Molybdenum cofactor is essential for the function of three human enzymes: sulphite oxidase, xanthine dehydrogenase, and aldehyde oxidase. Molybdenum cofactor deficiency is a rare autosomal recessively inherited disease. Disturbed development and damage to the brain may occur as a result of accumulation of toxic levels of sulphite. The CT and MRI findings include severe early brain abnormalities and have been widely reported, but the cranial US imaging findings have seldom been reported. We report a chronological series of cranial US images obtained from an affected infant that show the rapid development of cerebral atrophy, calcifications and white matter cysts. Our report supports the utility of cranial US, a noninvasive bed-side technique, in the detection and follow-up of these rapidly changing lesions.
Objective: To determine the impact of Burning mouth syndrome (BMS) on the quality of life of patients by means of the World Health Organization Abbreviated Instrument for Quality of Life Assessment (WHOQOL-26). Methods: A total of 116 patients were selected, 58 with BMS and 58 controls. Individuals with changes in the hemogram and in the blood levels of glucose, iron, folic acid and vitamin B 12 were excluded, as well as those who used antidepressant and/or anxiolytic drugs or who showed a salivary flow rate of less than 0.1 mL/min. Results: The overall score of the WHOQOL-26 was significantly lower in the group with the disorder (P<0.001). The patients with BMS also displayed significantly lower scores when compared to controls in relation to the psychological and physical domains of the instrument (P=0.005 and P<0.001, respectively). There was no significant difference between BMS and control patients with respect to scores of the social and environment domains. Conclusions: BMS interferes with the quality of life of patients in a negative way, and therefore, its management is a challenge for the clinicians, who should treat the individual with this disorder in a broader context.
Aim: To verify changes in the frequency of oral hygiene among basic education teachers in Minas Gerais during the COVID-19 pandemic, according to gender. Methods: This is a web survey, epidemiological study. Data collection took place from August to September 2020 through digital form. The dependent variable was the frequency of oral hygiene during the pandemic, categorized as: remained the same, increased, and decreased. Multinomial Logistic Regression was performed. Results: In this study, 15,641 teachers participated, 81.9% of whom were women. Regarding the frequency of oral hygiene, 73.4% reported that it remained the same, 20.1% increased, and 6.5% decreased, with no significant difference between genders. The chances of a decrease in the frequency of oral hygiene were greater in women under 60 years of age, those without children, those who tested positive for COVID-19, those with a worsening health during the pandemic, those with an increased body weight during the pandemic, and those who were sad or depressed during the pandemic. Among men, the chances of reduction were greater among those who did not live with a spouse, those with a worsening health during the pandemic, those who were sad or depressed during the pandemic, and among smokers or ex-smokers. Conclusion: Although the prevalence of changes in the frequency of oral hygiene in the pandemic did not differ between men and women, the factors related to the increase and decrease in frequency were different for each sex.
Objetivo: Mapear e sintetizar evidências de pesquisas sobre fatores associados ao uso dos serviços de saúde bucal entre idosos brasileiros. Metodologia: Trata-se de uma scoping review guiada pela pergunta norteadora “Quais fatores estão associados ao uso dos serviços de saúde bucal pelos idosos brasileiros?”. A busca dos artigos considerou a estratégia Population, Concept e Context (PCC), pela combinação de termos indexados e foi realizada nas bases de dados Medline/PubMed, Lilacs e SciELO, de maio a julho de 2019. Fundamentou-se a discussão pela teoria de Andersen & Newman. Resultados: Dos 337 artigos identificados, 12 estudos transversais, publicados de 2007 a 2019, atenderam aos critérios de inclusão. Os fatores associados ao uso de serviços de saúde bucal foram: idade, sexo, estado civil, escolaridade, etnia/cor/raça, conhecimento sobre saúde, renda, plano de saúde, região do país, zona urbana/rural, sintomas, diagnóstico da condição de saúde bucal e comportamento em saúde. Escolaridade, renda e diagnóstico da condição bucal foram os fatores mais evidenciados nos estudos. Conclusão: Diferentes fatores foram associados à utilização de serviços de saúde bucal por idosos brasileiros, com maior destaque aos sociodemográficos e de necessidade clínica. Identificar barreiras de acesso desigual aos serviços odontológicos poderá contribuir na redução do quadro de doenças bucais entre idosos, com necessidade acumulada de tratamento e reabilitação.
Objetivo: Avaliar o letramento em saúde relacionado à biossegurança em tempos de covid-19 entre cirurgiões dentistas da Atenção Primária à Saúde. Método: Trata-se de um recorte de um estudo epidemiológico transversal descritivo, realizado entre trabalhadores da saúde bucal da atenção primária. Realizou-se um inquérito epidemiológico do tipo web survey que investigou o acesso a informações, compreensão, avaliação e aplicação dessas informações referentes ao risco biológico aos quais esses trabalhadores foram expostos. Resultados: Participaram 118 dentistas, 21,6% tiveram acesso frequente às informações sobre a covid-19; 85% fizeram 3-4 cursos de educação continuada sobre a covid-19; 99,1% receberam orientação sobre a forma adequada de paramentação/desparamentação; 96,5% receberam orientação sobre a forma segura do manejo clínico e/ou intensivo de paciente confirmado/suspeito para a covid-19; 73% entenderam tudo sobre as informações sobre a covid-19; 66,4% sentiam-se seguros ao utilizar os equipamentos de proteção individual e 98,2% prestava assistência ao paciente suspeito/confirmado com covid-19, durante o plantão, utilizando os óculos de proteção facial/face Shield. Conclusão: O letramento foi fundamental, pois sugere-se que o acesso às informações, a compreensão e a avaliação de tais informações relacionadas à covid-19 viabilizaram a aplicação prática das informações acessadas.
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