Prevalence and factors associated with orolabial lesions in beach workers

OBJECTIVE: To assess the prevalence and factors associated with orolabial lesions caused by sun exposure in beach workers. METHODS: Cross-sectional study with 362 beach workers from five urban beaches in the city of Natal, northeastern Brazil, from August to December 2010. All subjects completed a validated questionnaire to collect personal, occupational, and health-related information and underwent an orolabial clinical examination by trained examiners. Potential associations between sociodemographic, occupational, and health-related variables and the presence of orolabial lesions were assessed using the chi-square test at a 5% significance level. The multivariate analysis was performed using Poisson regression. RESULTS: Of the 362 workers examined, 27.1% had orolabial lesions. Of these, 76.8% were males, 61.6% dark or black skinned, 94.5% informal workers, and 85.4% reported sun exposure. Most (81.1%) reported using sun protection methods including sunscreen (38.7%), lip balm (15.3%), and cap/hat (72.4%). Twenty-eight percent reported smoking and 48% regular drinking. Sun protection with cap/hat was associated with orolabial lesions caused by sun exposure. CONCLUSIONS: There was found a high prevalence of orolabial lesions in workers exposed to sunlight that was associated with the use of a cap/hat as a sun protection method

AUTOPERCEPÇÃO DOS HÁBITOS DE SAÚDE BUCAL DE IDOSOS EM UM MUNICÍPIO DO CEARÁ

O processo de envelhecimento do indivíduo causa grandes impactos em sua saúde, onde há a vulnerabilidade a várias doenças que podem ter implicação direta com a saúde bucal, bem como com a sua autopercepção. A cultura ou a falta de informações sobre bons hábitos de saúde bucal podem não ser bem assimilados ou aceitos nesta faixa etária, ressaltando-se assim a importância da promoção de saúde para este grupo. O objetivo do presente estudo foi identificar a autopercepção de idosos usuários da Estratégia de Saúde da Família acerca de sua higiene bucal. O estudo caracteriza-se como sendo transversal, descritivo, qualitativo e quantitativo. As amostras consistiram em 30 voluntários entrevistados com idade média de 60 anos, sendo de ambos os sexos, usuários de uma Unidade Básica de Saúde. Como resultados temos que a população estudada na pesquisa apresentou déficits relacionados a higiene oral: 83% (n=25) dos participantes escovam os dentes de 1 a 2 vezes durante o dia. 90% (n=27) dos entrevistados relataram não fazer uso de fio dental e 73% (n=22) afirmaram-se nem satisfeito/nem insatisfeito quanto a sua saúde oral. Conclui-se que nesta população há desconhecimento sobre hábitos de saúde bucal, sendo estes influenciados por fatores socioeconômicos e intrínsecos do indivíduo, tais como a coordenação motora e firmeza durante a execução de tais processos cotidianos. Portanto faz-se necessário mais ações de promoção e prevenção de saúde, visando a melhora na qualidade de vida de tal população

Nonsyndromic cleft lip and palate, gastric cancer and tooth agenesis

To determine the frequency of nonsyndromic cleft lip and/or palate (NSCL/P) in first-degree relatives and to analyze the prevalence of tooth agenesis in patients with gastric cancer. This cross-sectional, observational, case-control study included 798 patients attended at hospital Santa Casa in Montes Claros, Minas Gerais and Alfa Institute of Gastroenterology of the Federal University of the Minas Gerais. Information on basic demographic data and tooth agenesis of both groups and their family history of NSCL/P in first-degree relatives were evaluated. The collected information was stored in a database and analyzed using statistical program SPSS® version 21.0 and the values with p<0.05 were considered statistically significant. Of the 798 patients, 113 (14.16%) consisted of the case group and 685 of the control group (85.84%). Non-Caucasian males were the most affected, although no differences among the groups were detected. Of all participants (n=798), 66 (8.27%) presented tooth agenesis and 25 (3.13%) presented oral cleft in first degree relative. Our results no found increase in the frequency of tooth agenesis in patients with gastric cancer and in the frequency of NSCL/P in the first-degree relatives of patients with gastric cancer

Prevalência de lesões labiais em trabalhadores de praia e fatores associados

OBJETIVO: Analisar a prevalência de lesões labiais decorrentes da exposição solar e potenciais associações em trabalhadores de praia. MÉTODOS: Estudo transversal com 362 trabalhadores de cinco praias urbanas em Natal, RN, de agosto a dezembro de 2010. Os participantes responderam um questionário validado com dados pessoais, de ocupação e de saúde e passaram por exame clínico dos lábios feito por pesquisadores calibrados. As possíveis associações das variáveis sociodemográficas, ocupacionais e de saúde geral com a presença de lesões labiais foram avaliadas pelo teste do qui-quadrado para um nível de significância de 5%. A análise multivariada foi feita utilizando-se a regressão robusta de Poisson. RESULTADOS: Dos trabalhadores examinados, 27,1% apresentavam lesões labiais. Desses, 76,8% eram do sexo masculino; 61,6% tinham pele morena ou negra; 94,5% trabalhavam informalmente; e 85,4% trabalhavam expostos ao sol. A maioria (81,1%) relatou uso de algum tipo de fotoproteção: protetor solar (38,7%); protetor labial (15,3%); boné/chapéu (72,4%). Aproximadamente 28% eram fumantes e 48% consumiam álcool regularmente. A fotoproteção com uso de boné/chapéu foi associada à presença de lesões labiais decorrentes da exposição solar. CONCLUSÕES: Observou-se alta prevalência de lesões labiais nos indivíduos expostos ao sol, a qual foi associada ao uso de boné/chapéu como forma de fotoproteção.OBJETIVO: Analizar la prevalencia de lesiones labiales productos de la exposición solar y potenciales asociaciones en trabajadores de playa. MÉTODOS: Estudio transversal con 362 trabajadores de cinco playas urbanas en Natal, RN, Brasil, de agosto a diciembre de 2010. Los participantes respondieron un cuestionario validado con datos personales, de ocupación y de salud y se evaluaron a través de exámenes clínicos realizados por investigadores calibrados. Las posibles asociaciones de las variables sociodemográficas, ocupacionales y de salud general con la presencia de lesiones labiales se evaluaron por medio de la prueba de Chi-cuadrado para un nivel de significancia de 5%. El análisis multivariado fue realizado utilizándose la regresión robusta de Poisson. RESULTADOS: De los trabajadores examinados, 27,1% presentaban lesiones labiales. De estos, 76,8% eran del sexo masculino; 61,6% tenían piel morena o negra; 94,5% trabajaban informalmente y 85,4%, expuestos al sol. La mayoría (81,1%) relató uso de algún tipo de fotoprotección: protector solar (38,7%); protector labial (15,3%); gorra/sombrero (72,4%). Aproximadamente 28% eran fumadores y 48% consumían alcohol regularmente. La fotoprotección con uso de gorra/sombrero fue asociada a la presencia de lesiones labiales productos de la exposición solar. CONCLUSIONES: Se observó alta prevalencia de lesiones labiales en los individuos expuestos al sol y esta se asoció al uso de gorra/sombrero como forma de fotoprotección.OBJECTIVE: To assess the prevalence and factors associated with orolabial lesions caused by sun exposure in beach workers. METHODS: Cross-sectional study with 362 beach workers from five urban beaches in the city of Natal, northeastern Brazil, from August to December 2010. All subjects completed a validated questionnaire to collect personal, occupational, and health-related information and underwent an orolabial clinical examination by trained examiners. Potential associations between sociodemographic, occupational, and health-related variables and the presence of orolabial lesions were assessed using the chi-square test at a 5% significance level. The multivariate analysis was performed using Poisson regression. RESULTS: Of the 362 workers examined, 27.1% had orolabial lesions. Of these, 76.8% were males, 61.6% dark or black skinned, 94.5% informal workers, and 85.4% reported sun exposure. Most (81.1%) reported using sun protection methods including sunscreen (38.7%), lip balm (15.3%), and cap/hat (72.4%). Twenty-eight percent reported smoking and 48% regular drinking. Sun protection with cap/hat was associated with orolabial lesions caused by sun exposure. CONCLUSIONS: There was found a high prevalence of orolabial lesions in workers exposed to sunlight that was associated with the use of a cap/hat as a sun protection method

Multi-functional egg white hydrolysate prevent hypertension and vascular dysfunction induced by cadmium in rats

We have investigated if EWH could counteract or prevent cardiovascular damage induced by high level of Cd exposure in rats. Male Wistar rats were treated for 14 days with: (A) Untreated - intraperitoneal (i.p.) injections of distilled water and tap water by gavage; (B) Cd − 1 mg/kg of bw/day of CdCl2 (i.p.) and tap water by gavage; (C) EWH – distilled water (i.p.) and 1 mg/kg/day of EWH by gavage; (D) CdEWH – both treatments. EWH prevented the increase on systolic blood pressure, vascular dysfunction, and inflammation after Cd exposure; prevent the activation of cyclooxygenase (COX)-2 and its derived contractile protanoids, inhibits angiotensin II by the reduction of ACE activity and prevents the increased oxidative stress mainly mediated by NADPH oxidase. Multifunctional EWH could be considered as a natural alternative therapy to counteract the deleterious effects caused by high level of Cd exposure.Supported by National Council for Scientific and Technological Development – CNPq [Edital Universal/CNPq No 44181/2014-9 and PQ/CNPq 311834/2020-5]; Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES); Fundação de Amparo à Pesquisa do Rio Grande do Sul - FAPERGS/ Brazil [PQG:19/2551-0001810-0]; Programa Nacional de Cooperação Acadêmica; Pró-reitoria de Pesquisa - Universidade Federal do Pampa [N. 20180615102630]; FAPES/CNPq/PRONEX [N. 80598773] and Spanish Goverment by the Agencia Estatal de Investigación (AEI) and Fondo Europeo de Desarrollo Regional (FEDER) [AGL2017-89213]; I-COOP+2020 (COOPA 20453). PZM and JEGPJr were supported by CAPES/Brazil, CSM by CNPq/Brazil; CRM and MDR by FAPERGS/ Brazil and GCS by PDA/Unipampa.Peer reviewe

Population-based seroprevalence of SARS-CoV-2 and the herd immunity threshold in Maranhão

OBJECTIVE: To estimate the seroprevalence of SARS-CoV-2 in the state of Maranhão, Brazil. METHODS: A population-based household survey was performed, from July 27, 2020 to August 8, 2020. The estimates considered clustering, stratification and non-response. Qualitative detection of IgM and IgG antibodies was performed in a fully-automated Elecsys® Anti-SARS-CoV-2 electrochemiluminescence immunoassay on the Cobas® e601 analyzer (Roche Diagnostics). RESULTS: In total, 3,156 individuals were interviewed. Seroprevalence of total antibodies against SARS-CoV-2 was 40.4% (95%CI 35.6-45.3). Population adherence to non-pharmaceutical interventions was higher at the beginning of the pandemic than in the last month. SARS-CoV-2 infection rates were significantly lower among mask wearers and among those who maintained social and physical distancing in the last month compared to their counterparts. Among the infected, 26.0% were asymptomatic. The infection fatality rate (IFR) was 0.14%, higher for men and older adults. The IFR based on excess deaths was 0.28%. The ratio of estimated infections to reported cases was 22.2. CONCLUSIONS: To the best of our knowledge, the seroprevalence of SARS-CoV-2 estimated in this population-based survey is one of the highest reported. The local herd immunity threshold may have been reached or might be reached soon.OBJECTIVE: To estimate the seroprevalence of SARS-CoV-2 in the state of Maranhão, Brazil. METHODS: A population-based household survey was performed, from July 27, 2020 to August 8, 2020. The estimates considered clustering, stratification and non-response. Qualitative detection of IgM and IgG antibodies was performed in a fully-automated Elecsys® Anti-SARS-CoV-2 electrochemiluminescence immunoassay on the Cobas® e601 analyzer (Roche Diagnostics). RESULTS: In total, 3,156 individuals were interviewed. Seroprevalence of total antibodies against SARS-CoV-2 was 40.4% (95%CI 35.6-45.3). Population adherence to non-pharmaceutical interventions was higher at the beginning of the pandemic than in the last month. SARS-CoV-2 infection rates were significantly lower among mask wearers and among those who maintained social and physical distancing in the last month compared to their counterparts. Among the infected, 26.0% were asymptomatic. The infection fatality rate (IFR) was 0.14%, higher for men and older adults. The IFR based on excess deaths was 0.28%. The ratio of estimated infections to reported cases was 22.2. CONCLUSIONS: To the best of our knowledge, the seroprevalence of SARS-CoV-2 estimated in this population-based survey is one of the highest reported. The local herd immunity threshold may have been reached or might be reached soon

PARTO NORMAL EM GESTANTES PORTADORAS DE ASMA

Objetivo: Conhecer o motivo pelo qual gestantes portadoras de asma costumam optar por parto cesáreo. Materiais e Método: Trata-se de um estudo que se desenvolveu por meio de revisão bibliográfica, onde se optou pelo método de Revisão Integrativa da Literatura (RIL). Sendo utilizadas as bases de pesquisa Biblioteca Cientifica Eletrônica Online (SCIELO), Ministério da Saúde, e Literatura Latina Americana e do Caribe em Ciências da Saúde (LILACS). Resultados: O estudo busca salientar acerca do desconhecimento de informações sobre o parto normal em gestantes com asma. Sendo assim a metodologia desse estudo viabiliza em um acompanhamento adequado sobre orientações para contribuir na gestação e uma boa qualidade de vida para um parto seguro. Conclusão: Na gravidez a asma pode apresentar variações na qual pode ser controlada de forma eficaz, conscientizando-as sobre o acompanhamento durante a gestação, desde o início do pré-natal com orientações e tratamento adequado para que seja de forma benéfica, visto que a escolha permanece sendo da gestante de acordo com conduta médica, sendo que a asma não é contraindicação para parto normal