Impact of the bitewing radiography exam inclusion on the prevalence of dental caries in 12-year-old students in the city of Franca, São Paulo, Brazil

INTRODUCTION: The pattern of development of carious lesions has changed. The carious lesion has been progressive and reaches the dentin without showing alterations in the clinical aspects. OBJECTIVES: To determine the prevalence of caries in 12-year-old students in the city of Franca - São Paulo, Brazil, during the year of 2003, and to evaluate the additional value of bitewing radiograph to detect hidden carious lesions in permanent molar dentin. MATERIALS AND METHODS: A probabilistic sample composed of two hundred and fifty six (256) students, from public and private schools, was submitted to a cross-sectional study through examination by a calibrated examiner, in order to detect the caries prevalence, using the methodology recommended by the World Health Organization (WHO). For 66% of the sample, bitewing radiographs of the permanent molar region were obtained. The images were analyzed by a calibrated examiner, who established the presence of hidden caries in teeth with radiolucency in dentin, yet considered healthy in the epidemiological survey. RESULTS: The prevalence of dental caries in epidemiological exam without (WHO) and with (WHO/R) the inclusion of hidden caries lesion was 54% and 64%, and the DMFT index was 1.73 and 1.92 respectively. CONCLUSION: Utilization of the method of bitewing radiographic diagnosis significantly increased (p<0.001) the prevalence of caries in the studied population.

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Dietary patterns of elderly persons from the city of São Paulo: evidence from the SABE (Health, Wellbeing and Aging) survey

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562018021.180092 ◽

2018 ◽

Vol 21 (6) ◽

pp. 731-742

Author(s):

Daiana Aparecida Quintiliano Scarpelli Dourado ◽

Maria de Fátima Nunes Marucci ◽

Manuela de Almeida Roediger ◽

Yeda Aparecida de Oliveira Duarte

Keyword(s):

Dietary Patterns ◽

Wald Test ◽

Female Gender ◽

The Elderly ◽

Sao Paulo ◽

Clinical Aspects ◽

Elderly Persons ◽

São Paulo ◽

Cross Sectional ◽

The City

Abstract Objective: to determine the dietary patterns of elderly persons in terms of sociodemographic, lifestyle and clinical aspects. Method: a cross-sectional study was conducted using the cohorts of the SABE (Health, Wellbeing and Aging) study. An epidemiological, home-based study representative of the city of São Paulo was carried out. The population of this study included 1,304 elderly persons (≥60 years), of both genders, selected by probabilistic stratified sampling, interviewed in 2010. Food intake data were obtained through a qualitative food frequency questionnaire. Dietary patterns were determined by exploratory factorial analysis by principal components. The Wald test was used for complex sampling. Results: four dietary patterns were identified: inadequate patterns, consisting of fried and canned food, sausages, sweets, tubers, industrialized sauces and eggs; modified pattern, skimmed milk, whole grain breads and cereals, light/diet/zero foods; beneficial pattern, fruits, vegetables and tubers; and traditional Brazilian pattern, vegetable oils, rice, refined cereals and white bread, meats and legumes (beans). The sociodemographic and lifestyle profile of the elderly persons who adopted each dietary pattern was different. Conclusion: healthier dietary patterns were associated with the female gender, older elderly persons, two or more chronic diseases, higher levels of schooling, a better lifestyle and a better self-perception of health. It is important to consider all these aspects as they are determinant in the type of diet adopted by this population.

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Epidemiology of Posterior Crossbite in the Primary Dentition

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.32.1.h53g027713432102 ◽

2007 ◽

Vol 32 (1) ◽

pp. 73-78 ◽

Cited By ~ 29

Author(s):

Omar Gabriel da Silva Filho ◽

Milton Santamaria Jr. ◽

Leopoldino Capelozza Filho

Keyword(s):

Epidemiological Survey ◽

Sao Paulo ◽

Primary Dentition ◽

Open Bite ◽

São Paulo ◽

Anterior Open Bite ◽

Posterior Crossbite ◽

Normal Occlusion ◽

The City

This epidemiological survey was conducted on 2,016 children from 8 private and 12 public preschools at the city of Bauru, São Paulo, Brazil. The sample was composed of 1,032 males and 984 females in the primary dentition stage, aged 3 to 6 years. Normal occlusion was observed in 26.74% of the sample; thus, 73.26% of children presented some type of malocclusion. Among the malocclusions, the following transverse problems were diagnosed: unilateral posterior crossbite (11.65%), anterior open bite associated with posterior crossbite (6.99%), bilateral posterior crossbite (1.19%), unilateral posterior crossbite associate with anterior crossbite (0.79%) and full crossbite (0.19%) totalizing 20.81% of the transverse problems. Mandibular functional deviation was observed in 91.91% of children with unilateral posterior crossbite, characterizing the functional unilateral posterior crossbite. The results demonstrated that the prevalence of posterior crossbite was compatible with previous data in the literature, with predominance of functional unilateral posterior crossbite.

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A cross-sectional study assessing the pharyngeal carriage of Neisseria meningitidis in subjects aged 1–24 years in the city of Embu das Artes, São Paulo, Brazil

The Brazilian Journal of Infectious Diseases ◽

10.1016/j.bjid.2017.06.005 ◽

2017 ◽

Vol 21 (6) ◽

pp. 587-595 ◽

Cited By ~ 6

Author(s):

Lily Yin Weckx ◽

Rosana Fiorini Puccini ◽

Antónia Machado ◽

Maria Gisele Gonçalves ◽

Suely Tuboi ◽

...

Keyword(s):

Neisseria Meningitidis ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

The City

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Management and Clinical Characteristics in Children with SARS-CoV-2 Infection: Experience in a highly complex public hospital in the city of São Paulo

10.1101/2020.06.22.20136994 ◽

2020 ◽

Cited By ~ 1

Author(s):

Rafael Santos Rodrigues Vieira ◽

Erisson Linhares de Aguiar ◽

Nara Michelle de Araújo Evangelista ◽

Sergio Antonio Bastos Sarrubbo ◽

Helmar Abreu Rocha Verlangieri ◽

...

Keyword(s):

Clinical Characteristics ◽

Pediatric Patients ◽

Severe Disease ◽

Clinical Manifestations ◽

Sao Paulo ◽

World Health ◽

São Paulo ◽

Pediatric Hospital ◽

Multiprofessional Team ◽

The City

AbstractIn February 2020, the World Health Organization designated the disease COVID-19, which means Coronavirus disease 2019. The virus that causes COVID-19 is designated as severe acute respiratory syndrome by Coronavirus 2 (SARS-CoV-2). The virus tends to determine clinical manifestations more frequently in adults and, especially, in the elderly, with high mortality in the population with chronic diseases. Most studies confirm the trend towards less severe disease in pediatric patients, and few studies describe the behavior of the virus in children. In late February 2020, a public pediatric hospital in the city of São Paulo, in the face of the announced epidemic, through its multiprofessional team, prepared itself to the care of patients with SARS-CoV-2 infection, determing certain clinical protocols defining the flow of care and therapeutic procedures to patients. This study intends to present the clinical characteristics and evolution of the disease by SARS-CoV-2 in pediatric patients seen in a public pediatric hospital of high complexity, evaluating the effectiveness and acceptance of the measures adopted. As a result, a good evolution of the disease was observed in the affected children, even in those with comorbidities. There was a trend towards a greater number of days of hospitalization and the need for ICU in patients with comorbidities and progression with clinical worsening after initial improvement. The protocols adopted and the flow instituted allowed good adherence by the multidisciplinary team.

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Evaluating the effects of re-opening plans on dynamics of COVID-19 in São Paulo, Brazil1

10.1101/2021.01.14.21249809 ◽

2021 ◽

Author(s):

F.A. Rubio ◽

T.N. Vilches

Keyword(s):

Virus Transmission ◽

Sao Paulo ◽

World Health ◽

Local Health ◽

São Paulo ◽

The Government ◽

Health Organization ◽

Five Phases ◽

Local Health System ◽

The City

AbstractCoronavirus disease 2019 (COVID-19) was declared a pandemic by the World Health Organization in early March 2020. In Brazil, São Paulo is the most affected state, comprising about 20% of the country’s cases. With no vaccine available to date, distancing measures have been taken to reduce virus transmission. To reduce the pandemic’s effect on the economy, the government of São Paulo has proposed a plan consisting of five phases of the gradual re-opening of activities. In this context, we have developed a mathematical model to simulate the gradual re-opening plan on the transmission dynamics of COVID-19, in the city of São Paulo. The model shows that a precipitous reopening can cause a higher peak of the disease, which may compromise the local health system. Waiting for the reduction in the incidence of infected individuals for at least 15 days to phase transition is the most efficient strategy compared to the fixed-period scenario at each phase of the re-opening plan.

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The epidemiology of psychotropic use in the City of São Paulo

Psychological Medicine ◽

10.1017/s0033291700028555 ◽

1993 ◽

Vol 23 (2) ◽

pp. 467-474 ◽

Cited By ~ 38

Author(s):

Jair de Jesus Mari ◽

Naomar Almeida-Filho ◽

Evandro Coutinho ◽

Sergio Baxter Andreoli ◽

Claudio Torres de Miranda ◽

...

Keyword(s):

Family Income ◽

Psychiatric Morbidity ◽

Health Indicators ◽

Total Sample ◽

Sociodemographic Factors ◽

Sao Paulo ◽

São Paulo ◽

General Physician ◽

Cross Sectional ◽

The City

SynopsisThis is a cross-sectional community study conducted to assess the one-year prevalence of psychotropic use in the city of São Paulo. A representative stratified sample of the city was drawn from three sub-districts selected on the basis of their health indicators (Ramos & Goihman, 1989). The probability of a psychiatric disorder was estimated by means of the Adult Psychiatric Morbidity Questionnaire (QMPA) developed by Santana (1982). The total sample comprised 1742 subjects: 11·7% of males and 24·6% of females were probable cases in the QMPA, at the cut-off point 7/8. The overall psychotropic consumption was 101·6 persons/1000 inhabitants. The rate of psychotropic use was higher for females (142·3 persons/1000 inhabitants) than males (50·0 persons/1000), a difference statistically significant (χ2 = 18·0, 1 df, P < 0·001). The highest rate of consumption was for tranquillizers (80·4/1000 inhabitants) and the general physician was found to be the leading prescriber (46·9%), being followed by cardiologists (15·3%). A log-linear model was constructed to study the combined effect of sociodemographic factors on the probability of being a tranquillizer user. Women were found to take more tranquillizers than men, consumption increased with age, and the positives in the QMPA were more likely to be users than were the negatives. The higher the family income per capita the higher the risk of being a tranquillizer user. These findings applied regardless of the sub-district, marital status, and migration status of the subjects. These results are discussed in the light of the alternative possible interventions by general practitioners.

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Prevalence and factors associated to back pain in adults from the northeast of São Paulo, Brazil: a population-based study

Fisioterapia em Movimento ◽

10.1590/1980-5918.030.002.ao06 ◽

2017 ◽

Vol 30 (2) ◽

pp. 255-265

Author(s):

Alberto De Vitta ◽

Marta Helena Souza De Conti ◽

Nicoly Machado Maciel ◽

Débora de Melo Trize ◽

José Eduardo Corrente ◽

...

Keyword(s):

Back Pain ◽

Public Health Problem ◽

Population Based ◽

Sao Paulo ◽

São Paulo ◽

High Association ◽

Cross Sectional ◽

Significant Difference ◽

Occupational Activities ◽

The City

Abstract Introduction: Back pain has become a serious public health problem. Objective: To determine the prevalence of back pain in a population-based sample of subjects over 20 years old living in the city of Bauru (São Paulo, Brazil) and to analyze the associations to variables- sociodemographic, ergonomic and lifestyle-related - and to morbidity. Methods: a cross-sectional study which evaluated 600 adults over 20 years old, both gender and living in the city. We used a structured protocol and the Nordic questionnaire. Also, we developed a descriptive analysis, bivariate and multivariate by binary logistic regression. Results: The prevalence of back pain was of 50.3% (CI 46.3 to 54.3), since 42.3% (CI 36.9 to 48.0) in men and 57.6% (CI 51.9 to 63.0) in women, with statistical significant difference (p = 0.001). Different variables remained in final models when assessed by gender. For male to be widowed and divorced and smoking habits and, for women to be widowed and divorced, to work in seated position and to perform occupational activities that demand carrying and lifting weight. Conclusion: We verified high prevalence in back pain in the population of Bauru and high association to widowed/divorced in both gender, with women performing occupational activities usually or always in seated position, those who carry or lift weight in work and men who smoke.

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Expected impact of COVID-19 outbreak in a major metropolitan area in Brazil

10.1101/2020.03.14.20035873 ◽

2020 ◽

Cited By ~ 8

Author(s):

Tarcísio M. Rocha Filho ◽

Fabiana Sherine Ganem dos Santos ◽

Victor Bertollo Gomes ◽

Thiago Augusto Hernandes Rocha ◽

Julio Henrique Rosa Croda ◽

...

Keyword(s):

Public Health ◽

Older People ◽

Metropolitan Area ◽

Sao Paulo ◽

World Health ◽

São Paulo ◽

The World ◽

Health Organization ◽

The Impact ◽

The City

AbstractIn January 2020 China reported to the World Health Organization an outbreak of pneumonia of undetermined origin in the city of Wuhan, Hubei. In January 30, 2020, the World Health Organization declared the outbreak of COVID-19 as a Public Health Emergency of International Interest (PHEI).ObjectivesThe aim of this study is to assess the impact of a COVID-19 epidemic in the metropolitan region of São Paulo, Brazil.MethodsWe used a generalized SEIR (Susceptibles, Exposed, Infectious, Recovered) model, with additional Hospitalized variables (SEIHR model) and age-stratified structure to analyze the expected time evolution during the onset of the epidemic in the metropolitan area of São Paulo. The model allows to determine the evolution of the number of cases, the number of patients admitted to hospitals and deaths caused by COVID-19. In order to investigate the sensibility of our results with respect to parameter estimation errors we performed Monte Carlo analysis with 100 000 simulations by sampling parameter values from an uniform distribution in the confidence interval.ResultsWe estimate 1 368 (IQR: 880, 2 407) cases, 301 (22%) in older people (≥60 years), 81 (50, 143) hospitalizations, and 14 (9, 26) deaths in the first 30 days, and 38 583 (IQR: 16 698, 113, 163) cases, 8 427 (21.8%) in older people (≥60 years), 2181 (914, 6392) hospitalizations, and 397(166, 1205) deaths in the first 60 days.LimitationsWe supposed a constant transmission probability Pc among different age-groups, and that every severe and critic case will be hospitalized, as well as that the detection capacity in all the primary healthcare services does not change during the outbreak.ConclusionSupposing the reported parameters in the literature apply in the city of São Paulo, our study shows that it is expected that the impact of a COVID-19 outbreak will be important, requiring special planning from the authorities. This is the first study for a major metropolitan center in the south hemisphere, and we believe it can provide policy makers with a prognosis of the burden of the pandemic not only in Brazil, but also in other tropical zones, allowing to estimate total cases, hospitalization and deaths, in support to the management of the public health emergence caused by COVID-19.

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Epidemiological profile of pediatric burn victims in the city of São Paulo

Residência Pediátrica ◽

10.25060/residpediatr-2020.v10n2-85 ◽

2020 ◽

Vol 10 (3) ◽

Author(s):

Cintia Rodrigues ◽

Vitória Westarp ◽

Adriana Hette ◽

Tatiana Condo ◽

Lorena Depieri ◽

...

Keyword(s):

Children And Adolescents ◽

Health Department ◽

Sao Paulo ◽

The Body ◽

Burn Injuries ◽

Body Region ◽

Childhood And Adolescence ◽

São Paulo ◽

Cross Sectional ◽

The City

INTRODUCTION: Burns injuries are a significant health problem because they cause permanent or long lasting sequelae. OBJECTIVE: To characterize burn injuries, occurring among children and adolescents living in the city of Sao Paulo, and to identify the profile of pediatric patients treated for burn injuries. METHODS: This is a cross-sectional, quantitative, descriptive and retrospective study. A survey was carried out using data from the Information System for Violence and Accident Surveillance (SIVVA) of the Municipal Health Department of the city of Sao Paulo, where the reports of accidents against children and adolescents (0 to 19-years-old). RESULTS: During the study period, there were 416 burn injuries among children and adolescents living in the city of Sao Paulo. The main lesion diagnoses were: degree II burn (41.6%), the body region being more affected by wrist and hand. CONCLUSION: The results of this study showed that there was a higher frequency of burns among boys, preschoolers and the domestic environment. It emphasizes the importance of epidemiological researches in the subject because they can support preventive strategies, especially in the period of childhood and adolescence.

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