Background
The objective of this study was to analyse the association between oral and general health variables and obesity indicators with the sensation of dry mouth or xerostomia as evaluated on the Xerostomia Inventory (XI).
Material and Methods
A total of 354 randomly selected subjects participated in this cross-sectional pilot study and completed an anonymous questionnaire. Anthropometric, clinical, and xerostomic variables were evaluated. Kruskal-Wallis, ANOVA and Bonferroni test were used for multiple comparisons. ROC curves and multinomial logistic regression were used to determine the (OR) risk of xerostomia.
Results
A total of 30.7 % of respondents reported xerostomia based on XI. The dry mouth question, the XI taken as a “gold standard”, showed a diagnostic sensitivity of 70.37 %, and a specificity of 83.27 % (AUC=0.768,
p
<0.001). Logistical regression showed the highest xerostomia OR was associated to patients with bad self-perceived health, 6.31 (CI 95% 2.89-13.80,
p
<0.001). In the model adjusted for tooth mobility, bone or respiratory diseases, and the consumption of anxiolytics and antidepressants, the OR was 3.46 (CI 95% 1.47-8.18,
p
=0.005).
Conclusions
a high prevalence of xerostomia was found in this cross-sectional pilot study, which was significantly more frequent in women, and increased with age. Xerostomia was associated to several systemic diseases, psychological conditions, and oral functional disorders such as tooth mobility.
These preliminary results can serve as the basis for developing guidelines for the application of innovative measures designed to improve the quality of life of individuals with xerostomia.
Key words:
Xerostomia, systemic pathology, oral health, obesity, geriatrics.
Background
Alcohol use disorder (AUD) is directly linked to high-risk consumption. Healthcare students have a crucial role to play in its prevention and management. The aim of this study is to analyse alcohol consumption, as well as to consider the knowledge and attitudes regarding morbidity, and the stage of change when providing assistance to quit AUD.
Material and Methods
A cross-sectional study was conducted among Dentistry and Medical students using specific and validated questionnaires in an anonymous and voluntary way. Initially, 925 students were invited to participate, of them 500 were reached.
Results
Among them 85.9% suffered from AUD of whom 75% were women (
p
<0.001), and it was considered that the female gender constituted an independent risk factor (OR=2.63, CI 95% 1.55-4.45,
p
<0.001). The majority of the participants did not achieve the pass mark, nonetheless, the results showed improved levels of knowledge among participants in the latter years of their studies (
p
<0.001). Dental students demonstrated greater shortcomings in terms of their knowledge of general pathology, whereas the medical students’ knowledge of oral pathologies proved worse (
p
<0.001). Most of students believed that identifying cases of AUD-affected patients falls within their competence, nonetheless, they believed that they do not have the necessary competencies. Among participants 58.2% were in a stage of change regarding AUD attitudes.
Conclusions
The majority of respondents presented AUD. In general, the participants’ knowledge about alcohol was low. Reviewing the syllabuses and evaluating the implementation of gender-differentiated training programmes in both degrees would be considered necessary.
Key words:
Alcohol use disorder, healthcare students, addiction, health literacy, behaviours.
Introducción: El síndrome de Ehlers Danlos (EDS) es una colagenopatía hereditaria, producida por defectos genéticos de la formación de colágeno. En la literatura, la cirugía ortopédica no reporta ningún beneficio sobre el dolor, siendo siempre la segunda opción de tratamiento, no existiendo evidencia para un tratamiento conservador adecuado.
Presentación del caso: paciente MR, mujer de 18 años con sensación de debilidad en miembros inferiores, con dolor articular en miembro inferior (EVA 28). Como antecedentes médicos, el más relevante es síndrome de Ehlers-Danlos (SED) tipo hipermóvil y múltiples cirugías ortopédicas.
Hallazgos clínicos: el análisis de la marcha muestra un patrón en Trendelenburg. No presenta una alteración en factores psicosociales, pero sí en función de miembro superior (Quick Dash) 66% e inferior (LEFI) 43/80.
Tratamiento conservador: siendo el objetivo principal mejorar la función del miembro inferior, se realizó una intervención de fisioterapia ejercicio terapéutico y trabajo de marcha con imaginería motora y observación de acciones.
Resultados y conclusión: mejora de todas las variables al mes de tratamiento, en especial la TSK-11 (11 puntos). La imaginería motora y observación de acciones mejora la ejecución de la marcha post aplicación y de la función de miembro inferior combinado con ejercicio.
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