Suicídio no Brasil e os contextos geográficos: contribuições para política pública de saúde mental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Polimorfismo do gene IL6 candidato à predisposição à rotura prematura de membranas pré-termo e ao trabalho de parto pré-termo

Introduction: Preterm Labor (PTL) and Preterm Premature Rupture of Membranes (PPROM) cause severe complications for both mother and fetus. Among the risk factors associated with preterm labor and PPROM, genetic predisposition has been gaining importance. However, the association between polymorphic genes and the pathogenesis of PTL and PPROM remains elusive. A better understanding of the genetic mechanisms underlying these adverse pregnancy outcomes may enable the identification of high risk patients and allow new approaches to minimize the deleterious effects of prematurity. Aim: To determine the association between maternal IL-6 polymorphism gene and the occurrence of PTL and PPROM. Patients and Methods: The study included 109 patients with prior history of PL and/or PPROM that delivered prematurely at the Obstetrical Unit Care of Botucatu Medical School, UNESP between 2003 and 2012. The control group consisted of 68 patients that delivered at term, matched to the case group by age, ethnicity, and sex of the newborn. Oral swabs (Cath-AllTM – Epicentre Biotechnologies) were collected for analysis of genetic polymorphisms by PCR. Statistical tests were performed to compare genotype, clinical and socio-demographic data from the groups. A p-value of <0.05 was considered significant. Results: The sociodemographic characteristics in both groups were homogeneously distributed. The frequency of the polymorphic allele C, associated with less production of IL-6, and therefore thought to be protective against PTL and PPROM, was 32,5% in the study group and 30,9% in the control group, without statistically significant differences. Conclusion: Considering the sample size included in this study, the frequency of the mutated allele is similar in pregnant women who delivered at term and gestational complications as PTL and PPROM

Homogamy preferences for cognitive sex-typicality in women

Homogamy has been suggested as crucial for human mate preferences and mate choice. People are attracted to and choose romantic partners that are similar to them in socio-demographic, physical, and psychological traits. However, only a few studies have shown homogamy in preferences for evolved sex-typical traits. Here, we have investigated male and female preferences for the level of cognitive masculinity-femininity (MF). We tested whether self-reported MF positively correlates with preferences for MF. One hundred men and one hundred women from Brazil filled in questionnaires on their own level of cognitive MF and preferred level of cognitive MF in their ideal partner. Half of the respondents were asked to indicate their preferences for long-term, and the other half for short-term relationships. We found a positive correlation between self-ascribed and preferred level of cognitive MF in women (P = 0.002), but no significant correlation in men (P = 0.309). There was no significant effect of the temporal context of the relationship, but there was a positive correlation between self-ascribed and preferred level of cognitive MF only in women answering about long-term partner. By subtracting the preferred from the selfascribed level of cognitive MF, we created a self-similarity index. We found that women desire potential mates more self-similar and more masculine than men (P < 0.001) and that in men there is greater variation in the self-similarity index than in women. Our results thus add to previous evidence on the role of homogamy in human mating, by showing preferences for self-similarity also in cognitive MF for women, especially for long-term partner preferences. Future studies should cross-culturally test whether the higher self-similar preference found in women is universal.

Avaliação do programa de medicina anti-estresse em mulheres com câncer de colo uterino submetidas à radioterapia

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Impacto da saúde bucal na qualidade de vida de adolescentes grávidas

Pós-graduação em Odontologia Preventiva e Social - FOA

Fatores prognósticos para o abandono precoce do tratamento da dependência do álcool, crack e outras drogas em uma comunidade terapêutica

Pós-graduação em Saúde Coletiva - FMB

Perfil de uso de recursos ergogênicos em academias da cidade de Bauru/SP

The increasing number of gyms and their patrons increasingly concerned about the health, appearance and aesthetics propagated by the media and the supply of ergogenic both food as hormonal some without proof of its effects generated interest for the study of consumption of such ergogenic goers by academies of Bauru/SP; objective was also to assess whether the Physical Education professionals are prepared to guide properly, such as the use of these goers ergogenic. To this end, a questionnaire specific to each category was used, to be answered voluntarily and anonymously, with closed and open questions divided into two parts: one for socio demographic characterization and another in which were discussed issues regarding the use/orientation ergogenic. The research involved a sample of 12 academies and 205 attendees, including 152 men (74.15%) and 53 (25.85) women. Among men, 61.18% (n=93) did use ergogenic(s) food(s), while among women, this percentage was 33.96% (n=18). Regarding the use of hormonal resources, only 4.61% (n=7) of men said they used; there were no cases of women using hormonal resources. Were also interviewed 19 assessors/trainers/teachers, two which fifteen (15) men and four (4) women. Most consumers of ergogenic: (1) is understood in the age group 21-30 years and the socioeconomic classification bands called B1 and B2; (2) practice bodybuilding and consumption ergogenic resources with purpose of muscular hypertrophy; (3) practicing bodybuilding for a period between 1 and 5 years, consumes ergogenic(s) for a period less than one year, and perhaps the most significant event, starts the consumption of ergogenic(s) in a period of less than one year after starting the practice of bodybuilding, and that there are consumers who start consuming ergogenic as soon begin the practice of bodybuilding; (4) has as its main source of indication for the use of ergogenic, the gym instructor, among which, some respondents reported...

Burnout em dentistas do serviço público: ter ou não ter, eis a questão!

Objective: the objective of this study was to estimate the prevalence of Burnout Syndrome in dentists in the public service in the city of Araraquara – SP and its association with the variables of interest. Material and method: The sample was made up of the dentists active in the public health network (n = 60). Socio-demographic data was collected. The Oldenburg Burnout Inventory (OLBI) was used. Result: Of the participants, 60.0% were female and the average age was 41.9 ± 7.6 years. A large number of the professionals displayed a normal perception of the work conditions, premises, materials and equipment. 63.3% of the individuals feel tired even before arriving for work, 58.3% need more time to relax and to feel better, 70.0% are unable to deal well with the pressures of work, 50.0% feel they have no energy during or after work and 86.7% do not consider the work to be a positive challenge. It was observed that 48.3% of dentists displayed Burnout Syndrome, 11.7% Detachment and 13.3% Exhaustion. There was a significant association between the presence of Burnout and gender (p = 0.020) and the work premises (p = 0.011), with men being the most affected and those that considered the work premises very poor. Conclusion: It was concluded that the prevalence of Burnout Syndrome among dentists is high, with men and those who consider the work premises bad being the most affected.

Dentistry teachers and the burnout syndrome

The Burnout Syndrome is considered a psychosocial problem to which teachers are routinely exposed. This study was conducted to estimate the prevalence of burnout in Dentistry teachers and its relation to relevant socio-demographic variables. The participants were 70 teachers from the undergraduate Dentistry Course, Faculty of Dentistry of Araraquara – UNESP. Oldenburg Burnout Inventory (OLBI) was used. The prevalence of burnout was estimated. In order to compare performed. Mean age of participants was 46.0 ± 6.1 and teaching experience was 19.6±7.6 years. The prevalence of burnout was 17.1%. Low mean scores for Exhaustion (2.11±0.61) and Disengagement (1.73±0.50) were observed. There reported taking medication due to work (p=0.008) and for those who have thought about quit teaching (p=0.001). There scores according to the habit of taking medication, the experience as a teacher and gender

Síndrome de burnout em dentistas do serviço público

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Dental anxiety: prevalence and evaluation of psychometric properties of a scale

Aim: To estimate the reliability and validity of the Dental Anxiety Scale (DAS) and identify the prevalence and the effect of the socio-demographic characteristics of dental anxiety, in a sample of 212 adults. Methods: The psychometric sensitivity of the scale was assessed. A confirmatory factor analysis was performed, and the convergent validity and internal consistency were determined. The prevalence of anxiety was estimated, and the effect of socio-demographic variables on anxiety was assessed using structural equation modelling. Results: The participants’ mean age was 33.5 (SD = 15.6) years, and 62.3% were female. There was an adequate factorial adjustment of the scale in this sample. The convergent validity and internal consistency were adequate in the one-factor model. Regarding two-factor model, there was a high correlation (r) among the factors, which jeopardized the discriminant validity. A total of 47.6% of the participants (IC95% = 40.9 - 54.4) presented low levels of anxiety, 32.5% (IC95% = 26.2 - 38.9) moderate levels, and 12.3% (IC95% = 7.8 - 16.7) exacerbated levels. There was a non-significant effect of gender, age and education on the anxiety levels of this sample. Conclusion: We concluded that the one-factor model presented better psychometric qualities, that anxiety was highly prevalent and there was no significant effect of the demographic variables on anxiety, in this sample

Impacto dos problemas de saúde bucal na qualidade de vida de gestantes

Objectives: 1) to evaluate the impact of oral health problems on the quality of life of pregnant women by the simplified Oral Health Impact Profile (OHIP-14) questionnaire as well by the presence of dental caries, periodontal disease and denture use/need; 2) to correlate the sociodemographic variables and the oral health conditions revealed in the clinical examinations with the OHIP-14. Method: In addition to the application of the OHIP-14 questionnaire, clinical examination of the oral conditions (CPI - community periodontal index, DMFT and prosthetic evaluation) was performed on 51 pregnant women, who sought dental treatment between April 2008 and August 2010 at the Preventive Dentistry Clinic. Descriptive analyses were made for sample characterization, bivariate analysis (chi-square or Fisher’s exact tests) and multiple logistic regressions at a 5% significance level to assess the correlation between the impact of oral health on the quality of life of pregnant women and the socio-demographic and clinical variables. Results: The OHIP-14 data showed a lesser impact of oral health on the women’s quality of life. The mean DMFT was 12.8; 70.6% of the pregnant women presented dental calculus and 58.8% needed prostheses. The association between OHIP-14 data and last dental visit and DMFT remained in the final regression model (p<0.05). Conclusion: Caries experience of the pregnant women was considered high. Most of them needed prostheses and presented dental calculus. The OHIP-14 presented a low impact on this population and was significantly influenced by the last dental visit and the DMFT index.

Lesões bucomaxilofaciais: estudo dos casos periciados de 2007 a 2013 no Instituto Médico Legal Nina Rodrigues - Salvador / BA

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Separation anxiety disorder in adult patients with obsessive-compulsive disorder: prevalence and clinical correlates

Objective: Individuals with obsessive-compulsive disorder (OCD) and separation anxiety disorder (SAD) tend to present higher morbidity than do those with OCD alone. However, the relationship between OCD and SAD has yet to be fully explored.Method: This was a cross-sectional study using multiple logistic regression to identify differences between OCD patients with SAD (OCD + SAD, n = 260) and without SAD (OCD, n = 695), in terms of clinical and socio-demographic variables. Data were extracted from those collected between 2005 and 2009 via the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders project.Results: SAD was currently present in only 42 (4.4%) of the patients, although 260 (27.2%) had a life-time diagnosis of the disorder. In comparison with the OCD group patients, patients with SAD + OCD showed higher chance to present sensory phenomena, to undergo psychotherapy, and to have more psychiatric comorbidities, mainly bulimia.Conclusion: In patients with primary OCD, comorbid SAD might be related to greater personal dysfunction and a poorer response to treatment, since sensory phenomena may be a confounding aspect on diagnosis and therapeutics. Patients with OCD + SAD might be more prone to developing specific psychiatric comorbidities, especially bulimia. Our results suggest that SAD symptom assessment should be included in the management and prognostic evaluation of OCD, although the psychobiological role that such symptoms play in OCD merits further investigation. (C) 2014 Elsevier Masson SAS. All rights reserved.

The stigma and prejudice of leprosy: influence on the human condition

Introduction: To analyze the knowledge, feelings and perceptions involving patients affected by leprosy, as a better understanding of these factors may be useful to decrease the stigma and prejudice associated with the condition. Methods: The study cohort consisted of 94 patients who underwent treatment for leprosy at the Health Units in the City of Cuiaba, Mato Grosso (MT), Brazil. The study questionnaire included items to collect information on socio-demographic data, knowledge about the disease, stigma, prejudice, self-esteem and quality of life of leprosy patients. Bivariate analyses were used to assess the data based on the chi-square test with a 5% significance threshold. Results: The results revealed that the study population consisted predominantly of males (55.3%) with an income between 1 and 3 times the minimum wage (67%). The survey respondents reported that the most significant difficulties related to the treatment were the side effects (44.7%) and the duration of the treatment (28.7%). A total of 72.3% of the subjects were knowledgeable about the disease, of whom 26.6% had the leprosy reaction. Stigma and prejudice were cited by 93.6% of the participants. Based on the responses, 40.4% of patients reported being depressed and sad, and 69.1% of the subjects encountered problems at work after being diagnosed. A total of 45.7% of the patients rated their quality of life between bad and very bad. Conclusions: Our results suggest that leprosy causes suffering in patients beyond pain and discomfort and greatly influences social participation.