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Parental caregivers perceptions of Oral HealthRelated Quality of Life in children with Autism Spectrum Disorder 父母照顾者对自闭症谱系障碍儿童口腔健康相关生活质量的看法
Pub Date : 2020-09-10 DOI: 10.15406/JDHODT.2020.11.00531
Vanessa Dos Santos Viana, Matheus dos Santos Fernandez, F. Nunes, I. S. Vieira, P. Martins-Filho
The aim of this study is to assess the impact of oral conditions on the quality of life (QoL) of children and adolescents with autism spectrum from the perspective of their parent-caregivers. A convenience sample, including 40 children and adolescents with autism, aged 6 to 14, attended in seven institutions for people with special health care in the state of Sergipe, Brazil. It was used the Brazilian version of the Parental-Caregivers Perceptions Questionnaire (P-CPQ) and the Family Impact Scale (FIS), which are applied to evaluate the perception of parents or caregivers on oral health-related quality of life (OHRQoL) of children and adolescents. The clinical oral examination was performed for the prevalence of dental caries and assessment of oral hygiene. The global score for the P-CPQ in the sample ranged from 0 to 63, with a mean of 13.52 (9.05). 97.5% of mothers reported that oral conditions had an impact on OHRQoL. The increase in years of schooling (p=0.016) of caregivers was associated to greater perception regarding their child’s OHRQoL. Most children and adolescents with autism had no caries experience and presented good to moderate oral hygiene. We did not find differences in OHRQoL scores according to the oral hygiene status and prevalence of dental caries. This study suggested that caregiver literacy has played a role in OHRQoL in children and adolescents with autism. Further studies with a larger sample size are needed to assess the influence of other oral health measures on QoL in this population.
本研究旨在探讨口腔状况对自闭症儿童及青少年生活品质的影响,并从家长及照顾者的角度探讨口腔状况对自闭症儿童及青少年生活品质的影响。一个便利样本包括40名6至14岁的自闭症儿童和青少年,他们在巴西塞尔希佩州的7个特殊保健机构接受治疗。采用巴西版的父母-照顾者感知问卷(P-CPQ)和家庭影响量表(FIS),用于评估父母或照顾者对儿童和青少年口腔健康相关生活质量(OHRQoL)的感知。进行临床口腔检查,了解龋齿的患病率及口腔卫生状况。样本中P-CPQ的整体得分范围为0 ~ 63,平均值为13.52(9.05)。97.5%的母亲报告口腔状况对OHRQoL有影响。照顾者受教育年限的增加(p=0.016)与对孩子OHRQoL的更高感知相关。大多数患有自闭症的儿童和青少年没有龋齿经历,口腔卫生状况良好至中等。我们没有发现口腔卫生状况和龋齿患病率在OHRQoL评分上的差异。本研究表明,照顾者素养在自闭症儿童和青少年的OHRQoL中发挥了作用。需要更大样本量的进一步研究来评估其他口腔健康措施对该人群生活质量的影响。
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引用次数: 1
Application of growth hormone to reduce osseointegration time in dental implants 生长激素在减少种植体骨融合时间中的应用
Pub Date : 2020-08-24 DOI: 10.15406/jdhodt.2020.11.00529
A. Rego, J. Tresguerres, J. Tallon, P. Gomes
This study pretends to evaluate the beneficial effects of the treatment with growth hormone (compassive off-label use) on bone regeneration and osseointegration of dental implant surgeries in elderly people. A total of 140 patients, between 35 and 82 years of age, undergoing dental surgery, receiving a total of 402 dental implants have been investigated. Informed consent was signed by all of them. From this group, 58 patients (31 males and 27 females) received a total of 209 implants and were treated with local growth hormone in the surgical bed during the procedure, and in 29 implants of this group, when surgical beds were more extensive also with daily systemic application for one month. Another 82 patients between 35 and 82 years of age (39 males and 43 female) were also submitted to implant surgery and received a total of 193 implants without growth hormone treatment. For the evaluation of results, a simple apical radiography was used. Osseointegration was determined by bone neoformation and density between and around the implant coils. Study showed that growth hormone treatment was able to induce a statistically significant decrease in the average time between the surgical approach and osseointegration of the implant. The median value for treated patients was 82 days whereas the untreated needed a median of 140 days. No differences were observed either regarding gender or groups of age. It was concluded that in all age and gender groups the reduction of the osseointegration time was very significant when growth hormone treatment was used.
本研究旨在评估生长激素治疗对老年人种植牙术后骨再生和骨整合的有益影响。本研究共调查了140名年龄在35岁至82岁之间接受牙科手术的患者,共接受402颗种植牙。所有人都签署了知情同意书。本组58例患者(男31例,女27例)共植入209颗种植体,术中在手术床上局部使用生长激素治疗,本组29例种植体,手术床更广,每日全身应用1个月。另外82名年龄在35 - 82岁之间的患者(39名男性,43名女性)也接受了种植手术,总共接受了193个种植体,未接受生长激素治疗。为了评估结果,使用了简单的根尖x线摄影。骨整合通过种植体线圈之间和周围的骨新生和密度来确定。研究表明,生长激素治疗能够诱导从手术入路到种植体骨整合之间的平均时间有统计学意义的减少。接受治疗的患者中位值为82天,而未接受治疗的患者中位值为140天。没有观察到性别或年龄组的差异。结论是,在所有年龄和性别组中,使用生长激素治疗可显著减少骨融合时间。
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引用次数: 0
Comparative evaluation of indices and partial-mouth periodontal protocols for epidemiological surveys 流行病学调查指标与局部口腔牙周检查方案的比较评价
Pub Date : 2020-07-23 DOI: 10.15406/JDHODT.2020.11.00528
F. Teixeira, L. M. Leon, E. P. Gomes, Alice Moreira Neves PedrÃo, A. C. Pereira, P. Francisco
Objective : To compare the Community Periodontal Index (CPI), the CPI modified and three partial-mouth periodontal protocols for estimates of prevalence, severity and extent of periodontitis in populations. Method: a convenience sample of 350 individuals (aged 35 to 74 years) from Sao Paulo underwent a full-mouth periodontal examination (FMPE) which assessed pocket depth (PD), clinical attachment level (CAL) and bleeding on probing on six sites per tooth. The CPI, CPI modified (CPIm) and three partial-mouth protocols examination (PMPE)-half-mouth 6 sites, full- and half-mouth 3 sites-were derived from the records of the FMPE and have been compared for sensitivity, absolute bias, relative bias and inflation factor in estimates of periodontitis. Results: Significant differences were found in periodontitis prevalence estimates between PMPE, in different case definitions, with relative biases ranging from -10% to -55%. The CPIm had sensitivity of 100% for gingivitis and PD ≥4 mm prevalence, and 80% for moderate and severe periodontitis in relation to FMPE, while for CPI such estimates were 70% and 50%, respectively. The full-mouth 3 sites protocol was similar to the CPIm, regarding the prevalence estimate, but CPIm overestimated severity and extent of periodontitis. The random half-mouth protocols presented low sensitivity to estimate periodontitis prevalence, although they presented small biases for severity and extension (<2.0%). Conclusion : The CPIm and the full-mouth 3 sites protocol presented satisfactory sensitivity to estimate prevalence of periodontitis in populations, being superior to the previous CPI and to the random half-mouth protocols. However, accuracy of estimates may vary with the case definition and population characteristics.
目的:比较社区牙周指数(CPI)、改良CPI和三种局部口腔牙周治疗方案对人群牙周炎患病率、严重程度和程度的估计。方法:来自圣保罗的350名年龄在35岁至74岁之间的患者接受了全口牙周检查(FMPE),评估了牙袋深度(PD)、临床附着水平(CAL)和每颗牙齿6个部位的探诊出血。CPI、CPI修正(CPIm)和三个部分口腔检查方案(PMPE)——半口6个点、全口和半口3个点——来源于FMPE的记录,并对牙周炎估计的敏感性、绝对偏倚、相对偏倚和膨胀因子进行了比较。结果:在不同病例定义下,PMPE之间的牙周炎患病率估计值存在显著差异,相对偏差范围为-10%至-55%。CPIm对牙龈炎和PD≥4 mm患病率的敏感性为100%,对与FMPE相关的中度和重度牙周炎的敏感性为80%,而对CPI的敏感性分别为70%和50%。全口3点方案在患病率估计方面与CPIm相似,但CPIm高估了牙周炎的严重程度和范围。随机半口方案对估计牙周炎患病率的敏感性较低,尽管它们在严重程度和扩展方面存在较小的偏差(<2.0%)。结论:CPIm和全口3点方案对人群牙周炎患病率的估计具有满意的敏感性,优于以前的CPI和随机半口方案。然而,估计的准确性可能因病例定义和人口特征而异。
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引用次数: 4
Eagle’s Syndrome: Transoral Styloidectomy a Technique Modification Case Report 鹰氏综合征:经口茎突切除术一例技术改良报告
Pub Date : 2020-07-15 DOI: 10.33140/jodh.04.03.02
Eagle’s Syndrome is a rare condition with unknown etiology that mainly affects female patients between the third and sixth decade of life. It was first described in 1937 by Dr. Watt W. Eagle, in a study carried out in a group of patients whose main symptom was cervicopharyngeal pain caused by elongation of the styloid process and/or calcification of the stylohyoid ligament [1]. The diagnosis of this pathology is based on the anamnesis and physical examination together with imaging exams of the patients. Cervicofacial pain, palpation of the styloid process in the tonsillar fossa and limitation in neck mobility are the most classic signs and symptoms of this disease [2]. Due to the nonspecific symptoms present in these patients, this disease is usually underdiagnosed and confused with temporomandibular disorders, cervical myalgias, and even being diagnosed as atypical trigeminal neuralgias [3]. For this reason, clinical examination and imaging exams, are indispensable for the correct diagnosis and evaluation of anatomical structures [3]. We present a case of a woman with a history of eagle syndrome which was diagnosed and treated at the Hospital clinico metropolitano El Carmen Santiago, Chile.
鹰氏综合征是一种病因不明的罕见疾病,主要影响30岁至60岁之间的女性患者。1937年,Watt W. Eagle博士在一组主要症状为茎突伸长和/或茎突舌骨韧带钙化引起的颈咽部疼痛的患者中首次描述了该病[1]。这种病理的诊断是基于患者的记忆和体格检查以及影像学检查。颈面疼痛、扁桃体窝茎突触诊和颈部活动受限是本病最典型的体征和症状[2]。由于这些患者表现出非特异性症状,常被误诊为颞下颌紊乱、颈肌痛,甚至被诊断为不典型三叉神经痛[3]。因此,临床检查和影像学检查对于解剖结构的正确诊断和评价是必不可少的[3]。我们提出一个病例的妇女与鹰综合征的历史是诊断和治疗在医院临床大都市El卡门圣地亚哥,智利。
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引用次数: 0
Investigation of a Calcium Hydroxide Overflowing From Root Apex during Calcium Hydroxide Removal 氢氧化钙脱除过程中根端溢出氢氧化钙的研究
Pub Date : 2020-07-15 DOI: 10.33140/jodh.04.03.01
Calcium hydroxide has been widely used as intracanal medicament recently. However, removing calcium hydroxide accumulated in the apical foramen was difficult, and there is a risk of overflowing outside of the apical foramen during removing procedure. In this study, we investigated (1) the status of overflow from root apex foramen in each removal method using hand file or ultrasonic scaler, (2) possibility of reducing overflow in combination with citric acid solution or EDTA solution. Twenty-four maxillary premolar artificial teeth were performed root canal enlargement using K-fail until No.25 or No.30 size of thickness in each 12 teeth. After finishing root canal enlargement, calcium hydroxide was filled within root canal apex completely. Then calcium hydroxide was removed using ultrasonic scaler or hand file. Furthermore purified water, citric acid solution or EDTA solution was prepared as auxiliary agents respectively. After removing calcium hydroxide from each root canal was finished, the condition of calcium hydroxide overflowing from root apex was observed using stereomicroscope. Calcium hydroxide in the root canal was sufficiently removed from root canals in the groups using ultrasonic scaler. However slighted calcium hydroxide was remained around root apex in the groups using hand file. Overflow of calcium hydroxide to outside around root apex was observed both using ultrasonic scaler and hand file. The tendency of calcium hydroxide overflowing was higher in the case of using ultrasonic scaler than using hand file. In the groups of using hand file, no significant difference was observed for the different size of root canal enlargement, however overflow of calcium hydroxide was clearly higher in 30 size of root canal enlargement using ultrasonic scaler. The use of citric acid solution and EDTA solution as auxiliary agents showed that overflow of calcium hydroxide was decreased compared without using them. In particular, the decrease of overflowing was more clearly using citric acid solution than using EDTA solution. It is recommended that using hand file on removal apex areas of calcium hydroxide to reduce amount of overflowing and improve the removal efficiency. Moreover reducing the risk of calcium hydroxide overflowing are expected using citric acid solution or EDTA solution.
氢氧化钙是近年来广泛应用于肛管内的药物。然而,清除积聚在根尖孔中的氢氧化钙是困难的,并且在清除过程中存在溢出根尖孔外的风险。在本研究中,我们研究了(1)用手锉或超声除垢器去除根尖孔的情况,(2)联合柠檬酸溶液或EDTA溶液减少根尖孔溢出的可能性。采用K-fail法对24颗上颌前磨牙进行根管扩大,每12颗牙的根管扩大尺寸为No.25或No.30。根管扩大完成后,根管内氢氧化钙填充完全。然后用超声波除垢器或手锉去除氢氧化钙。并分别制备纯净水、柠檬酸溶液或EDTA溶液作为助剂。在根管中去除氢氧化钙后,用体视显微镜观察氢氧化钙从根尖溢出的情况。超声除垢器可将根管内的氢氧化钙充分清除。手锉组根尖周围有少量氢氧化钙残留。用超声除垢器和手锉观察了根尖周围氢氧化钙向外溢出的情况。超声除垢器对氢氧化钙的溢出倾向高于手工锉。在使用手锉的两组中,不同根管扩大尺寸的氢氧化钙溢出量差异无统计学意义,但在超声秤扩大30个根管尺寸时,氢氧化钙溢出量明显较高。柠檬酸溶液和EDTA溶液作为辅助剂,与不使用相比,氢氧化钙的溢出量减少。其中,柠檬酸溶液比EDTA溶液对溢流的抑制效果更明显。建议在氢氧化钙去除顶点区域使用手锉,以减少溢出量,提高去除效率。此外,使用柠檬酸溶液或EDTA溶液可以降低氢氧化钙溢出的风险。
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引用次数: 0
Evaluation of Tongue Force on Mandibular Incisor in Various Malocclusions 不同牙合错颌切牙舌力的评价
Pub Date : 2020-06-27 DOI: 10.33140/jodh.04.02.02
Parijat Chakraborty, Pratik Ch, Ra, T. Ragni, ón, Aftab Azam, R. Rastogi
Objectives: The aim of the study is to evaluate the tongue force on the mandibular incisors in various malocclusions and among genders. Material and Methods: 512 subjects (340 females and 172 males) within the age group of 18-28years were selected for the study. The subjects were divided into three groups according the molar relation of the subjects. Molar relation and the tongue force exerted on the mandibular incisor of the subjects were recorded using a diagnostic kit and a Flexiforce resistive sensor respectively. Tongue force at rest (TFR), during swallowing (TFS) and maximum tongue force (MTF) were measured. Results: There was a significant increase in MTF among males than females. A significant relation among the groups when TFR and TFS were compared was also found. Conclusion: TFR and TFS were found to be influential in causing malocclusion and also a stronger tongue musculature among males than females was concluded while comparing MTF.
目的:本研究的目的是评估不同性别错颌患者对下颚切牙舌力的影响。材料与方法:选取年龄在18-28岁之间的512名受试者,其中女性340人,男性172人。根据受试者的摩尔关系将受试者分为三组。使用诊断仪和flexforce电阻传感器分别记录受试者的磨牙关系和舌力对下颌切牙的作用。测量静息时舌力(TFR)、吞咽时舌力(TFS)和最大舌力(MTF)。结果:男性MTF明显高于女性。在比较TFR和TFS时,各组之间也有显著的相关性。结论:TFR和TFS对错牙合的发生有影响,并且在比较MTF时得出男性舌肌强于女性的结论。
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引用次数: 0
Corrosion of titanium implants and connected prosthetic alloys using lactic acid immersion test 用乳酸浸泡试验研究钛植入物和连接的假体合金的腐蚀
Pub Date : 2020-06-06 DOI: 10.15406/JDHODT.2020.11.00524
W. Niedermeier, K. Huesker
Background/purpose: Combination of dental titanium implants with other prosthetic metallic components may lead to metal ion release that increases the risk of adverse reactions in patients. The present study therefore aimed to determine in vitro metal ion dissolution from different alloy combinations. Materials and methods: Dental alloys were subjected to a lactic acid immersion test together with titanium implants and matched with controls. Between day 1 and 38, open direct current potentials (DCP) between the samples and the electrolyte were recorded and metal dissociation inside the electrolyte was assessed using ICP-MS. Results: Absolute DCPs of the different alloys increased significantly (p<0.001) from 100-150mV to 490-580 mV within the first two weeks of immersion, dropping to about 450mV later on largely independent of the material. Titanium showed highest dissociation rates (2.00-12.06µg/cm2 per day; p=0.0002); all other components demonstrated poor corrosive dissolution (<0.6µg/cm2 per day). After immersion of 38 days, titanium still yielded high dissociation (0.64-1.38µg/cm2 per day) for all test groups. Presence of fine gold inside the electrolyte significantly increased dissociation of titanium (p=0.027). Dissociation of iron indicated contamination from tool components used for implant production. Optical examination of non-precious metal surfaces showed no corrosive discoloration after 5 or 26 weeks of lactic acid immersion. Conclusion: Within the limitations of this study, there is no objection against the use of non-precious alloys for the fabrication of components and prostheses supported on titanium implants if gold is not present inside the same electrolyte.
背景/目的:牙科钛种植体与其他金属假体组件联合使用可能导致金属离子释放,增加患者不良反应的风险。因此,本研究旨在测定不同合金组合的金属离子体外溶出度。材料与方法:牙用合金与钛种植体一起进行乳酸浸泡试验,并与对照组相匹配。在第1天至第38天之间,记录样品与电解质之间的开路直流电电位(DCP),并使用ICP-MS评估电解质内的金属解离。结果:不同合金的绝对dcp在浸泡前两周内从100-150mV显著增加到490-580 mV (p<0.001),之后下降到450mV左右,与材料无关。钛的解离率最高(2.00 ~ 12.06µg/cm2 / d);p = 0.0002);所有其他成分表现出较差的腐蚀性溶解(<0.6µg/cm2 /天)。浸泡38天后,所有试验组的钛解离率仍然很高(0.64-1.38µg/cm2 /天)。电解液中细金的存在显著增加了钛的解离(p=0.027)。铁的分离表明来自植入物生产的工具组件的污染。经5周或26周的乳酸浸泡后,非贵金属表面的光学检查显示无腐蚀性变色。结论:在本研究的限制范围内,如果在相同的电解质中不存在金,则不反对使用非贵重合金来制造钛植入物上支持的部件和假体。
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引用次数: 1
Palatal Necrotic Ulcer Following Local Anesthesia: A Rare Complication 局部麻醉后腭坏死性溃疡:一个罕见的并发症
Pub Date : 2020-05-12 DOI: 10.33140/jodh.04.02.01
The everyday practice of dentistry relies heavily on achieving adequate local anesthesia. Even though the safety record oflocal anesthetic agents is high, complications do occur. Palate is a favorable site for soft-tissue lesions. Various factorssuch as direct effects of the drug, blanching of the tissues during injection, relatively poor blood supply, and reactivationof the latent forms of herpes can all promote to tissue ischemia and a lesion in the palate. Among various complications,anesthetic necrotic ulcer is a rare and uncommon condition occurring mostly in the hard palate possibly after a localanesthetic infiltration. We report a case of palatal ulceration in a female patient after the administration of a local anestheticto the right posterior hard palate and follow-up
牙科的日常实践在很大程度上依赖于获得足够的局部麻醉。尽管局部麻醉剂的安全记录很高,但也会发生并发症。上颚是软组织病变的好部位。各种因素,如药物的直接作用,注射时组织的变白,相对较差的血液供应,以及潜伏形式的疱疹的重新激活,都可以促进组织缺血和上颚病变。在各种并发症中,麻醉坏死性溃疡是一种罕见的疾病,主要发生在硬腭,可能是局部麻醉浸润后发生的。我们报告一例女性患者在右后硬腭局部麻醉和随访后出现腭溃疡
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引用次数: 0
Bioceramic cement in endodontic fillings: a randomized clinical trial 生物陶瓷骨水泥在牙髓充填中的应用:一项随机临床试验
Pub Date : 2020-05-07 DOI: 10.15406/JDHODT.2020.11.00523
José Dias da Silva Neto, Rúbia Moura Leite Boczar, D. Veiga, Y. Juliano, T. B. Schnaider
Statement of the Problem: The bioceramic cements have properties that provide periradicular and root regeneration. Attributes that determine regenerative dentistry. Purpose: the objective of this study was to evaluate endodontic treatments of necrotic teeth performed with PBS HP CIMMO® cement (without gutta-percha), compared to conventional treatments, filled with gutta-percha. Materials and Method: A two-arm, double-blind, single-center, randomized, and prospective clinical trial was designed (NCT03514264). CONSORT guidelines were followed. Eighty-six patients aged 18-60 years were enrolled; only one tooth per patient was treated. Patients were treated in two sessions in Group A (gutta-percha thermoplasticization and vertical hydraulic compresssion and AH Plus® n=43) and one session in Group B (PBS HP CIMMO® n=43). The evaluation was performed one year after the treatment. Two examiners performed clinical examinations and evaluated CT images for the presence or absence of periradicular lesion. Intention-to-treat analysis was used. Results: Tomographic analyzes showed differences between the groups: group B (PBS HP CIMMO®) presented a higher number of cases with periradicular regeneration (p=0.0004). Conclusion: The results of the present study indicated the possibility of rehabilitation of necrotic teeth through endodontic filling with bioceramic (PBS HP CIMMO®), without gutta-percha, in a single session.
问题说明:生物陶瓷胶合剂具有根周和根再生的特性。决定再生牙科的属性。目的:本研究的目的是评估PBS HP CIMMO®骨水泥(不含杜仲胶)对坏死牙齿的根管治疗效果,并与填充杜仲胶的常规治疗效果进行比较。材料与方法:设计一项双臂、双盲、单中心、随机、前瞻性临床试验(NCT03514264)。遵循CONSORT指南。86名年龄在18-60岁的患者入组;每位患者只治疗了一颗牙齿。A组患者分为两个疗程(杜胶热塑性化和垂直液压压缩,AH Plus®n=43), B组患者分为一个疗程(PBS HP CIMMO®n=43)。治疗一年后进行评估。两名检查人员进行临床检查并评估CT图像是否存在神经根周围病变。使用意向治疗分析。结果:层析分析显示各组之间的差异:B组(PBS HP CIMMO®)的根周再生病例较多(p=0.0004)。结论:本研究结果表明,不含杜仲胶的生物陶瓷(PBS HP CIMMO®)根管充填可以一次性修复坏死牙。
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引用次数: 2
Epidemiological and sociodemographic profile of the population in street situation in the metropolitan region of Porto Alegre 阿雷格里港大都市区街头人口的流行病学和社会人口概况
Pub Date : 2020-05-07 DOI: 10.15406/JDHODT.2020.11.00521
Matheus Neves, Gustavo Almansa Bernardo, Deon de Moraes, J. Hilgert
The article`s purpose was to understand the sociodemographic and epidemiological profile of the homeless population of Canoas, a metropolitan region of Porto Alegre, in Brazil. To accomplish this homeless population census from Canoas, the information contained in the records of all users registered at Consultóriona Rua (Street Clinic) was used from the beginning of activities in December 2014 until July 2016. Totalizing that, 347 people were collected in the months of June, July and August 2016.84.4% are men, 55.9% self-described as white. Most 64.1% have incomplete primary education, with recycling as the main occupation in 20.6 % of cases. 36.1% reported being on the street due to the use of some psychoactive substance, being 62.0% alcohol users. 69.1% make daily consumption of psychoactive substance, 23.6% have some STIs, considering 14.6% carriers of the HIV virus. Get to know their specificities and needs according to the location in which they are inserted, will make it possible to create means, through public policies, to recover their sense of belonging, and provide their rights guaranteed by law, treating them with dignity.
本文的目的是了解巴西阿雷格里港大都市区卡诺亚斯无家可归人口的社会人口学和流行病学概况。为了完成这次来自Canoas的无家可归人口普查,从2014年12月活动开始到2016年7月,使用了在Consultóriona Rua(街头诊所)注册的所有用户记录中的信息。在2016年6月、7月和8月共收集了347人,其中84.4%为男性,55.9%自称为白人。大多数64.1%的人没有完成小学教育,20.6%的人以回收为主要职业。36.1%的人报告因使用某种精神活性物质而流落街头,62.0%的人酗酒。69.1%的人每天吸食精神活性物质,23.6%的人有某种性传播感染,14.6%的人是艾滋病毒携带者。根据他们所处的位置了解他们的特点和需求,将有可能通过公共政策创造手段,恢复他们的归属感,并为他们提供法律保障的权利,尊严地对待他们。
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Journal of dental health, oral disorders & therapy
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