scholarly journals TRONCO RADICULAR E SUA IMPORTÂNCIA NO ESTABELECIMENTO E PROGRESSÃO DA DOENÇA PERIODONTAL. UMA DISCUSSÃO BASEADA EM EVIDÊNCIAS

Author(s):  
Eliane Dos Santos Porto Barboza

RESUMOObjetivo: A lesão de furca é definida como a reabsorção óssea patológica na área anatômica onde as raízes de dentes multirradiculares divergem. Os molares são os dentes mais afetados pela doença periodontal e a maior taxa de mortalidade desses dentes pode ser explicada pela  morfologia que favorece o envolvimento de furca. Portanto, o dentista deve conhecer a anatomia da furca para diagnosticar precocemente seu envolvimento e tratar com precisão. O objetivo deste estudo é discutir, embasado em evidências científicas, a importância do tronco radicular no estabelecimento e progressão da doença periodontal. Materiais e métodos: uma revisão da literatura foi realizada na base de dados PubMed utilizando os termos tronco radicular, área de pré-furca, doença periodontal, envolvimento de furca em inglês. Resultados: Quarenta e três estudos foram selecionados e sete estudos foram incluídos nesta revisão.  O  tronco radicular na superfície lingual é maior do que na vestibular em molares inferiores. A área de pré-furca foi encontrada em todos os molares estudados. Os pré-molares superiores também apresentam área de pré-furca e 37% são bifurcados. A altura do tronco radicular e a concavidade da pré-furca interferem no tratamento. Conclusão: As características morfológicas do tronco radicular e a profundidade e largura da área de pré-furca podem favorecer o estabelecimento e progressão da doença periodontal.Palavras-chave: tronco radicular, área de pré-furca, doença periodontal, envolvimento de furca. ABSTRACTObjective: The furcation lesion is defined as pathological bone resorption in the anatomical area where the roots of multiradicular teeth differ. Molars are the teeth most affected by periodontal disease and the higher mortality rate of these teeth can be explained by the morphology that favors the furcation involvement. In this way, the dentist must know the anatomy of the furca to diagnose its involvement early and to treat with precision. The aim of this study is to discuss, based cientific evidences, the importance of the root trunk for the establishment and development of the periodontal disease. Material and Methods: A literature review was carried out in the PubMed database using the terms root trunk, pre furcation área, periodontal disease, furcation involvement in english. Results: Forty-three studies were selected and sextuplets were found at the time of the review. The root trunk at the lingual surface is larger than the buccal surface in lower molars. A pre-furcation area was found in all molars studied. Upper premolars also have a pre-furcation area and 37% are bifurcated. The height of the root trunk and the concavity of the pre-furcation area interfere in the treatment. Conclusion: Root trunks and concavity of the pre furcation area may favor the stablishment and progression of periodontal disease.Keywords: root trunk, pre furcation área, periodontal disease, furcation involvement.

2021 ◽  
pp. 1-7
Author(s):  
Julia Velz ◽  
Marian Christoph Neidert ◽  
Yang Yang ◽  
Kevin Akeret ◽  
Peter Nakaji ◽  
...  

<b><i>Objective:</i></b> Brainstem cavernous malformations (BSCM)-associated mortality has been reported up to 20% in patients managed conservatively, whereas postoperative mortality rates range from 0 to 1.9%. Our aim was to analyze the actual risk and causes of BSCM-associated mortality in patients managed conservatively and surgically based on our own patient cohort and a systematic literature review. <b><i>Methods:</i></b> Observational, retrospective single-center study encompassing all patients with BSCM that presented to our institution between 2006 and 2018. In addition, a systematic review was performed on all studies encompassing patients with BSCM managed conservatively and surgically. <b><i>Results:</i></b> Of 118 patients, 54 were treated conservatively (961.0 person years follow-up in total). No BSCM-associated mortality was observed in our conservatively as well as surgically managed patient cohort. Our systematic literature review and analysis revealed an overall BSCM-associated mortality rate of 2.3% (95% CI: 1.6–3.3) in 22 studies comprising 1,251 patients managed conservatively and of 1.3% (95% CI: 0.9–1.7) in 99 studies comprising 3,275 patients with BSCM treated surgically. <b><i>Conclusion:</i></b> The BSCM-associated mortality rate in patients managed conservatively is almost as low as in patients treated surgically and much lower than in frequently cited reports, most probably due to the good selection nowadays in regard to surgery.


1984 ◽  
Vol 19 (6) ◽  
pp. 628-632 ◽  
Author(s):  
R. S. Feldman ◽  
D. L. Carnes ◽  
L. L. Key

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Marina Maffoni ◽  
Anna Giardini ◽  
Antonia Pierobon ◽  
Davide Ferrazzoli ◽  
Giuseppe Frazzitta

Parkinson’s disease (PD) is a neurodegenerative disease characterized by motor and nonmotor symptoms. Both of them imply a negative impact on Health-Related Quality of Life. A significant one is the stigma experienced by the parkinsonian patients and their caregivers. Moreover, stigma may affect everyday life and patient’s subjective and relational perception and it may lead to frustration and isolation. Aim of the present work is to qualitatively describe the stigma of PD patients stemming from literature review, in order to catch the subjective experience and the meaning of the stigma construct. Literature review was performed on PubMed database and Google Scholar (keywords: Parkinson Disease, qualitative, stigma, social problem, isolation, discrimination) and was restricted to qualitative data: 14 articles were identified to be suitable to the aim of the present overview. Results are divided into four core constructs: stigma arising from symptoms, stigma linked to relational and communication problems, social stigma arising from sharing perceptions, and caregiver’s stigma. The principal relations to these constructs are deeply analyzed and described subjectively through patients’ and caregiver’s point of view. The qualitative research may allow a better understanding of a subjective symptom such as stigma in parkinsonian patients from an intercultural and a social point of view.


1973 ◽  
Vol 87 (5) ◽  
pp. 1027-1033 ◽  
Author(s):  
Paul Goldhaber ◽  
Luka Rabadjija ◽  
William R. Beyer ◽  
Andrija Kornhauser

Author(s):  
Maarten B. Jalink ◽  
Robert P. L. Wisse

Tarantulas are large spiders that can defend themselves by shedding urticating hairs (setae). In this paper, we aim to discuss the ocular conditions caused by these setae through a literature review. In total, 25 cases were identified in the PubMed database. Tarantula setae have a barbed structure that enables migration through the globe. They give rise to a spectrum of complaints, causing a granulomatous inflammatory reaction in the compartment they settle. Superficial corneal hairs cause a mild keratitis, while hairs that penetrate Descemet’s membrane can induce an anterior uveitis. Both can be treated with local steroids; when possible, hairs should be debrided. Setae that migrate into the posterior segment can cause a focal vitritis that can be more difficult to treat, sometimes requiring vitrectomy.


2021 ◽  
Vol 1 ◽  
pp. 1605-1614
Author(s):  
K Krisdiyanti ◽  
Dyah Putri Aryati

AbstractThe increasing number of the elderly population is a phenomenom that occurs today. The high level of dependence of the elderly causes the elderly to have the potential to be placed in care homes. The elderly are individuals who hane a high risk of isease and stressors. This, of course, requires efforts to ensure the life of the elderly, not only seen from fulfillment of the needs of the elderly but also the life quality of the eldely. The study aims to describe the quality of life of the elderly who live in care homes. The study used a literature review method by searching for articles in the Pubmed database, and google sholar. The search was conducted by combining keywords: “Elderly, “Elderly people”, “Quality of life”, “WHOQOL-BREF”, and “Nursing home” with the year 2011-2021. Participants in this study were 395 respondents of elderly living in care homes. The results of the literature review of 6 articles showed that there are 73 respondents (18,5%) with low category of life quality, 195 respondents (49,9%) with medium category of life quality, and 127 repondents (32,1%) high category of the life quality. From this study, it can be concluded that the quality of life of the elderly living in care homes is mostly (49,9%) in moderate category. The role of nurses is needed to improve the quality of life of the elderly who live in care homes.Keywords: care homes; elderly; quality of life; WHOQOL-BREF AbstrakTerjadinya peningkatan jumlah populasi lanjut usia merupakan fenomena yang terjadi saat ini. Tingkat ketergantungan lansia yang tinggi mengakibatkan lansia berpontesi untuk ditempatkan di panti sosial. Lansia merupakan individu yang memiliki resiko tinggi dan rentan terhadap penyakit serta stresor. Hal ini tentunya dibutuhkan upaya untuk menjamin hidup lansia, tidak hanya dilihat dari pemenuhan kebutuhan lansia namun juga dilihat dari kualitas hidup lansia. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup lansia yang tinggal di panti sosial. Penelitian ini menggunakan metode literature review, untuk pencarian artikel dengan mengakses database Pubmed, dan googlescholar. Pencarian dilakukan dengan mengkombinasi kata kunci: “elderly”, “elderly people”, “Quality of life”, “WHOQOL-BREF”, “Nursing home” dengan batasan tahun 2011-2021. Partisipan pada studi ini adalah lansia yang tinggal di panti sosial dengan total 395 lansia. Hasil penelitian literature review dari 6 artikel menunjukan kualitas hidup lansia dengan kategori rendah 73 responden (18,5%), sedang 195 responden (49,9%) dan tinggi 127 responden (32,1%). Dari penelitian ini diketahui bahwa kualitas hidup lansia yang tinggal di panti sosial sebagian besar (49,9%) dalam kategori sedang. Perlu adanya peran perawat untuk meningkatkan kualitas hidup lansia yang tinggal di panti sosial.Kata kunci : kualitas hidup; lansia; panti sosial; WHOQOL-BREF


Author(s):  
Ayu Kurniati ◽  
Enny Fitriahadi

IN 2013, the World Health Organization, released data in the form of Maternal Mortality Rate (MMR) worldwide, and the number reached 289,000 per 100, 000 live births, which 99% of cases occurred in developing countries. Research aims to discover the relationship of antenatal class towards mothers’ knowledge of the dangerous sign during pregnancy. The result showed that there is a relationship of antenatal class towards mothers’ knowledge of dangerous sign during pregnancy, From this result, the researcher concludes that antenatal class could increase mothers’ knowledge of dangerous sign during pregnancy and may decrease the complication risk during the childbirth.


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