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Objective: to investigate through a cross-sectional study the prevalence and pattern of tobacco, alcohol, and illicit drugs use among non-heterosexual and transgender inmates of a female prison com...

O presente estudo teve como objetivo avaliar o impacto de sintomas bucais e condições sistêmicas na qualidade de vida relacionada à saúde bucal (QVRSB) em pacientes com doenças neuromusculares (DNM). Trata-se de um estudo observacional, transversal, com amostra selecionada por conveniência entre pacientes com DNM, atendidos em um Hospital Universitário. Realizou-se anamnese para registro dos dados sobre idade, sexo, doença de base, comorbidades, medicamentos usados e sintomas bucais como ardor bucal, disgeusia, xerostomia, disfagia e sialorreia. Foi determinado o índice de dentes cariados, perdidos e obturados (CPO-D), e para avaliar a QVRSB aplicou-se o questionário Oral Health Impact Profile (OHIP-14). A análise estatística foi realizada por teste qui-quadrado, considerando significantes os valores de p

SummaryOnline-available information has been considered an accessory tool to estimate epidemiology and collect data on diseases and population behavior patterns. This study aimed to explore the potential use of Google and YouTube relative search volume to predict social distancing index in Brazil during COVID-19 outbreak and verify the correlation between social distancing measures with the course of the epidemic. Data concerning the social distancing index, epidemiological data on COVID-19 in Brazil and the search engines trends for “Coronavirus” were retrieved from online databases. Multiple linear regression was performed and resulted in a statistically significant model evidencing that Google and YouTube relative search volumes are predictors of the social distancing index. The Spearman correlation test revealed a weak correlation between social distancing measures and the course of the COVID-19 epidemic. Health authorities can apply these data to define the proper timing and location for practicing appropriate risk communication strategies.

ObjectiveThis study aimed to assess the quality, reliability and readability of internet-based information on COVID-19 available on Brazil’ most used search engines.MethodsA total of 68 websites were selected through Google, Bing, and Yahoo. The websites content quality and reliability were evaluated using the DISCERN questionnaire, the Journal of American Medical Association (JAMA) benchmark criteria, and the presence of the Health on Net (HON) certification. Readability was assessed by the Flesch Reading Ease adapted to Brazilian Portuguese (FRE-BP).ResultsThe web contents were considered moderate to low quality according to DISCERN and JAMA mean scores. Most of the sample presented very difficult reading levels and only 7.4% displayed HON certification. Websites of Governmental and health-related authorship nature showed lower JAMA mean scores and quality and readability measures did not correlate to the webpages content type.ConclusionCOVID-19 related contents available online were considered of low to moderate quality and not accessible.

Resumo Introdução: o presente estudo teve como objetivo avaliar o fluxo salivar, sintomas bucais e a qualidade de vida relacionada à saúde bucal em um grupo de pacientes com doenças neuromusculares. Materiais e Métodos: estudo transversal realizado com 30 indivíduos com doenças neuromusculares atendidos no ambulatório de neuroreabilitação de um hospital universitário brasileiro entre outubro e dezembro de 2017. Foram realizados anamnese e determinação do Fluxo Salivar em Repouso e do pH salivar. Para avaliação da qualidade de vida relacionada à saúde bucal foi empregado o questionário Oral Health Impact Profile-14. Aplicou-se análise descritiva dos dados e teste qui-quadrado, adotando-se o nível de significância de 5 % (p ). El promedio del flujo salivar en reposo fue de 0.44 ± 0.34ml/min, con un hiperflujo del 43.3 %> de los pacientes e hiposalivación del 3.3 %>. El promedio del pH salivar fue 6.47 ± 0.57. Los síntomas orales más frecuentes fueron disfagia (56.7 %>) y xerostomía (43.3 %>). El promedio del Oral Health Impact Profile-14 fue de 5.54 ± 4.93 y el 90 %> de los pacientes presentó algún impacto de las condiciones bucales en su calidad de vida. Los síntomas de disfagia, xerostomía, ardor bucal y sialorrea presentaron una asociación estadísticamente significante (p) y la limita-ción funcional (13.5 %>). Conclusión: la mayoría de los pacientes presentó una disfunción de las glándulas salivares, y la presencia de síntomas bucales influenció negativamente la percepción de la calidad de vida de los individuos con enfermedades neuromusculares. Abstract Introduction: The aim of this study was to evaluate the salivary flow, the presence of oral symptoms, and the oral health-related quality of life perceptions among individuals with neuromuscular diseases. Materials and Methods: It is a cross-sectional study, with 30 individuals with neuromuscular diseases treated at a neurorehabilitation clinic of a Brazilian university hospital from October to December 2017. Anamnesis, assessment of resting salivary flow, and measurement of salivary pH were performed. The instrument Oral Health Impact Profile-14 was used to evaluate the oral health-related quality of life. Data were analyzed using descriptive analysis and chi-square test, using a 5 %> significance level (p ). The mean resting salivary flow was 0.44 ml/min, where it was found 43.3 %> of high salivary flow and 3.3 %> of hypo-salivation. The mean salivary pH found was 6.47 ± 0.57, where 56.6 %> of the patients had neutral pH and 40 %> low pH. The most prevalent oral symptoms were dysphagia (56.7 %>) and xerostomia (43.3 %>). The mean Oral Health Impact Profile-14 was 5.54 ± 4.93, with 90 %> of patients presenting some impact of oral conditions on quality of life. A statistically significant association (p ) and functional limitation (13.5 %>). Conclusion: The majority of patients presented salivary gland dysfunction with high salivary flows. The presence of oral symptoms negatively influenced the individual's quality of life perceptions of individuals with neuromuscular diseases.

A 17-year-old male sought countryside hospital with throat pain and afebrile for 8 days, being prescribed cephalexin. Due to worsening of clinical condition with lingual protrusion and progressive loss of voice, he returned other times to the service, when he was referred for health center. He was transferred to emergency care unit and conducted to capital hospital for drainage of retropharyngeal abscess. Patient presented dyspnea, initiating treatment with dexamethasone, with clinical improvement of the tumor, but when suspended, the tumor grew up. He was transferred to intensive care unit and submitted to a computed tomography of skull, tracheostomy, gastrostomy, and excisional biopsy of the lesion that occupied all the oropharynx. He presented cardiorespiratory arrest, seizures, and respiratory infection. Results of biopsy and immunohistochemistry diagnosed Burkitt’s lymphoma. Patient was submitted to chemotherapy with regression of the lesion and return the tongue to the normal conditions.