Lip squamous cell carcinoma in a Brazilian population : epidemiological study and clinicopathological associations

Objectives: It was evaluated epidemiological aspects of primary lip squamous cell carcinoma (LSCC) and its associations with clinicopathological factors. Study design: This retrospective, cross-sectional study analysed a sociodemographic, clinical, and morphological data of HNSCC in a Brazilian population (n=30). Data analysis included descriptive statistics and bivariate analyses using the chi-square and Fisher's exact tests to compare the variables. Results: The LSCC represented 10.8% of all oral cavity squamous cell carcinoma. Lip malignant disease was more prevalent in elderly men, with male-to-female ratio of 5:1. Lower lip was more affected. It was observed high rates of chronic solar exposure, and tobacco and alcohol drinking habits. Clinically, early TNM staging, small tumour lesions, and non-metastatic disease were predominant findings. It was identified a high frequency of well differentiated tumor samples. Worse Karnofsky performance status was associated with cervical metastasis. Conclusions: Our findings showed that LSCC patients exhibited similar epidemiological and clinical profiles as noted in other studies. Still, the occurrence of metastatic disease was associated with a worse physical performance status of the LSCC patients during diagnosis. © Medicina Oral S. L

Prevalence of oral cancer self-examination among elderly people treated under Brazil's Unified Health System: household health survey

Este estudo objetivou identificar a prevalência do autoexame bucal entre idosos e constatar se essa prevalência foi maior entre usuários de serviços odontológicos prestados pelo Sistema Único de Saúde (SUS). Estudo transversal conduzido a partir de amostragem probabilística complexa por conglomerados, entre idosos (65-74 anos) de um município brasileiro de grande porte populacional. Foi realizada regressão logística binária, as estimativas foram corrigidas pelo efeito de desenho e por ponderações, utilizando-se o SPSS(r). Dentre os 740 avaliados, atenderam aos critérios de inclusão 492 idosos e, destes, 101 (22,4%) relataram a prática do autoexame bucal. Esta prática foi maior entre idosos usuários dos serviços odontológicos prestados no SUS, entre aqueles com maior renda per capita, os com maior escolaridade, aqueles que utilizavam prótese dentária removível e entre os que não tiveram impactos decorrentes das desordens bucais; foi menor entre os que usaram serviços odontológicos por rotina e os que não possuíam hábito etilista. A prevalência do autoexame bucal entre idosos foi baixa e maior entre aqueles usuários do SUS. O estímulo à adesão a este autocuidado deve ser considerado nas políticas de saúde do idoso vigentes, especialmente entre usuários de serviços particulares, supletivos e filantrópicos20410851098The aim of this study was to examine the prevalence of oral cancer self-examinationamong the elderly and confirm whether prevalence was higher among users of the dental services provided by Brazil's Unified Health System (SUS, acronym in Portuguese). A transversal study of elderly people aged between 65 and 74 years living in a large-sized Brazilian municipality was conducted using simple random sampling. Logistic regression was conducted and results were corrected for sample design and unequal weighting using the SPSS(r) software. The study assessed 740 individuals. A total of 492 met the inclusion criteria, of which 101 (22.4%) reported having performed an oral cancer self-examination. Prevalence was higher among users of the dental services provided by the SUS, higher-income individuals, people with higher levels of education, individuals that used a removable dental prosthesis, and people who had not experienced discomfort attributed to oral condition, and lower among people who sought regular and periodic dental treatment and individuals who did not have a drinking habit. This type of self-care should be encouraged by public health policies which respond to the needs of the elderly, with emphasis on users of private and philanthropic services, and other services outside the public health networ

Auto imagem e satisfação corporal em adolescentes escolares

Objetivo: verificar a autoimagem e satisfação corporal entre adolescentes escolares. Material e métodos: Estudo epidemiológico, realizado com 2050 escolares da Educação Básica distribuídos em 21 escolas da rede estadual de ensino. A amostra foi do tipo probabilística por conglomerados. Para a coleta de dados, utilizou-se um questionário autoaplicável com variáveis sociodemográficas, autoimagem e satisfação corporal. A comparação entre os gêneros foi conduzida por meio do teste estatístico Qui-quadrado, assumindo um nível de significância de p<0,05, utilizando o programa Statical Package for Social Science (SPSS), versão 18.0. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Estadual de Montes Claros (Unimontes), nº 2.073.215. Resultados: Dos adolescentes avaliados 937 (45,8%) são do sexo masculino e 1109 (54,2%) do sexo feminino, 90,7% desses adolescentes estão matriculados no turno da manhã, e mais de 21% dizem estar tentando perder peso, 57,7% considerem o corpo normal, entretanto 35,5% relataram estar indiferentes ou insatisfeitos com o próprio corpo. Conclusão: Grande parte dos adolescentes investigados têm insatisfação com a imagem corporal, sendo maior no sexo feminino. ABSTRACT Auto image and body satisfaction in school adolescentsObjective: to verify the self-image and corporal satisfaction among school adolescents. Material and methods: Epidemiological study with 2050 primary school students distributed in 21 schools of the state school system. The sample was of the probabilistic type by clusters. For the data collection, a self-administered questionnaire with sociodemographic variables, self-image and body satisfaction was used. The gender comparison was performed using the Chi-square statistical test, assuming a significance level of p <0.05, using the Statistical Package for Social Science (SPSS), version 18.0. The project was approved by the Research Ethics Committee of the State University of Montes Claros (Unimontes), number 2,073,215. Results: Of the adolescents evaluated, 937 (45.8%) are males and 1109 (54.2%) are female, 90.7% of these adolescents are enrolled in the morning shift, and more than 21% say they are trying to lose weight, 57.7% considered their body normal, however 35.5% reported being indifferent or dissatisfied with their own body. Conclusion: Most of the adolescents investigated have dissatisfaction with body image, being greater in females