Influencia de la salud oral en la calidad de vida de los adultos mayores: una revisión sistemática

Objetivo: analizar cómo interfieren las diversas dimensiones de la salud oral en la calidad de vida de las personas mayores. Método: se realizó una revisión sistemática en las bases bibliográficas Medline, LILACS, SciELO y EBSCO Dentistry & Oral Sciences, para ello se utilizó la estrategia de búsqueda: aged OR aging AND "oral health" OR dentistry OR "geriatric dentistry" OR "dental care" OR "dental care for aged" OR "mouth diseases" OR "tooth diseases" OR "tooth loss" OR "facial pain" OR "oral hygiene" AND "quality of life" OR "health status" OR "self concept" OR "health services needs and demand" OR "personal satisfaction" OR "attitude to health" OR "risk factors" OR "age factors" OR "health status indicators" AND "sickness impact profile" OR "health surveys" OR "need essessment" OR "surveys and questionnaires" OR "reproducibility of results". Resultados: De los 1.356 registros identificados 14 artículos fueron incluidos para el análisis. Se evidenció, mediante la evaluación bucal clínica y las encuestas de autopercepción de la salud oral, que existe una asociación entre la salud oral y la calidad de vida de las personas mayores. Conclusiones: el deterioro de la calidad de vida de las personas mayores es causado, principalmente, por la pérdida de dientes.

Objective: To analyze how the various dimensions of oral health interfere with the quality of life of older adults. Method: a systematic review was carried out in the bibliographic databases Medline, LILACS, SciELO and EBSCO Dentistry & Oral Sciences using the search strategy: aged OR aging AND "oral health" OR dentistry OR "geriatric dentistry" OR "dental care" OR "dental care for aged" OR "mouth diseases" OR "tooth diseases" OR "tooth loss" OR "facial pain" OR "oral hygiene" AND "quality of life" OR "health status" OR "self concept" OR "health services needs and demand" OR "personal satisfaction" OR "attitude to health" OR "risk factors" OR "age factors" OR "health status indicators" AND "sickness impact profile" OR "health surveys" OR "need assessment" OR "surveys and questionnaires" OR "reproducibility of results". Results: Of the 1,356 records identified, 14 articles were included for the analysis. Clinical oral evaluation and oral health self-perception surveys demonstrated the association between oral health and quality of life in older adults. Conclusions: the deterioration of the quality of life of older adults is mainly caused by the loss of teeth.

Approaching the Ecological Role of the Squat Lobster (Munida gregaria) and the Fuegian Sprat (Sprattus fuegensis) in the Francisco Coloane Marine Area (Magellan Strait, Chile) Using a Pelagic Food Web Model.

The structure and functioning of the food web of the Francisco Coloane Marine Area in the Magellan Strait, Chile, was quantified, with an emphasis on identifying the ecological role of the squat lobster (Munida gregaria) and the Fuegian sprat (Sprattus fuegensis). Food web indicators, the trophic level, and centrality indices were estimated using Ecopath with Ecosim. Dynamic simulations were carried out to evaluate the ecosystem impacts of biomass changes in squat lobster and Fuegian sprat. The model calculated a total ecosystem biomass of 71.7 t km-2 and a total primary production of 2450.9 t km-2 year-1. Squat lobster and Fuegian sprat were located in specific trophic levels of 2.3 and 2.7, respectively. Squat lobster reduction produced a decrease in the biomass of red cod (42-56%) and humpback whales (25-28%) and Fuegian sprat reduction a decrease in penguins (15-37%) and seabirds (11-34%). The Francisco Coloane Area is an immature ecosystem with productivity and energy flows values within those reported for productive ecosystems; the role of the squat lobster seems to be related to the structure of the food web, and the role of the Fuegian sprat seems to be related to the functioning of the ecosystem and to the energy transfer to top predators.

Trace elements in subantarctic false killer whale (Pseudorca crassidens) tissues, including the skin as an offshore bioindicator.

On a global scale, cetaceans are recognized well indicators of marine ecosystem health. Trace elements accumulate in their bodies and potentially constitute a toxicological threat. Here, the concentrations of essential Se; unknown physiological elements Br, Rb, Cs, Ni, and Sr; and pollutants arsenic, Cd, Hg, and Ag were assessed in the skin of false killer whales (Pseudorca crassidens) stranded at Estrecho de Magallanes, South America, and next, tissue comparisons and relationships between elemental concentrations in the skin and internal tissues (liver, kidney, spleen, lung, skeletal muscle, and testis) were assessed. Results showed elemental concentration variations among tissues. Selenium concentration was found to be higher in the liver 398 (75) µg g-1 dry weight (DW) (standard deviation in parenthesis), followed by skin. Rubidium and Br concentrations were higher in testis 7.92 (0.42) and 99.1 (5.4) µg g-1 DW, respectively, and Cs in muscle 0.36 (0.12) µg g-1 DW, while Ni concentrations range (<0.05-0.91 µg g-1 DW) did not show differences among tissues. Cadmium and arsenic were found to be higher in kidneys, 71.2 (17.6) and 2.54 (1.77) µg g-1 DW, respectively, while Hg was highest in the liver 1068 (234) µg g-1 DW. Concerning inter-tissue relationships, a positive skin-to-kidney and skin-to-muscle correlations were observed for Cs concentrations, and also Hg showed positive skin-to-spleen, skin-to-kidney, and skin-to-testis correlations, which support its use as potential offshore marine biomonitor.

Stranded false killer whales, Pseudorca crassidens, in Southern South America reveal potentially dangerous silver concentrations.

Silver (Ag) is a non-essential metal known to bioaccumulate in aquatic organisms. We determined Ag concentrations in five false killer whales stranded in South America. Silver concentrations (in dry weight basis) range as 6.62-10.78 µg g-1 in liver, 0.008-7.41 µg g-1 in spleen, 0.004-5.71 µg g-1 in testis, 0.757-1.69 µg g-1 in kidney, 0.011-0.078 µg g-1 in lung and < 0.01-0.038 µg g-1 in muscle, whereas in the single samples of uterus and ovary were 0.051 and 0.023 µg g-1; respectively. Overall, Ag concentration in liver and kidney exceeded the cetacean toxic thresholds, proposed as "unhealthy concentrations" and "critically dangerous" in liver and kidney. These results warrant further eco-toxicological studies, to examine biological effects of elevated silver levels for individuals and to assess the species' conservation status with respect to marine pollution.

High status of mercury and selenium in false killer whales (Pseudorca crassidens, Owen 1846) stranded on Southern South America: A possible toxicological concern?

The study was carried out to determine Hg and Se concentrations in false killer whales stranded on the Estrecho de Magallanes, Chile, South America. Tissue samples of five mature specimens were analyzed (two females and three males). Mean Hg concentration in liver 1068 (234) µg g-1 dry weight (DW) (standard deviation in parenthesis) was markedly higher than those in kidney 272 (152) µg g-1 DW, lung 423 (325) µg g-1 DW, spleen 725 (696) µg g-1 DW, muscle 118 (94) µg g-1 DW and testicle 18.0 (2.8) µg g-1 DW. Mean Se concentration in liver, 398 (75) µg g-1 DW, was higher than those in kidney 162 (69) µg g-1 DW, lung 128 (84) µg g-1 DW, spleen 268 (245) µg g-1 DW, muscle 47 (38) µg g-1 DW and testicle 25.4 (2.1) µg g-1 DW. Positive correlations were found between Hg and Se molar concentrations in muscle, lung, spleen and kidney. Molar ratio of Se/Hg in liver, lung and muscle were <1, but those in kidney and testicle were markedly >1 suggesting a Se protection against Hg toxicity. In all the examined specimens Hg values exceeded the toxic thresholds defined for hepatic damage in marine mammals, with Se/Hg molar ratios below 1 implying limited protective action of Se. Generally, our results showed that individuals are carrying a significant burden, reflecting a high exposure to this toxic metal. This constitutes the first report on Hg and Se levels for a large subantarctic odontocete in South America region, providing insights into their contamination status and with information to the understanding of possible impacts on wild populations.