CONCORDANCE BETWEEN CLINICAL AND HISTOPATHOLOGICAL DIAGNOSIS OF ORAL AND MAXILLOFACIAL LESIONS

Introduction: The agreement between clinical and histopathological diagnosis of oral and maxillofacial lesions remains a source of controversy. Objective: To evaluate the concordance between clinical and histopathological diagnosis of oral and maxillofacial lesions. Methods: Socio-demographic and clinical data were prospectively obtained from patients evaluated at outpatient clinics of a Brazilian research hospital. Morphological and histopathological findings of biopsied oral and maxillofacial lesions were utilized as the “gold standard” and the concordance status with prior clinical hypotheses was compared using the Pearson's chi-squared test at a 5% significance level. Results: Non-neoplastic proliferative processes were the most frequent type of lesion (29.6%) and posterior mandible was the most common location (20.73%). Clinical and histological correlation was high (78%), whereas most lesions were not found to be associated with age, gender or concordance status (P > 0.05). Conclusion: A high level of agreement between clinical and histopathological diagnosis was shown, but the quality of oral diagnosis should be continuously evaluated.Keywords: Oral pathology. Clinical diagnosis. Biopsy

Food consumption and cardiovascular risk in disease-free women with polycystic ovary syndrome:: a cross-sectional study in Northeast Brazil

Objective: To investigate the association between dietary intake, nutritional status and cardiovascular risk markers in women with polycystic ovary syndrome (PCOS) without other chronic diseases.Methods: This cross-sectional study included 59 women diagnosed with PCOS and 126 age-matched healthy controls. Data collected consisted of socio-demographic and behavioral variables, weight, height, body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHTR), lipid accumulation products (LAP), serum triglycerides (TG) level, body fat percentage (BFP), and food consumption. Quantitative and qualitative food intake were verified by applying a food frequency questionnaire.Results: BMI, WC, WHTR and LAP index values as well as TG levels, but not BFP values, were significantly increased in the PCOS group as compared to controls (p<0.05). In the control group, eutrophic women had slightly higher TG levels, whereas obese women were younger in the PCOS group (p<0.05). In both groups, the consumption of carbohydrates and proteins was adequate, but fiber intake was insufficient. In the PCOS group, energy consumption was excessive, while carbohydrate intake was higher than in controls, but adequate.Conclusion: Although diseasefree PCOS women showed enhanced inadequacy in dietary intake and nutritional status and increased cardiovascular impairment, no correlation between dietary intake, nutritional status and cardiovascular risk markers was found.Key words: Polycystic ovary syndrome; Eating; Cardiovascular diseases; Nutritional status

SCREENING ELDERLY PATIENTS FOR COGNITIVE FUNCTION AT A REFERENCE CENTER IN NORTHEAST BRAZIL

Introduction: Both demographic and epidemiologic transitions experienced by the country in the past decades bring a number of crucial issues for the health care system, especially in the context of severe social inequality, poverty and fragility of institutions. Objectives: To identify the cognitive profile of non-institutionalized elderly outpatients seen at a reference center in São Luís, Brazil. Methods: Cross-sectional study conducted in a reference center in São Luís, MA, Brazil. Final sample consisted of 102 individuals. Inclusion criteria were: age equal to or over 60 years at first consultation, and ability to understand and to answer the tests for cognitive assessment. This study utilized 3 validated tests that have been widely used in Brazil, including the Mini-Mental State Examination (MMSE), the Verbal Fluency Test (VFT) and the Clock Drawing Test (CDT). Results: A total of 102 individuals were included. The majority of patients were women (72%), aged 60-64 years (33.3%), married or living in consensual union (43.1%), and had non-white skin color (52.9%). The prevalence of cognitive impairment was 60.7% for the Minimental state examination, 23.5% for the Verbal Fluency Test and 59.8 % for the Clock Drawing Test. Regarding the presence of cognitive impairment in at least one test, a total of 83.3% was observed. There was an association between the occurrence of cognitive impairment with both marital status and self-perception of health status (p < 0.05). Conclusions: Hence, in the present study, the occurrence of cognitive impairment was considered high and might be associated with marital and health status.Keywords: Health of the Elderly. Aging. Cognition

PERSPECTIVA MULTIPROFISSIONAL SOBRE A SAÚDE BUCAL DE PACIENTES DE UMA INSTITUIÇÃO PSIQUIÁTRICA

Introdução: Estudos apresentam uma relação entre doenças mentais e a predisposição ao surgimento de doenças orais, sugerindoque o controle desse quadro demanda a atuação da família e da equipe multiprofissional. Objetivo: Identificar o nível deconhecimento e a percepção sobre saúde bucal dos profissionais de um hospital público. Método: Estudo descritivo, com amostrasnão probabilística de conveniência, que incluiu 23 participantes, os quais foram avaliados quanto ao conhecimento sobresaúde bucal por meio de um questionário estruturado. Resultado: Apenas 26% (6) dos profissionais tiveram conhecimentosobre as doenças orais e higiene bucal classificados como regular ou deficiente. Nenhum profissional classificou a saúde bucalcomo fator irrelevante ao bem-estar físico, mental e social do paciente, 21 classificaram como de extrema importância e 16(69,5%) observaram relação entre o tempo de internação e a degeneração da saúde bucal dos pacientes. Em outro aspecto, 14profissionais (60,8%) relataram que os pacientes não estão preocupados ou não mantêm cuidados adequados em relação asaúde bucal, enquanto 39% (9), relataram que os pacientes sentem dor, desconforto, insatisfação ou vergonha. Conclusão: Oconhecimento demonstrado foi pouco fundamentado, no entanto satisfatório, em se tratando de critérios que definem risco,prevenção e cuidado para a saúde oral. Embora os entrevistados compreendam a relevância da saúde bucal, este apresentafragilidade no envolvimento para priorizar os principais problemas odontológicos em uma instituição psiquiátrica.Palavras chave: Percepção. Profissionais de saúde. Saúde Bucal

ASSOCIAÇÃO ENTRE DOENÇA PERIODONTAL MATERNA E BAIXO PESO AO NASCER / ASSOCIATION BETWEEN MATERNAL PERIODONTAL DISEASE AND LOW BIRTH WEIGHT

Introdução: A saúde periodontal deficiente durante a gestação pode representar fator de risco em potencial para o desenvolvimento de baixo peso ao nascer. Objetivo: Avaliar os fatores de risco para os recém-nascidos de baixo peso, correlacionando-os com a condição periodontal materna. Métodos: Estudo observacional do tipo caso-controle, realizado em São Luís (MA). Investigou-se 226 puérperas atendidas no período de um ano em três maternidades públicas da cidade, restando 58 pacientes após aplicados os critérios de exclusão. O grupo caso foi composto por oito (13,8%) puérperas que tiveram recém-nascido baixo peso, enquanto que o grupo controle incluiu 50 (86,2%) puérperas cujos filhos nasceram com peso normal. O método utilizado para o diagnóstico periodontal foi o PSR® (Periodontal Screening & Recording). Resultados: A média de peso dos recém-nascido baixo peso foi de 1596,9 g, enquanto que nos recém-nascidos do grupo controle a média foi de 3320,7g. Para o PSR = 2 a média de peso foi igual a 3295g, para o PSR = 3 foi de 3235g e para o PSR = 4 a média de peso foi 2975g. Para determinar a associação entre as variáveis foi aplicado o teste qui-quadrado não tendo sido encontrada diferença estatisticamente significante entre os dois grupos (p > 0,05). Conclusão: Não foi possível afirmar que o grau de acometimento periodontal materno foi responsável pela diminuição da média de peso ou que este se constitui um fator de risco para o baixo peso ao nascer.Palavras-chave: Periodonto. Recém-nascido de Baixo Peso. Saúde Materno-Infantil.AbstractIntroduction: The poor periodontal health during pregnancy may be a potential risk factor for the development of low birth weight. Objective: To evaluate the risk factors for newborns with low birth weight, correlating them with maternal periodontal condition. Methods: An observational case-control study in São Luís, Maranhão, Brasil. The sample consisted of 226 patients that have recently given birth assisted during one year in three public hospitals. 58 patients were chosen after application of the exclusion criteria. The group was comprised of eight (13.8%) patients who had low birth weight infants whereas the control group included 50 (86.2%) patients whose children were born with normal weight. The method used to periodontal diagnose was the PSR® (Periodontal Screening & Recording). Results: The average weight of low birth weight infants was 1596.9 g while in newborns of the control group the average was 3320.7 g. For the PSR = 2, the average weight was equal to 3295 g, for the PSR = 3 was 3235 g, and for the PSR = 4 the average weight was 2975 g. To determine the association between variables we used the chi-square test. It was not found statistically significant differences between the two groups (p> 0.05). Conclusion: It was not possible to say that the degree of maternal periodontal disease was responsible for a decrease in the average weight or that this constitutes a risk factor for low birth weight.Keywords: Periodontal. Newborn with low birth weight. Maternal and Child Health

Replication Data for: Hormonal, metabolic and inflammatory circulating biomarker profiles in obese and non-obese Brazilian middle-aged women

This is a replication dataset for "Hormonal, metabolic and inflammatory circulating biomarker profiles in obese and non-obese Brazilian middle-aged women". The data were obtained from a cross-sectional study conducted at a university hospital in Northeast Brazil from 2017 to 2018

Factors affecting hospital discharge in maxillofacial trauma patients: a retrospective study

determine factors that may affect the time of discharge from hospital in patients who underwent maxillofacial trauma. Methods: The sample included 115 patients seen at a public hospital in Brazil, to whom surgical maxillofacial treatment was delivered. Data were obtained from patients medical records and then followed by a statistical analysis using a 5% significance level. Results: The location of fractures and other clinical features such as the presence of edema and ecchymosis were found to be significantly associated with increased time of discharge from hospital (P 0.05). Conclusion: Female gender was associated with greater time of hospital discharge, and further concerns should be addressed to the management of lesions following maxillofacial trauma surgical interventions

Histopathological evaluation of dental follicles associated with impacted third molars

histologically evaluate dental follicles of impacted third molars with no radiographic evidence of pathology. Methods: We carried out both a quantitative and qualitative analysis of pericoronal follicles removed from impacted third molars and investigated the association with clinical data. The sample included 36 extracted dental follicles of impacted third molars, obtained from 28 patients, which presented with no radiographic evidence of pathologies. Results: None of the follicles analyzed showed any pathological entity. The epithelial lining was observed in 61.1% of samples, being identified as reduced enamel epithelium. We found a significant relation between the the presence of inflammatory infiltrate and the group aged over 21 years (64.3%; p<0.05). Conclusions: Considering the absence of pathological lesions, we suggest that the removal of impacted third molars, particularly in young-aged individuals, should be carefully indicated