No abstract

Food allergies are a growing concern, especially in Western societies and can dramatically impact the quality of life of affected individuals. In recent years, various food allergens have been introduced into the oral care industry to improve product properties and provide the best possible treatment. Since small doses of food allergens may be sufficient to trigger allergic reactions, the non-discrimination of the sources of certain excipients in the product composition can compromise the patient's health. Therefore, knowledge and awareness of allergies and product composition among health professionals are critical on behalf of patients’ and consumers’ health. This study aimed to ascertain the presence of dairy products (e.g., cow's milk proteins and lactose), cereals (e.g., gluten, soy, and oats), fruits, nuts, spices, shellfish, and additives as excipients in oral care products for outpatients and products for professional use in the Dental Office. Among the 387 surveyed products, the highest prevalence of food allergens was found in toothpaste, fluoride varnishes, and alginates, mostly in spices and fresh fruits. As food allergies may occur because of erroneous information or a lack of labeling on the allergen list, manufacturers should be more rigorous in declaring allergens on product labeling regarding the safety of consumers.

No abstract

BACKGROUNDPatients undergoing carotid endarterectomy (CEA) require strict arterial blood pressure (BP) control to maintain adequate cerebral perfusion. Invasive blood pressure (IBP) is the gold standard, however artifacts may lead to erroneous readings. 1 We report a case of CEA using IBP monitoring.

postoperative day one, 41.8% of patients reported mild or moderate pain, and 58.9% complained of functional limitations. Women reported pain more frequently than men (p = 0.001). Higher doses of midazolam were independently associated with postoperative pain at 24 hours in men, but not in women, with multivariate analyses showing an adjusted OR of 1.73 (IC 95% 1.26-2.37). Conclusion: Our results suggest an association between higher midazolam doses and more frequent report of postoperative pain, in men only. Further studies are needed to evaluate whether this association is due to a true causal relation between midazolam and pain. RESUMO Introdução: As benzodiazepinas são frequentemente prescritas como pré-medicação ansiolítica no contexto cirúrgico. Apesar de existir evidência que o midazolam possa interferir na nocicepção, os resultados são contraditórios, com estudos sugerindo efeitos antinociceptivos enquanto outros apontam para efeitos de hiperalgesia. Objetivo: Determinar o impacto do midazolam endovenoso na dor e limitação funcional após artroscopia do joelho em ambulatório. Métodos: Neste estudo observacional retrospetivo avaliámos os doentes submetidos a artroscopia do joelho sob bloqueio subaracnoideu em regime de ambulatório, entre janeiro 2011 e dezembro 2015. Foram analisados dados demográficos e clínicos,