Salivary flow and xerostomia in older patients with type 2 diabetes mellitus.

OBJECTIVES: To assess salivary flow in older patients with type 2 diabetes mellitus (DM2) and its association with xerostomia. METHODS: Cross-sectional clinical study conducted with older patients diagnosed with type 2 diabetes for at least one year receiving treatment at the Integrated Center for Diabetes and Hypertension of Ceará (CIHD) in the city of Fortaleza, Ceará, Northeastern Brazil. Oral clinical examination was carried out to assess the decayed, missing and filled teeth index (DMFT). Perception of the presence of xerostomia/dry mouth was assessed using the Visual Analogue Scale. Stimulated salivary flow was measured and samples were obtained using an extra-soft silicone device. RESULTS: 120 older patients with diabetes (60 insulin-dependent and 60 non-insulin-dependent) aged 65-91 years, with a mean age of 72.26 ± 6.53 years, were assessed. Of these, 111 (92.5%) presented a decrease in salivary flow while 59 (49.2%) reported moderate to severe xerostomia/dry mouth. The DMFT Index presented a mean of 27.53 ± 4.86 teeth. CONCLUSIONS: Reduced salivary flow was found in the group assessed in the present research; however, this finding is not in accordance with the perception of xerostomia/dry mouth reported by the patients.

Avaliação de vídeos sobre Suporte Básico de Vida (SBV) publicados no Youtube / Evaluation of Basic Life Support (BLS) videos published on YouTube

O presente trabalho tratará de uma análise de vídeos do YouTube relacionada ao suporte básico de vida de acordo com as diretrizes da American HeartAssociation (AHA) de 2010. O trabalho em questão é uma pesquisa do tipo exploratória, com abordagem quantitativa, realizada no sítio de compartilhamento de vídeos do YouTube, cujo endereço é "www.youtube.com.br, um "site bastante acionado pelos usuários da "internet" para adquirir conhecimentos de qualquer área. Foram analisados 104 vídeos. A média de duração dos vídeos foi de 6 minutos e 21 segundos. Dos 104 vídeos, 40 (38%) estavam de acordo com AHA e 64 (62%) não estavam conforme as diretrizes AHA. Quanto ao número de erros por vídeos os resultados demonstraram que metade dos vídeos analisados apresentaram 3 erros de publicação de acordo com AHA de 2010. Os vídeos analisados perfizeram um total de 148 desconformidades. O não seguimento da sequência CABD foi o erro mais comum observado com 45 (30,4%) aparições. Em relação à autoria dos vídeos, estes foram publicados por organização/instituição, pessoa física e ONG. Os vídeos analisados apresentaram um grande número de visualizações obtendo uma média de 23.829 visualizações... (AU)

This research will deal with an analysis of YouTube videos related to basic life support according to the guidelines of the American Heart Association (AHA) 2010. These is an exploratory research with a quantitative approach, carried out at the site of sharing YouTube videos, whose address is "www.youtube.com.br " a " site " that is very driven by users internet " to acquire knowledge in any field . 104 videos were analyzed. The average length of the videos were 6 minutes and 21 seconds. Of the 104 videos analyzed, 40 (38 %) were in accordance with AHA and 64 (62%) were not in accordance with guidelines AHA. As for the number of errors per video results showed that half of the videos analyzed present 3 Mistakes of publication according to AHA 2010. Videos analyzed resulted in a total of 148 discontinuities in total. Failure to follow the sequence CABD was the most common error observed in 45 (30.4%) appearances. Regarding the authorship of the videos were posted by the same organization / institution, individuals and NGOs. The videos analyzed showed a large number of views getting an average of 23,829 views... (AU)

Investigation of medicines with potential xerostomic effect used in institutionalized elderly

Introduction: Several factors affect the salivary flow and cause xerostomia, i.e. aging, diets, radiation, various pathologies and the use of drugs. Objective: This study aimed to investigate drugs with potential xerostomic effect in institutionalized elderly patients. Material and methods: 235 elderly were investigated, of both sexes, of which 123 were women (52.3%) and 112 (47.7%) were men. In addition to the gender and age, the use of medications containing side effects of xerostomia/dry mouth/ hyposalivation or hyposialia was investigated. Such drugs were separated according to their medical area of expertise: Cardiology, Gastroenterology, Allergy, Neurology and pulmonology Results: When investigated the amount of drugs used for female patients, it was observed that 83 (67.5%) used up to five drugs, 35 (28.4%) between 6 and 10 and medicines, and 5 (4.1%) more than 10 drugs. When analyzed the amount of drugs used for male patients, it was observed that 88(78.6%) used up to five drugs, 17 (15.2%) were between 6 and 10 7 medicines, and (6.2%) more than 10 drugs. By analyzing the drugs with xerostomic potential, we found 354 medicines. Among these, 181 (51.1%) were used in Neurology, 45 (12.7%) had been prescribed in Cardiology, 33 (9.2%) were used drugs for allergic conditions, 80 (22.3%) were prescribed in gastroenterology and 15 (4.3%) in pulmonology. Conclusion: It can be concluded that many medications used to treat institutionalized elderly had xerostomic potential effect, notably those used in Neurology. Polypharmacy is also present, especially in the older age group.

Identificação dos ingredientes ativos e enxaguatórios bucais, por cirurgiões-dentistas e acadêmicos / Identification of active ingredients in mouthwashes by dentists and dental students

Introdução: os enxaguatórios bucais consistem em uma mistura de componentes com a inclusão de agentes antimicrobianos farmacologicamente ativos. Dentre os ingredientes ativos, os mais frequentemente utilizados são: clorexidina, cloreto de cetilpiridínio, triclosan e óleos essenciais. Objetivo: investigar o grau de reconhecimento de cirurgiões-dentistas e acadêmicos de Odontologia entre os ingredientes ativos presentes nos enxaguatórios bucais e seus respectivos produtos comerciais. Material e métodos: foi aplicado um questionário para 380 cirurgiões-dentistas e 300 estudantes de Odontologia, contendo perguntas, como: gênero, idade, situação profissional (acadêmico ou graduado) e principal especialidade (para graduados). No questionário foram expostos oito produtos comerciais (Cepacol Plus Revitalizante; Listerine Zero; PerioTherapy; Plax Classic; PerioGard; Oral-B Pró-Saúde; Plax Fresh Mint; e Listerine Cuidado Total) para que os avaliados indicassem seus respectivos ingredientes ativos (clorexidina, cloreto de cetilpiridínio, triclosan e óleos essenciais). Resultados: PerioGard e PerioTherapy foram os produtos nos quais os dois grupos mais acertaram a composição. Oral-B Pró-Saúde e Plax Classic foram os produtos nos quais ocorreram mais erros, igualmente nos dois grupos. Entre os outros quatro produtos, ocorreu uma inversão na ordem do reconhecimento dos avaliados. Em ambos os grupos, somente PerioGard e PerioTherapy tiveram acertos acima de 50%. Conclusão: pôde-se concluir que o reconhecimento acerca dos ingredientes ativos presentes nos enxaguatórios bucais mais presentes no mercado é limitado, tanto por parte de profi ssionais quanto de acadêmicos, o que pode levar a indicações errôneas.

Burnout syndrome: evaluation in dentists in the city of Fortaleza, Brazil

Objective: The objective of this study was to assess the occurrence of burnout syndrome in dentists in the city of Fortaleza. Material and methods: By means of an analytical-descriptive research of quantitative character through the application of a MBI (Maslach Burnout Inventory) and a socio-cultural questionnaire. Results: The sample of 100 respondents was equally divided into female and male (50%), with a mean age of 38.09 years, 60% married, 34% single and 6% divorced. Most of the participants had between one and 20 years of tenure (62%), with a predominance of weekly working hours from 21 to 40 hours (44%). Conclusion: Burnout syndrome was diagnosed in 32% of respondents, without statistical significant differences in the relationship among gender and working hours, marital status and years of tenure (Mann Whiteney p < 0.005).

Prevalência de edentulismo e situação periodontal em idosos atendidos no curso de odontologia da Universidade de Fortaleza (UNIFOR) / Prevalence of edentulism and the periodontal status of elderly assisted in the Course of Dentistry in the University of Fortaleza (UNIFOR)

A saúde bucal do idoso é um dos pontos a serem considerados visto que a demanda desse público na busca de melhoria de sua condição bucal também tem sido elevada. O objetivo do presente estudo foi avaliar a condição periodontal e a prevalência de desdentados totais entre idosos atendidos no Curso de Odontologia da Universidade de Fortaleza-UNIFOR. Foram investigados o Odontograma e o Exame Periodontal Simplificado (PSR) em 500 prontuários. Destes, 139 (27,8%) eram desdentados totais, tendo sido verificado o PSR em 361 (72,2%) pacientes. Quando avaliados todos os 2166 sextantes com unidades dentárias, foi identificado com código 0 em apenas 29 (1,3%) sextantes, código 1 em 125 (5,8%), código 2 em 843 (39%), código 3 em 420 (19,4%) e código 4 em 248 (11,4%) sextantes. Pode-se concluir que a presença de doença periodontal mais avançada encontrada é bem maior que observada no Brasil segundo dados do SB Brasil 2010. Contudo a presença de pacientes desdentados foi muito menor, o que leva crer que a maior quantidade de unidades dentárias possibilite uma maior prevalência de periodontite.

The oral health of the elderly is one of the points to be considered since the demand of the public in search of improving their oral condition has also been high. The aim of this study was to evaluate the periodontal status and the prevalence of edentulous among elderly assisted in the Course of Dentistry in the University of Fortaleza-UNIFOR. We investigated the dental chart and Periodontal Screening Examination (PSR) in 500 records. Of these, 139 (27.8%) were edentulous, so we had PSR of 361(72.2%) patients. When evaluated all 2166 dental units with sextants with code 0 was identified in only 29 (1.3%) sextants, code 1 in 125 (5.8%), code 2 in 843 (39%), code 3 in 420 (19.4%) and 4 code for 248 (11.4%) sextants. It can be concluded that the presence of more advanced periodontal disease is found much higher than observed in Brazil second data SB Brazil 2010, however the presence of edentulous patients was very low, which leads to believe that the greatest amount of dental units enables one higher prevalence of periodontitis.