26 research outputs found
Associated Factors With Self-reported Systemic Arterial Hypertension and Diabetes in Brazilian Older Adults: Populational-Based Cross-Sectional Study
Objective: This cross-sectional study aimed to assess the prevalence and associated factors of Systemic Arterial Hypertension (SAH) and Diabetes Mellitus (DM) in older adults.Materials and Methods: Self-reported SAH and DM (outcomes) were obtained through a structured questionnaire. This questionnaire also collected the independent variables (sociodemographic characteristics, use of medication and access to the oral health service). Obesity, physical activity, and tooth loss were assessed using validated instruments. Crude and adjusted Poisson regression with a robust error variance were performed to determine the prevalence ratio (PR) and 95% confidence interval (CI).Results: A total of 282 older adults were included, with the prevalence of 71.28% and 21.63% for SAH and DM, respectively. SAH was significantly associated with increase in the individuals’ age (PR:1.01; 95%CI:1.00–1.02) and the positive diagnosis for obesity (PR:1.24; 95%CI:1.09–1.43). Those that do not use drugs for other conditions (PR:0.74; 95%CI:0.60–0.71) presented significantly lower PR for SAH. Non-sedentary older adults have the lower RP of DM (PR: 0.42; 95%CI: 0.24–0.74).Conclusions: A high prevalence of SAH and DM was observed among the older adults, and the main associated factors were mainly related to demographic characteristics, general health and behavioral habits
Variação de pH, salinidade e temperatura viabilizantes para estabelecimento do Vibrio cholerae nas águas portuárias da cidade do Rio de Janeiro, Brasil
Introdução: O Vibrio cholerae toxigĂŞnico, causador da cĂłlera, possui tolerância ambiental definida quanto ao pH, temperatura e salinidade, o que nĂŁo o impede de entrar em estado viável, mas nĂŁo cultivável (VNC), quando as faixas destes parâmetros nĂŁo lhe sĂŁo propĂcias. As zonas portuárias sĂŁo áreas vulneráveis de introdução do patĂłgeno, devido ao aporte de efluentes urbanos e descarte de água de lastro. Objetivo: O trabalho avaliou se as águas portuárias da cidade do Rio de Janeiro apresentam condições de pH, salinidade e temperatura que possibilitam o estabelecimento do microrganismo. MĂ©todo: Foram realizadas 22 campanhas de monitoramento em nove pontos, no perĂodo de março de 2017 a fevereiro de 2018, buscando sempre diferentes condições climáticas e de marĂ©. Resultados: A marĂ© apresentou ligeira influĂŞncia na salinidade, enquanto o clima interagiu com todos os fatores. A temperatura e o pH se mantiveram dentro da faixa considerada Ăłtima para o estabelecimento do patĂłgeno, enquanto a salinidade se apresentou, na maioria das vezes, fora da variação ideal. Conclusões: Analisando somente estes fatores, podemos sugerir que, caso estes padrões se mantenham, a regiĂŁo apresenta um risco de sobrevida do microrganismo
A dieta influencia no resultado do clareamento dental?: uma revisão sistemática com meta-análise
Salivary characteristics may be associated with burning mouth syndrome?
Burning mouth syndrome (BMS) it is characterized by burning and uncomfortable sensations with no clinical alterations or laboratory findings. The evaluation of the salivary characteristics of people with BMS can help the understanding of the pathogenesi
Fatores associados à redução de atendimentos odontológicos na Atenção Primária à Saúde no Brasil, com o surgimento da COVID-19: estudo transversal, 2020
Objective: To analyze the associated factors of reductions for dental visits performed in Primary Health Care (PHC) in Brazil during COVID-19 pandemic. Methods: Crosssectional study with PHC dentists. The outcome was a reduction in dental care appointments and that the exposure variables included sociodemographic factors, aspects about personal protective clothing and equipment (PPE) and measures adopted by the Basic Health Unit (UBS) in Brazil after the appearance of COVID. Poisson regression was performed, used to determine the prevalence ratio and 95% confidence interval. Results: Reduction in visits above 50% after the onset of the pandemic was reported by 62.6% of 958 participating. Biosafety protocols (PR=1.04 – 95%CI 1.01;1.07), PPE suggested by the protocols (PR=0.94 – 95%CI 0.89;0.99), and telescreening (PR=0.90 – 95%CI 0.85;0.96) were factors associated with this reduction. Conclusion: The availability of the new PPE and the implementation of telescreening at UBS seem to have minimized the reduction in dental care after the onset of the pandemicObjetivo: Analizar factores asociados a la reducciĂłn de consultas odontolĂłgicas en AtenciĂłn Primaria de Salud (APS) en Brasil durante COVID-19. MĂ©todos: Estudio transversal con dentistas de APS. El hecho investigado fue reducciĂłn de consultas odontolĂłgicas y las variables de exposiciĂłn incluyeron factores sociodemográficos, aspectos de los equipos de protecciĂłn personal (EPI) y las medidas adoptadas por la Unidad Básica de Salud (UBS) tras la apariciĂłn del COVID. RegresiĂłn de Poisson utilizada para determinar la razĂłn de prevalencia y el intervalo de confianza del 95%. Resultados: El 62,6% de los 958 participantes informĂł una reducciĂłn en la asistencia superior al 50% despuĂ©s del inicio de la pandemia. La adopciĂłn de protocolos (RP=1,04 – IC95% 1,01;1,07), disponibilidad de EPI recomendado por los nuevos protocolos (RP=0,94 – IC95% 0,89;0,99) y la adopciĂłn de televaluaciĂłn (RP=0,90 – IC95% 0,85;0,96) fueron factores que se asociĂł con esta reducciĂłn. ConclusiĂłn: La disponibilidad del nuevo EPP y la implementaciĂłn de la teleprotecciĂłn en UBS parecen haber minimizado la reducciĂłn en la atenciĂłn dental despuĂ©s del inicio de la pandemia.Objetivo: Analisar fatores associados Ă redução de atendimentos odontolĂłgicos na Atenção Primária Ă SaĂşde, durante pandemia de COVID-19 no Brasil. MĂ©todos: Estudo transversal, com cirurgiões-dentistas das unidades básicas de saĂşde (UBS). O desfecho foi a redução dos atendimentos odontolĂłgicos, e as variáveis de exposição, dados sociodemográficos, disponibilidade de equipamentos de proteção individual (EPIs) e medidas adotadas pela UBS na pandemia. Realizou-se regressĂŁo de Poisson para determinar razĂŁo de prevalĂŞncias e intervalo de confiança de 95%. Resultados: A redução de atendimentos acima de 50% apĂłs o inĂcio da pandemia foi relatada por 62,6% dos 958 participantes. Adoção de protocolos de biossegurança (RP=1,04 – IC95% 1,01;1,07), disponibilidade de EPI preconizados por novos protocolos (RP=0,94 – IC95% 0,89;0,99) e adoção da teletriagem (RP=0,90 – IC95% 0,85;0,96) estiveram associados Ă redução. ConclusĂŁo: A disponibilização dos novos EPIs e a implementação da teletriagem nas UBS parecem ter minimizado a redução dos atendimentos odontolĂłgicos apĂłs o inĂcio da pandemia
Pervasive gaps in Amazonian ecological research
Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4
While the increasing availability of global databases on ecological communities has advanced our knowledge
of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In
the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of
Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus
crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced
environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian
Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by
2050. This means that unless we take immediate action, we will not be able to establish their current status,
much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio
Pervasive gaps in Amazonian ecological research
Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost
Sepse por Serratia marcescens KPC Serratia marcescens KPC sepsis
A resistĂŞncia aos carbapenems entre as bactĂ©rias nĂŁo fermentadoras de glicose Ă© comumente descrita. PorĂ©m, os relatos de resistĂŞncia aos carbapenems em enterobactĂ©rias ainda sĂŁo fatos isolados. Neste relato de caso, descrevemos um caso de infecção generalizada por Serratia marcescens carreadora de gene blaKPC. No Brasil, já foram relatados casos de isolados de Klebsiella pneumoniae e Escherichia coli carreando gene blaKPC, ficando evidente a emergĂŞncia desse tipo de carbapenemase e sua disseminação entre espĂ©cies diferentes de enterobactĂ©rias em nosso paĂs.Carbapenem resistance among Gram-negative non fermentative bacteria is widely known, whereas carbapenem resistance among Enterobacteriaceae is rare. In this study we describe a case of sepsis caused by Serratia marcescens carrying blaKPC gene. In Brazil, cases of KPC have been reported in Klebsiella pneumoniae and Escherichia coli, which shows the emergence of this kind of carbapenemase and its dissemination among different species of Enterobacteriaceae in our country