Aim The aim of the present study was to delineate the epidemiological profile of young patients with squamous cell carcinoma (SCC) treated at a healthcare service in northeastern Brazil. Methods A cross‐sectional study was performed involving the quantitative analysis of 51 medical records from patients diagnosed with SCC between 1998 and 2013. All patients aged ≤50 years were included in the study. Statistical analysis involved Pearson's χ2‐test, Fisher's exact test, and the Mann‐Whitney U‐test, with the level of significance set at 5% (P < .05). Results The mean age was 46 ± 7.94 years, and males accounted for 80.4% of the sample. The tongue was the most affected site (37.3%). Most tumors were classified as stage III (26.3%) or IV (42.1%). Surgery associated with chemotherapy was the most common therapeutic approach (39.3%). Female patients had a lower mean age (P = .013) and less advanced clinical staging (P = .022). Smoking was more associated with male sex (P = .043). Conclusion SCC in young patients is more common in males aged 46 ± 7.94 years, with the tongue being the most affected anatomic site. Important differences were found in clinical‐epidemiological features between young men and women.

Objective. To verify the correlation between muscle mass and neuromuscular function in muscle strength of women practicing and not practicing physical activities. Methods. This is a cross-sectional study conducted with older women (60 and over), physically active (fa) and physically inactive (fi). The muscle strength of the upper limb (handgrip strength - hgs; resisfor test) and lower limb (30 second chair stand test) were evaluated; as well as muscle mass (calf circumference - cc); and neuromuscular activity (semg) of the following muscles: flexor carpi radialis (fcr) and biceps brachii (bb) (upper limb); vastus lateralis (vl), vastus medialis (vm) and tibialis anterior (ta) (lower limb). The student t test and multiple linear regression were used (95%; p <.05). Results. Overall, 59 women were evaluated (71.5 ± 7.1 years), 31 fa and 28 fi. Fa women had significantly better values ​​in dynamic muscular strength tests of the upper (p=.001) and lower limbs (p<.0001). There was no significant difference in muscle mass between groups. After adjustment for covariates, there was relationship between cc and activity of fcr muscle with hgs (r2adj.= 0.64), and cc with the 30 second chair stand test (r2adj.= .39) in fa women. Among fi women, there was significant correlation between activity of fcr muscle and hgs (r2adj.= .35) and cc and neural activity of fcr with resisfor (r2adj.= .66). Conclusion. Physical exercise was related to higher dynamic muscle strength. Differences in the relationship between muscle mass and neuromuscular activity with strength in each test indicate physiological differences for each strength exercise applied.

Objetivo: Avaliar a associação entre a autopercepção de saúde bucal e a condição de saúde bucal e fatores socioeconômico-demográficos de idosos quilombolas. Material e métodos: Trata-se de um estudo transversal realizado com 47 idosos quilombolas. A variável dependente foi a autopercepção de saúde bucal. As variáveis independentes foram as variáveis socioecônomico-demográficas e de saúde bucal. Foi realizado o Teste Qui-quadrado ou o Exato de Fisher, Mann-Whitney e Regressão de Poisson com variância robusta, todos com nível de significância de 5%. Resultados: A média etária dos idosos foi 71 anos (DP=±7,55). A análise bivariada mostrou associação da autopercepção de saúde bucal com a situação conjugal (p= 0,020) e a necessidade de uso de prótese (p= 0,003). A análise multivariada através da regressão de Poisson mostrou significância para a variável necessidade de uso de prótese (p< 0,0001), logo, iIdosos com necessidade de uso de prótese apresentaram prevalência de autopercepção negativa de saúde bucal 52,3% maior (RP= 1,523; IC95%= 0,109 – 0,612), quando comparados àqueles sem necessidade de prótese. Conclusão: De acordo com os achados do estudo o uso de prótese parece beneficiar autopercepção positiva de saúde bucal em idosos quilombolas.

Introduction: Maxillofacial trauma (MFT) due to road traffic accidents are responsible for part of care provided at trauma centers.Purpose: This research aimed to analyze the pattern of MFTs and associated factors in victims of road traffic accidents. Methods: A total of 873 medical records of patients with MFTs in 2 reference hospitals for trauma in Northeastern Brazil during the period from January 2011 to December 2018 were analyzed. Data were included in the Tweedie multiple regression analysis to estimate the prevalence ratio (PR), with 95% confidence interval ( 95% CI) and P < 0.05. Results: Motorcycle accidents were the most prevalent (76.4%). Higher hospital costs were the result of patients victims of motorcycle accidents (PR ¼ 1.56; 95% CI ¼ 1.29-1.88; P < 0.001), diagnosed with mandible fracture (PR ¼ 1.41; 95% CI ¼ 1.07-1.86; P ¼ 0.001) who had consumed alcoholic beverages (PR ¼ 1.12; 95% CI ¼ 1.00-1.25; P ¼ 0.04) and did not use personal protective equipment (PPE) (PR ¼ 1.29; 95% CI ¼ 1.10-1.50; P ¼ 0.001). Patients victims of motorcycle accidents remained in hospital longer than other etiologies (PR ¼ 1.47; 95% CI ¼ 1.23-1.76; P < 0.001). The consumption of alcoholic beverages resulted in more severe MFTs (PR ¼ 2.05; 95% CI ¼ 1.34-3.14; P ¼ 0.001). Conclusion: Victims of motorcycle accidents remained hospitalized longer and resulted in higher hospital costs compared to other etiologies. Alcohol consumption increases hospital costs and the severity of MFTs. Higher hospital costs were also observed in patients who did not use PPE. Strategies need to be adopted to understand associated factors in MFTs such as the reallocation of resources to fund, implement and improve services and the surveillance in roads and highways, as well as prevention programs aimed at this health problem.

Objetivo: Revisar os artigos publicados sobre a relação entre perda dentária e depressão em idosos. Metodologia: Trata-se de uma revisão integrativa da literatura realizada nas bases de dados PubMed, LILACS e Scielo, utilizando os descritores: “tooth loss”, “depression” e “elderly”. Estiveram incluídos trabalhos disponíveis na íntegra e publicados em inglês e português. Para os descritores selecionados foram encontrados 101 artigos, que, após a leitura dos resumos e aplicação dos critérios de exclusão, resultaram em seis trabalhos para análise. Resultados: Os trabalhos mostraram que a perda de elementos dentários além de repercutir na estética e função, causa baixa autoestima e pode impactar também a saúde mental de idosos. O comprometimento na fala, mastigação e estética são apontados como intensificadores desse processo, tornando a perda dentária fator potencial para o desenvolvimento de sintomas depressivos. Conclusão: Adoção de políticas públicas voltadas à manutenção do número de dentes são importantes, não apenas como prevenção aos problemas funcionais e estéticos trazidos com a perda, mas também no combate aos sinais de depressão que podem ser instalados frente à diminuição do número de dentes.