Indications for the HPV vaccine in adolescents: A review of the literature

Background: The vaccine against human papillomavirus (HPV) was created to abrogate the risk that the virus presents for the development of cervical cancers. The prevalence of HPV infection among healthy individuals is significant (20%). We performed a review of the literature published in the period from 2008 to 2012 regarding the use of the vaccine against HPV specifically in adolescents. Methods: The articles were selected from a search of the PubMed database with the key words "vaccine", "HPV" and "adolescent". This search identified 576 articles; based on readings of the titles and abstracts, the list of included article was reduced to 42. Results: We observed that the majority of authors are in favor of the vaccine for adolescents particularly females. Conclusion: Recommending the use of the HPV vaccine and other vaccines represents an attempt to broaden the reach of these vaccines among both sexes of the adolescent population. Vaccination is a strategy for the prevention of pre-cancerous Lesions in the genital and oropharyngeal regions. (C) 2014 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Limited. All rights reserved.

Percepción de un grupo de mujeres acerca del hecho de ser portadoras del VPH

Background: The possibility to acquire sexually transmitted diseases generates bio-psycho-social conflicts affecting daily life of women. Objective: To investigate the knowledge of women on the concept of being infected by the human papilloma virus (HPV) and to understand the significance they attributed to their condition as HPV carriers. Material and method: It is a qualitative study in which ten women were interviewed, after the result of a cytopathological exam suggesting HPV. Data were collected at the Center of Health School of the Universidade Estadual Paulista -UNESP-Brazil. Results: The significant items were: deception and preoccupation about the cure, since they indicate that it is very deceptive to be infected with an incurable disease by a person whom they trust; the method of having sexual relations and being infected again; the necessity of care and of being optimistic to face the disease and the threat of cervix cancer originating anxiety. Discussion: Orientations made by health professionals were efficacious to clarify the relationship with cancer development. It is possible to understand the necessity of assistance orientations and the opportunity to hear them, offering individualized quality care. This study also offers important elements to reinforce the educational role of health professionals, principally those referring to sexually transmitted infection and cancer, seeking prevention and early treatment with the offered information. However, there is no desire of finishing the subject regarding perception, thus there is much to discover about diseases related to human papilloma virus. Key words: women carriers of HPV, feelings attributed by women.

Matrix metalloproteinase gene polymorphisms and oral cancer

Since oral squamous cell carcinoma (OSCC) is the most prevalent malignant cancer in the oral cavity, several researches have been performed to study the role of important enzymes in this disease. Among them, the matrix metalloproteinases (MMPs) are highlighted, due to the fact that they are proteinases responsible to degrade many extra-cellular matrix components, making possible the invasion of neoplasic cells. Important tools in cancer prognosis have been utilized aiming to correlate high levels of MMPs and OSCC, such as immunohistochemical, zymographic and mRNA detection methods. However, these techniques are usually applied after cancer detection, characterizing a curative but not a preventive medicine. Trying to make interventions before the development of the disease and making possible the identification of people at high risk and, analysis of modifications in MMP genes has been a chance for modern medicine. Recently, polymorphisms in MMP genes have been related to different neoplasias, including OSCC. Despite investigation is beginning, MMP gene polymorphisms seems to have a promising future in oral cancer research and some of the present results have shown that there are MMP polymorphisms related to an increased risk for developing oral cancer. Key words:Oral cancer, polymorphism, matrix metalloproteinase.

Compreensão e produção oral de sentenças em crianças com deficiência auditiva pré-lingual usuárias de implante coclear

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

Storage media for avulsed teeth: a literature review

Dental avulsion is the most severe type of traumatic tooth injuries because it causes damageto several structures and results in the complete displacement of the tooth from its socketin the alveolar bone. The ideal situation is to replant an exarticulated tooth immediatelyafter avulsion because the extraoral time is a determinant factor for treatment successand for a good prognosis. However, it is not always possible. The success of replantationdepends on a number of factors that may contribute to accelerate or minimize theoccurrence of root resorption or ankylosis, among which is the type and characteristicsof the medium used for temporary storage during the time elapsed between avulsionand replantation. Maintaining the tooth in an adequate wet medium that can preserve,as longer as possible, the vitality of the periodontal ligament cells that remain on rootsurface is the key to success of replantation. Recent research has led to the developmentof storage media that produce conditions that closely resemble the original socketenvironment, with adequate osmolality (cell pressure), pH, nutritional metabolites andglucose, and thus create the best possible conditions for storage. Although these storagemedia can now be purchased in the form of retail products, the most common scenariois that such a product will not be readily available at the moment of the accident Thispaper reviews the literature on the different storage media that have been investigatedfor avulsed teeth based on full-length papers retrieved from PubMed/Medline, Lilacs, BBOand SciELO electronic databases using the key words storage medium , transportationmedium , avulsion , tooth avulsion , replantation , tooth replantation , milk and propolis .After application of inclusion and exclusion criteria, 39 papers were selected and criticallyreviewed with respect to the characteristics, efficacy and ease of access of the storagemedium. The review of the lite

Cerâmicas odontológicas: propriedades, indicações e considerações clinicas

The demand for esthetic restorations has resulted in an increased use of dental ceramics and is the main alternative restorative material to tooth structure due to its favorable properties. Therefore, the aim of this work is to study the evolution of ceramic systems, involving different types and properties, indications, and clinical issues as aesthetic, cementing and longevity. In a detailed and advanced search in the database PubMed, 98 articles were found using the following key words: dental porcelain dental all-ceramic and ceramic according to the criteria for inclusion and exclusion left only 35 articles for review. Several ceramic systems are available in the market, making the prosthetic professionals need a constant recycling about their properties and directions, since good results are due to the selection of the best material for a particular case in all the skill of the practitioner.

O tratamento da apneia obstrutiva do sono e a utilização de implantes osseointegráveis: revisão da literatura

The obstructive sleep apnea syndrome affects millions of people around the world. The mandibular repositioning devices have been indicated in cases of mild/moderate syndrome; however in edentulous patients its use is deficient since there is no retention. Therefore the objective of this study was to conduct a review on the use of this treatment method combined to osseointegrated implants. A search on the theme: Dental implant and sleep apnea syndromewas performed in the Medline/PubMed, ISI, Cochrane, Dentistry Oral Science, Clinical Trials, Controlled Trials, and Bireme-BvS, databases, and 22 articles were found. After anevaluation 2 studies were selected and the review was complemented with an analysis of randomized controlled trials in the previous seven bases using the key-words: Sleep apnea syndrome, Oral appliance and Randomized controlled trial. The search returned 37 articles, and after they were submitted to inclusion criteria 17 studies were selected. There are a small number of studies presenting the use of dental implants as a mean to assist the stabilization of the mandibular repositioning appliances; those that are available are case reports that focusing on the effectiveness of the technique. Studies examining the effect these appliances in dentate patients indicate improvement in the levels of apnea and snoring. The use of mandibular repositioning appliances in dentate patients is an effective technique in treatment of patients with obstructive sleep apnea syndrome mild/moderate. Randomized controlled trialsare required in order to enable an analysis of the use of mandibular repositioning devices with the aid of dental implants .

Terapéutica alternativa asociada al bruxismo: revisión de literatura

The aim of this study was to review the literature in order to discuss the main and the most effective therapeutic activities to control the nocturnal bruxism. To identify the studies included in this review, it was conducted a detailed and advanced search strategy in the PubMed and Medline databases. It was used as KEY WORDS: bruxism, therapeutics and drug therapy. Inclusion criteria were: case reports, randomized controlled trials, in vitro studies, literature reviews and systematic reviews with or without meta-analysis of the past 10 years that addressed the theme. Exclusion criteria were: articles without abstract, animal studies, articles whose first language was not English and articles from journals that do not belong to the dentario field. From a total of 83 articles, after an analysis according to the inclusion and exclusion criteria, 33 articles were selected. Despite the fact that there is a small number of prospective clinical studies with high degree of reliability and most studies that evaluated the alternative treatments effectiveness are isolated case reports, the current literature shows that the use of botulinum toxin has been shown to be effective in the control of nocturnal bruxism. On the other hand, important aspects such as transitory effect, safe dosage and application technique are still little discussed, then, further studies are needed to have these doubts clarified.

Relation between bruxism and dental implants

OBJECTIVE: The aim of this study was to gather information and discuss the predictability of implant-supported prostheses in patients with bruxism by performing a literature review. METHODS: In order to select the studies included in this review, a detailed search was performed in PubMed and Medline databases, using the following key words: bruxism, dental implants, implant supported prosthesis, and dental restoration failure. Items that were included are: case reports, randomized controlled trials, in vitro studies, literature and systematic reviews, with or without meta-analysis, of the last 20 years that addressed the theme. Articles without abstracts, animal studies, articles in languages other than English and articles from journals unrelated to the dental field were excluded. RESULTS: after analysis according to inclusion and exclusion criteria, 28 articles were selected from a total of 54. It is known from the array of scientific articles which have assessed, either through retrospective, prospective or experimental studies, that the biomechanical and biological impact of bruxism on implant-supported prostheses is small, and that the literature has contributed little to exemplify the prosthetic limits of safety for the specialist from a clinical point of view. CONCLUSION: Although there is still no general consensus on this matter, most of the literature review articles do provide clinical guidelines that contribute to implant supported prostheses longevity and stability in patients with bruxism.

Expressão diferencial de microRNAs no câncer de próstata

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

Propriedades elétricas de materiais híbridos de Sílica/orgânico à base de GPTS/TEOS preparados pelo método sol-gel

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Jornalismo e meio ambiente: a contribuição dos meios de comunicação e o conceito de sustentabilidade

This article is a reflection about the contribution the social communication media can provide to the public debate about the environmental concerns. The Agenda XXI and several other UN documents call to the need to inform and educate the society. On the other hand, the Communication theories always have in common the imperative of the emitter to be understood by the recipient, in such a way that they can become change agents and not only observers. The first step is, therefore, to study the environmental question, adequately focus the theme and convey clarification. It is not what happened, for instance, with some technical concepts from the area, in particular sustainability, that came about in the 70 s to guide public policies at the service of the life preservation and specially, future and today, utilized even as a parameter of preservation of profit and advantage resulting from exploitation of nature.Key-Words Theory of Communication - Environmental Sustainability MCM

Análise documental da produção acadêmica sobre o ensino de evolução (1990-2010): caracterizações e proposições

The quantitative and qualitative increasing of researches in Science teaching imposes the periodical mapping need of scientific production about the subject, with a view to identify its own characteristics and tendencies. In this context, researches such as “State of art”, given his executrix character, constitute in modality inquiring that allow us to outline historical scenes for a given area (or subarea) of knowledge. In this light, this work aims to outline the panorama of Brazilian academic production, represented by dissertations and thesis, in evolution teaching between 1990- 2010. The documents susceptible of analysis were raised in three online data basis and its selection happened from the reading of titles, abstracts and key-words with views to identify the dissertations and thesis that truly approached the Evolution Teaching. The found results evidence the predominance of dissertations related to the number of thesis and the concentration of academic production in Evolution Teaching in Brazil south-east region, especially in São Paulo state. In researches trends we verified the prevalence of investigations related to the previous conceptions of students and professors (in all teaching levels) and to teacher training.

Participação de mulheres na gestão esportiva: uma revisão sistemática

During the last decades of the XX century occurred several demographic, cultural and social changes that directly affected the inclusion of women in the labor market. However many of them have found and still find barriers to work in various fields of endeavor and in the case of this study, the sports management. The purpose of this study was to assess through a systematic review, the participation of women in sports management, listing the main characteristics, challenges and difficulties. The research consisted of a systematic review of studies that discuss the thematic related to the participation of women in sport management in Brazil, including the Google Scholar database. The key words used and that generated proceeds were woman, sports management and women in sports administration. In the discussion and results has been possible to list the insert forms in a management position, the main ones being: by invitation, conduction or family relationship. The arguments about the limited participation of women in sports management and their encountered barriers are justified because there is a male domain and prejudice, resulting often the career waiver for these women. The profile of the sporting managers has found a predominance of men aged between 30-49 years old. For unavailability of articles, the present study was restricted to use only one database. In short, there is a lacuna in studies on women's participation in the administration or sporting management, with a prevalence of literature review articles. To expand overview on this issue would be important to carry out quantitative studies. It was concluded that the difficulty of women entering in sports management still seems to be a current problem and can only be minimized from a greater attention from the scientific community. It is suggested to carry out further studies that address more deeply the reasons for this disparity, aimed at proposing specific changes to the...

Qualidade de vida e atividade física em idosos

The aims of this literature review were to analyze the relationship between elderly quality of life - by means of the verification of the major measure instruments - with the physical activity, the sensibility of these questionnaires to the physical activity and the relationship between the type of physical activity and the quality of life in older persons. Comparisons of papers selected by the key words quality of life, exercise, and aging, reveal the components of quality of life assessed by the WHOQOL-BREF and SF-36 questionnaires. Based on the searched literature, we can conclude that: (i) active elderly seems to have better subjective perception of their quality of life than non active older persons; (ii) experimental studies did not showed strong evidence about the effects of physical exercise in the subjective perception of quality of life; (iii) none of the questionnaires is sensible to the practice of physical activity; (iv) the studies' results about the relationship between the type of physical activity and the elderly quality of life are inconclusive