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Pharmacovigilance of antiretroviral dolutegravir in the state of Paraná 帕拉纳州抗逆转录病毒多替格拉韦的药物警戒
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-14 DOI: 10.4025/actascihealthsci.v44i1.53630
Bárbara Poliselo de Sá, F. A. Dias, Flavia Helen Correia, D. A. Höfelmann, Y. D. Rattmann
The aim of this study was to investigate adverse reactions to Dolutegravir, a drug recently made available by the Unified Health System (SUS) for treating HIV infections. The frequency, severity and sex distribution of adverse reactions to Dolutegravir were identified over the first 18 months of its availability in users in the state of Paraná. Information was obtained through the pharmacovigilance questionnaire prepared by the Ministry of Health, accessed through the Logistics Control System for Medicines (SICLOM). During the study period, dolutegravir was dispensed to 9,865 patients in the state. However, 9,207 users (93.3%) answered the pharmacovigilance questionnaire. Among them, 1.75% reported 279 adverse reactions. This population was composed mainly of male people (69.57%), in the ratio of 2.29 men for each woman, white (67.08%), aged between 20 and 29 years (26.71%), single (45.34%) and with education between 8 and 11 years of study (41.61%). Gastrointestinal (36.92%) and nervous system (14.34%) disorders were the most prevalent. 77.78% adverse reactions were considered non-serious by users. It can be concluded that dolutegravir had a low prevalence of adverse reactions in users in the state of Paraná, demonstrating to be safe for use by the population in therapy against HIV, in accordance with clinical trials
这项研究的目的是调查对Dolutegravir的不良反应,Dolutegravir是一种最近由统一卫生系统(SUS)提供的用于治疗HIV感染的药物。在帕拉纳州的用户中,在其可用的前18个月内确定了Dolutegravir不良反应的频率、严重程度和性别分布。信息是通过卫生部编写的药物警戒问卷获得的,该问卷通过药品物流控制系统(SICLOM)获得。在研究期间,该州9865名患者使用了多替格拉韦。然而,9207名用户(93.3%)回答了药物警戒问卷。其中不良反应279例,占1.75%。该人口以男性为主(69.57%),男女比例为2.29:1,白人(67.08%),年龄在20 - 29岁之间(26.71%),单身(45.34%),受教育程度在8 - 11年之间(41.61%)。胃肠道疾病(36.92%)和神经系统疾病(14.34%)最为常见。77.78%的不良反应被认为是较轻的用户。可以得出的结论是,根据临床试验,多替格拉韦在帕拉南州的使用者中不良反应发生率较低,表明在艾滋病毒治疗中使用人群是安全的
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引用次数: 0
Diagnostic costs: a research in a family medicine outpatient clinic 诊断费用:一项家庭医学门诊的研究
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-14 DOI: 10.4025/actascihealthsci.v44i1.56262
Safiye Şahin, Fevzi Esen, Guzin Zeren Ozturk
The aim of this study is to evaluate the direct diagnostic costs for disease groups and other variables (such as gender, age, seasons) that are related to the direct diagnostic costs based on a 3-year data. The population of the study consisted of 31,401 patients who applied to family medicine outpatient clinic in Turkey between January 1st, 2016 and December 31st, 2018. With this study, we determined in which disease groups of the family medicine outpatient clinic were most frequently admitted. Then, total and average diagnostic costs for these disease groups were calculated. Three-year data gave us the opportunity to examine the trend in diagnostic costs. Based on this, we demonstrated which diseases' total and average diagnostic costs increased or decreased during 3 years. Moreover, we examined how diagnostic costs showed a trend in both Turkish liras and USA dollars’ rate for 3 years. Finally, we analysed whether the diagnostic costs differed according to variables such as age, gender and season. There has been relatively little analysis on the diagnostic costs in the previous literature. Therefore, we expect to contribute to both theorists and healthcare managers for diagnostic costs with this study.
本研究的目的是基于3年的数据,评估与直接诊断费用相关的疾病组和其他变量(如性别、年龄、季节)的直接诊断费用。该研究的人群包括2016年1月1日至2018年12月31日期间在土耳其家庭医学门诊就诊的31,401名患者。通过这项研究,我们确定了家庭医学门诊最常入院的疾病组。然后,计算这些疾病组的总诊断费用和平均诊断费用。三年的数据使我们有机会检查诊断费用的趋势。在此基础上,我们展示了3年内哪些疾病的总诊断费用和平均诊断费用增加或减少。此外,我们研究了诊断费用如何在土耳其里拉和美元汇率中显示3年的趋势。最后,我们分析了诊断费用是否因年龄、性别和季节等变量而不同。在以往的文献中,对诊断成本的分析相对较少。因此,我们期望通过这项研究对理论学家和医疗保健管理人员的诊断成本做出贡献。
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引用次数: 0
Adaptation to university studies affects on functional state of freshmen 大学学习适应对新生的功能状态有影响
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-14 DOI: 10.4025/actascihealthsci.v44i1.56397
M. Avdeeva
According to different researches, 30% of university graduates have a low level of health, and studying at university is one of the factors of its deterioration, besides the first year is considered critical. The purpose of research is to study the dynamics of physical development, physical fitness and functional state of young men during the first year of university studies. For the survey we used standard measurements and index calculations for 11 indicators of physical development, 9 indicators of physical fitness and 15 indicators of functional status. We calculated the arithmetic mean (M), the standard error of the mean (m), then evaluated differences by the Student criterion (t) for independent samples and considered them as reliable atр < 0.05. It is shown that during the first year of studies, young men have an increase in the Erismann index, the corpulence (Rohrer’s) index, the body mass index and a decrease in the Pignet index. There is also an increase in the coefficient of endurance, adaptive capacity and diastolic pressure, while vital capacity of the lungs, the vital index, time of hanging on the bar and the speed of running 1000 m decrease. The dynamics of physical development is expressed in a change in mass-growth indices and indicates an increase in body weight. The dynamics of physical fitness is expressed in a decrease of the time of hanging on the bar and the speed of running 1000 m. The dynamics of the functional state is expressed in a decrease of vital capacity of the lungs, vital index, increase in the coefficient of endurance, adaptive capacity and diastolic blood pressure.
根据不同的研究,30%的大学毕业生的健康水平较低,在大学学习是其恶化的因素之一,除了第一年被认为是关键。本研究的目的是研究青年男子在大学一年级期间的身体发育动态、身体健康和功能状态。在调查中,我们对11个身体发育指标、9个身体健康指标和15个功能状态指标进行了标准测量和指数计算。我们计算算术平均值(M),平均值的标准误差(M),然后通过学生标准(t)评估独立样本的差异,并认为它们是可靠的(< 0.05)。研究表明,在研究的第一年,年轻男性的Erismann指数、肥胖(Rohrer’s)指数、体重指数都有所增加,而Pignet指数则有所下降。耐力系数、适应能力、舒张压均有所增加,肺活量、肺活量指数、吊杠时间、跑1000米速度均有所下降。身体发育的动态表现为质量生长指数的变化,并表明体重的增加。体质的动态变化表现为吊杠时间的减少和跑1000米速度的减少。功能状态的动态表现为肺肺活量下降、肺活量指数下降、耐力系数、适应能力和舒张压升高。
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引用次数: 0
Relationship between tooth loss, nutritional status and consumption of macro and micronutrients in elderly people from southern Brazil 巴西南部老年人牙齿脱落、营养状况与宏量和微量营养素摄入之间的关系
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-14 DOI: 10.4025/actascihealthsci.v44i1.53676
Mariele Andrade do Nascimento, Valéria Campos Mariano Francelino, Ilma Carla de Souza Porcelli, M. Yokoyama, R. Poli-Frederico, M. L. C. Fracasso, R. D. Neves-Souza, S. M. Maciel
Maintaining a functional natural dentition plays an important role in keeping a satisfactory nutritional status. The aim of this study was to evaluate the relationship between oral health conditions determined by the presence of edentulism and the number of missing teeth, nutritional status and consumption of nutrients by the elderly. This cross-sectional study comprised 494 independent elderly of both genders, over 60 years of age, registered at the Brazilian public health service in Londrina, southern Brazil. The data collection included: oral examinations; anthropometric measurements by calculating the Body Mass Index (BMI); analysis of food consumption based on a multiple pass 24-hour dietary recall and a food intake frequency questionnaire; and structured interviews to obtain sociodemographic information. Multiple linear regression, the Fisher’s Exact test, chi-square and Mann‑Whitney tests, were applied at a 5% significance level. The prevalence of edentulism was 47.3%; this predominated in females, age group from 65 to 74 years, low education level and low/medium economic classification. A larger number of underweight and fewer number of overweight elderly were recorded among the edentulous versus dentate participants (< 0.0001). Significantly lower consumption of several nutrients, as well as fruit, was recorded among the edentulous group. In particular, carbohydrates, vitamins (B1, B9 and C), and the majority of the minerals studied were associated with a larger number of missing teeth. In conclusion, tooth loss was associated with the food consumption pattern of some macro- and micronutrients and the nutritional status of the Brazilian elderly.
保持天然牙列的功能在保持令人满意的营养状态中起着重要的作用。本研究的目的是评估老年人的牙齿健康状况与缺牙数量、营养状况和营养消耗之间的关系。这项横断面研究包括在巴西南部隆德里纳的巴西公共卫生服务机构登记的494名60岁以上的男女独立老年人。数据收集包括:口试;通过计算身体质量指数(BMI)进行人体测量;基于24小时多次膳食召回和食物摄入频率问卷的食物消费分析;通过结构化访谈来获取社会人口统计信息。采用多元线性回归、Fisher精确检验、卡方检验和Mann - Whitney检验,显著性水平为5%。全牙化患病率为47.3%;这主要是女性,年龄在65至74岁之间,受教育程度低,经济水平低/中等。在无牙组和有牙组中,老年人体重过轻的人数较多,超重的人数较少(< 0.0001)。在无牙组中,几种营养素和水果的摄入量明显降低。特别是碳水化合物、维生素(B1、B9和C)和大多数矿物质与大量缺牙有关。总之,牙齿脱落与某些宏量和微量营养素的食物消费模式以及巴西老年人的营养状况有关。
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引用次数: 0
Consumption of mate Ilex paraguariensis: a folk beverage with antioxidant power against myocardial ischemic injury 饮用巴拉圭冬青:一种具有抗心肌缺血损伤能力的民间饮料
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-14 DOI: 10.4025/actascihealthsci.v44i1.55845
eduarda Santa-Helena, M. Castro, F. Victoria, Jonathan Rodrigues, Carla Amorim Neves Gonçalves
The effects of the aqueous extract of Ilex paraguariensis (Ip) and the flavonoid quercetin were tested during the induction of in vivo myocardial ischemia/ reperfusion in Rattus norvegicus. The antioxidant power of the extract and quercetin were chemically determined. The experimental groups were: control, ischemia/reperfusion induction, Ip oral treatment, Ip oral treatment and ischemia /reperfusion, quercetin oral treatment, and quercetin oral treatment and ischemia/reperfusion. Rats were anesthetized with sodium thiopental and xylazine via intraperitoneal injection and subsequently underwent 15 minutes of ischemia followed by 15 minutes of reperfusion. Ischemia was promoted by tying the left anterior descending coronary artery. Areas of risk and infarction were stained by intravenous Evans blue and triphenyl tetrazolium chloride. Reactive oxygen species (ROS), antioxidant capacity against peroxyl radicals, and lipid peroxidation of the myocardium were quantified. A significant reduction in areas of risk and infarction was detected in the ischemic myocardium treated with Ip and quercetin; ROS generation and lipid peroxidation were significantly reduced, and the antioxidant capacity was elevated. Oral administration of Ip promoted antioxidant benefits in the myocardium during ischemia and reperfusion, which reduced infarction. We suggest that Mate (a hot drink made from steeped dried leaves of Ip) consumption is a potential cardioprotective habit of indigenous people from southern South American countries, which must be better understood scientifically and ethnographically.
研究了巴拉圭冬青水提物和槲皮素对褐家鼠体内心肌缺血再灌注的诱导作用。用化学方法测定了提取物和槲皮素的抗氧化能力。实验组分为:对照组、缺血再灌注诱导组、口服Ip组、口服Ip组与缺血再灌注组、口服槲皮素组、口服槲皮素组与缺血再灌注组。大鼠经腹腔注射硫喷妥钠和噻嗪麻醉,缺血15分钟,再灌注15分钟。结扎左冠状动脉前降支促进缺血。静脉Evans蓝和三苯基四氮氯化铵染色危险区和梗死区。测定心肌的活性氧(ROS)、抗过氧自由基能力和脂质过氧化水平。在用Ip和槲皮素治疗的缺血心肌中,检测到危险区域和梗死的显著减少;ROS生成和脂质过氧化显著减少,抗氧化能力提高。口服Ip可促进心肌缺血再灌注时的抗氧化作用,从而减少梗死。我们认为,饮用Mate(一种由叶茶浸泡干叶制成的热饮)是南美洲南部国家土著居民的潜在心脏保护习惯,必须从科学和民族志上更好地理解这一点。
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引用次数: 1
Evaluation of Aids and hepatitis-B knowledge and job satisfaction among hairdressers and barbers in Turkey 土耳其美发师和理发师艾滋病和乙型肝炎知识及工作满意度评价
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-14 DOI: 10.4025/actascihealthsci.v44i1.56401
Müjde Kerkez, Rabia Sohbet, C. B. Okuyan
Blood-borne viruses, including the human immunodeficiency virus and hepatitis B virus, have certain common epidemiological characteristics and these viruses infect millions of people worldwide. This study aimed to determine the job satisfaction and the level of knowledge and practices regarding infectious diseases of employees working as hairdressers and barbers. This descriptive and cross-sectional study comprised 1200 hairdressers and barbers. The study sample comprised 628 people who consented to participate in the study. The mean age of the participants who participated in the study was 28, 13 ± 6. 9 years. The mean job satisfaction score of the participants was 3.85 ± 0.58. The job satisfaction score was found to be higher among those with sufficient knowledge of hepatitis B (p < 0.005). Employees should be provided performance trainings to achieve job satisfaction. It is recommended that employees be encouraged to wear gloves and gowns to protect their health and prevent contamination.
血液传播的病毒,包括人类免疫缺陷病毒和乙型肝炎病毒,具有某些共同的流行病学特征,这些病毒感染了全世界数百万人。本研究旨在了解美发师和理发师的工作满意度、传染病知识和行为水平。这项描述性和横断面研究包括1200名美发师和理发师。研究样本包括628名同意参与研究的人。参与者的平均年龄为28.13±6岁。9年。工作满意度平均得分为3.85±0.58。对乙肝知识有充分了解的员工,其工作满意度得分较高(p < 0.005)。对员工进行绩效培训,使其获得工作满意度。建议鼓励员工佩戴手套和防护服,以保护他们的健康和防止污染。
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引用次数: 0
Self-perception of oral health among tertiary-care users: quanti-qualitative analysis with chronic kidney disease patients 三级保健使用者的口腔健康自我认知:慢性肾病患者的定量-定性分析
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-14 DOI: 10.4025/actascihealthsci.v44i1.53802
M. Amaral, Aline Maria Malachini Miotto, S. Moimaz, C. A. Garbin
Chronic kidney disease (CKD) has become a global public health challenge. The objective of this study was to analyze the relationship between self-perception of oral health and clinical condition among patients with CKD. This is a quanti-qualitative survey conducted in a CKD specialized service. The sample consisted of 60 patients who underwent oral examinations to have their severity of caries (DMFT) and need for dental prosthesis checked. Age, sex, time on dialysis, marital status, skin color, education and pre-existing diseases were also analyzed. Among the kidney patients who agreed to undergo the clinical examinations and showed communication skills, some were selected, and three focus groups were created, with the participation of a moderator and six to 10 kidney patients in each group. Their speeches were processed in the IRAMUTEQ software and analyzed through the similarity analysis and word cloud techniques. As for profile, the patients were aged 60.23 ± 10.87 years old; were male (73.33%); were on dialysis for 41.90 ± 56.57 months; were married (61.67%); were white (76.67%); had incomplete primary education (41.66%); had arterial hypertension (76.67%); had a DMFT index of 22.55 ± 8.39; 43.33% needed an upper complete denture; and 30.00% needed a lower complete denture. The similarity analysis revealed many doubts and uncertainties about current health services, which can be proven by the words ‘no’ and ‘treatment’. The quanti-qualitative analysis showed a high rate of dental loss and the need for complete dentures and suggests inequities in oral health care for chronic kidney disease patients, especially in tertiary care. There was a positive representation regarding oral health, but the lexicographical analyses of the textual corpus confirmed the self-perception of lack of dental care.
慢性肾脏疾病(CKD)已成为一个全球性的公共卫生挑战。本研究的目的是分析慢性肾病患者口腔健康自我感知与临床状况的关系。这是一项在CKD专业服务中进行的定量定性调查。样本包括60名患者,他们接受了口腔检查,以了解他们的龋病严重程度(DMFT)和是否需要进行义齿检查。还分析了年龄、性别、透析时间、婚姻状况、肤色、教育程度和既往疾病。在同意接受临床检查并表现出沟通能力的肾病患者中,选出一部分人,建立三个焦点小组,由主持人参与,每组6 - 10名肾病患者。他们的演讲在IRAMUTEQ软件中进行处理,并通过相似度分析和词云技术进行分析。年龄:60.23±10.87岁;男性占73.33%;透析41.90±56.57个月;已婚(61.67%);白人占76.67%;未完成初等教育(41.66%);有高血压(76.67%);DMFT指数为22.55±8.39;43.33%需要上颌全口义齿;30.00%需要种植下全口义齿。相似度分析揭示了对当前卫生服务的许多疑虑和不确定性,这可以通过“不”和“治疗”这两个词来证明。定量和定性分析显示,慢性肾病患者的牙齿丢失率高,需要全口假牙,这表明慢性肾病患者的口腔卫生保健存在不公平现象,特别是在三级保健方面。在口腔健康方面有积极的表现,但对文本语料库的词典学分析证实了缺乏牙齿护理的自我认知。
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引用次数: 1
Teaching, service and community integration as a strategy for reorienting undergraduate health training 将教学、服务和社区整合作为调整本科卫生培训方向的策略
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-14 DOI: 10.4025/actascihealthsci.v44i1.54907
Tatiana de Medeiros Carvalho Mendes, Tainara Lorena dos Santos Ferreira, Janete Lima de Castro, Héllyda de Souza Bezerra, Aline Grimberg Pereira de Medeiros, F. B. Andrade
The teaching-service-community integration is an important strategy for achieving changes in the training of human resources in health, in order to train professionals with a profile to work in the Brazilian Unified Health System (SUS, as per its Portuguese acronym). This study analyzed how it occurs and what are the contributions of the teaching-service-community integration in the view of professors from the first to the seventh period of Medicine, Nursing and Dentistry programs at a university in northeastern Brazil. This is an exploratory and descriptive study, with a quantitative approach. Data were collected using an interview form and analyzed with the help of SPSS software. The descriptive analysis of the data, the chi-square test and the calculation of the internal consistency of the evaluation scale were used. The study had the participation of 106 professors. Results show that practices were still predominantly performed in university clinics and hospitals, 76 (71.7%). Most professors, 59 (56.7%), consider the teaching-service-community interaction very important for the quality of training and recognize its importance in strengthening SUS, 89 (85.6%). Although there was resistance on the part of some professors to follow-up students in extramural services, most of them, 94 (89.5%), consider the role of professors as essential for changing health practices, especially professors in nursing and dentistry professors that carry out extramural practices (p < 0.01). Interdisciplinary practices were performed more frequently in the first two periods of the three courses and by the nursing course (p = 0.001). In turn, multiprofessional interaction predominates in the practical classes of the nursing course and practices held outside the university domain (p < 0.01). It is evident the need to institutionalize the teaching-service-community interaction, as well as to value initiatives that streamline and make teaching more flexible in multiprofessional and interdisciplinary activities, fundamental for the amendment of training in health.
教学-服务-社区一体化是实现卫生人力资源培训变革的一项重要战略,目的是培训具有在巴西统一卫生系统(SUS,葡萄牙语首字母缩写)工作背景的专业人员。本研究以巴西东北部一所大学医学、护理和牙科专业第一至第七期教授的观点,分析了教学-服务-社区整合是如何发生的,以及教学-服务-社区整合的贡献。这是一项探索性和描述性研究,采用定量方法。采用访谈法收集数据,运用SPSS软件进行分析。资料采用描述性分析、卡方检验和评价量表内部一致性计算。这项研究有106名教授参与。结果显示,仍以大学诊所和医院为主,76家(71.7%)。大多数教授(59位(56.7%))认为教学-服务-社区互动对培训质量非常重要,并认识到它对加强SUS的重要性(89位(85.6%))。尽管部分教授对校外服务的随访学生有抵制,但大多数(94人,89.5%)认为教授的作用对于改变卫生实践是必不可少的,特别是开展校外实践的护理学教授和牙科教授(p < 0.01)。跨学科实践在三门课程的前两个阶段和护理课程中更为频繁(p = 0.001)。多专业互动在护理课程的实践课程和校外实践中占主导地位(p < 0.01)。显然,有必要使教学- -服务- -社区的相互作用制度化,并重视精简和使多专业和跨学科活动的教学更加灵活的倡议,这是改进保健培训的根本。
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引用次数: 0
Association between pain, anxiety, and alpha2 frontal activity in women with fibromyalgia 纤维肌痛症患者疼痛、焦虑和阿尔法2额叶活动之间的关系
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.49846
G. Melo, M. Madruga, Cleudyson Joab de Araújo Silva, Nelson Torro
Fibromyalgia is a disorder of the central nervous system, with the presence of chronic generalized pain, fatigue, morning stiffness, anxiety and depression symptoms. Higher amplitudes of the frequency band alpha2 have been associated with higher relaxation in this population. In the present study, we analysed the association between pain, anxiety, and the spectral power of alpha2 frontal in women with fibromyalgia. Thirty-one women diagnosed with fibromyalgia, for at least three months, took part in the study. Results revealed a statistically significant positive relationship between pain and anxiety levels. However, we found no association between the spectral power of alpha2 in the frontal cortex and the measures between anxiety and pain in the patients. Present findings emphasize the importance of understanding the cortical activity and the central control mechanisms in fibromyalgia.
纤维肌痛是一种中枢神经系统疾病,伴有慢性全身疼痛、疲劳、晨僵、焦虑和抑郁症状。在这个群体中,较高的频带振幅与较高的弛豫有关。在本研究中,我们分析了患有纤维肌痛的女性的疼痛、焦虑和阿尔法2额叶谱功率之间的关系。31名被诊断患有纤维肌痛的女性参加了这项研究,时间至少为3个月。结果显示,疼痛和焦虑水平之间存在统计学上显著的正相关。然而,我们发现额叶皮层α 2的频谱功率与患者焦虑和疼痛之间的测量没有关联。目前的研究结果强调了理解纤维肌痛的皮层活动和中枢控制机制的重要性。
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引用次数: 0
Accuracy of cone-beam CT in detecting vertical root fractures in teeth with post-endodontic restorations: an in vitro study 锥形束CT检测牙髓修复后牙根垂直骨折的准确性:一项体外研究
IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-13 DOI: 10.4025/actascihealthsci.v43i1.55832
F. C. Yamashita, A. L. Yamashita, Irma Milena Menck Romanichen, E. S. Tolentino, S. Sábio, M. Chicarelli, L. Iwaki
The aim of this study was to evaluate the accuracy of cone-beam CT (CBCT) for the detection of artificially created vertical root fractures (VRF) in extracted teeth restored with metallic (MP) and fiberglass (FGP) posts. After root canal obturation, 60 extracted human premolars were scanned by using the highest-resolution settings of a CBCT unit. The prepared roots were randomly divided into three groups: group C (control group): non-restored and non- endodontically treated teeth (n = 20); group MP (n = 20); group FGP (n = 20). In all groups, 10 teeth were artificially fractured. Two external and independent observers blindly recorded the presence or absence of VRF. Sensitivity, specificity, accuracy, intra- and interobserver agreement were calculated. Kappa value for inter- and intraobserver agreement was 0.82 and 0.84 respectively, demonstrating good agreement. The highest values for sensitivity (0.80 - 0.90), specificity (1.00) and accuracy (0.90 - 0.95) were found in the control group. The teeth with FGP restoration presented the lowest sensitivity (0.30 - 0.50) and accuracy (0.60 - 0.65) values. Both examiners had a good performance in the diagnosis of fractures in teeth with MP, with accuracy ranging between 0.85 - 0.90. The presence of MP did not influence accuracy; however, the presence of FGP reduced the diagnostic capacity of CBCT.
本研究的目的是评估锥形束CT (CBCT)检测金属(MP)和玻璃纤维(FGP)桩修复拔牙人工制造的垂直根裂(VRF)的准确性。在根管封闭后,使用CBCT装置的最高分辨率设置扫描60颗拔出的人类前磨牙。将准备好的牙根随机分为3组:C组(对照组):未修复和未根管治疗的牙(n = 20);MP组(n = 20);FGP组(n = 20)所有组均人工断牙10颗。两名外部独立观察员盲目地记录了VRF的存在与否。计算灵敏度、特异性、准确性、观察者内部和观察者之间的一致性。观察者之间和观察者内部一致性的Kappa值分别为0.82和0.84,表明一致性良好。对照组的敏感性(0.80 ~ 0.90)、特异性(1.00)和准确性(0.90 ~ 0.95)最高。FGP修复牙的灵敏度(0.30 ~ 0.50)和准确度(0.60 ~ 0.65)最低。两位检查者在MP诊断牙齿骨折方面表现良好,准确率在0.85 - 0.90之间。MP的存在不影响准确性;然而,FGP的存在降低了CBCT的诊断能力。
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引用次数: 1
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