Avaliação da ocorrência de doenças periodontais e gengivais entre os pacientes atendidos em uma clínica escola de odontologia de um centro universitário do nordeste brasileiro / Evaluation of the occurrence of periodontal and gingival diseases among patients attended at a dental school clinic of a university center in the Northeast of Braz

A doença periodontal é um grupo de doenças de natureza inflamatória/infecciosa, considerada um problema de saúde pública, devido à alta prevalência. O objetivo do presente estudo foi determinar a ocorrência das doenças gengivais e periodontais entre os pacientes atendidos em um Centro Universitário do Nordeste Brasileiro, identificando quais doenças periodontais são as mais prevalentes e observando os possíveis fatores de risco relatados nas anamneses. A pesquisa foi realizada no Centro Universitário Cesmac de Maceió-AL, na qual foram incluídos prontuários de pacientes atendidos nessa mesma clínica escola, de ambos os sexos, na faixa etária de 11 a 85 anos, no período de 2010 a 2016. Os dados coletados foram tabulados em um banco de dados feito no Microsoft Excel (Microsoft Corporation, USA), onde registrou-se o número do paciente, gênero (biológico); idade; etnia; data do exame periodontal; diagnóstico periodontal; prognóstico periodontal; presença ou ausência de doença sistêmica relatada pelo paciente através da anamnese presente em seu prontuário. A análise dos dados obtidos foi realizada através dos testes de Qui-quadrado, de Mann-Whitney, de Kruskal-wallis e Dunn. E os softwares utilizados foram o BioEstat 5.0 e o GraphPad Prism 7.0. De acordo com os resultados obtidos nesta pesquisa observa-se a alta ocorrência de doenças gengivais e periodontais. Devido a metodologia utilizada não houve dados suficientes que comprovassem a relação da doença com a condição sistêmica (AU)

The periodontal diseaseis a groupo inflammatory / infectio us diseases considered a public health problem dueto its high prevalence. The aim of the present study was to determine the occurrence of gingival and periodontal diseases among the patients attending in a University Center at Brazil's Northeast, identifying which periodontal diseases are the most prevalente and observing the possible risk factors reported in the anamneses. The study was carried out at the Centro Universitário Cesmac de Maceió-AL, in which the medical records of patients attending the same school clinic of both sexes, aged between 11 and 85 years, were included in the period from 2010 to 2016. The data collected were tabulated in a data base made in Microsoft Excel (Microsoft Corporation, USA), where the patient's number, gender (biological) was recorded; age; ethnicity; date of periodontal examination; periodontal diagnosis; periodontal prognosis; presence orabsence of systemic disease reported by the patient through the anamnes is present in his medical record. Data analysis was performed using the Chi-square, Mann-Whitney, Kruskal-wallis and Dunn tests. And the software used was BioEstat 5.0 and GraphPad Prism 7.0. According to the results obtained in this research the high occurrence of gingival and periodontal diseases is observed. Dueto the methodology used, there were insufficient data to prove the relation ship between the disease and the system condition. (AU)

Spatial distribution pattern and diameter structure of Protium Burm. f. in Iratapuru river sustainable development reserve, Amapá, Brazil / Padrão de distribuição espacial e estrutura diamétrica de Protium Burm. f. na reserva de desenvolvimento sustentável do Rio Iratapuru, Amapá, Brasil

The present work aims to determine the spatial distribution pattern of Protium Burm. f and the diametric structure of these species in a dense tropical submontane rainforest along the Sustainable Development Reserve (SDR) of the Iratapuru river. The area of study was divided into three plateau compartments called Mane Preto Sierra, Banco Grande Sierra and Alaska Sierra. In each plateau compartment it was settled a single area transect with 1,000 x 20 m, where DAP ≥ 10 cm of the entire Protium population within the transects was measured. The data was processed in the specific software Mata Nativa 2. There were inventoried Protium tenuifolium, Protium altsoni, Protium polybotryum subsp. blackii and Protium paniculatum var. riedelianum. Most individuals concentrated in smaller diametric classes, decreasing progressively to a lesser extent in larger classes. It can be concluded that the population has medium size and its vertical structure is characterized by the presence of three strata, however, its phytocenoses is defined by two clear constants: the first groups individuals of up to 15 m of height and forms the uniform and dominant stratum; the second is composed by emerging up to 35 m high and whose diameter structure shows a population in dynamic balance.

Este trabalho tem como objetivo determinar o padrão de distribuição espacial de Protium Burm. f e estrutura diamétrica dessas espécies em uma floresta tropical densa submontana ao longo da reserva de desenvolvimento sustentável (RDS) do rio Iratapuru. A área estudada foi dividida em três compartimentos de planaltos denominados Serra Mane Preto, Serra Banco Grande e Serra Alaska. Em cada compartimento de planalto instalou-se transecto de área única com 1.000 x 20 m, onde foi mensurado o DAP ≥ 10 cm de toda população de Protium dentro dos transectos. Os dados foram processados em softwares específicos Mata Nativa 2. Foram inventariados Protium tenuifolium, Protium altsonii, Protium polybotryum subsp. blackii e Protium paniculatum var. riedelianum. A maior parte dos indivíduos concentrou-se nas menores classes diamétricas, diminuindo progressivamente até atingir menor proporção nas maiores classes. Pode-se concluir que a população apresenta porte mediano, sua estrutura vertical caracteriza-se pela presença de três estratos; no entanto, sua fitocenose define-se por dois contínuos bem evidentes; o primeiro agrupa indivíduos com até 15 m de altura e forma o estrato uniforme e dominante; o segundo é composto por emergentes com até 35 m de altura e que a estrutura diamétrica evidencia uma população em equilíbrio dinâmico.

In adolescents with epilepsy, high scores of anxiety and depression are associated with occurrence of seizures in public places / Em adolescentes com epilepsia, altos escores de ansiedade e depressão foram associados com ocorrência de crises em lugares públicos

Objective To assess depression and anxiety symptoms of adolescents with epilepsy compared with adolescents without epilepsy. Method The study sample consisted of: case participants (50 subjects) attending the pediatric epilepsy clinic of a tertiary hospital and control participants (51 subjects) from public schools. The instruments utilized were: identification card with demographic and epilepsy data, Beck Depression Inventory and State-Trait Anxiety Inventory. Results No significant differences were founded between the groups regarding scores for depression and anxiety symptoms but both groups presented moderate scores of anxiety. A correlation was found between low scores anxiety and not frequent seizures, low scores anxiety and perception of seizure control, high scores of anxiety and depression and occurrence of seizures in public places. Conclusion Low scores of anxiety are associated with not frequent seizures; high scores of anxiety and depression are associated with occurrence of seizures in public places. .

Objetivo O presente estudo teve como objetivo avaliar os sintomas de ansiedade e depressão de adolescentes com epilepsia comparados com adolescentes sem epilepsia. Método A amostra consistiu: grupo caso (50 indivíduos) atendidos no ambulatório de epilepsia infantil do Hospital Universitário e grupo controle (51 indivíduos) de escolas públicas. Os instrumentos utilizados foram: cartão com dados demográficos e de epilepsia, Beck Depression Inventory e State-Trait Anxiety Inventory. Resultados Os resultados não mostraram diferenças significativas entre os grupos em relação à depressão e ansiedade, mas ambos os grupos apresentaram escores moderados de ansiedade. Foi encontrada correlação entre baixa pontuação de ansiedade e crises não frequentes e percepção de controle de crises; altas pontuações de ansiedade e depressão e ocorrência de crises em lugares públicos. Conclusão Variáveis psicossociais e da doença são contingências importantes no comportamento adaptativo e controle do humor em uma doença crônica como a epilepsia. .

Características socioeconómicas y salud en personas pobres y desplazadas / Características sócio-econômicas e saúde em pessoas pobres e refugiadas / Socioeconomic characteristics and health in poor and displaced people

Se estudió la relación entre aspectos socioeconómicos, desplazamiento, eventos traumáticos, salud, trastorno por estrés postraumático (TEPT) y coocurrencia, en 93 personas pobres. Se aplicó la Escala de Trauma Davidson (DTS) y el Cuestionario de Salud General de Goldberg (GHQ-28); 50,5 por ciento de los participantes tuvieron TEPT y 74,2 por ciento tuvo problemas de salud. Existió coocurrencia entre el TEPT y los problemas de salud, siendo la asociación elevada para la ansiedad (GHQ-28) y la hiperreactivación (DTS). En la existencia de problemas de salud, influyó la puntuación en el DTS. En la existencia de TEPT influyó la puntuación en el GHQ-28, el departamento emisor y el tipo de desplazamiento. La puntuación en la DTS y el departamento emisor influyeron en la existencia de coocurrencia.

Foi estudada a relação entre aspectos socioeconômicos, deslocamento, eventos traumáticos, saúde, transtorno de estresse pós-traumático (TEPT) e co-ocorrência em 93 pessoas de baixa renda. Foi aplicada a Escala de Trauma Davidson (DTS) e o Questionário de Saúde Geral de Goldberg (GHQ-28). 50,5 por cento dos participantes foram descritos com TEPT e 74,2 por cento apresentaram problemas de saúde. Existiu co-ocorrência entre o TEPT e os problemas de saúde, sendo a associação elevada para a ansiedade (GHQ-28) e a hiperreatividade (DTS). Na existência de problemas de saúde houve influemcia da pontuação do DTS. Na existência de TEPT houve influencia da pontuação no GHQ-28, o estado de origem e o tipo de deslocamento. A pontuação na DTS e o departamento de origem influenciaram na existência da co-ocorrência.

The relationship between social and economic aspects of displacement, traumatic events, health, posttraumatic stress disorder (PTSD) and co-occurrence was studied in a sample of 93 poor and displaced people. The Davidson Trauma Scale (DTS), and Goldberg's General Health Questionnaire (GHQ-28) were applied. Of all the participants, 50.5 percent had PTSD and 74.2 percent had health problems. Co-occurrence was observed between PTSD symptoms and health problems, with a strong relation between anxiety (GHQ-28) and hyper-reactivation (DTS). Scores on the DTS were related to the existence of health problems; the scores on the GHQ-28, the issuing department and the type of displacement, all of these were related to PTSD. Scores on the DTS and the issuing department influenced the existence of co-occurrence.

Epidemiology of severe sepsis in the emergency department and difficulties in the initial assistance

BACKGROUND: The aim of this study was to determine the occurrence rate, demographics, clinical characteristics, and outcomes of patients with severe sepsis admitted to the emergency department. METHODS: A prospective study evaluating all patients admitted to the emergency department unit in a public hospital of tertiary complexity in a six-month period was conducted. During this period, the emergency team was trained to diagnose sepsis. Patients who met the diagnostic criteria for severe sepsis were followed until their discharge from the hospital. RESULTS: A total of 5,332 patients were admitted to the emergency department, and 342 met the criteria for severe sepsis/septic shock. The median (interquartile range) age of patients was 74 (65-84) years, and 52.1 percent were male. The median APACHE II and SOFA scores at diagnosis were 19 (15-25) and 5 (3-7), respectively. The median number of dysfunctional organ systems per patient was 2 (1-3). The median hospital length of stay was 10 (4.7-17) days, and the hospital mortality rate was 64 percent. Only 31 percent of the patients were diagnosed by the emergency department team as septic. About 33.5 percent of the 342 severe sepsis patients admitted to the emergency department were referred to an ICU, with a median time delay of 24 (12-48) hours. Training improved diagnosis and decreased the time delay for septic patients in arriving at the ICU. CONCLUSIONS: The occurrence rate of severe sepsis in the emergency department was 6.4 percent, and the rate of sepsis diagnosed by the emergency department team as well as the number of patients transferred to the ICU was very low. Educational campaigns are important to improve diagnosis and, hence, treatment of severe sepsis.

Incidencia y letalidad de las complicaciones agudas y crónicas de la diabetes mellitus en México / Incidence and fatlity rates of short and long-term diabetes mellitus complications in Mexico

Objetivo. Analizar el comportamiento secular de la incidencia y letalidad de las complicaciones de la diabetes mellitus (DM) en México. Material y métodos. Se estudiaron los registros de egresos hospitalarios por DM del Instituto Mexicano del Seguro Social, para el periodo de 1985-1994. Resultados. Se observó un incremento en la incidencia de complicaciones de DM en la última década. La más frecuente es la nefropatía diabética, seguida de los trastornos de la circulación periférica. La edad tiene un efecto importante en la ocurrencia de complicaciones. La cetoacidosis diabética es la complicación más frecuente en los primeros años de la vida. La letalidad de la DM ha disminuido, sobre todo la debida a sus complicaciones agudas. Conclusiones. Las complicaciones de la DM han aumentado por el incremento en la incidencia de la enfermedad y en la esperanza de vida de los pacientes. Es necesario estudiar la incidencia real y sus complicaciones en México e insistir en el adecuado control metabólico con el fin de postergar o evitar su aparición

Objective. To analyze the secular trend of the incidence and fatality rates of diabetic complications in Mexico. Material and methods. All diabetes mellitus(DM)-related hospital records for the 1985-1994 period, from the Mexican Institute for Social Security were reviewed. Results. An increasing trend in the incidence of diabetic complications was observed for the last decade. The most frequent complication is diabetes-related end-stage renal disease, followed by peripheral arterial disease. There is an important age effect in the occurrence of diabetic complications. Diabetic ketoacidosis is the most common complication in the early years of life. Fatality due to DM has decreased, mainly that due to acute complications. Conclusions. Diabetic complications have increased due to the increase in the incidence of DM and in the life expectancy of diabetics. There is a need to study the true incidence of DM and of diabetic complications in Mexico, and to insist in an adequate metabolic control to delay or avoid their occurrence.