43 research outputs found
Risk factors related to development of oral cancer : a revision
Recentemente foi elaborada a Carta de Creta sobre Prevenção do Câncer Bucal 2005
reafirmando a necessidade de implantação de ações para prevenção, programas de saúde pública
e divulgação dos fatores de risco para o câncer bucal (CB). Os fatores biológicos,
comportamentais e psicossociais relativos ao processo da carcinogênese bucal requerem maior
compreensão, necessitando-se de uma diferenciação entre fatores de risco determinantes, capazes
de causar lesão no DNA, como o tabaco; fatores modificadores, capazes de alterar o meio bucal
e propiciar a proliferação celular, como o álcool; e fatores casuais que não resultam na
carcinogênese bucal, como a higiene bucal deficiente, mas que se associam circunstancialmente.
O objetivo desta revisão foi abordar os principais fatores de risco relacionados ao
desenvolvimento do CB, tais como: tabaco, Álcool e dieta enfatizando a premência de mudanças
nos rumos da prevenção, da detecção do câncer de boca e do papel do cirurgião-dentista. ___________________________________________________________________________________________________________ ABSTRACTThe recently published Crete Declaration on Oral Cancer Prevention 2005 has assessed the
necessity of implantation of actions for prevention, public health programs and divulging of risk
factors for oral cancer (OC). The biological behaviour and psychosocial factors relatives to the
process in the production of OC require greater comprehension. It is necessary a differentiation
between determinants risk factors that are capable to cause DNA damage, such as smoking;
understanding of factors capable to modify the oral environment and cause cellular proliferation,
such as alcohol; and other factors that not result in the production of OC, such as poor oral
hygiene, but that are associated circumstantially. The aim of this review was to approach the
main risk factors related in the development of the OC, such as: tobacco, alcohol and diet. It is
giving emphasis in the prevention and early detection of the OC
Strategies for management of oral cancer in primary and secondary healthcare services
O avanço verificado no enfrentamento de neoplasias
malignas por meio dos sistemas de saúde envolve
melhorias nas áreas de vigilância, organização de redes
de assistência, programas específicos voltados às
prevenções primária e secundária e, obviamente, aos
avanços técnico-científicos que caracterizam a abordagem
diagnóstica e terapêutica. Embora seja notável
o reconhecimento de avanços no manejo de neoplasias
malignas em todas as áreas citadas, o câncer da boca
permanece com indicadores de morbidade e mortalidade
que parecem não acompanhar o acúmulo científico
no conhecimento da doença. O presente manuscrito
objetiva discutir os motivos desse descompasso, a
necessidade de reorientação de prioridades na abordagem
do câncer da boca e sua efetivação como política
pública de saúde. _________________________________________________________________________________________________________________ ABSTRACTProgress in cancer management by health systems
involves improvements in surveillance, organization
of healthcare services, specific programs
focused on primary and secondary prevention,
and scientific and technical advances in diagnosis
and treatment. Despite well-known progress
in the management of malignant neoplasms in
all the above areas, oral cancer displays persistently
high morbidity and mortality rates, apparently
failing to reflect the accumulated scientific
knowledge on the disease. The current article discusses
the reasons for this mismatch, the need for
redefining priorities in oral cancer management,
and the implementation of such priorities as a
public health policy
Panoramic radiograph : auxiliary tool in the diagnosis of osteoporosis
A osteoporose é considerada um problema de saúde pública pela
Organização Mundial de Saúde (OMS). A identificação de indivíduos
com baixa densidade mineral óssea e alto risco para fratura
associada à osteoporose e o estabelecimento de estratégias específicas
de prevenção de fraturas são o alicerce de qualquer programa
preventivo de osteoporose. O passo seguinte a esse reconhecimento
seria o encaminhamento destes indivíduos para realização de densitometria
óssea, exame considerado padrão-ouro para o diagnóstico
da doença. No entanto, o custo e a falta de acesso da população
ao exame são fatores que dificultam a utilização da densitometria
como método de rastreamento populacional para a osteoporose.
A radiografia panorâmica é importante na rotina de pacientes
idosos, particularmente antes da colocação de próteses totais e
implantes em edêntulos. Existem medidas qualitativas e quantitativas
realizadas
nas radiografias panorâmicas, denominadas índices
radiomorfométricos, que podem ser capazes de identificar mulheres
na pós-menopausa com indicação de realização de densitometria
óssea. O objetivo principal deste artigo é discutir a importância da
radiografia panorâmica como ferramenta auxiliar no diagnóstico
da osteoporose e de baixa densidade mineral óssea.Osteoporosis is considered as a public health problem by World
Health Organization. The identification of subjects at risk of
fractures and with low bone mineral density is the basis of any
preventive osteoporosis program. Then, high risk individuals
should be referred for dual X-ray absorptiometry (DXA). DXA
is considered the gold standard of bone mineral density assessment.
Nevertheless, bone densitometry has a limited availability
for routine use in population screening. Panoramic radiography
is conducted routinely in elderly populations, especially for
edentulous patients before treating with complete denture or
implants. Some panoramic radiographic measurements, also known
as panoramic radiomorphometric indices, may identify postmenopausal
women that should perform bone densitometry. The main
purpose of this paper is to discuss the importance of panoramic
radiography as an auxiliary tool in the diagnosis of osteoporosis
and low bone mineral density
Evidence on the use of mobile apps during the treatment of breast cancer : systematic review
Background: Cancer is a major cause of morbidity, disability, and mortality worldwide, and breast cancer is the most common
cause of death in women. Different modalities of cancer treatment can have adverse effects that reduce the quality of life of
patients and lead to treatment interruptions, if not managed properly. The use of mobile technologies has brought innovative
possibilities for improving health care. Mobile apps can help individuals manage their own health and well-being and may also
promote healthy lifestyles and information access.
Objective: The aim of this study was to identify available evidence on the use of mobile apps to provide information and
facilitate communication regarding self-care management related to the adverse effects of toxicities owing to breast cancer
therapy.
Methods: This systematic review includes studies which were identified using a search strategy adapted for each electronic
database: CINAHL, Cochrane Library, LILACS, LIVIVO, PubMed, SCOPUS, and Web of Science. In addition, a gray literature
search was performed using Google Scholar. All the electronic database searches were conducted on April 17, 2019. Two
investigators independently reviewed the titles and abstracts of the studies identified and then read the full text of all selected
papers. The quality of the included studies was analyzed by the Cochrane Collaboration Risk of Bias Tool and the Methodological
Index for Non-Randomized Studies.
Results: A total of 9 studies which met the eligibility criteria—3 randomized clinical trials and 6 nonrandomized studies
published in English from 2010 to 2018—were considered for this systematic review; 396 patients with breast cancer, as well as
40 experts in the medical and nursing fields, and 3 software engineers were included.
Conclusions: The evidence from the studies included in this systematic review is currently limited but suggests that mobile
apps for women with breast cancer might be an acceptable information source that can improve patient well-being; they can also
be used to report symptoms and adverse treatment-related effects and promote self-care. There is a need to test more evidence-based apps in future randomized clinical trials
Imaging Findings of Bisphosphonate-Related Osteonecrosis of the Jaws: A Critical Review of the Quantitative Studies
Objectives. This paper offers a critical review of published information on the imaging strategies used for diagnosing bisphosphonate-associated osteonecrosis of the jaw (BRONJ) in patients taking intravenous bisphosphonates, pointing at the different methodologies and results of existing literature. Methods. Electronic literature search was performed in order to identify as many quantitative studies that discussed the imaging findings of BRONJ up to February 2014. Initially, the search for articles was based on the following four types of imaging modalities for evaluating BRONJ: computed tomography, plain film radiographs, magnetic resonance imaging, and nuclear bone scanning. Results. Eleven out of the 79 initially selected articles met the inclusion criteria. Most of the selected articles were cross-sectional studies. Regarding the selected studies, 54.5% have used plain films radiographs and 54.5% were based on computed tomography findings. All of the selected studies showed a small number of patients and none of the selected studies have tested the accuracy of the imaging examination for evaluating BRONJ. Conclusions. This critical review showed a scarcity of quantitative studies that analyzed the typical imaging findings related to BRONJ. Further studies are necessary in order to analyze the role of different imaging techniques in the assessment of BRONJ
Periostite proliferativa associada a dens in dente
Proliferative periostitis is a disease characterized for successive deposition of layers of subperiosteal bone as a
response reaction to a chronic inflammatory stimulation. The affected periosteum forms several rows of reactive bone
that are parallel and expand the surface of the altered bone. Dens in dente is a developmental malformation resulting
from invagination of the crown before calcification has occurred. They are usually diagnosed upon routine clinical and
radiographic examination. An unusual case report of a mandibular dens in dente causing proliferative periostitis is
presented. The source of infection was related to dens in dente in mandibular left second premolar’s crown, which had
apparently communication with periodontal tissues. It was successfully treated by surgical therapy with antibiotic during
the treatment. After the extraction of the affected tooth, radiographic follow-up showed the decrease of proliferative
periostitis, and remodelation of the cortical bone. ________________________________________________________________________________________________________________ RESUMOA periostite proliferativa é uma doença caracterizada por sucessivas deposições de camadas de osso subperióstica
como resposta a um estímulo crônico inflamatório. O periósteo afetado forma sucessivas camadas de osso
reacional paralelas entre si e expandem a superfície óssea nesse local. Dens in dente é uma alteração do desenvolvimento
resultante de invaginação de esmalte para a dentina antes de sua calcificação ocorrer. Usualmente são
diagnosticadas em exames clínicos-radiográficos de rotina. Um relato de caso clínico raro é apresentado sobre dens
in dente na coroa do segundo pré-molar inferior causando periostite proliferativa. A fonte de infecção foi o dens in
dente que tinha comunicação do meio bucal com a área do periodonto. Foi realizada a extração do dente anômalo
associado com uso de antibióticos. As radiografias de controle mostraram diminuição da periostite proliferativa com
o remodelamento do osso cortical
Diagnóstico oral precoz en el SUS : el análisis individual, vigilancia de la salud y el trabajo en equipo como posibilidad de (re)estructuración
O artigo se estrutura em
dois estudos exploratórios sobre o exercício
do diagnóstico clínico de lesões bucais no
SUS. Os dados foram obtidos por meio de
questionários, aplicados durante atividades
de educação continuada. Aproximadamente
300 cirurgiões-dentistas que atuam na atenção
básica responderam. Para a maioria (79,5%),
há tempo, infraestrutura e intenção de realizar
diagnóstico precoce. Por outro lado, os
profissionais manifestaram dificuldades em
realizar o exame clínico voltado para o câncer,
por necessitarem de mais informações sobre a
doença. Os resultados serviram de base para
apresentar a interpretação auto-referida do
cirurgião-dentista, no plano individual, bem
como serviram de base para, a partir da revisão
bibliográfica, apresentar a interpretação
individual sob marcos conceituais da saúde
comportamental (teoria do comportamento
planejado), na perspectiva individual; e a
interpretação da sociologia das profissões e das
teorias de planejamento e programação para a
promoção e vigilância em saúde, na perspectiva
coletiva. _____________________________________________________________________________________________________________ ABSTRACTThe article was based on
two exploratory studies focusing on clinical
practice regarding the diagnosis of oral lesions
in the Brazilian Health System. Data were
collected through questionnaires administered
during continuing education activities. Around
300 dentists of primary health care answered.
Most of those (79.5%) have reported having
adequate time and infrastructure, as well
as the intention to early diagnose cancer.
Otherwise, professionals have expressed
difficulties in performing clinical examination
focused on cancer, because they required
more information about the disease. In an
individual perspective, the results allowed a
self-reported interpretation of dental practice.
From a literature standpoint, the results also
make possible the presentation of an individual
and collective interpretation. In an individual
perspective, health behavior constructs were
utilized based on the theory of planned behavior.
In the collective perspective, the interpretation
was based on the sociology of professions and
theories of planning and programming for the
promotion and health surveillance. _____________________________________________________________________________________________________________ RESUMENEl artículo está estructurado
en dos estudios exploratorios sobre el
ejercicio de diagnóstico clínico de las lesiones
orales. Los datos fueron obtenidos a través
de cuestionarios administrados durante
las actividades de educación continua.
Alrededor de 300 dentistas que trabajan en
atención primaria respondieran. Para la
mayoría (79,5%), hay tiempo, infraestructura
y voluntad de un diagnóstico precoz. Por
otro lado, los profesionales han expresado
dificultades para realizar el exámen clínico
centrado en el cáncer, debido a que necesitan
más informaciones sobre la enfermedad.
Los resultados proporcionan la base para la
interpretación de auto-reporte del cirujano
dentista, a nivel individual, así como la base
para, a partir de la revisión de la literatura, de la
actualidad para la interpretación individual de
los marcos conceptuales en el comportamiento
de la salud (la teoría del comportamiento
planificado) desde el punto de vista individual,
y la interpretación de la sociología de las
profesiones y las teorías de la planificación y programación para la promoción y vigilancia
de la salud, en la perspectiva colectiva