Avaliação do impacto na qualidade de vida causado por problemas bucais na população adulta e idosa em município da Região Sudeste Evaluation of the impact on quality of life caused by oral health problems in adults and the elderly in a southeastern Brazilian cityResumo Objetivo: Avaliar a prevalência de impactos dos problemas bucais na qualidade de vida e associação com variáveis sociodemográficas, clí-nicas e utilização de serviços por adultos e idosos de Marechal Floriano, ES. Métodos: Este estudo transversal utilizou uma amostra aleatória de 237 indivíduos. Foram utilizados roteiros para a coleta de dados incluindo o perfil do impacto de saúde bucal . Os testes qui-quadrado e exato de Fischer (p<0,05) verificaram associações entre cada variável independente e as dimensões do OHIP. Para avaliar a força da associação entre evento e exposição foi calculado o Odds-radio. A análise de regressão logística foi realizada para valores significantes até 10%. O pacote estatístico utilizado foi SPSS versão 15. Resultados: A maior percepção de impacto foi encontrada em indivíduos com mais de 40 anos (OR= 2,37), com necessidade declarada de prótese parcial removível (OR= 2,771), e de prótese total removível (OR= 2,292). Conclusão: A prevalência de impacto observada foi de 35% e associada à faixa etária e à necessidade declarada de prótese. Indicadores subjetivos devem ser utilizados de forma complementar aos indicadores objetivos para determinar a necessidade de tratamento, melhorando a saúde bucal e a qualidade de vida das pessoas. Palavras-chave Saúde bucal, Qualidade de vida, Impacto da doença na qualidade de vida Abstract The scope of this paper was to evaluate the prevalence of the impact of oral health problems on quality of life, and its association with socio-demographic and clinical variables and the use of dental services by adults and the elderly in Marechal Floriano. A cross-sectional study was conducted on a random sample of 237 participants. Data was collected by Municipal Community Health Agents using four questionnaires with items about the socio-demographic and oral health status of the participants, dental practice structure and oral health impact profile . The greatest impact perception related to oral health problems was found in individuals over 40 years of age (OR= 2.37 IC 95%=1.375;4.098), those with a perceived need for removable partial dentures (OR= 2.771 IC 95%=1.488;5.162), and full removable dentures (OR= 2.292 IC 95%=1.305;4.026). The impact prevalence was of 35% and revealed an association with age and the perceived need for partial and full dentures. Subjective indicators must be used in conjunction with objective indicators to determine the population's treatment needs, thereby improving oral health and quality of life of the population.
BackgroundOral complications may be observed during chemotherapy and are important side effects that may directly affect the anticancer treatment, even causing septicaemia in some cases. This research was done in order to evaluate changes in oral lesions during follow-up of children and adolescents in chemotherapy at Hospital Estadual Infantil Nossa Senhora da Glória (HEINSG).MethodsThe study design was longitudinal, 45 patients were evaluated and monitored for 1 month after the initiation of chemotherapy. Twenty-eight patients were male and 17 female, ranging from 3 months to 18 years old.ResultsThe results show an increase in the number of mucositis cases and a decrease in xerostomia cases after the initiation of treatment, and other oral lesions were also found in low numbers.ConclusionsIt is possible to avoid oral complications by maintaining a good oral health, and reducing infectious outbreaks. It is also feasible to obtain an early diagnosis of, and treat these oral complications, preventing them from following a more severe clinical course that may negatively affect the individual’s treatment. This outcome requires the presence of a dental surgeon on the multidisciplinary cancer treatment team.
BackgroundOral complications may be observed during chemotherapy and are important side effects that may directly affect the anticancer treatment, even causing septicaemia in some cases. This research was done in order to evaluate changes in oral lesions during follow-up of children and adolescents in chemotherapy at Hospital Estadual Infantil Nossa Senhora da Glória (HEINSG).MethodsThe study design was longitudinal, 45 patients were evaluated and monitored for 1 month after the initiation of chemotherapy. Twenty-eight patients were male and 17 female, ranging from 3 months to 18 years old.ResultsThe results show an increase in the number of mucositis cases and a decrease in xerostomia cases after the initiation of treatment, and other oral lesions were also found in low numbers.ConclusionsIt is possible to avoid oral complications by maintaining a good oral health, and reducing infectious outbreaks. It is also feasible to obtain an early diagnosis of, and treat these oral complications, preventing them from following a more severe clinical course that may negatively affect the individual’s treatment. This outcome requires the presence of a dental surgeon on the multidisciplinary cancer treatment team.
The aim of this study was to analyze the prevalence of dental pain, absenteeism induced by dental pain, and the association with socio-demographic characteristics. The research had a cross-sectional design using a random sample of 170 municipal employees from the City of Venda Nova do Imigrante, Espírito Santo state, Brazil, selected from a universe of 545 individuals. Data was collected using a 27-item questionnaire applied by a municipal worker. The comparison of dental pain and prevalence of absenteeism with socio-demographic and functional characteristics was verified using Fisher's Exact test. The research project was approved by an Ethics Research Committee. The prevalence of dental pain among the employees was 43% and half of these felt dental pains at work. Absenteeism related to dental pain was 23.4%. Workers with lower instruction level were twice as likely to have dental pain (OR = 2,144, IC95% = 1,141; 4,030). Male subjects (OR = 5,714, IC95% = 1,773; 18,416), less years of education (OR = 4,875, IC95% = 1,405; 16,909) and less family income (OR = 3,613, IC95% = 0,931; 14,021) were related with higher absenteeism caused by dental pain. High dental pain frequency revealed in this study indicates that health promotion policies are needed to improve the quality of life of workers.
impacto das condições bucais na qualidade de vida em servidores públicos municipaisThe impact of oral conditions in the quality of life f municipal civil servants
Objetivo: avaliar a possível associação entre as variáveis sociodemográficas, desmame precoce e o desenvolvimento e manutenção dos hábitos bucais deletérios em crianças de três a cinco anos de idade das creches públicas de Vitória/ES.Método: trata-se de um estudo longitudinal, retrospectivo, com uma amostra final de 903 escolares, aleatorizada e representativa das 9.829 crianças matriculadas. Para a comparação entre as variáveis predictoras e hábitos foi utilizado o teste exato de Fisher e a força da associação medida pelo Odds Ratio.Resultados: 12,4% das crianças apresentaram hábito de sucção digital e 37,7%, o de chupeta. Não foi verificada associação estatisticamente significante do hábito de sucção digital com desmame precoce. As crianças do sexo feminino (p=0,045) demonstraram 20% mais chance de adquirir e permanecer com o hábito de chupeta, e as que tiveram o desmame precoce apresentaram aproximadamente quatro vezes mais a chance de desenvolver o hábito de chupetas (p= 0.000).Conclusão: associação entre hábito de chupeta e desmame precoce foi verificada. O desmame precoce pode ser considerado fator de risco para a permanência do hábito de chupeta.
The use of amphetamines in Brazil is common among truck drivers, which may be an important factor in the occurrence of traffic accidents. This article seeks to estimate the prevalence of amphetamine use among truck drivers. Drivers (N = 134) were stopped on two different highways in Sao Paulo state and they were asked to answer a questionnaire and provide a urine sample for toxicological analysis. All data were analyzed on Stata 8.0. All participants were males with low levels of schooling, whose mean age was 40.8 years. The presence of amphetamines was detected in 10.8% of all urine samples collected, being commonly justified in order to make truck drivers able to maintain their state of awareness. Amphetamine use was detected among truck drivers on Sao Paulo highways. The problem is that when the stimulant effects wear off, sleepiness due to sleep deprivation reduces concentration and good driver performance, making drivers vulnerable to traffic accidents and the related effects.
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