bluuebunny/crossref_metadata_2025_split huggingface dataset:
A SAÚDE BUCAL EM PACIENTES DE UTI
Authors: Pinheiro Tarsila Spinola , Almeida Tatiana Frederico 
Published: May 2019

Introduction: The intensive care unit are geared to take care of the patients in critical conditions and this requires attention in every level of assistance. The oral health care has shown efficiency in pathogens control at these patients and systematic protocols are important to prove how effective it is. Objective: The objectives of this study were to review the literature on narrative Dental Hospital ICU and a systematic review about Brazilian publications on the topic. Methods: We selected studies on Dental Hospital ICU published between 2006 and 2013 in Brazil. The databases used for tracking items were LILACS, BBO and SciELO, using the search combining the words “Dentistry”, “Hospital Dentistry” and “ICU”. Results: In the tracking were found 12 articles. On these selected studies, 04 were literature reviews (33%), 02 were case reports (17%) and 06 were cross-sectional studies (50 %). Studies had the intention of show the importance of the presence of the dentist in ICUs. Conclusions: The oral diseases are important sources of worsening systemic and must be prevented and solved by a dentist trained to work in a hospital setting. The protocols of conduct, when used on a large scale, brings benefits both the patient and the hospital, reducing cost escalations that would causes.
MANIFESTAÇÃO ORAL DA LEUCEMIA MIELÓIDE AGUDA COMO PRIMEIRO SINAL PARA O DIAGNÓSTICO: RELATO DE CASO
Authors: Macedo Dhiancarlo Rocha , De Rezende Carlos Henrique Alves , Arcieri Rogério Moreira , Barbosa Renata Silva 
Published: May 2019

Acute myeloid leukemia (AML) is a malignant disease of the bone marrow that can present systemic and oral manifestation. In this case report we describe a patient, 16 years of age, who presented the oral manifestation ulcerated lesions on the dorsum of the tongue and cervical lymph node in the right region. After clinical examination and complementary tests, it was taken as a hypothesis the diagnosis of acute leukemia, and the patient was referred to a specialized medical service. Showing the importance of the dentist in the initial diagnosis of leukemia.
PÊNFIGO VULGAR A IMPORTÂNCIA DO CONHECIMENTO DO CIRURGIÃO DENTISTA PARA UM CORRETO DIAGNÓSTICO
Authors: Silva Rebouças Deyvid , Cerqueira Lucas Souza , Fortuna Costa Tila , Gomes Ferreira Thaise , Catapano Naves Roberta , Prates Soares Zerbinati Livia 
Published: May 2019

Pemphigus is the general name for a group of rare autoimmune diseases that affect the skin and mucous membranes and is presented with the formation of intraepidermal blisters. Pemphigus vulgaris (PV) is a chronic rare vesicular-bullous autoimmune disease that when not diagnosed and treated in its early stages has severe prognosis. This study aims to report a clinical case of a female patient, 32 years of age who had manifestation of pemphigus vulgaris. The oral manifestations are, in most cases, the first signs of the disease and the dentist has a primary role in the early diagnosis.
TECNOLOGIA DA INFORMAÇÃO NO APOIO À SEGUNDA OPINIÃO FORMATIVA EM SAÚDE PÚBLICA
Authors: Lustosa Monique , Raptopoulos Gisele , Quaglio Cibelle , Ferraz Renato Ribeiro , Motta Lara Jansiski 
Published: May 2019

The use of health information technology helped the advance in health practices. The second formative opinion understands the actions covering a professional expert remotely with the use of computer resources and telecommunications to another professional. The expert transmits information and knowledge so the applicant is directed to the clinical decision making. The objective of this paper is to analyze the scientific production on “second opinion formation in health” in Brazilian literature, following a bibliometric analysis to answer the question: Studies on information technology in supporting the second formative opinion on public health and are being presented? Were analyzed 61 articles from 2007 to 2014.It can be observed that the number of publications over the period analyzed was growing. It is recommended that future studies deepen the analysis and discussion of the quality and supply of the information provided in the second opinion, since this contributes to the decentralization of care and greater access to health further afield.
ESTIMATIVA DO SEXO E IDADE POR MEIO DE MENSURAÇÕES CRANIANAS
Authors: Almeida Junior Erasmo De , Reis Francisco Prado , Galvão Luís Carlos Cavalcante , Santa Rosa Hesmoney Ramos , Costa Naiá 
Published: May 2019

Introduction: Forensic Dentistry has a great importance in the process of human identification, especially when the professional has only the cranium to analyze. The aim of this study is to verify the sex dimorphism and age estimation by the facial measurements. Materials and Methods: A sample of 150 dry skulls was studied, 80 male and 70 female, which belonged to individuals aged over 20 years old. The sex and age of the individuals were surely known. The skulls that have been studied belonged to people whose bones have not been claimed by their relatives in the determined time by the cemetery and were being sent for incineration. The following measurements have been done: frontal curve and distance between bregma and mastoid process. Results: According to the statistical analysis, there was success rate of 71.8% by logistic regression and 70% by the discriminant analysis. It was also verified the mean and confidence interval by t test and used the method of multiple linear regression to predict age, evidencing the model was not significant (p = 0.5390). Conclusion: The results enable the development of a statistical methodology to identify gender and age in future observations.
AVALIAÇÃO DE CONHECIMENTO PRÉVIO SOBRE A DOENÇA FALCIFORME ENTRE PARTICIPANTES DE SEMINÁRIO DE ODONTOLOGIA
Authors: Castro Ilanna Jamile De Souza , Rêgo Emanuel Braga , Oliveira Diane Vasconcelos de Santana , Machado André Wilson , Trein Cristiano Augusto , Goldbeck Ana Stela 
Published: May 2019

Sickle Cell Disease (SCD) is responsible for high mortality and morbidity in Brazil. It is known that SCD promotes several oral manifestations and impacts directly on the dental treatment approach. However, there is little information concerning the dentists’ prior knowledge about the illness. The aim of the present study is to assess the level of knowledge and the profile of different respondents, by means of a questionnaire applied during the seminar “O papel da Odontologia no contexto da atenção integral à DF” hosted in a dental course of a public higher education institution. The results of the present study have shown that, in general, the majority of the respondents stated that they have insufficient information about SCD, in spite of the great interest in learning. It was also found a greater interest among the graduated dentists, probably due to the fact that they have already experienced the treatment on SCD patient, since Bahia State presents the greater prevalence of the disease in Brazil. In this context, it seems clear that there is a lack of information and many doubts about the role of dentistry in the health care of patients with SCD. High prevalence diseases in Brazil should be addressed with depth more often in dentistry higher education programs. Better treatment approaches and protocols for dental care of patients with SCD are antecipated.
OBTENÇÃO DE RELAÇÃO CÊNTRICA EM PRÓTESE FIXA
Authors: Da Silva Fabrício , Boaventura Zumaêta Costa José , Farias Souza Laís , De Almeida Dultra Christiano , Dos Santos Coutinho Katia Evellyn 
Published: May 2019

Introdução: A obtenção de registros em relação cêntrica (RC), para assegurar uma correta montagem do modelo inferior em relação ao superior, representa uma fase clínica fundamental para o sucesso durante o tratamento em prótese fixa. Objetivos: O presente artigo teve como objetivo fornecer conhecimento, por meio de uma revisão da literatura, sobre a obtenção de RC, sua importância e os métodos de obtenção disponíveis na prática clínica. Métodos: Foram utilizados livros e artigos científicos em bases eletrônicas como ScIELO, Bireme, MedLine e Lilacs, com o principal foco em estudos que relataram diferentes técnicas de registro da relação central. Conclusão: Pode-se concluir ao final deste artigo que a escolha da técnica de registro não é um fator primordial para o cirurgião dentista, e sim a adaptação do profissional e a condição apresentada pelo paciente.
CORRELAÇÃO ENTRE FACETAS DE DESGASTE E A OCORRÊNCIA DE LESÕES CERVICAIS NÃO CARIOSAS: UMA REVISÃO DE LITERATURA
Authors: Lemos Junior Francisco Amaro , Alves Narezze Gomes , Figueiredo Viviane 
Published: May 2019

A elevada prevalência de facetas de desgaste na população jovem é um alerta para que estas alterações sejam observadas e ferramentas sejam criadas para agilizar o processo de diagnóstico. Objetivou-se revisar a literatura sobre a influência das facetas de desgaste no surgimento de lesões cervicais não cariosas. Pesquisou-se sobre facetas de desgaste e lesões cervicais não cariosas, nas bases de dados Bireme, Lilacs, Pubmed e Bibliotecas Virtuais, em estudos in vitro, in silico (elementos finitos), ensaios clínicos e revisões sistemáticas com metanálise. Incluindo artigos em português, inglês e espanhol, sendo excluídos os de revisão de literatura, caso clínico, carta ao editor, e os estudos que não abordarem as variáveis em questão. A literatura apresenta-se escassa, assim são necessários novos estudos longitudinais para melhor entendimento dessa associação, bem como, para definir os parâmetros universais para a avaliação de desgaste dental e estabelecimento do seu diagnóstico, com a finalidade de obter a melhor forma de tratamento desses problemas cada vez mais frequentes na clínica diária.
MATERIAIS CERÂMICOS: UMA REVISÃO SISTEMÁTICA SOBRE DESGASTE E LONGEVIDADE
Authors: Da Silva Francisco Francislan Gomes , Magalhães João Wendell Maia , Grangeiro Manasses Tercio Vieira , Figueiredo Viviane 
Published: May 2019

Introdução: Os materiais cerâmicos nas últimas décadas, apresentaram um grande avanço microestrutural para atender os quesitos funcionais e estéticos, a fim de aumentar a longevidade das reabilitações orais. Porém, o desgaste acentuado do esmalte dental tem colocado em dúvida as indicações e aplicação de materiais cerâmicos para o restabelecimento estético e funcional dental. Objetivo: Investigar, por meio de uma revisão sistemática da literatura, o desgaste de diferentes materiais restauradores e o elemento dental antagonista, frente à longevidade do uso clínico. Material e método: A presente revisão sistemática foi realizada por busca de artigos científicos dos anos de 2006 a 2016, nas seguintes bases de dados: Bireme, Pubmed e Scielo, utilizando-se as palavras-chave: cerâmica, desgaste dental e longevidade. Resultado: Dos estudos revisados obteve-se 13 artigos científicos, com base no grau de evidência científica apresentou-se 84,62% (n=11) dos estudos em nível 3 e 15,38% (n=2) são de nível 8. Os estudos revisados apresentavam diferenças de métodos laboratoriais, o que faz com que dificulte a discussão dos achados. Conclusão: O desgaste do elemento dental antagonista (esmalte) parece ser maior quando utiliza-se uma cerâmica ácido-sensível; já quanto a longevidade, o dissilicato de lítio apresenta a maior perda de material.
Gasless laparoscopic nephrectomy in patients with autosomal dominant polycystic kidney disease
Authors: Dajneko Vasilij S. , Nevirovich Evgenij S. , Anan’ev Aleksej N. , Ul’yankina Irina V. , Reznik Oleg N. 
Published: May 2019

Introduction. Autosomal dominant polycystic kidney disease (PKD) is one of the most common hereditary diseases leading to the development of end-stage renal failure. According to modern concepts, nephrectomy of polycystic-altered kidneys in such patients is performed in the event of complications, as well as in order to prepare for kidney transplantation. The creation of intense carboxyperitoneum leads to carbon dioxide resorption and the development of hypercapnia and respiratory acidosis in the patient. Taking into account the age of patients and the high incidence of cardiovascular and valvular pathology in patients with PKD, this fact becomes significant and can lead to the development of severe complications. The solution to this problem, in our opinion, is to perform laparoscopic nephrectomy under low-pressure carboxyperitoneum (LPC).
Materials and methods. In the period from 2013 to 2018, 55 monolateral laparoscopic nephrectomies were performed in 36 patients with PKD. The study identified 2 groups of patients. The study group included 8 patients who were diagnosed at the preoperative stage with cardiovascular disease performed LPC (12 operations). The second group was represented by 28 patients who were operated laparoscopically with the creation of intense carboxyperitoneum (41 operations). Workspace when LPC was created with the help of laparolift – mechanical device for lifting the abdominal wall on the abdominal cavity.
Results. The mean duration of surgery in the groups was 126 ± 18 and 114 ± 11 minutes, respectively (p < 0.05). Intraoperative blood loss was significantly different: in the comparison group – 225 ± 45 ml, in the study group – 440 ± 76 ml (p < 0.05). Mean blood pCO2 and pH levels in the study group were 38.2 ± 2.7 mm Hg and 7.371 ± 0.021, the comparison group – 44.4 ± 3.8 mm Hg and 7.231 ± 0.035 (p < 0,05). Among the patients who underwent LPC, there was one fatal outcome. The frequency of postoperative complications was 16.6% (2) in the study group and 12.2% (5) in the comparison group.
Summary. Laparoscopic nephrectomy in conditions of low pressure carboxyperitoneum allows to completely avoid the development of hypercapnia and respiratory acidosis in the patient, to prevent severe cardiovascular complications despite the high risk of their development among patients with PKD.
Ways to optimize the assessment of lean body mass in hemodialysis patients
Authors: Lavrishcheva Juliia V. , Jakovenko Aleksandr A. 
Published: May 2019

The aim. To conduct a comparative analysis of the effectiveness of methods for assessing lean body mass in haemodialysis patients.
Patients and methods. A total of 317 patients receiving treatment with programmatic bicarbonate haemodialysis in 9 haemodialysis centers in 5 regions of the European part of the Russian Federation were examined for 8.2 ± 5.1 years, among them 171 women and 146 men, the average age was 57.1 ± 11.3 years. Dual-energy X-ray absorptiometry and bioimpedancemetry were used to assess lean body mass.
Results. The results of determining the total lean body mass obtained from the results of dual-energy X-ray absorptiometry and bioimpedancemetry were compared using the Bland-Altman method. The correlation coefficient between the indicators was r = 0.994, p < 0.0001, delta (M ± σ) was –0.48 ± 0.91 kg, CI 95% (–0.71)–(–0.26) kg.
Conclusion. Dual-energy X-ray absorptiometry has no significant advantages compared with bioimpedancemetry when evaluating lean body mass in haemodialysis patients.
Helicobacter pylori gastriti için tanımlanan etat mamillone görünümünün histopatolojik bulgular ile korelasyonu
Authors: GÖKBULUT Volkan , KAPLAN Mustafa , AKSOY Adem , DİŞİBEYAZ Selçuk , ÖDEMİŞ Bülent , ÖZTAŞ Erkin , AKDOĞAN KAYHAN Meral , KAYAÇETİN Ertuğrul 
Published: May 2019

Giriş
ve Amaç: Etat mamillone endoskopik
olarak gözlenen ve Helicobacter pylori pozitif
olan hastalarda mukozal nodüler tutulum ile karakterize
kolaylıkla tanınabilen karakteristik bir bulgudur. Biz
bu çalışmada etat mamillone görüntüsü nedeniyle endoskopik biyopsi alınan
hastalarda bu görüntünün histopatolojik tanıya göre doğruluğunu araştırdık. Gereç ve Yöntem: Bu çalışma Ocak
2016-Aralık 2017 tarihleri arasında hastanemiz gastroenteroloji kliniğinde
çeşitli sebeplerle endoskopi yapılan hastaların hasta kayıtları incelenerek
retrospektif olarak yapılmıştır. Toplamda 5200 endoskopi kaydı incelenmiş, etat
mamillion veya etat mamillone tabiri geçen 53 hasta çalışmaya dahil edilmiştir.
Bulgular: Araştırma popülasyonu 41
kadın (%77) ve 12 erkek (%23) erkek
hasta olmak üzere 53 kişiden oluştu. Hastaların ortalama yaşı 29±11.2 (18-56)
yıldı. Hastaların endoskopik biyopsi sonuçlarına bakıldığında 4 (%8) hastada
atrofik gastrit mevcut iken 49 (%92) hastada atrofi yoktu. Hastaların biyopsi
örnekleri incelendiğinde 53 hastanın 45’inde Helicobacter pylori pozitif
saptandığı görüldü (%85). Bu hastaların Sydney sınıflamasına göre 12’sinde 1+ Helicobacter
pylori (%23),
17’sinde 2+ Helicobacter pylori (%32) ve 16’sında 3+ Helicobacter pylori (%30) saptanmıştır. Endoskopik etat mamillone
görüntüsü ile biyopsi sonuçları arasında %85 oranında korelasyon olduğu görülmüştür.
Sonuç:
Endoskopik
olarak tanımlanan etat mamillone görünümü Helicobacter pylori gastriti
tanısı için kullanılabilecek non-invaziv ve yüksek doğruluk oranına sahip bir
yöntemdir.
Effects of peppermint, chewing gum on memory, cognition, alertness, reaction time, arithmetic skills and athletic performance during laboratory induced stress in undergraduate medical students
Authors: Gandhi Piyush Prashant , Siddiqui Riyaz Ahmed 
Published: May 2019

Background: Many medical students are dealing with day to day stress in their lives and they need to be both physically and mentally active to counter and overcome their daily problems. In such scenario, a non-pharmacological adjunct could prove useful to counter all of it so that they can work more efficiently. Many universities do recommend the use of peppermints and chewing gums. This study is conducted to see if any of these items actually have an influence on cognitive and physical abilities.Methods: A non-randomized controlled trial was performed on the undergraduate medical students of N.K.P. Salve Institute of Medical Sciences and Research Centre belonging to the age group of 18-21 years. They were given normal flavoured gum, mint flavoured gum and peppermint. A series of cognitive and physiological tests in both stressful and stress free environments were performed.Results: Consumption of peppermint in a stressful environment showed increase in attention span of the subjects and it increased the intelligence Wechsler Adult Intelligence Scale-R (WAIS-R) in both stress free and stressful environments. As compared to normal gum, peppermint and peppermint gum proved to be more effective. There was no significant change observed in alertness, reaction time, arithmetic ability, short term memory and fatigue index in any of the subjects.Conclusions: Peppermint has caused increase in the attention span and intelligence of medical students in a stressful work scenario. Peppermint gum was found to be more beneficial than normal gum.
Management of late hemorrhagic radiation cystitis in patients of carcinoma cervix with special reference to 1% alum irrigation and its safety: a clinical study in a tertiary care centre
Authors: Barua Sasanka Kumar , Das Nabajeet , Baruah S. J. , P. Rajeev T. , Bagchi Puskal Kumar , Sarma Debanga , Phukan Mandeep 
Published: May 2019

Background: Radiation cystitis is a well-known complication arising from radiation therapy in pelvic malignancies. Haematuria is usually the main presenting symptom of radiation cystitis, which can range from mild to severe refractory and life-threatening forms. There are various forms of treatment ranging from intravesical instillations like alum, formalin, prostaglandins and pentosan sulphate; hyperbaric oxygen therapy to surgical treatment like cystoscopic fulguration, arterial ligation and cystectomy.Here authors aimed to find the efficacy of 1% alum irrigation in controlling haematuria due to radiation cystitis and to correlate its use with change in clinical status and biochemical parameters.Methods: This retrospective study was done for a period from July 2010 to July 2017 which included all female cervical cancer patients with intractable haematuria due to radiation cystitis. Only patients with normal renal function were included. Irrigation with 0.9% NS, hem coagulase and subsequently 1% alum irrigation were given. Failed cases underwent cystoscopic fulguration.Results: Average age of presentation was 59.79 years. Of the 34 patients 20 (64.51%) patients showed complete response, 4 (12.9%) patients showed partial response and 7 (22.58%) patients had no response to alum irrigation and cystoscopic fulguration were done in these cases. There was no significant change in vital parameters and biochemical parameters except increased prothrombin time (<0.001).Conclusions: No standard of care therapy is presently available for patients with hematuria following radiation cystitis although there is big armamentarium of therapies. Authors found that 1% alum irrigation is safe and efficacious for these patients although normal renal function is a prerequisite.
Clinical and biochemical profile of patients hospitalized with jaundice: Experience from a teaching hospital in north India
Authors: Chauhan Suneel , Rana Baldev S. , Sharma Rajesh , Barwal Vijay K. , Sood Nikhil , Rana Naveen , Minhas Shailender , Chaudhary Ankit 
Published: May 2019

Background: Jaundice is a common problem in both medical and surgical practice. For best line of management, it is very essential to differentiate all types of jaundice. The cause can often be correctly anticipated clinically but usually biochemical and radiological imaging investigations are required for confirmation. Here we present a study on clinical and biochemical profile of jaundice patients admitted in a tertiary care hospital.Methods: It was an observational study and all patients admitted with jaundice in the department of medicine meeting inclusion/exclusion criteria were enrolled. Data was collected on a self-designed, pretested and structured format.Results: Out of 100 patients, 77 were males, and median age of 47.5 years. Apart from jaundice, anorexia was the most common presenting complaint (90%), while ascites was the most common finding. Cirrhosis (60%) was the most common cause of jaundice. The mean total bilirubin was 7.9 mg%. Mean Hemoglobin in patients with cirrhosis was 9.7gm/dL. 78% patients of cirrhosis revealed esophageal varices. Majority (80%) showed hypoproteinemia. PT was prolonged >3sec in 87% of cases. On USG shrunken liver was noted in all patients with cirrhosis, enlarged liver was found in two patients of liver abscess while altered echotexture was seen in 66% cases. 90 patients improved, 9 died and only one was referred.Conclusions: Alcoholic liver disease was the leading cause of cirrhosis (92%). Jaundice in general and alcoholic cirrhosis in particular affects mostly the productive age group of the male population and has a high economic burden on our society.
A rare case of duodenal carcinoid presenting as ectopic Cushing’s syndrome
Authors: Pugalendhi Siddharth , Dutta Tarun Kumar , . Dhivya , Yadav Kiran 
Published: May 2019

ACTH-dependent Cushing syndrome (CS) due to an ectopic source is responsible for approximately 10-15% cases of Cushing’s syndrome. It is associated with various tumors such as small cell lung cancer and well-differentiated bronchial or gastrointestinal neuroendocrine tumors. Many a times ectopic ACTH production is difficult to manage, and identification of the source may take many years. Hormonal diagnostics include assessments in basic conditions as well as dynamic tests, such as the high-dose dexamethasone suppression test and corticotrophin releasing hormone (CRH) stimulation test. Treatment selection depends on the type of tumor and its extent. In the case of neuroendocrine tumors, the main treatments are surgery and administration of somatostatin analogues or bilateral adrenalectomy in refractory cases and if the source remains unidentified. Here, we report a case who presented with features of Cushing’s syndrome which eventually through workup led us to a diagnosis of duodenal carcinoid producing ectopic ACTH which is extremely rare and was successfully treated.