier to determine whether or not the project is viable and whether or not it accomplishes cost/benefit and cost/effectiveness conditions. It has not been possible to accurately evaluate epidemiological situations or their changes and impact on health because of the short duration of the project in each community. The most valuable benefit of "Telemedicina Anáhuac" is the appropriate medical referral of surgical patients. CONCLUSIONS: From the results obtained, we are aware that this project offers to our country a great opportunity to resolve health problems in marginalized areas. It offers several benefits to the population, to the Health Ministry, to the personnel and to the social service medical students who operate it. In the surgical area, better diagnoses are obtained, and the project helps to decongest the second level of medical care in Mexico.
Subject(s)
Telemedicine/economics , Cost-Benefit Analysis , Humans , MexicoABSTRACT
Rural telemedicine began in the 1950s in the Papago, Arizona Reservation with the program Starphac. The Anáhuac University began the program in 2002. In the Anáhuac, the project was developed to provide specialty consultations in a virtual way to a highly marginalized population, creating clinical fields of high technology and fulfilling social obligations. The program began in Guerrero and was complemented with video conferences to an open population, courses to general physicians, continuing medical education, activities to promote health, and emergency disaster plans. From May 2002 until the end of 2004, 11,576 general consults have been provided and 2,420 specialty consults. The most frequent diagnoses in surgery were peptic ulcer disease, cholecystitis, diabetic foot and superficial venous insufficiency. The telemedicine program has allowed us to bring high specialty consults with great productivity, efficiency, less wait time and cost-benefit impact, along with a high quality of humane care. Resident physicians do their social service in a positive manner, with a permanent consultation office and a program of continuing medical education.
