Cuidado da criança com deficiência: suporte social acessado pelas mães

As fontes de suporte social são recursos valiosos para ajudar a família da criança com deficiência a lidar com as situações em seu cotidiano, pois a organização e o funcionamento da família são modificados em razão das demandas de cuidado que muitas vezes a sobrecarrega. Objetivo: compreender como a mãe identifica e acessa as fontes de suporte social. Método: referencial teórico de suporte social, e metodológico da Análise de Conteúdo, segundo Morse, para guiar a coleta e análise dos dados. Realizadas entrevistas semi-estruturadas com seis mães de crianças com deficiência atendidas em um serviço de referência em Campo Grande-MS. Resultados: emergiram seis categorias temáticas representativas da experiência da mãe ao acessar as redes de suporte social. Conclusão: As famílias provêem muitos dos recursos básicos de que necessitam. Entretanto precisam de programas de apoio apropriados para potencializarem ao máximo suas próprias capacidades

No association between periodontal disease and GHQ-12 in a Brazilian Police population

Objectives: We attempt to investigate a possible association between periodontal disease (PD) and mental disorders (MD) in a population of Brazilian Police. Study Method: From a total study population consisting of 803 policemen, 345 police officers were obtained by a sample calculation using the finite population correction who were randomly selected in Montes Claros, Minas Gerais, Brazil. Patients who had been prescribed steroids or those diagnosed with diabetes and cardiovascular diseases were excluded from this study. The General Health Questionnaire (GHQ-12) was used to assess mental disorders. Odds ratios (ORs) for periodontal diseases severity and their respective 95% confidence intervals (CIs) were estimated. The risk of advanced scores in Clinical Attachment Level (CAL) and Community Periodontal Index (CPI) were estimated using Poisson Regression analyses. Results: Only smoking and age were associated with severity in CAL and CPI index. No relation between MD and PD was observed even in different positions within the police department. Conclusions: It was not observed relation between GHQ 12 and the incidence of Periodontal Disease in a Brazi-lian Police population. Classical factors like age and smoking, however, were associated with CAL and CPI index higher scores in this population. © Medicina Oral S. L

Prevalence of oral mucosal lesions in a brazilian military police population

Background: Data obtained from oral health surveys are very important for identifying disease-susceptible groups and for developing dental care and prevention programs. So, the purpose of the current article was to investigate the prevalence of oral mucosa lesions (OMLs) in a population of Brazilian police. Material and Methods: Interviews and oral cavity examinations were performed on a sample of 395 police officers who were randomly selected by the calibrated researcher. The number of individuals was obtained by a sample calculation using the finite population correction. The diagnostic criteria were based on the WHO (1997) criteria and adapted to Brazilian surveys. Results: In total, 8.61% of the population presented some OML. Traumatic injuries and benign migratory glossitis (BMG) were the most prevalent lesions. Conclusions: The prevalence of potentially malignant disorders was lower than among the Brazilian population. The most prevalent lesion among the police officers was related to trauma. Patients dissatisfied with oral health had a higher risk of presenting OMLs

HPV-16/18 detection does not affect the prognosis of head and neck squamous cell carcinoma in younger and older patients

Recently, high-risk human papillomavirus (HPV) has emerged as a possible agent associated with head and neck squamous cell carcinoma (HNSCC) in younger patients. Therefore, the purpose of the present study was to assess the effect of age on the distribution of HPV-16/18 in HNSCC, together with the impact of the virus on patient prognosis. A longitudinal prospective study was used adjusted for age, gender, TNM staging, smoking status and alcohol consumption. HPV was detected by PCR with consensus primers. Results showed there was no difference in the frequency of HPV-16/18 positivity when younger patients were compared to the older patients. No association was found among high-risk HPV positivity, gender, smoking habit and anatomical site. High-risk HPV was associated with advanced TNM in bivariate analyses; however, it did not impact on survival. Only TNM staging was associated with risk of mortality. Our study supports the theory that age does not affect the presence of HPV-16/18 in HNSCC and has no impact on patient prognosis. The incidence of HNSCC among patients under the age of 45 years is reportedly on the increase worldwide. The factors associated with HNSCC in younger adults are not well established. Findings of this study indicate that HPV-16/18 may not play a role in HNSCC patients under the age of 45 years