No abstract

The consequences of the SARS-CoV-2 pandemic have significantly affected dental practice. Since dental care is considered a high-risk activity (Volgenant, Persoon, de Ruijter, & de Soet, 2020), public and private dental clinics are closed to non-urgent cases in many countries. Several new routines and practices have been proposed

Background Although a common complaint and related to factors frequently present in medical residency such as psychological distress, depression, and anxiety, headache is an issue poorly explored among medical residents. Methods This was a cross‐sectional study enrolling medical residents from all geographic regions of Brazil. We applied an online structured survey with demographic and residency program‐related questions, as well as validated tools to assess burnout, diurnal somnolence, anxiety, depression, and migraine. Results The link to the survey received 1989 clicks, of which 1421 individuals completed the questionnaire (71.4% of all clicks). The prevalence of at least 1 headache attack in the last 3 months was 1236/1419 (87.1%); migraine occurred in 400/1419 (28.2%). Frequent headache attacks (headaches occurring daily or often) were associated with female sex (OR = 1.80 [95%CI = 1.36‐2.37]), substantial weight gain (1.93 [1.38‐2.70]), migraine (5.49 [4.16‐7.24]), anxiety (1.45 [1.06‐1.98]), depression (1.98 [1.47‐2.67]), emotional exhaustion domain of burnout (1.49 [1.09‐2.04]), and diurnal somnolence symptoms (1.32 [1.00‐1.76]). Headaches with functional impact were associated with female sex (1.39 [1.10‐1.74]), clinical training areas (1.32 [1.06‐1.65]), anxiety (1.74 [1.38‐2.21]), an unsatisfactory work‐life balance (1.57 [1.17‐2.09]), the emotional exhaustion component of burnout (1.49 [1.14‐1.94]), and an unsatisfactory subjective learning curve (1.30 [1.02‐1.67]). Migraine was associated with female sex (3.10 [2.34‐4.13]), anxiety (2.53 [1.94‐3.31]), more than 60 hours duty‐hours in residency (1.66 [1.29‐2.15]), psychological abuse from patients (1.42 [1.06‐1.90]) and a clinical training area (1.34 [1.04‐1.73]). Conclusion Headaches among medical residents are frequent and are related not only to depression, anxiety, burnout, and diurnal somnolence, but also to aspects closely related to residency training such as the occurrence of mistreatment, longer duty‐hours, a poor work‐life balance, and an unsatisfactory learning curve.

Introdução: A transmissão SARS-CoV-2 de humano para humano pode ocorrer e o risco de propagação no ar durante os procedimentos odontológicos geradores de aerossóis permanece uma preocupação. Acredita-se que um enxaguatório bucal antimicrobiano pré-operacional reduza o número de micróbios orais. No entanto, a eficácia do enxaguatório bucal pré-procedimento na redução do número de microrganismos disseminados por meio do aerossol gerado por procedimentos odontológicos ainda não está clara. Objetivo: avaliar através de uma revisão de literatura o uso de enxaguantes bucais na redução da carga viral do SARS-CoV-2. Materiais e Método: O levantamento literário para esta pesquisa foi realizado no período de dezembro de 2019 a 10 de agosto de 2020 nas bases de dados Scielo e Medline/PubMed. Na estratégia de busca, foram utilizadas as palavras “SARS-CoV-2”, “2019-nCoV”, “COVID-19”, “Dentistry”, “Odontologia”, “Odontología”, “Mouthwashes”, “Antissépticos Bucais” e “Antisépticos Bucales”.  Resultados: Uma busca sistematizada foi realizada, foram encontrados 661 artigos, após a realização da leitura criteriosa dos artigos completos foram selecionados 42 artigos. 88% dos estudos indicavam o uso de Peróxido de hidrogênio a 1%, 76% indicavam Povidine 0,2% e apenas 19% o uso da Clorexidina a 0,12%. Conclusão: Os estudos presentes na literatura apresentam divergências nas indicações e porcentagens dos enxaguantes indicados. Os protocolos clínicos devem ser avaliados para reduzir o risco de transmissão e proteger pacientes e profissionais.Descritores: Infecções por Coronavírus; Betacoronavirus; Odontologia; Antissépticos Bucais.ReferênciasGe ZY, Yang LM, Xia JJ, Fu XH, Zhang YZ. Possible aerosol transmission of COVID-19 and special precautions in dentistry. 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Background: Personal history of autoimmune rheumatic diseases has been implicated in the development of malignant neoplasms. Our aim was to assess the risk of head and neck (H&N) cancers in patients with autoimmune rheumatic diseases. Methods:The articles search included PubMed, EMBASE, LILACS, The Cochrane Library, CINAHL, Scopus, Web of Science, and Google Scholar with no language restrictions for studies published from inception of the databases to August 20, 2022, assessing the risk of H&N cancer in patients with autoimmune rheumatic diseases. Studies were included if they reported the standardized incidence ratio (SIR) with corresponding 95% confidence intervals (CIs). The primary outcome was risk of H&N cancers in patients with autoimmune rheumatic diseases compared with the general population. Pooled summary estimates were calculated using a random-effects model, and subgroup analyses were done to establish whether risk of H&N cancers varied according to study site.Results: Our search identified 5378 records, of which 32 cohort studies were eligible for systematic review and 24 for meta-analysis (including 273 613 patients). A significant association was found between H&N cancer and autoimmune rheumatic diseases (SIR = 2.35; 95% CI: 1.57-3.50; p < 0.01, I 2 = 94%). Conclusion:Our study suggests that patients with autoimmune rheumatic diseases had a significantly increased risk of H&N cancer compared with the general population, including thyroid, oral, and nasopharyngeal cancers. These findings have implications for the individualized screening of these patients and the planning of oncology units. The protocol is registered with PROSPERO, number CRD42020197827.