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1.
Rev. ADM ; 78(1): 7-12, ene.-feb- 2021. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1152232

RESUMO

El fibroma de fibroblastos gigantes (FFG), conocido también como fibroma de células gigantes, es una pápula o nódulo asintomático localizado en la encía, paladar y lengua, es del mismo color que la mucosa adyacente, de base sésil o pediculada, con superficie lisa o papilar que por lo general mide menos de 1 cm. Objetivo: Identificar las características demográficas e histopatológicas de los casos de FFG de un laboratorio privado de patología bucal en la Ciudad de México. Material y métodos: Se obtuvieron los datos de edad, sexo, diagnóstico presuntivo y definitivo de 122 casos de FFG de 2004 a 2019 con un total de 7,681 muestras. Se describe su distribución por edad, sexo y localización. Resultados: El rango de edad obtenido es de 1 a 84 años, con un promedio de X = 38 años, se presenta con mayor frecuencia en la segunda década de vida, con una razón de 1.6:1 mujer a hombre. La localización más frecuente es en lengua (46%); sin embargo, sólo 49.1% de los estudios especificaban este dato. Conclusión: La importancia de esta lesión es que clínicamente se parece a otras patologías de tejido fibroso, por lo tanto, se debe tener presente al FFG como diagnóstico diferencial (AU)


Giant cell fibroma (GCF) is an asymptomatic papule or nodule that is similar in color to the surrounding mucosa, with a sessile or pedunculated base. It is usually less than 1 cm in size and it features a smooth or papillary surface. Objective: To identify the demographic and histopathological characteristics of GCF cases in a private oral pathology laboratory in Mexico City. Material and methods: Data on age, sex, as well as on presumptive and definitive diagnosis of 122 GCF cases were obtained from 2004 to 2019 with a total of 7,681 samples. Its distribution by age, sex and localization is described. Results: The age range obtained is from 1 to 84 years, with a mean age of 38 years. Frequently during the second decade of life, the female to male ratio is 1.6:1. The most frequent location is the tongue (46%), however, only 60 of 122 studies specified this data. Conclusion: Since this lesion clinically resembles another fibrous tissue pathology, it is warranted to have prior knowledge on its clinical characteristics, as GCF should be regarded as a differential diagnosis (AU)


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Fibroma/classificação , Tumores de Células Gigantes , Língua/patologia , Biópsia , Análise Estatística , Técnicas Histológicas , Diagnóstico Diferencial , Distribuição por Idade e Sexo , México/epidemiologia
4.
Rev. enferm. UERJ ; 28: e51659, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1146246

RESUMO

Objetivo: identificar a prevalência de resiliência em idosos comunitários e sua relação com o apoio social e a satisfação com a vida. Método: estudo transversal, realizado com 159 idosos. Os dados foram obtidos por meio das escalas de Resiliência, Apoio Social e Satisfação com a vida. Resultados: apresentaram baixa resiliência os idosos do sexo feminino, com idade mais avançada, que não sabem ler e escrever, solteiros, residem sozinho, não trabalham, recebem até um salário mínimo, estão insatisfeitos com a vida e apresentam alto apoio social. Os idosos insatisfeitos têm 4,72 vezes mais probabilidade de apresentar baixo nível de resiliência. Foram encontradas correlações positivas entre a resiliência e o apoio social (p=0,022) e entre satisfação com a vida e a resiliência (p=0,000). Conclusão: a resiliência esteve relacionada com o apoio social e satisfação com a vida.


Objective: to identify the prevalence of resilience in older community members, and its relationship with social support and life satisfaction. Method: in this cross-sectional study of 159 older adults, data were obtained using Resilience, Social Support and Life Satisfaction scales. Results: low resilience was found in older adults who were female, older, single, lived alone, could not read and write, did not work, received up to 1 minimum wage, were dissatisfied with life, and had strong social support. Resilience was 4.72 times more likely to be low in dissatisfied older adults. Positive correlations were found between resilience and social support (p = 0.022), and between life satisfaction and resilience (p = 0.000). Conclusion: resilience was related to social support and life satisfaction.


Objetivo: identificar la prevalencia de la resiliencia en los miembros mayores de la comunidad y su relación con el apoyo social y la satisfacción con la vida. Método: en este estudio transversal de 159 adultos mayores, los datos se obtuvieron mediante escalas de Resiliencia, Apoyo Social y Satisfacción con la Vida. Resultados: se encontró baja resiliencia en adultos mayores que eran mujeres, mayores, solteros, vivían solos, no sabían leer ni escribir, no trabajaban, recibían hasta 1 salario mínimo, estaban insatisfechos con la vida y tenían un fuerte apoyo social. La resiliencia tenía 4,72 veces más probabilidades de ser baja en los adultos mayores insatisfechos. Se encontraron correlaciones positivas entre resiliencia y apoyo social (p = 0.022), y entre satisfacción con la vida y resiliencia (p = 0.000). Conclusión: la resiliencia se relacionó con el apoyo social y la satisfacción con la vida.


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Satisfação Pessoal , Apoio Social , Saúde do Idoso , Resiliência Psicológica , Qualidade de Vida , Fatores Socioeconômicos , Brasil , Envelhecimento , Adaptação Psicológica , Estudos Transversais , Inquéritos e Questionários , Distribuição por Idade e Sexo
5.
Int. j. odontostomatol. (Print) ; 14(4): 685-693, dic. 2020. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1134558

RESUMO

ABSTRACT: The purpose of this study was to evaluate the changes in vital signs and laboratory tests of patients with odontogenic infections who required hospitalization as well as checking their effectiveness in determining the severity of the case and possible correlations with the length of stay. Patients with odontogenic infections who required hospitalization were assessed prospectively between October 2016 and April 2018. The patients were divided into two groups considered as simple (Group 1) or complex (Group 2) cases according to the length of stay. The personal data, comorbidities, signs and symptoms, vital signs and laboratory tests were analyzed. In this study, 84 cases of maxillofacial infections were detected and 50 cases of odontogenic infections were included. There were significant increases in heart rate (p = 0.012), leukocytosis (p = 0.037), neutrophilia (p = 0.021), neutrophil/lymphocyte (N/L) ratio (p = 0.044) and C-reactive protein (CRP) levels (p = 0.004) in Group 2. Additionally, there were positive correlations between the length of stay and the following variables: heart rate (p = 0.028), leukocytosis (p = 0.045), neutrophilia (p = 0.033), N/L ratio (p = 0.041) and CRP level (p = 0.003). The N/L ratio was found to have a greater value in regression analysis. It was concluded that there were significant increases in heart rate, leukocytosis, neutrophilia, N/L ratio and CRP levels for the complex cases. There were also positive correlations between the length of stay and the following variables: heart rate, leukocytosis, neutrophilia, N/L ratio and CRP level.


RESUMEN: El propósito de este estudio fue evaluar los cambios en los signos vitales y las pruebas de laboratorio de pacientes con infecciones odontogénicas que requirieron hospitalización, así como verificar su efectividad para determinar la gravedad del caso y las posibles correlaciones con la duración de la internación. Pacientes con infecciones odontogénicas que requirieron hospitalización fueron evaluados prospectivamente entre octubre de 2016 y abril de 2018. Los pacientes se dividieron en dos grupos considerados como casos simples (Grupo 1) o complejos (Grupo 2) según la duración de la internación. Se analizaron los datos personales, comorbilidades, signos y síntomas, signos vitales y pruebas de laboratorio. En este estudio, se detectaron 84 casos de infecciones maxilofaciales y se incluyeron 50 casos de infecciones odontogénicas. Hubo aumentos significativos en la frecuencia cardíaca (p = 0,012), leucocitosis (p = 0,037), neutrofilia (p = 0,021), relación neutrófilos / linfocitos (N/L) (p = 0,044) y niveles de proteína C reactiva (PCR) (p = 0,004) en el Grupo 2. Además, hubo correlaciones positivas entre la duración de la internación y las siguientes variables: frecuencia cardíaca (p = 0,028), leucocitosis (p = 0,045), neutrofilia (p = 0,033), relación N/L (p = 0,041) y nivel de PCR (p = 0,003). Se encontró que la relación N/L tenía un mayor valor en el análisis de regresión. En conclusión, hubo aumentos significativos en la frecuencia cardíaca, leucocitosis, neutrofilia, relación N/L y niveles de PCR para los casos complejos. También hubo correlaciones positivas entre la duración de la internación y las siguientes variables: frecuencia cardíaca, leucocitosis, neutrofilia, relación N/L y nivel de PCR.


Assuntos
Humanos , Masculino , Feminino , Adulto , Doenças Dentárias/tratamento farmacológico , Técnicas de Laboratório Clínico , Sinais Vitais , Infecções/tratamento farmacológico , Admissão do Paciente , Infecções Bacterianas/microbiologia , Proteína C-Reativa , Fatores de Risco , Estatísticas não Paramétricas , Comitês de Ética em Pesquisa , Distribuição por Idade e Sexo , Hospitalização , Tempo de Internação
6.
Arch. bronconeumol. (Ed. impr.) ; 56(12): 792-800, dic. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-199073

RESUMO

AIM: We examined fifteen years trends (2001-2015) in the use of non-invasive ventilation (NIV), invasive mechanical ventilation (IMV) or both (NIV+IMV) among patients hospitalized for community acquired pneumonia (CAP). We also analyzed trends overtime and the influence of patient factors in the in-hospital mortality (IHM) after receiving NIV, IMV or NIV + IMV. METHODS: Observational retrospective epidemiological study. Our data source was the Spanish National Hospital Discharge Database. RESULTS: Over a total of 1,486,240 hospitalized patients with CAP, we identified 56,158 who had received ventilator support in Spain over the study period. Of them, 54.82% received NIV, 37.04% IMV and 8.14% both procedures. The use of NIV and NIV + IMV increased significantly (p < 0.001) over time (from 0.91 to 12.84 per 100.000 inhabitant and from 0.23 to 1.19 per 100.000 inhabitants, respectively), while the IMV utilization decreased (from 3.55 to 2.79 per 100,000 inhabitants; p < 0.001). Patients receiving NIV were the oldest and had the highest mean value in the Charlson comorbidity index (CCI) score and readmission rate. Patients who received only IMV had the highest IHM. Factors associated with IHM for all groups analyzed included age, comorbidities and readmission. IHM decreased significantly over time in patients with CAP who received NIV, IMV and NIV + IMV. CONCLUSIONS: We found an increase in NIV use and a decline in IMV utilization in patients hospitalized for CAP over the study period. Patients receiving NIV were the oldest and had the highest CCI score and readmission rate. IHM decreased significantly over time in patients with CAP who received NIV, IMV and NIV + IMV


OBJETIVO: Estudiamos las tendencias a lo largo de 15 años (2001-2015) en el uso de la ventilación no invasiva (VNI), la ventilación mecánica invasiva (VMI) o ambas (VNI + VMI) en los pacientes hospitalizados por neumonía adquirida en la comunidad (NAC). También analizamos las tendencias en el tiempo y la influencia de los factores del paciente en la mortalidad hospitalaria (MH) después de recibir VNI, VMI o VNI + VMI. MÉTODOS: Estudio epidemiológico retrospectivo observacional. Nuestra fuente de datos fue el Registro de Altas de los Hospitales (CMBD) del Sistema Nacional de Salud. RESULTADOS: En un total de 1.486.240 pacientes hospitalizados por NAC, identificamos a 56.158 que habían recibido soporte ventilatorio en España durante el período a estudio. De ellos, el 54,82% recibió VNI, el 37,04% VMI y el 8,14% ambos procedimientos. El uso de VNI y VNI + VMI aumentó significativamente (p < 0,001) con el tiempo (de 0,91 a 12,84 por habitante y de 0,23 a 1,19 por cada 100.000 habitantes, respectivamente), mientras que la utilización de la VMI disminuyó (de 3,55 a 2,79 por cada 100.000 habitantes; p < 0,001). Los pacientes que recibieron VNI fueron los más ancianos y presentaban el valor medio más alto de puntuación en el índice de comorbilidad de Charlson (CCI, por sus siglas en inglés) y en la tasa de reingreso. Los pacientes que recibieron solo VMI presentaron la MH más alta. Los factores asociados a la MH para todos los grupos analizados incluyeron la edad, las comorbilidades y el reingreso. La MH disminuyó significativamente con el tiempo en los pacientes con NAC que recibieron VNI, VMI y VNI + VMI. CONCLUSIONES: Encontramos un aumento en el uso de VNI y una disminución en la utilización de VMI en pacientes hospitalizados por NAC durante el período a estudio. Los pacientes que recibieron VNI fueron los más ancianos y tenían la puntuación más alta en el CCI y la tasa de reingreso más elevada. La MH disminuyó significativamente con el tiempo en los pacientes con NAC que recibieron VNI, VMI y VNI + VMI


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Infecções Comunitárias Adquiridas/terapia , Pneumonia/terapia , Respiração Artificial/tendências , Estudos Retrospectivos , Pneumonia/mortalidade , Infecções Comunitárias Adquiridas/mortalidade , Respiração Artificial/mortalidade , Mortalidade Hospitalar , Estatísticas não Paramétricas , Hospitalização , Distribuição por Idade e Sexo , Fatores de Tempo , Espanha/epidemiologia , Comorbidade
7.
Allergol. immunopatol ; 48(6): 537-544, nov.-dic. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-199240

RESUMO

BACKGROUND: Allergic respiratory diseases such as asthma and allergic rhinitis have increased considerably in the last decades. OBJECTIVE: The present study estimates prevalence trends of asthma, allergic rhinitis and pollinosis in the population of a city of Southern Brazil, without restriction of age, from 2011 to 2018, using the ISAAC standardized questionnaire. METHODS: Data was collected from March to June of 2011 and during the same months in 2018, in order to verify trends in the prevalence of these allergic conditions. The total sample consisted of 3132 individuals of both sexes living in the municipality of Santo Ângelo, in the state of Rio Grande do Sul, Brazil. RESULTS: No differences were observed in the prevalence of asthma diagnosis (15.1% in 2011 and 13.8% in 2018), however the prevalence of current wheeze was significantly reduced from 24.7% in 2011 to 21.2% in 2018 (p < 0.05). Regarding allergic conditions in 2011 and in 2018, a significant reduction was observed (p < 0.001) in reported current rhinitis (63.3% vs. 50.5%), rhinoconjunctivitis (48.9% vs. 38.8%), hay fever (52.0% vs. 43.3%), and pollinosis (29.0% vs 17.0%). Moreover, we observed an inverse relation between age and rhinoconjunctivitis and hay fever, and all symptoms were more frequent in females. Rhinoconjunctivitis and hay fever, as well as current rhinitis and pollinosis were highly prevalent among 30-39 years-old individuals, whereas current wheeze affected mainly the age group 10-19 years-old. CONCLUSION: While the prevalence of asthma remained similar after seven years, allergic rhinitis and pollinosis declined between 2011 and 2018


No disponible


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Asma/epidemiologia , Rinite Alérgica/epidemiologia , Rinite Alérgica Sazonal/embriologia , Estudos Transversais , Prevalência , Distribuição por Idade e Sexo , Inquéritos e Questionários , Estações do Ano , Modelos Logísticos , Brasil/epidemiologia
8.
Allergol. immunopatol ; 48(6): 738-744, nov.-dic. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-199265

RESUMO

OBJECTIVES: We aimed to determine adverse reactions and influencing factors, within the scope of the number of patients and total infusions, in patients with primary immunodeficiencies receiving intravenous immunoglobulin (IVIG) replacement. MATERIALS AND METHODS: Children with primary immunodeficiencies receiving IVIG replacement in Izmir Dr Behcet Uz Children's Hospital, between June 2014 and June 2016, were included in our study. RESULTS: The total number of the patients receiving IVIG replacement was 145 (37 female, 108 male). The number of total IVIG infusions was 1214. Adverse reactions were observed in 44.8% of the patients and 14.2% of the infusions. Common variable immunodeficiency was the most common diagnosis of the patients and adverse reactions most commonly developed in this group (24.2%). In all infusions the most frequent adverse reaction was headache (7.8%); fever was the most frequent immediate side effect (3.9%), whereas headache was the most common delayed adverse effect (5.1%). By logistic regression analyses, history of adverse reaction to IVIG in previous infusions, existence of concomitant infectious disease, past or family history of atopic disease, to receive IVIG infusion at the first time, or being under 10 years old were found associated with adverse reactions. There was no correlation between the concentration of IVIG preparations and the rate of side-effect development. CONCLUSIONS: In our study no severe adverse reaction to IVIG was observed, but many mild or moderate side effects occurred. Therefore, IVIG indications must be well identified. Patients, family of the patients and health care workers must be informed for adverse reactions


No disponible


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Imunoglobulinas Intravenosas/efeitos adversos , Síndromes de Imunodeficiência/tratamento farmacológico , Distribuição por Idade e Sexo , Estudos Retrospectivos , Estudos Transversais , Fatores de Risco , Modelos Logísticos , Fatores de Tempo
9.
Rev. neurol. (Ed. impr.) ; 71(12): 431-437, 16 dic., 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-195510

RESUMO

INTRODUCCIÓN: La enfermedad por coronavirus 2019 (COVID-19) causó el colapso de muchos hospitales. El objetivo de este estudio es analizar la utilidad del electroencefalograma (EEG) en el tratamiento del paciente neurológico durante la pandemia de COVID-19. PACIENTES Y MÉTODOS: El Servicio de Neurofisiología Clínica del Hospital Central de la Defensa Gómez Ulla fue disuelto debido a la situación de saturación hospitalaria. En consecuencia, se realizó un EEG excepcionalmente a los pacientes a los que tenía mayor probabilidad de aportar un beneficio en su tratamiento. Se describen siete pacientes (cuatro en cuidados intensivos y tres hospitalizados) diagnosticados con COVID-19 a quienes se les realizó un EEG. RESULTADOS: El EEG mostró anormalidades en todos los casos, incluyendo un caso de muerte cerebral. El EEG supuso un cambio en el tratamiento clínico en cuatro de los pacientes (57%) y ayudó al clínico a informar a la familia. En los otros tres casos, se sospechó un origen tóxico-metabólico previo al EEG, por lo que no implicó un cambio en el tratamiento ya propuesto, aunque facilitó una orientación pronóstica. Se evidenciaron ondas lentas polimorfas en cinco casos. Actualmente, un paciente permanece hospitalizado y cuatro han fallecido. CONCLUSIONES: El EEG fue de utilidad y facilitó la toma de decisiones en los pacientes con COVID-19 en los que se solicitó. Orientó al diagnóstico en casos en los que la tomografía computarizada no contribuyó y supuso un cambio en el tratamiento terapéutico en la mayoría de los pacientes. Los hallazgos más frecuentes fueron signos de encefalopatía y descargas epileptiformes


INTRODUCTION: The coronavirus disease 2019 (COVID-19) caused a collapse situation in many hospitals around the world. The aim of this study is to analyse the utility of the electroencephalogram (EEG) in the management of the neurological patient during the COVID-19 pandemic. PATIENTS AND METHODS: The Clinical Neurophysiology Department of the Hospital Central de la Defensa Gómez Ulla was dissolved due to the hospital collapse situation. Therefore, the EEG was performed exceptionally in those cases with the greatest probability of providing a benefit in its management. We describe seven patients (four in ICU and three hospitalized) diagnosed with COVID-19, who underwent through an EEG. RESULTS: The EEG showed abnormalities in all cases, including one case of brain death. The EEG resulted in a change in clinical management in four of the patients (57%) and helped the clinician provide information to the family. In the other three cases, a toxic-metabolic origin was suspected before the EEG was performed, so it did not imply a change in the clinical management already proposed, although it facilitated a prognostic orientation. Slow polymorphic waves were evident in five cases. Five patients were unresponsive. Currently, one patient remain hospitalized and four have died. CONCLUSIONS: The EEG was useful and facilitated decision making in COVID-19 patients in whom it was requested. It guided the diagnosis in cases where CT was non-contributory and led to a change in therapeutic management in most patients. The most frequent findings were signs of encephalopathy and epileptiform discharges


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Eletroencefalografia/métodos , Infecções por Coronavirus/diagnóstico , Encefalopatias/diagnóstico , Encefalopatias/virologia , Estudos Retrospectivos , Encefalopatias/terapia , Infecções por Coronavirus/terapia , Distribuição por Idade e Sexo , Reprodutibilidade dos Testes
10.
Med. oral patol. oral cir. bucal (Internet) ; 25(6): e784-e790, nov. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-197187

RESUMO

BACKGROUND: This study investigated the causes of dental implant removal due to complications, and examined whether patients who had dental implant removal desired re-implant prosthesis treatments. MATERIAL AND METHODS: A retrospective case–control study was conducted on patients who had their dental implants removed. We investigated whether the removed dental implant was replaced with other implant prostheses. Age, sex, diabetes, smoking, implant site distribution, reason for implant removal, and blade and root-form implants were categorized as predictive variables. The outcome variable was desire for re-implantation or use of other prosthetic methods after implant removal. A logistic regression model was created to identify patient factors that could predict the re-implantation of dental prostheses after implant removal. RESULTS: A total of 215 dental implants were removed from 143 patients. The most common reason for implant removal was peri-implantitis that was identified in 165 implants. After implant removal, re-implantation was per-formed in 98 implants (45.6%). Bivariate analyses showed that age, diabetes, implant type, and reason for implant removal were associated with the desire for re-implanted prostheses. The multiple regression model revealed that age, implant type, and reason for implant removal were associated with an increased desire for re-implant pros-theses after implant removal. CONCLUSIONS: Re-implantation of prostheses after the removal of dental implants was desired by patients who were younger, had implants placed in the root form, and had implants removed due to prosthetic-related complications


No disponible


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Remoção de Dispositivo/estatística & dados numéricos , Implantes Dentários/efeitos adversos , Estudos Retrospectivos , Modelos Logísticos , Fatores de Risco , Distribuição por Idade e Sexo , Peri-Implantite/complicações
11.
Med. oral patol. oral cir. bucal (Internet) ; 25(6): e810-e817, nov. 2020. ilus, graf, tab
Artigo em Inglês | IBECS | ID: ibc-197191

RESUMO

BACKGROUND: Although there are no population-based studies that support an association, there are reports in the literature of mucocutaneous, vesiculobullous and ulcerated lesions in the oral mucosa in cases of arbovirus infection. The aim of this study is to analyze the prevalence of ulcerative stomatitis in individuals affected by arboviruses in a population of the municipality of Arcoverde, Pernambuco, Brazil. MATERIAL AND METHODS: 1,003 people living in an area assigned to a Primary Health Care Unit were interviewed. A structured questionnaire was used for data collection, with questions about sociodemographic variables, residence conditions, general health information, as well as information about the general signs and symptoms of arboviruses and specifically about oral lesions. RESULTS: Of the 1,003 individuals interviewed, 815 (81.25%) were infected by one or more arboviruses. Of these, 147 (18%) reported ulcerated oral lesions during arbovirus infections. The association between arbovirus infections and the presence of ulcerated oral lesions was statistically significant (p = 0.000). CONCLUSIONS: In these cases, the ulcerated lesions on the oral mucosa appear to be associated with arbovirus infection, especially Chikungunya, although the pathophysiological mechanisms are not defined, and the studies are not sufficient to confirm this association


No disponible


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Gengivite Ulcerativa Necrosante/epidemiologia , Gengivite Ulcerativa Necrosante/virologia , Infecções por Arbovirus/epidemiologia , Prevalência , Inquéritos e Questionários , Fatores Socioeconômicos , Distribuição por Idade e Sexo , Brasil/epidemiologia
12.
Rev. ADM ; 77(5): 239-243, sept.-oct. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1141115

RESUMO

El artículo resume los resultados de una investigación observacional descriptiva de corte transversal, realizada en el consultorio No. 19 perteneciente al área de salud de la Clínica Estomatológica del Hospital Docente «Dr. Luis Aldana Palomino¼ Municipio Amancio Rodríguez, Las Tunas, Cuba, en el periodo comprendido entre octubre de 2017 y junio de 2019, cuyo objetivo fue describir el comportamiento de los trastornos temporomandibulares en pacientes mayores de 60 años, con un universo de 120 pacientes diagnosticados y la muestra aleatoria de 90 de ellos. En los resultados se destacó que el rango de edad entre 60 y 65 años y en sexo femenino fue donde más prevalecieron los trastornos temporomandibulares; el que se presentó con más frecuencia fue el muscular grupo I, según la clasificación de Okeson. De los factores etiológicos oclusales encontrados, el bruxismo y la rehabilitación protésica fueron los más representativos. El desgaste dentario fue el parámetro clínico más reportado de forma general presentándose en ambos tipos de trastornos (AU)


The article sums up the results of an observational, descriptive, and transversal study, carried out at the dispensary 19, belonging to the area of health of the Stomatological Clinic in the educational hospital «Dr. Luis Aldana Palomino¼ in the municipality Amancio Rodríguez, Las Tunas, Cuba, in the period between October 2017 and June 2019, whose objective was to describe the development of temporomandibular disorders in 60+ year-old patients, from a universe of 120 patients diagnosed and a random sample of 90 of them. In the results, it is highlighted that the age range between 60 and 65 years and female patients was where most of the temporomandibular disorders occurred, being the most frequent the muscular group I, per the Okeson classification. Of the occlusal etiologic factors found, bruxism and prosthetic rehabilitation were the most representative. Dental wear was the clinical parameter most reported in general, showing up in both types of disorders (AU)


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Transtornos da Articulação Temporomandibular , Assistência Odontológica para Idosos , Bruxismo , Epidemiologia Descritiva , Estudos Transversais , Prótese Dentária , Cuba , Unidade Hospitalar de Odontologia , Distribuição por Idade e Sexo , Desgaste dos Dentes , Estudo Observacional
13.
Actas dermo-sifiliogr. (Ed. impr.) ; 111(8): 683-687, oct. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-197156

RESUMO

El eritema nudoso (EN) es la paniculitis más frecuente y aunque puede ser idiopático, presenta múltiples procesos causales. Elaboramos un estudio retrospectivo, observacional y descriptivo de las causas de EN en pacientes ingresados en un hospital español de tercer nivel durante un período de 11 años, y comparamos los resultados obtenidos con los publicados en otros trabajos. Comparamos los marcadores analíticos de inflamación entre causas inflamatorias y no inflamatorias de EN. La cohorte final quedó compuesta por 52 pacientes, con un 20% de casos idiopáticos, un 34% de casos secundarios a infecciones y otro 34% de casos secundarios a enfermedades autoinmunes. No hubo casos secundarios a fármacos o linfomas. No observamos diferencias significativas en los parámetros analíticos de inflamación en función de causa inflamatoria o no inflamatoria de EN


Erythema nodosum (EN) is the most frequent panniculitis, and although it can be idiopathic, it presents multiple causal processes. We made a retrospective, observational and descriptive study about causes of EN in patients admitted to a third-level Spanish hospital over a period of 11 years, and we compared the results obtained with those published in other studies. We compared the analytical markers of inflammation between inflammatory and non-inflammatory causes of EN. The final cohort was composed by 52 patients, with 20% of idiopathic cases, 34% of cases secondary to infections and another 34% of cases secondary to autoimmune diseases. There were no cases secondary to drugs or lymphomas. We did not observe significant differences in the analytical parameters of inflammation between inflammatory or non-inflammatory cause of EN


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Eritema Nodoso/etiologia , Eritema Nodoso/epidemiologia , Centros de Atenção Terciária/estatística & dados numéricos , Estudos Retrospectivos , Distribuição por Idade e Sexo , Estatísticas não Paramétricas , Espanha/epidemiologia
14.
Farm. comunitarios (Internet) ; 12(4): 21-29, oct. 2020.
Artigo em Espanhol | IBECS | ID: ibc-197488

RESUMO

INTRODUCCIÓN: la vacunación es el modo más eficaz para prevenir la gripe estacional. En España las coberturas son bajas en todos los grupos de población. Nuestro objetivo es comprobar si la intervención del farmacéutico comunitario puede incrementar las tasas de vacunación e identificar las variables que influyen sobre ellas. MATERIAL Y MÉTODOS: estudio cuasi experimental pre-post intervención en tres grupos de riesgo (GR): mayores de 65 años (M), alto riesgo de sufrir complicaciones (C) y que pueden transmitir la infección (T). Se determinan las tasas de vacunación pre y postintervención (dos campañas) y el efecto de diversas variables sobre la posibilidad de vacunarse. RESULTADOS: han sido entrevistados 74 pacientes, 58  % mujeres, entre 33 y 90 años. Tasa de vacunación previa a la intervención: 58  %. Porcentajes por GR: 69  % M, 62  % C y 47  % T. Se identifican 31 pacientes de riesgo sin historial de vacunación. Tasa de vacunación tras la intervención: 74  % en campaña 17/18 y 66  % en 18/19. La vacunación se relaciona con grado de conocimiento del proceso, existencia de historia de vacunación previa y edad superior a 65 años. DISCUSIÓN: las tasas de vacunación antes de la intervención son similares a las publicadas a nivel regional y nacional. Las tasas incrementadas alcanzadas (74  % y 66  %) se aproximan a los niveles propuestos por la Unión Europea (UE) y la Organización Mundial de la Salud (OMS). El mayor aumento en los grupos C y T puede ser relevante en comunidades cerradas donde las medidas higiénicas son de capital importancia


INTRODUCTION: Vaccinating population is the most effective method of preventing flu and its consequences although in Spain coverage rates remain low. Our objective is to assess whether community pharmacist intervention can increase vaccination coverage of risk population and to identify factors influencing rates. MATERIAL AND METHODS: Pre-post cuasi experimental study including three high risk population groups: aged 65 and above (M), having any risk chronic illness (C) or transmitting patients (T). Coverage was measured before and twice (two vaccination campaigns) after intervention and the effect of different factors on having the vaccine were estimated. RESULTS: 74 patients, 58  % women, aged between 33 and 90 were interviewed. Vaccination coverage before intervention: 58  %. Rates found by risk group: 69  % M, 62  % C y 47  % T. 31 risk patients with no vaccination history were identified. Global post-intervention vaccination coverage: 74  % in 17/18 vaccination campaign and 66  % in 18/19. Flu awareness, vaccination in previous seasons and being aged above 65 showed statistically significant effect on vaccination rate. DISCUSSION: Pre-intervention rates were similar to those published for our region and country. Post-intervention rates (74 and 66  %) are close to EU and WHO vaccination goals. The higher coverage increase was achieved for C and T groups: this can be relevant in closed communities where hygiene measures are of importance. CONCLUSIONS: A simple intervention conducted at our community pharmacy resulted in a significant increase of the flu vaccination rate in several population risk groups


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Influenza Humana/prevenção & controle , Cobertura Vacinal/estatística & dados numéricos , Farmácias/estatística & dados numéricos , Vacinas contra Influenza/uso terapêutico , Fatores de Risco , Comorbidade , Distribuição por Idade e Sexo , Programas de Imunização/estatística & dados numéricos , Espanha
15.
Rev. psicol. clín. niños adolesc ; 7(3): 35-41, sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-195037

RESUMO

La pandemia debida al COVID-19 ha supuesto un gran impacto a nivel mundial. El objetivo general del presente estudio es analizar el impacto psicológico durante el confinamiento en la adolescencia y adultez emergente. La muestra fue de conveniencia (n = 399), residentes en España y República Dominicana (RD). El rango de edad abarca desde los 12 hasta los 29 años (M = 22.57; DT = 3.67). La evaluación se realizó en línea, con los siguientes instrumentos: una encuesta ad hoc para medir las variables sociodemográficas, Fear of COVID-19 Scale (Escala de Miedo al COVID-19), Impact of Event Scale-Revised (Escala del Impacto de Eventos Estresantes Revisada), The Brief Coping Orientation to Problems Experience (Inventario breve de afrontamiento) y Strengths and Difficulties Questionnaire (Cuestionario de Capacidades y Dificultades). Los resultados muestran diferencias según el grupo de edad, sexo y residencia. Los adultos presentaron más miedo al COVID-19 (p < .05) y estrés agudo que los adolescentes (p < .01), las mujeres más miedo y estrés que los hombres (p < .01) y los residentes de RD más miedo a la enfermedad que los de España (p < .01). El análisis de regresión lineal mostró que el miedo a la enfermedad fue un buen predictor del estrés agudo. En conclusión, se sugiere ampliar el estudio en estas poblaciones ante situaciones de estrés, concretamente la derivada del COVID-19, que permitan la prevención de estrés agudo y entrenamiento en estrategias de afrontamiento adaptativas frente a situaciones de crisis


The aim of this study is to analyze the psychological impact during confinement on adolescents and emerging adults. The convenience sample is composed by (n = 399) residents of Spain and the Dominican Republic (DR). The age range is 12 to 29 years old (M = 22.57; SD = 3.67). The assessment was conducted online, with the following instruments: an ad hoc survey to measure socio-demographic variables, Fear of COVID-19 Scale, Impact of Event Scale-Revised, The Brief Coping Orientation to Problems Experience and Strengths and Difficulties Question-naire. The results show differences by age, sex and residence. Adults reported more fear of COVID-19 (p < .05) and acute stress than adolescents (p < .01), more fear and stress in women than men (p < .01) and more fear to the disease in residents of the DR than in Spain (p < .01). Linear regression analysis showed that fear of COVID-19 was a good predictor of acute stress. In conclusion, it is suggested to expand the study in these populations in situations of stress, specifically the one derived from COVID-19, that allow the prevention of acute stress and training in adaptive coping strategies in the face of crisis situations


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Medo/psicologia , Infecções por Coronavirus/psicologia , Quarentena/psicologia , Sintomas Afetivos/psicologia , Ansiedade/psicologia , Depressão/psicologia , Estresse Psicológico/psicologia , Adaptação Psicológica , Espanha , República Dominicana , Distribuição por Idade e Sexo , Pandemias/estatística & dados numéricos , Distância Social , Transmissão de Doença Infecciosa , Psicometria/estatística & dados numéricos
16.
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. Impr.) ; 46(supl.1): 12-19, ago. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192612

RESUMO

INTRODUCCIÓN: La pandemia por el virus SARS-CoV-2 ha supuesto un auténtico reto para los sistemas sanitarios. En España, la distribución heterogénea del virus y las diferentes estrategias sanitarias han condicionado la morbilidad y la letalidad. El objetivo de este estudio fue analizar la letalidad de la infección por sexo y rangos de edad en las comunidades autónomas (CC.AA.) de España. MATERIAL Y MÉTODOS: Para realizar el análisis, los datos se extrajeron del Ministerio de Sanidad, Consejerías y Departamentos de Salud Pública de las diferentes CC.AA. Se estimó la población infectada a partir de los resultados del ENE-COVID19 y de la población censada a 1 de enero de 2020 (INE) para una validez del test de anticuerpos IgG con 80% de sensibilidad y 100% de especificidad. La tasa de letalidad (TL) (fallecidos/1.000 infectados estimados) por sexo y edad (< 20 años, 20-64 y ≥ 65 años) se calculó para cada CC.AA. Se calculó la razón estandarizada de letalidad (REL) por el método exacto (EPIDAT). RESULTADOS: La prevalencia estimada de infección por SARS-CoV-2 en España fue del 6% (rango, 1,4% [Ceuta] - 14,1% [Comunidad de Madrid]). La TL para el conjunto de España fue del 9,6/1.000, oscilando entre el 1/1.000 en Melilla y el 26,6/1.000 en La Rioja, sin que se encontrara correlación entre letalidad y prevalencia de la infección. La TL fue mayor en hombres (10,2/1.000, razón 1,17 respecto de mujeres), excepto en Cataluña (razón 0,92), y especialmente elevada en los mayores de 64 años en La Rioja (143,5/1.000), Asturias (69,2/1.000) y País Vasco (46,6/1.000). Se encontró un exceso de letalidad (REL) global superior al 30% en La Rioja (2,91; IC 95%: 2,36-3,57), Asturias (1,51; IC 95%: 1,27-1,80), País Vasco (1,42; IC 95%: 1,31-1,54) y Extremadura (1,37; IC 95%: 1,20-1,57) y en los mayores de 64 años en Madrid y Canarias. CONCLUSIONES: La infección por el virus SARS-CoV-2 se ha distribuido de forma muy irregular en las diferentes CCAA, existiendo una gran diferencia en la tasa de letalidad entre comunidades, siendo especialmente elevada en La Rioja, Asturias y País Vasco. Es relevante el exceso de letalidad respecto a la media nacional en la población mayor de 64 años en las CC.AA. de Madrid y Canarias


INTRODUCTION: The SARS-CoV-2 pandemic has posed a real challenge to health systems. In Spain, the heterogeneous distribution of the virus infection and the different health strategies have conditioned the morbidity and fatality rate. The aim of this study was to analyse the lethality of the infection by sex and age range in the Autonomous Communities (AC) of Spain. MATERIAL AND METHODS: To perform the analysis, data were extracted from the Ministry of Health, Regional and Public Health Departments of the different AC. The infected population was estimated from the results of the ENE-COVID19 and the population registered on 1 January 2020 (INE) for the validity of the IgG antibody test with 80% sensitivity and 100% specificity. The case fatality rate (TL) (deaths/1000 estimated infected) by sex and age (< 20 years, 20-64 and ≥ 65 years) was calculated for each AC. The standardized case fatality ratio (REL) was calculated by the exact method (EPIDAT). RESULTS: The estimated prevalence of SARS-CoV-2 infection in Spain was 6% (range, 1.4% [Ceuta] - 14.1% [Community of Madrid]). The TL in Spain was 9,6/1000, ranged per AC from 1/1000 in Melilla to 26.6/1000 in La Rioja, with no correlation between case fatality and prevalence of infection. The TL was higher in men (10.2/1000, ratio 1.17 with respect to women), except in Cataluña (ratio 0.92), and especially high in those over 64 years of age in La Rioja (143.5/1000), Asturias (69.2/1000) and Basque Country (46.6/1000). Overall excess REL was found to be over 30% in La Rioja (2.91; 95% CI: 2.36-3.57), Asturias (1.51; 95% CI: 1.27-1.80), Basque Country (1.42; 95% CI: 1.31-1.54) and Extremadura (1.37; 95% CI: 1.20-1.57) and in those over 64 years in Madrid and the Canary Islands. CONCLUSIONS: SARs-CoV-2 virus infection has been very unevenly distributed in the different ACs, with notably differences in TL between ACs, particularly high in La Rioja, Asturias and the Basque Country. Is important to study the excess in TL the population over 64 years of age in the ACs of Madrid and the Canary Islands


Assuntos
Humanos , Infecções por Coronavirus/mortalidade , Mortalidade/tendências , Síndrome Respiratória Aguda Grave/mortalidade , Vírus da SARS/patogenicidade , Distribuição por Idade e Sexo , Causas de Morte/tendências , Sensibilidade e Especificidade , Imunoglobulina G/análise , Espanha/epidemiologia , Epidemiologia Descritiva
17.
Fontilles, Rev. leprol ; 32(5): 303-317, mayo-ago. 2020. tab, graf, ilus
Artigo em Espanhol | IBECS | ID: ibc-198458

RESUMO

OBJETIVO: identificar las afecciones oculares diagnosticadas en los pacientes con Lepra que asistieron a consulta oftalmológica en el servicio de Uveitis e Inflamaciones Oculares (SUIO) del Instituto Cubano de Oftalmología Ramon Pando Ferrer en el periodo 2017-2019. MÉTODOS: se realizó un estudio descriptivo prospectivo observacional en pacientes con diagnóstico de lepra quienes cumplieron los criterios de inclusión y exclusión de la investigación. Las variables estudiadas fueron: edad, sexo, afecciones oftalmológicas y grado de discapacidad. RESULTADOS: predomino el sexo masculino y el grupo de edad entre 45-59 años, la mayoría de los pacientes se diagnosticaron tardíamente después del ano del comienzo de los síntomas, las afecciones oculares predominaron en el segmento anterior del ojo y se diagnosticaron cuatro pacientes con diferentes grados de discapacidad ocular. CONCLUSIONES: las afecciones oculares del segmento anterior son frecuentes en los pacientes con lepra, sobre todo en las formas lepromatosas y pueden aparecer en el momento del diagnóstico, durante o después del tratamiento. Muchas de las causas de afecciones oculares en los pacientes con lepra son prevenibles, es primordial garantizar la asistencia oftalmológica en los mismos


OBJECTIVE: to identify the ocular affections in patient with a diagnosis of leprosy in the department of Uveitis and Ocular (SUIO) Inflammations of the Cuban Institute of Ophthalmology Ramon Pando Ferrer during the period 2017-2019. METHODS: a prospective observational descriptive study in patients with diagnosis of leprosy who completed the admission or exclusion criteria of the investigation was carried out. The studied variables were age, sex, ophthalmological affections and grade of incapacity. RESULTS: The male gender and the age group among 45-59 years prevailed. Most of the patients were diagnosed belatedly after the year of the beginning of the symptoms, the ocular affections prevailed in the segment previous of the eye, and four patients were diagnosed with different grades of ocular discapacity. CONCLUSIONS: the ocular affections of the previous segment are frequent in the patients with leprosy, mainly in the lepromatous type of the disease and they can appear during the presentation of the patient and diagnosis or during or after the treatment. Many of the causes of ocular affections in the patients with leprosy can be prevented and the required ophthalmological care to avoid them must be provided


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Hanseníase/complicações , Oftalmopatias/etiologia , Oftalmopatias/epidemiologia , Hanseníase/epidemiologia , Estudos Prospectivos , Distribuição por Idade e Sexo , Hanseníase/patologia , Índice de Gravidade de Doença , Cuba/epidemiologia
18.
Fontilles, Rev. leprol ; 32(5): 361-370, mayo-ago. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-198461

RESUMO

OBJETIVO: El objetivo del estudio es cribar convivientes de personas diagnosticadas de lepra con un elevado índice bacteriológico en un centro de referencia. MÉTODOS: El estudio hospitalario incorporo a 334 personas recién diagnosticadas de lepra con un elevado índice bacteriológico. El hospital de referencia es el de Champa, Chhattisgarh, India. Se anotaron todos los convivientes de estos casos registrados de lepra y se les ofreció ser examinados. RESULTADOS: De 334 casos con un índice bacteriológico elevado (IB), 252 (75%) eran varones y 82 (25%) mujeres, con edades comprendidas entre los 12 y los 75 años. Sesenta y dos (18%) presentaron discapacidad Grado 2 y un 32% presentaron un índice bacteriológico mayor de 5 en el momento del diagnóstico. Se registraron un total de 1,397 convivientes para cribaje y 678 (49%) fueron examinados clínicamente para detectar lepra. Ciento dieciséis convivientes presentaron signos de lepra y, de entre ellos, 57 (44%) se identificaron como nuevos casos, 11 (10%) como casos conocidos en tratamiento y 48 (41%) habían sido tratados anteriormente por la enfermedad. CONCLUSIÓN: El estudio revela que el cribaje de convivientes de pacientes con elevados IB es un método efectivo para la detección de posibles nuevos casos y enfatiza la necesidad continua de cribaje y seguimiento. La educación sanitaria y la motivación de los convivientes incrementara su presentación voluntaria para ser cribados y así detectar nuevos casos


OBJECTIVE: The study aimed to screen household contacts of persons diagnosed with leprosy having a high bacterial index, at a tertiary referral centre. METHODS: This hospital based study involved 334 persons who were newly diagnosed as leprosy with a high bacterial index, attending a tertiary referral hospital, Champa, Chhattisgarh, India. We enumerated all the household contacts of registered cases and invited them to be screened for leprosy. RESULTS: Of 334 high BI cases, 252 (75%) were male and 82 (25%) were female, with ages ranging from 12 to 75 years. Sixty two (18%) had Grade 2 disability and 32% had a bacterial index of above 5+ at the time of diagnosis. A total of 1,397 household members were enrolled for screening and 678 (49%) were examined for leprosy. One hundred and sixteen household members were found to have signs of leprosy, and among these, 57 (49%) were identified as new cases, 11 (10%) were known cases on treatment and 48 (41%) had been previously treated for leprosy. CONCLUSION: This study showed that screening of household contacts of high BI cases is an effective method of leprosy case detection and emphasizes the continuing need to screen and follow up. Continued health education and motivation of household contacts will enhance voluntary reporting for periodical screening


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Busca de Comunicante/estatística & dados numéricos , Hanseníase/diagnóstico , Hanseníase/epidemiologia , Centros de Atenção Terciária/estatística & dados numéricos , Família , Hanseníase/tratamento farmacológico , Carga Bacteriana , Distribuição por Idade e Sexo , Índia/epidemiologia
19.
Med. oral patol. oral cir. bucal (Internet) ; 25(4): e495-e501, jul. 2020. graf, tab
Artigo em Inglês | IBECS | ID: ibc-196502

RESUMO

BACKGROUND: Although magnetic resonance imaging (MRI) helps to clearly visualize the disorders in temporo-mandibular joint (TMJ), the relationship between cross-sectional and clinical findings has not been precisely established. The aim of this study was to evaluate the relationship between clinical symptoms and MRI findings in individuals with TMJ pain. MATERIAL AND METHODS: This cross-sectional study, conducted on the clinical and MRI findings of the patients, who applied to Uşak University, Oral and Maxillofacial Surgery Clinic with TMJ pain between the years 2016-2019. The primary predictor variables were MRI findings; disc position (normal, disc displacement with reduction (DDWR), disc displacement without reduction (DDWOR)), disc structural distortion (normal, folded, lengthened, round, biconvex, thick), condyle degeneration type (normal, moderate, severe) and joint effusion (JE) (absent, present). The primary outcome variable was pain, recorded on a visual analog scale (VAS) (numbered between 0-10). The other variables were demographic variables (age/gender). The relationship between clinical and MRI findings were statistically evaluated. The data were analysed by Kruskal Wallis and Mann Whitney U test. Chi-square (x2) test was used for categorical variable comparisons. P values < .05 were considered to indicate statistical significance. RESULTS: Clinical and MRI records of 700 TMJ, from 350 patients with the mean age of the 31 (12-65) were evaluated in this study. Statistically significant differences were found between; disc position and pain, disc position and JE; JE and pain; disc structural distortion and pain; and disc structural distortion and disc position. JE was seen more common in DDWOR group. The most common disc distortion, seen in patients with JE, is the folded type CONCLUSIONS: The present study can infer that pain is associated with disc position, JE, disc structural distortion, and DDWOR is associated with JE. Folded type disc is the most common disc type in TMJ with JE


No disponible


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Transtornos da Articulação Temporomandibular/diagnóstico por imagem , Dor Facial/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/fisiopatologia , Dor Facial/fisiopatologia , Articulação Temporomandibular/diagnóstico por imagem , Articulação Temporomandibular/fisiopatologia , Imagem por Ressonância Magnética/métodos , Estudos Transversais , Índice de Gravidade de Doença , Distribuição por Idade e Sexo , Medição da Dor , Estatísticas não Paramétricas
20.
Med. oral patol. oral cir. bucal (Internet) ; 25(4): e516-e522, jul. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-196505

RESUMO

BACKGROUND: Salivary gland tumors (SGT) correspond to a heterogeneous group of lesions with variable biological behavior. The present study aimed to determine the distribution and demographic findings of salivary gland neoplasms in a northeast Brazilian population. MATERIAL AND METHODS: A retrospective descriptive cross-sectional study was performed. A total of 588 cases of SGT were diagnosed between 2006 and 2016 of 4 pathology services in the state of Sergipe, Brazil. All cases were reviewed, and data such as sex, age, anatomical location, and histopathological diagnosis were collected. RESULTS: A total of 470 (79.9%) tumors were benign and 118 (20.1%) were malignant. The majority of the patients were females (n = 328, 55.8%) with an overall female: male ratio of 1.2:1. The major salivary glands were affected more than the minor glands (69.5% vs. 30.5%). Pleomorphic adenoma (n = 419, 71.3%) and mucoepidermoid carcinoma (n = 29, 4.9%) were the most frequent benign and malignant tumors, respectively. In addition, both benign and malignant tumors occurred more frequently in the parotid gland (n = 300, 51%, p < 0.05). CONCLUSIONS: The epidemiologic profile and clinical characteristics of SGT were similar to those described in other countries and other regions of Brazil. Epidemiological studies of SGT help to understand their clinical and pathological features and are essential to establish the proper management and prognosis


No disponible


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Neoplasias das Glândulas Salivares/epidemiologia , Carcinoma/epidemiologia , Adenoma Pleomorfo/epidemiologia , Estudos Retrospectivos , Estudos Transversais , Distribuição por Idade e Sexo , Brasil/epidemiologia
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