Influência da música na odontopediatria: revisão narrativa

Objetivo: Perceber as vantagens e as limitações da música, no controlo do comportamento, na consulta de medicina dentária, assim como, analisar que tipo de música tem influência positiva no controlo do comportamento. Metodologia: Pesquisa sistemática nas bases de dados B-on, Pubmed, Web of Science e Cochrane Library, durante o período de 15 a 25 de setembro de 2023. Após aplicados os critérios de inclusão e exclusão, foram incluídos 31 artigos. Tópico abordado: A ansiedade dentária é um estado emocional caracterizado por sentimentos negativos em relação ao tratamento dentário. Cada vez mais, a musicoterapia tem sido um método escolhido e aceite pelos médicos dentistas e responsáveis legais para reduzir o medo e a ansiedade das crianças e adolescentes submetidos a procedimentos médicos. Vários artigos mostram que a distração sonora diminuiu o nível de ansiedade em crianças, no entanto não a um nível muito significativo.Objective: To understand the advantages and limitations of music, in the behaviour control, in dental consultations as well as to analyze what type of music has a positive influence on controlling behavior. Methology: Systematic search in the B-on, Pubmed, Web of Science and Cochrane Library databases during the period from 15 to 25 September 2023. After applying the inclusion and exclusion criteria, 31 articles were included. Topic covered: Dental anxiety is an emotional state characterized by negative feelings regarding dental treatment. More and more, music therapy has been a method chosen and accepted by dentists and legal guardians to reduce the fear and anxiety of children and adolescents undergoing procedures. Several articles show that sound distraction reduced the level of anxiety in children, although not to a very significant level

Best Supportive Care of the Patient with Oesophageal Cancer

Background: Oesophageal cancer patients have poor survival, and most are unfit for curative or systemic palliative treatment. This article aims to review the best supportive care for oesophageal cancer, focusing on the management of its most frequent or distinctive symptoms and complications. Methods: Evidence-based review on palliative supportive care of oesophageal cancer, based on Pubmed search for relevant clinical practice guidelines, reviews and original articles, with additional records collected from related articles suggestions, references and societies recommendations. Results: We identified 1075 records, from which we screened 138 records that were related to oesophageal cancer supportive care, complemented with 48 additional records, finally including 60 records. This review summarizes the management of oesophageal cancer-related main problems, including dysphagia, malnutrition, pain, nausea and vomiting, fistula and bleeding. In recent years, several treatments have been developed, while optimal management is not yet standardized. Conclusion: This review contributes toward improving supportive care and decision making for oesophageal cancer patients, presenting updated summary recommendations for each of their main symptoms. A robust body of evidence is still lacking, and the best supportive care decisions should be individualized and shared