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Pereira WM, Oliveira FESD, Coelho ML, Martelli DRB, Martelli Júnior H. Vaccination against COVID-19: the view of Brazilian federal judges. CAD SAUDE PUBLICA 2024; 40:e00086823. [PMID: 38695454 PMCID: PMC11057475 DOI: 10.1590/0102-311xen086823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 10/11/2023] [Accepted: 12/28/2023] [Indexed: 05/06/2024] Open
Abstract
The aim was to analyze the perception of Brazilian federal judges on the implications of COVID-19 vaccination. A study was carried out with Brazilian federal judges, who received a survey designed with multiple-choice questions on COVID-19 vaccination, covering topics such as its mandatory aspect, the application of coercive measures, hesitation to vaccinate, priority groups, the duties of Brazilian Health Regulatory Agency (Anvisa, acronym in Portuguese), the role of the Judiciary branch, and immunity passports. A total of 254 out of 1,300 federal judges from all states responded to the survey. Most respondents have a Bachelor's degree or a specialization (59.1%) and have been judges for more than 10 years (63.8%). A great majority of the judges (87.7%) agree with vaccine mandates for adults and for children and adolescents (66.1%). Over 75% of judges believe that all levels of government can impose sanctions on those who refuse to get vaccinated. The judges trust vaccination 93% of the time, 56.1% reject anti-vaccination movements, and 75.2% believe that Anvisa duties should be respected. The Judiciary branch actions concerning the COVID-19 pandemic are approved by 62.6% of judges, and 88.2% support immunity passports. There is a direct connection among mandatory vaccination, trust in the vaccine, and the adoption of immunity passports. Most federal judges agree with vaccine mandates for children and adults, support the application of sanctions for vaccination refusal, disapprove of anti-vaccination movements, agree with Anvisa's duties, and support judicial intervention in relation to the COVID-19 pandemic.
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Affiliation(s)
- Wilson Medeiros Pereira
- Universidade Estadual de Montes Claros, Montes Claros, Brasil
- Tribunal Regional Federal da 6ª Região, Belo Horizonte, Brasil
| | | | | | | | - Hercílio Martelli Júnior
- Universidade Estadual de Montes Claros, Montes Claros, Brasil
- Centro Pró-Sorriso, Universidade de Alfenas, Alfenas, Brasil
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de Oliveira FES, Trezena S, Martelli DRB, Oliveira MCL, Colosimo EA, Martelli H, Oliveira EA. The association between schizophrenia and increased COVID-19 mortality in a cohort of over 2 million people in Brazil. Braz J Psychiatry 2024. [PMID: 38635950 DOI: 10.47626/1516-4446-2024-3540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 03/22/2024] [Indexed: 04/20/2024]
Abstract
OBJECTIVE To describe the clinical outcomes and risk factors of death related to mental disorders in a cohort of Brazilian hospitalized patients with COVID-19. METHODS This retrospective cohort study utilized the Brazilian database SIVEP-Gripe to analyze patients aged ≥18 years who had been hospitalized with COVID-19 between 2020 and 2022. The exposure of interest were mental disorders (anxiety, depression, schizophrenia, and bipolar disorder), identified through self-reported fields. The primary outcome was in-hospital mortality. Covariates included demographic and clinical features. Descriptive statistics, t-tests, chi-square tests, and binary logistic regression were used to analyze the data. RESULTS A cohort of 2,124,285 patients was included in the analysis, with 23,246 individuals (1.1%) having self-reported mental disorders. Among these mental disorders, depression was the most prevalent (52.3%). The mortality rate of the patients with mental disorders was 30.8%. Analysis of risk factors for mortality revealed that age, gender, region, dyspnea, low oxygen saturation, and comorbidities were associated with an increased risk of death. Patients with schizophrenia had a higher mortality risk (aOR:1.68;95%CI:1.54-1.81). CONCLUSIONS Patients diagnosed with schizophrenia have a greater likelihood of COVID-19- related death than those without mental health conditions. These findings underscore the significant effect of serious mental disorders on COVID-19 mortality.
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Affiliation(s)
| | - Samuel Trezena
- Postgraduate Program in Health Sciences, Unimontes, Montes Claros, MG, Brazil
| | | | - Maria Christina L Oliveira
- Department of Pediatrics, Health Sciences Postgraduate Program, School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Enrico A Colosimo
- Department of Statistics, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Hercílio Martelli
- Postgraduate Program in Health Sciences, Unimontes, Montes Claros, MG, Brazil
| | - Eduardo Araújo Oliveira
- Department of Pediatrics, Health Sciences Postgraduate Program, School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
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de Oliveira FES, Júnior HM, Trezena S, da Silveira DMML, de Oliveira LKS, de Oliveira AGN, Fagundes MEV, Brito MFSF, Dias VO, Martelli DRB. Generalized anxiety disorder and associated factors in primary health care workers in Minas Gerais, Brazil. Work 2024; 77:687-696. [PMID: 37742686 DOI: 10.3233/wor-230160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic had direct and indirect impacts on public health, also affecting the mental health of the population. OBJECTIVE To analyze symptoms of generalized anxiety disorder (GAD) and associated factors, in primary health care (PHC) professionals. METHODS Cross-sectional and analytical study conducted with professionals who work in the Primary Health Care (PHC) of the Northern health macro-region of the state of Minas Gerais, Brazil. Data collection was carried out through an online, self-administered questionnaire, made available from August 27, 2021, to October 30, 2021 using the Google Forms tool. The questionnaire included sociodemographic questions as well as questions related to the history of anxiety and work during the pandemic. To assess anxiety symptoms, the General Anxiety Disorder-7 (GAD-7) instrument was used. Data treatment consisted of descriptive analysis of the variables, bivariate analysis followed by multivariate Poisson Regression with robust variance. RESULTS 702 health professionals participated in the study and the general prevalence of GAD was 32.2%. Current anxiety symptoms were self-reported by 37.6% of the participants. In the final model, the associated factors identified were: female sex (PR = 1.82; 95% CI = 1.17-2.84; p = 0.007), previous symptoms (PR = 1.58; 95% CI = 1.19-2.10; p = 0.002) and (PR = 2.68; 95% CI = 2.00-3.62; p < 0.001) current self-reported anxiety. CONCLUSION The results show the need to implement actions in mental health promotion and anxiety prevention, through the dissemination of information about mental health care, health education activities, encouraging the adoption of healthy habits and professional monitoring when necessary.
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Affiliation(s)
| | - Hercilio Martelli Júnior
- Postgraduate Program in Primary Health Care, State University of Montes Claros (Unimontes), Montes Claros, Brazil
| | - Samuel Trezena
- Postgraduate Program in Primary Health Care, State University of Montes Claros (Unimontes), Montes Claros, Brazil
| | | | | | | | | | | | - Verônica Oliveira Dias
- Postgraduate Program in Primary Health Care, State University of Montes Claros (Unimontes), Montes Claros, Brazil
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de Andrade RS, Oliveira FESD, Martelli DRB, de Barros LM, Martelli Júnior H. Maternal consumption of caffeine and second-hand tobacco smoke as risk factors for the development of oral clefts. Clinics (Sao Paulo) 2023; 78:100266. [PMID: 37567043 PMCID: PMC10432903 DOI: 10.1016/j.clinsp.2023.100266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 07/18/2023] [Accepted: 07/24/2023] [Indexed: 08/13/2023] Open
Abstract
OBJECTIVE The aim of this case-control study was to investigate environmental factors, such as caffeine, folic acid, nutritional iron supplementation, multivitamin complexes, alcohol, and tobacco (second-hand smoking), which have been described as risk factors for the development of oral clefts. METHODS This case-control study employed convenience sampling and included 409 mothers: 132 with children with oral clefts (cases) and 277 with children without oral clefts (controls). The age range of the children in both groups was 0 to 2 years. A questionnaire was administered to each mother to inquire about their habits and food consumption during the first trimester of pregnancy. RESULTS Folic acid supplementation was observed in 116 (87.8%) of the case group (p < 0.001) and 271 (97.8%) of the control group. Regarding the use of ferrous sulfate, 114 (86.3%) of the case group and 271 (97.8%) of the control group reported using it. In the case group, 84 (63.6%) mothers reported being exposed to second-hand smoke, and 5 (3.7%) reported alcohol consumption (p = 0.797). In terms of caffeine consumption, 127 mothers (95.4%) in the case group consumed it (p = 0.13), while 247 (88.8%) reported consumption in the control group. CONCLUSIONS The results suggest a direct relationship between secondhand smoke, alcohol consumption, and the lack of maternal supplementation with oral clefts.
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Affiliation(s)
| | - Fabrício Emanuel Soares de Oliveira
- Postgraduate Program in Primary Health Care, Unimontes, Montes Claros, Minas Gerais, Brazil; Postgraduate Program in Health Sciences, Unimontes, Montes Claros, Minas Gerais, Brazil.
| | | | - Letízia Monteiro de Barros
- José do Rosário Vellano University, Institute of Dentistry and Health Sciences, Periodontics, Alfenas, Minas Gerais, Brazil
| | - Hercílio Martelli Júnior
- Postgraduate Program in Primary Health Care, Unimontes, Montes Claros, Minas Gerais, Brazil; Postgraduate Program in Health Sciences, Unimontes, Montes Claros, Minas Gerais, Brazil
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Marques NP, Marques NCT, Lucena EHGD, Martelli DRB, Oliveira EA, Martelli-Junior H. The continuous increase in the number of systemic lupus erythematosus cases in Brazil in the COVID-19 era. Braz Oral Res 2023; 37:e066. [PMID: 37341237 DOI: 10.1590/1807-3107bor-2023.vol37.0066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 02/06/2023] [Indexed: 06/22/2023] Open
Abstract
This study aims to reevaluate and compare the data from the Brazilian Unified Health System (SUS) on the number of diagnoses of systemic lupus erythematosus (SLE) in the pre-pandemic period with those in the pandemic period, as well as to compare the first year (2020) of the COVID-19 pandemic in Brazil with the last year (2021), to update the data, and to verify whether SLE disease control measures were effective in 2021. There was a consistent and significant increase in the incidence of SLE cases all over Brazil between the first and second pandemic years and between the pre-pandemic triennium and the second pandemic year. Therefore, it is inescapable to have larger clinical studies with different populations to better understand the relationship between these two conditions and find measures to improve the control of this disease.
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Affiliation(s)
- Nelson Pereira Marques
- Universidade Estadual de Campinas - Unicamp, Dental School, Department of Oral Diagnosis, Piracicaba, São Paulo, Brazil
| | | | - Edson Hilan Gomes de Lucena
- Universidade Federal da Paraiba - UFPB, department of Clinical and Social Dentistry, João Pessoa, PB, Brazil
| | - Daniella Reis Barbosa Martelli
- Universidade Estadual de Montes Claros - Unimontes, Graduate Program in Primary Care/Health Science, Montes Claros, MG, Brazil
| | - Eduardo Araújo Oliveira
- Universidade Federal de Minas Gerais - UFMG, School of Medicine, Department of Pediatrics, Belo Horizonte, MG, Brazi
| | - Hercílio Martelli-Junior
- Universidade Estadual de Montes Claros - Unimontes, Graduate Program in Primary Care/Health Science, Montes Claros, MG, Brazil
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Oliveira FESD, Trezena S, Dias VO, Martelli Júnior H, Martelli DRB. Common mental disorders in Primary Health Care professionals during the COVID-19 pandemic period: a cross-sectional study in the Northern health macro-region of Minas Gerais state, Brazil, 2021. Epidemiol Serv Saude 2023; 32:e2022432. [PMID: 37283353 DOI: 10.1590/s2237-96222023000100012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 01/25/2023] [Indexed: 06/08/2023] Open
Abstract
OBJECTIVE to analyze the prevalence of symptoms of common mental disorders (CMDs) in Primary Health Care professionals between August-October/2021. METHODS this was a cross-sectional study conducted with health professionals in the Northern health macro-region of Minas Gerais state; snowball sampling was used; the dependent variable, CMDs, was evaluated using the Self-Reporting Questionnaire (SRQ-20); Poisson regression was used to perform the statistical analysis. RESULTS a total of 702 health professionals took part in the study; the prevalence of CDMs was 43.2%. It was higher in those with previous [prevalence ratios (PR) = 2.42; 95%CI 1.43;4.08] and current (PR = 1.54; 95%CI 1.25;1.89) symptoms of mental disorders, overwork during the pandemic (PR = 1.42; 95%CI 1.16;1.73), previous symptoms of anxiety (PR = 1.27; 95%CI 1.01;1.61), depression (PR = 1.27; 95%CI 1.06;1.52) and other mental disorders (PR = 1.20; 95%CI 1.01;1.43). CONCLUSION there was an association between CDMs and presenting previous and current symptoms of mental disorders and work overload during the covid-19 pandemic.
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Affiliation(s)
| | - Samuel Trezena
- Universidade Estadual de Montes Claros, Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil
| | - Verônica Oliveira Dias
- Universidade Estadual de Montes Claros, Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil
| | - Hercílio Martelli Júnior
- Universidade Estadual de Montes Claros, Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil
| | - Daniella Reis Barbosa Martelli
- Universidade Estadual de Montes Claros, Programa de Pós-Graduação em Cuidado Primário em Saúde, Montes Claros, MG, Brazil
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Rocha de Oliveira LQ, de Souza Nicolau HC, Barbosa Martelli DR, Martelli-Júnior H, Scariot R, Ayroza Rangel ALC, de Almeida Reis SR, Coletta RD, Machado RA. Ethnic Differences in the Brazilian Population Influence the Impact of BMP4 Genetic Variants on Susceptibility of Nonsyndromic Orofacial Clefts. Cleft Palate Craniofac J 2023:10556656231180086. [PMID: 37272066 DOI: 10.1177/10556656231180086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
OBJECTIVE The study evaluated the association of BMP4 tag-SNPs and SNP-SNP interactions involving genes active by BMP4 pathway during craniofacial development in the susceptibility of nonsyndromic orofacial clefts (NSOC) in the Brazilian population. DESIGN Case-control study. SETTING Brazilian Oral Cleft Group. PARTICIPANTS The study included 881 healthy controls and 800 patients with different types of NSOC: 232 with cleft lip only (NSCLO), 568 with cleft lip and palate (NSCLP), and 274 with cleft palate only (NSCPO). INTERVENTIONS The genomic DNA was genotyped with allelic discrimination assays for five BMP4 tag-SNPs (rs11623717, rs17563, rs2071047, rs2761887 and rs4898820), and analyzed their allelic and genotypic associations using multiple logistic regression. The interactions of these variants with genes involved in the BMP4 signaling pathway, including FGFR1, GREM1, NOG, VAX1 and the 4p16.2 locus, were explored. MAIN OUTCOME MEASURES BMP4 variants in the NSOC risk. RESULTS Although only nominal p values were identified when the whole sample was considered, subgroup analysis including the patients with high African genomic ancestry showed significant associations of rs2761887 with risk for nonsyndromic cleft lip with or without cleft palate (NSCL ± P)[(ORhom: 2.16; 95% CI: 1.21-3.85; p = 0.01) and (ORrec: 2.05; 95% CI: 1.21-3.47; p = 0.006)]. Thirteen significant SNP-SNP interactions involving BMP4 and the SNPs at FGFR1, GREM1, NOG and VAX1 and at locus 4p16.2 for increased risk of NSCL ± P were identified. CONCLUSIONS Our results demonstrate an increased risk of NSCL ± P in Brazilian individuals with enrichment of African ancestry in the presence of the BMP4 rs2762887 polymorphism, and reveal relevant genetic contribution of SNP-SNP epistatic interactions involving BMP4 variants to NSCL ± P risk.
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Affiliation(s)
| | | | | | - Hercílio Martelli-Júnior
- Stomatology Clinic, Dental School, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
- Center for Rehabilitation of Craniofacial Anomalies, Dental School, University of Professor Edson Antônio Velano, Alfenas, Minas Gerais, Brazil
| | - Rafaela Scariot
- Department of Oral and Maxillofacial Surgery, School of Health Science, Federal University of Paraná, Curitiba, Brazil
| | - Ana Lúcia Carrinho Ayroza Rangel
- Center of Biological Sciences and of the Health, School of Dentistry, State University of Western Paraná, Cascavel, Paraná, Brazil
| | | | - Ricardo D Coletta
- Graduate Program in Oral Biology, School of Dentistry, University of Campinas, Piracicaba, São Paulo, Brazil
- Department of Oral Diagnosis, School of Dentistry, University of Campinas, Piracicaba, São Paulo, Brazil
| | - Renato Assis Machado
- Graduate Program in Oral Biology, School of Dentistry, University of Campinas, Piracicaba, São Paulo, Brazil
- Department of Oral Diagnosis, School of Dentistry, University of Campinas, Piracicaba, São Paulo, Brazil
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Carvalho AA, Ferraz LDA, Martelli DRB, Machado RA, Martelli H. Craniofacial findings in syndromes associated with cafe-au-lait spots: a literature review. Rev Assoc Med Bras (1992) 2023; 69:195-202. [PMID: 36629650 PMCID: PMC9937591 DOI: 10.1590/1806-9282.20220866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Accepted: 09/05/2022] [Indexed: 01/11/2023]
Affiliation(s)
- Adriana Amaral Carvalho
- Universidade Estadual de Montes Claros, Postgraduate Program in Health Sciences – Montes Claros (MG), Brazil.,Universidade Estadual de Montes Claros, Medical School – Montes Claros (MG), Brazil.,Corresponding author:
| | | | | | - Renato Assis Machado
- Universidade Estadual de Campinas, Dental School, Department of Oral Diagnosis – Piracicaba (SP), Brazil.,Universidade de São Paulo, Hospital for Rehabilitation of Craniofacial Anomalies – Bauru (SP), Brazil
| | - Hercílio Martelli
- Universidade Estadual de Montes Claros, Postgraduate Program in Health Sciences – Montes Claros (MG), Brazil.,Universidade Estadual de Montes Claros, Dental School – Montes Claros (MG), Brazil
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Machado RA, de Oliveira LQR, Rangel ALCA, Reis SRDA, Scariot R, Martelli DRB, Martelli-Júnior H, Coletta RD. Brazilian Multiethnic Association Study of Genetic Variant Interactions among FOS, CASP8, MMP2 and CRISPLD2 in the Risk of Nonsyndromic Cleft Lip with or without Cleft Palate. Dent J (Basel) 2022; 11:dj11010007. [PMID: 36661544 PMCID: PMC9857865 DOI: 10.3390/dj11010007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 12/14/2022] [Accepted: 12/16/2022] [Indexed: 12/29/2022] Open
Abstract
Associations of CRISPLD2 (cysteine-rich secretory protein LCCL domain containing 2) and genes belonging to its activation pathway, including FOS (Fos proto-oncogene), CASP8 (caspase 8) and MMP2 (matrix metalloproteinase 2), with nonsyndromic orofacial cleft risk, have been reported, but the results are yet unclear. The aim of this study was to evaluate single nucleotide polymorphisms (SNPs) in FOS, CASP8 and MMP2 and to determine their SNP-SNP interactions with CRISPLD2 variants in the risk of nonsyndromic cleft lip with or without cleft palate (NSCL±P) in the Brazilian population. The SNPs rs1046117 (FOS), rs3769825 (CASP8) and rs243836 (MMP2) were genotyped using TaqMan allelic discrimination assays in a case-control sample containing 801 NSCL±P patients (233 nonsyndromic cleft lip only (NSCLO) and 568 nonsyndromic cleft lip and palate (NSCLP)) and 881 healthy controls via logistic regression analysis adjusted for the effects of sex and genomic ancestry proportions with a multiple comparison p value set at ≤0.01. SNP-SNP interactions with rs1546124, rs8061351, rs2326398 and rs4783099 in CRISPLD2 were performed with the model-based multifactor dimensionality reduction test complemented with a 1000 permutation-based strategy. Although the association between FOS rs1046117 and risk of NSCL±P reached only nominal p values, NSCLO risk was significantly higher in carriers of the FOS rs1046117 C allele (OR: 1.28, 95% CI: 1.10-1.64, p = 0.004), TC heterozygous genotype (OR: 1.59, 95% CI: 1.16-2.18, p = 0.003), and in the dominant model (OR: 1.50, 95% CI: 1.10-2.02, p = 0.007). Individually, no significant associations between cleft risk and the SNPs in CASP8 and MMP2 were observed. SNP-SNP interactions involving CRISPLD2 variants and rs1046117 (FOS), rs3769825 (CASP8) and rs243836 (MMP2) yielded several significant p values, mostly driven by FOS rs1046117 and CASP8 rs3769825 in NSCL±P, FOS rs1046117 in NSCLO and CRISPLD2 rs8061351 in NSCLP. Our study is the first in the Brazilian population to reveal the association of FOS rs1046117 with NSCLO risk, and to support that CRISPLD2, CASP8, FOS and MMP2 interactions may be related to the pathogenesis of this common craniofacial malformation.
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Affiliation(s)
- Renato Assis Machado
- Department of Oral Diagnosis, School of Dentistry, University of Campinas, Piracicaba 13414-018, São Paulo, Brazil
- Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru 17012-900, São Paulo, Brazil
- Graduate Program in Oral Biology, School of Dentistry, University of Campinas, Piracicaba 13414-018, São Paulo, Brazil
| | | | - Ana Lúcia Carrinho Ayroza Rangel
- Center of Biological Sciences and of the Health, School of Dentistry, State University of Western Paraná, Cascavel 85819-110, Paraná, Brazil
| | | | - Rafaela Scariot
- Department of Oral and Maxillofacial Surgery, School of Health Science, Federal University of Paraná, Curitiba 80060-000, Parana, Brazil
| | | | - Hercílio Martelli-Júnior
- Stomatology Clinic, Dental School, State University of Montes Claros, Montes Claros 39401-089, Minas Gerais, Brazil
- Center for Rehabilitation of Craniofacial Anomalies, Dental School, University of Professor Edson Antônio Velano, Alfenas 37130-000, Minas Gerais, Brazil
| | - Ricardo D. Coletta
- Department of Oral Diagnosis, School of Dentistry, University of Campinas, Piracicaba 13414-018, São Paulo, Brazil
- Graduate Program in Oral Biology, School of Dentistry, University of Campinas, Piracicaba 13414-018, São Paulo, Brazil
- Correspondence:
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Martelli AJ, Marques NP, Martelli DRB, Da Cruz Perez DE, Pires FR, Bonan PRF, Martelli H. ANALYSIS OF ORAL MEDICINE AND ORAL PATHOLOGY TEACHING IN HIGHER EDUCATION IN BRAZIL. Oral Surg Oral Med Oral Pathol Oral Radiol 2022. [DOI: 10.1016/j.oooo.2022.01.601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Sousa VHP, Rodrigues VC, De Oliveira Caixeta ME, Martelli H, Martelli DRB, De Alvarenga Diniz Fonseca C, De Andrade RS. ARE DENTAL AGENESIS AND ORAL CLEFTS CLINICAL MARKERS OF OVARIAN OR UTERINE CANCER? Oral Surg Oral Med Oral Pathol Oral Radiol 2022. [DOI: 10.1016/j.oooo.2022.01.599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Farias LC, Barbosa MC, Martelli DRB, Martelli Júnior H. Scientific production of Brazilian researchers focusing on oral surgery, oral medicine, and oral pathology. Braz Oral Res 2022; 36:e096. [PMID: 35830140 DOI: 10.1590/1807-3107bor-2022.vol36.0096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2021] [Indexed: 11/22/2022] Open
Abstract
We analyzed the distribution characteristics of the scientific production of Brazilian dentistry researchers of the Brazilian National Council for Scientific and Technological Development. The Lattes curriculum data of 211 researchers from Oral Pathology, Oral Surgery, and Oral Medicine fields were included (2018-2020). Over their academic career, 39 researchers published 7,555 papers (average, 175 articles/researcher); 3,876/7,555 papers were indexed in the Web of Science. During 2018-2020, 1,440/7,555 (19%) papers were published. Brazilian dental researchers contribute significantly to international research by participating in scientific journals' editorial boards, evaluating research promotion agencies, training researchers, and contributing to scientific and technological development.
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Affiliation(s)
- Lucyana Conceição Farias
- Universidade Estadual de Montes Claros - Unimontes, Dental School, Oral Diagnosis, Montes Claros, MG, Brazil
| | - Mauro Costa Barbosa
- Universidade Estadual de Montes Claros - Unimontes, Dental School, Montes Claros, MG, Brazil
| | | | - Hercílio Martelli Júnior
- Universidade Estadual de Montes Claros - Unimontes, Dental School, Oral Diagnosis, Montes Claros, MG, Brazil
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Rodrigues QF, Dias VO, Barbosa MC, Ferraz LDA, Silveira DMMLD, Martelli DRB, Martelli Júnior H. Public oral health services: impacts caused by the COVID-19 pandemic. Braz Oral Res 2022; 36:e032. [PMID: 35293498 DOI: 10.1590/1807-3107bor-2022.vol36.0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 11/04/2021] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to describe the oral health services offered by the Unified Health System in the northern macro-region of Minas Gerais, Brazil, during the COVID-19 pandemic. This was an observational, cross-sectional and descriptive study. Data collection took place between August and September 2020 through the completion of online questionnaires by oral health managers in the northern municipalities of Minas Gerais and by consultation of information available in the Special Epidemiological Bulletin Coronavirus North Macro-region n° 14. After collection, data were transferred to SPSS® (Statistical Package for the Social Sciences for Windows, version 24.0). Analyses were performed using frequency, mean, standard deviation and percentages. It was found that all included municipalities suspended elective treatments and maintained emergency dental care at all levels of care. In 62.5% of municipalities there were oral health professionals contaminated by COVID-19. Oral health teams implemented specific interventions to address the pandemic,with the most frequent being tele-orientation (74.7%), use of sanitary barriers (72%), and telemonitoring (68%). At the beginning of the pandemic, 62.5% of municipalities lacked personal protective equipment. Comsidering these results, it was found that the COVID-19 pandemic impacted the supply of dental services in northern Minas Gerais due to the suspension of elective care, contamination of professionals, lack of personal protective equipment, and development of new interventions. Thus, oral health teams had to adapt to new contexts of health interventionsto face COVID-19 and maintain dental care services.
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Affiliation(s)
- Quíria França Rodrigues
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
| | - Verônica Oliveira Dias
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
| | - Mauro Costa Barbosa
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
| | - Lorena Daiza Aquino Ferraz
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
| | | | - Daniella Reis Barbosa Martelli
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
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Oliveira FESD, Costa ST, Dias VO, Martelli Júnior H, Martelli DRB. Prevalência de transtornos mentais em profissionais de saúde durante a pandemia da COVID-19: revisão sistemática. J bras psiquiatr 2022. [DOI: 10.1590/0047-2085000000391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
RESUMO Objetivo: Realizar uma revisão sistemática da literatura avaliando a prevalência de transtornos mentais em profissionais da saúde durante a pandemia da COVID-19. Métodos: Trata-se de revisão sistemática conduzida com base no checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). As bases de dados usadas foram a Biblioteca Virtual de Saúde (BVS) e os serviços da United States National Library of Medicine (NLM) via PubMed, com as estratégias de busca: “COVID-19” AND “Saúde mental”; “COVID-19” AND “Saúde mental” AND “pessoal de saúde”, em português e inglês, selecionando artigos observacionais e/ou de prevalência publicados a partir de 2020. Resultados: A busca resultou na identificação de 18.643 artigos, e a amostra final foi composta por 9 artigos. Os sintomas mais frequentes foram os de depressão, ansiedade e insônia em profissionais que atuaram no período da pandemia da COVID-19, predominantemente do sexo feminino e idade média de 34,5 anos. A média da prevalência de ansiedade, depressão e insônia foi, respectivamente, de 40,3%, 39,9% e 36,1%, aferidas em 8.866 profissionais da saúde. Os profissionais atuantes na linha de frente no combate à COVID-19 apresentaram maiores prevalências de transtornos mentais comuns em relação a outros profissionais de saúde. Conclusões: Mostraram-se associadas a maiores prevalências de sintomas de TMC: sexo feminino, atuação na linha de frente, maior jornada de trabalho, histórico de uso de medicamentos psicotrópicos, condições inadequadas de trabalho, uso de álcool e tabaco e atuação na área de enfermagem. Observa-se a importância de estratégias de atenção à saúde mental dos profissionais de saúde.
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Marques NP, Marques NCT, Cardozo IM, Martelli DRB, Lucena EGD, Oliveira EA, Martelli Júnior H. Impact of the coronavirus disease 2019 on the diagnoses of Hansen's disease in Brazil. Rev Soc Bras Med Trop 2021; 54:e02512021. [PMID: 34320132 PMCID: PMC8313100 DOI: 10.1590/0037-8682-0251-2021] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Accepted: 06/24/2021] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION Coronavirus disease 2019 (COVID-19) has limited the access of patients with Hansen's disease (HD) to care due to changes in routine health services. METHODS To ascertain this, we compared the number of HD cases diagnosed before and after the COVID-19 pandemic. RESULTS The decrease in HD cases in Brazil reached 18,223 (-48.4%), corresponding to an average reduction of 1,518 cases per month during the COVID-19 pandemic. CONCLUSION Therefore, effective measures should be implemented to minimize the damage and the consequent negative health impact of COVID-19 on the care of HD patients.
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Affiliation(s)
- Nelson Pereira Marques
- Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba, Piracicaba, SP, Brasil
| | - Nádia Carolina Teixeira Marques
- Universidade José do Rosário Vellano, Centro de Reabilitação de Anomalias Craniofaciais, Alfenas, MG, Brasil.,Universidade José do Rosário Vellano, Departamento de Odontopediatria, Alfenas, Minas Gerais, Brasil
| | - Iberto Medeiros Cardozo
- Faculdade FUNORTE, Escola de Medicina, Instituto de Ciências da Saúde, Montes Claros, MG, Brasil
| | | | - Edson Gomes de Lucena
- Universidade Federal da Paraíba, Departamento de Clínica e Odontologia Social, João Pessoa, PB, Brasil
| | - Eduardo Araújo Oliveira
- Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, MG, Brasil.,University of California, San Diego, La Jolla, CA, USA
| | - Hercílio Martelli Júnior
- Universidade José do Rosário Vellano, Centro de Reabilitação de Anomalias Craniofaciais, Alfenas, MG, Brasil.,Universidade Estadual de Montes Claros, Programa de Pós-graduação em Ciências da Saúde, Montes Claros, MG, Brasil
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16
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Martelli Júnior H, Machado RA, Martelli DRB, Barbosa MC, Bonan PRF, Coletta RD. Potential link between SARS-CoV-2 and Kawasaki disease: importance of dentists for the diagnosis. Braz Oral Res 2021; 35:e047. [PMID: 33729297 DOI: 10.1590/1807-3107bor-2021.vol35.0047] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Accepted: 08/26/2020] [Indexed: 01/04/2023] Open
Abstract
Kawasaki disease (KD) is a vasculitis with predilection for coronary arteries. Due to a lack of reliable confirmatory laboratory tests, the diagnosis of KD is based on a characteristic pattern of clinical findings that appear in a typical temporal sequence. The diagnostic criteria have been periodically modified and the American Heart Association has proposed the most recent guidelines for its diagnosis. However, patients may have incomplete or atypical forms of KD and diagnosis can often be difficult. Because oropharyngeal manifestations are a common and important feature for diagnosing KD and recent studies have hypothesized a possible association between KD and the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), in this review we highlight the importance of dentists in the diagnosis of KD and its potential association with SARS-CoV-2.
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Affiliation(s)
- Hercílio Martelli Júnior
- Universidade de Montes Claros - Unimontes, Dental School Health Sciences Postgraduate Program, Montes Claros, MG, Brazil
| | - Renato Assis Machado
- Universidade de São Paulo - USP, School of Dentistry, Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, SP, Brazil
| | | | - Mauro Costa Barbosa
- Universidade de Montes Claros - Unimontes, Dental School, Department of Oral Diagnosis, Montes Claros, MG, Brazil
| | | | - Ricardo Della Coletta
- Universidade Estadual de Campnas - Unicamp, School of Dentistry, Department of Oral Diagnosis, Piracicaba, SP, Brazil
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Marques NP, Silveira DMM, Marques NCT, Martelli DRB, Oliveira EA, Martelli-Júnior H. Cancer diagnosis in Brazil in the COVID-19 era. Semin Oncol 2021; 48:156-159. [PMID: 33478743 PMCID: PMC7789866 DOI: 10.1053/j.seminoncol.2020.12.002] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 11/28/2020] [Accepted: 12/28/2020] [Indexed: 12/14/2022]
Abstract
The comprehensive care and treatment for cancer patients in Brazil, regulated by the National Cancer Prevention and Control Policy, is provided by Brazilian Unified Healthcare System (SUS) in certified health institution. Due the COVID-19 pandemic, several restrictive measures have been implemented by the State federation's governments, and cancer diagnosis reference centers were also impacted by these measures. Thus, this study aimed to compare SUS-oriented cancer diagnosis in Brazil before and during the pandemic so far. The average number of cancer diagnoses has dropped considerably in all Brazilian Regions since the pandemic period started. The number of new cancer cases has plunged in all regions, ranged from -24.3% in the North to -42.7% in Northeast region. The overall Brazilian average deficit reached 35.5%, corresponding to about 15,000 undiagnosed cases of cancer monthly. The pandemic period has dramatically reduced the diagnosis of new cases of cancer in Brazil, since consultations in public health services were compromised by restrictive measures. Therefore, effective measures must be urgently put in action in order to minimize the damage, and consequently, the negative health impacts caused by the COVID-19 pandemic in the care of cancer patients.
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Affiliation(s)
| | - Denise Maria M Silveira
- Primary Care Postgraduate Program, State University of Montes Claros Unimontes, Minas Gerais, Brazil
| | - Nádia Carolina Teixeira Marques
- José do Rosario Vellano University, Minas Gerais, Brazil; Center for Rehabilitation of Craniofacial Anomalies, University of Alfenas, Minas Gerais, Brazil
| | - Daniella Reis Barbosa Martelli
- Primary Care Postgraduate Program, State University of Montes Claros Unimontes, Minas Gerais, Brazil; University of California, San Diego, La Jolla, CA, USA
| | - Eduardo A Oliveira
- University of California, San Diego, La Jolla, CA, USA; Department of Pediatrics, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Minas Gerais, Brazil
| | - Hercílio Martelli-Júnior
- Primary Care Postgraduate Program, State University of Montes Claros Unimontes, Minas Gerais, Brazil; Center for Rehabilitation of Craniofacial Anomalies, University of Alfenas, Minas Gerais, Brazil
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18
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Martelli AJ, Machado RA, Martelli DRB, Cruz Perez DED, Pires FR, Martelli Júnior H. Clinical and Research Activities of the Brazilian Productivity Fellows in Oral Medicine and Oral Pathology during the COVID-19 Era. Pesqui Bras Odontopediatria Clín Integr 2021. [DOI: 10.1590/pboci.2021.160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | - Renato Assis Machado
- Department of Oral Diagnosis, Brazil; Hospital for Rehabilitation of Craniofacial Anomalies, Brazil
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Martelli AJ, Machado RA, Martelli DRB, Neves LTD, Martelli Junior H. The 100 most-cited papers in oral medicine and pathology. Braz Oral Res 2020; 35:e020. [PMID: 33331410 DOI: 10.1590/1807-3107bor-2021.vol35.0020] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 10/22/2020] [Indexed: 02/06/2023] Open
Abstract
This study aimed to analyze the 100 most-cited papers in the field of oral medicine and pathology over time, identifying the areas of more intense research. Papers in journals of oral medicine and pathology were identified using the Web of Science database. The specified research period was between 1900 and 2019. Descriptive statistics was used to analyze the data. Pearson's correlation analysis was used to explore the relationships among Web of Science citations, Dimensions citations, and Altmetric Attention Score. The number of citations of an article in the top 100 most-cited papers published in 1953 or later ranged from 541 to 3623. The papers were published in 47 different journals. The New England Journal of Medicine, American Cancer Society, and Nature Genetics published the most papers. Authors from 18 different countries published papers on head and neck cancer, craniofacial congenital anomalies, and osteonecrosis. Most of the papers were laboratory and descriptive studies. A correlation analysis showed a strong correlation only between Web of Science and Dimensions citations. In sum, although non-specific journals for pathology and oral medicine published the majority of the 100 most-cited papers, this biometric citation study show that head and neck cancer was the issue with the most citations. Together, these results make an important scientific contribution by providing a historical perspective on the research carried out.
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Affiliation(s)
- Alison José Martelli
- Universidade Estadual de Campinas - Unicamp, School of Dentistry, Department of Oral Diagnosis, Piracicaba, SP, Brazil
| | - Renato Assis Machado
- Universidade de São Paulo - USP, Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, SP, Brazil
| | | | | | - Hercílio Martelli Junior
- Universidade Estadual de Montes Claros - Unimontes, Health Sciences Postgraduate Program, Montes Claros, MG, Brazil
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20
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Fonseca CDAD, Martelli DRB, Almeida ILF, Mesquita LGM, Dias VO, Martelli-Júnior H. Are dental agenesis and oral clefts clinical markers of ovarian or uterine cancer? Oral Dis 2020; 28:243-244. [PMID: 33188718 DOI: 10.1111/odi.13720] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 11/10/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Cláudia de Alvarenga Diniz Fonseca
- Health Science Program, State University of Montes Claros, Unimontes, Montes Claros, Brazil.,Medicine School, State University of Montes Claros, Unimontes, Montes Claros, Brazil
| | | | | | | | - Verônica Oliveira Dias
- Oral Diagnosis, Dental School, State University of Montes Claros, Unimontes, Montes Claros, Brazil
| | - Hercílio Martelli-Júnior
- Health Science Program, State University of Montes Claros, Unimontes, Montes Claros, Brazil.,Oral Diagnosis, Dental School, State University of Montes Claros, Unimontes, Montes Claros, Brazil.,Center for Rehabilitation of Craniofacial Anomalies, University of José Rosario Vellano, Alfenas, Brazil
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21
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Marques NP, da Silveira DMML, Martelli PJDL, Martelli DRB, de Lucena EHG, Martelli-Júnior H. Brazilian Oral Medicine and public health system: The enormous impact of the COVID-19 Era. Oral Dis 2020; 28 Suppl 1:1001-1002. [PMID: 33048411 PMCID: PMC7675296 DOI: 10.1111/odi.13677] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Accepted: 10/07/2020] [Indexed: 12/13/2022]
Affiliation(s)
- Nelson Pereira Marques
- Department of Oral Diagnosis, Dental School, University of Campinas, FOP-UNICAMP, Piracicaba, Brazil
| | | | | | - Daniella Reis Barbosa Martelli
- Primary Care Postgraduate Program, State University of Montes Claros Unimontes, Montes Claros, Brazil.,Oral Diagnosis, Dental School, State University of Montes Claros, Unimontes, Montes Claros, Brazil
| | | | - Hercílio Martelli-Júnior
- Primary Care Postgraduate Program, State University of Montes Claros Unimontes, Montes Claros, Brazil.,Oral Diagnosis, Dental School, State University of Montes Claros, Unimontes, Montes Claros, Brazil.,Center for Rehabilitation of Craniofacial Anomalies, Dental School, University of Alfenas, Minas Gerais, Brazil
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22
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Martelli JÚnior H, Machado RA, Swerts MSO, Martelli DRB, Perez DEDC. Dental research and COVID-19: The beauty of science and its current and future challenges. Braz Oral Res 2020; 34:e088. [PMID: 32696907 DOI: 10.1590/1807-3107bor-2020.vol34.0088] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 06/23/2020] [Indexed: 11/21/2022] Open
Affiliation(s)
- Hercílio Martelli JÚnior
- Health Sciences Postgraduate Program, Universidade Estadual de Montes Claros, Montes Claros, MG, Brazil
| | - Renato Assis Machado
- Hospital for Rehabilitation of Craniofacial Anomalies, Universidade de São Paulo, Bauru, SP, Brazil
| | - Mário Sérgio Oliveira Swerts
- Center for Rehabilitation of Craniofacial Anomalies, Universidade José do Rosário Vellano, Alfenas, Minas Gerais, Brazil
| | | | - Danyel Elias da Cruz Perez
- Department of Clinical and Preventive Dentistry, School of Dentistry, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
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Affiliation(s)
- Hercílio Martelli-Júnior
- Oral Diagnosis, Dental School, State University of Montes Claros, Unimontes, Montes Claros, Minas Gerais, Brazil; Center for Rehabilitation of Craniofacial Anomalies, Dental School, University of Alfenas, Minas Gerais, Brazil
| | - Renato Assis Machado
- Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), Bauru, São Paulo, Brazil; Department of Oral Diagnosis, School of Dentistry, University of Campinas, FOP-UNICAMP, Piracicaba, São Paulo, Brazil.
| | | | - Mariléia Chaves Andrade
- Department of Pathophysiology, State University of Montes Claros, Unimontes, Montes Claros, Minas Gerais, Brazil
| | - Ricardo D Coletta
- Department of Oral Diagnosis, School of Dentistry, University of Campinas, FOP-UNICAMP, Piracicaba, São Paulo, Brazil
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24
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Martelli DRB, Martelli Júnior H. Undiagnosed and rare diseases: current challenges, perspectives and contribution of oral cavity examination. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 130:227-228. [PMID: 32493682 DOI: 10.1016/j.oooo.2020.04.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 03/19/2020] [Accepted: 04/11/2020] [Indexed: 01/19/2023]
Affiliation(s)
| | - Hercílio Martelli Júnior
- Oral Diagnosis, Dental School, State University of Montes Claros, UNIMONTES, Montes Claros, Minas Gerais, Brazil; Center for Rehabilitation of Craniofacial Anomalies, Dental School, University of Alfenas, Minas Gerais, Brazil
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Tamburini ABF, Rodrigues YHP, Martelli DRB, Barros LMD, Andrade RSD, Machado RA, Coletta RD, Martelli-Júnior H, Flório FM. Dental anomalies in the deciduous dentition of non-syndromic oral clefts patients. Rev Bras Saude Mater Infant 2020. [DOI: 10.1590/1806-93042020000100014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Abstract Objectives: to investigate the prevalence of dental anomalies in complete deciduous dentition of children with NSCL/P. Methods: this study included 75 children with NSCL/P and 286 healthy control. In both groups the children had deciduous dentition with ages varying from 4 to 6 years. Clinical examination, panoramic and periapical radiographies were performed and dental anomalies of number and shape were considered. Results: there was a higher prevalence of dental anomalies in the case group, compared to the control group. In all, 42 dental anomalies were identified, 25.33% in the case group and 8.04% in control group (p<0.001). Therewas a higher frequency of dental anomalies in NSCL/P (47.36%), followed by non-syndromic cleft lip (31.57%) and non-syndromic cleft palate (21.05%). The occurrence of agenesis (p= 0.005) and twinning (p = 0.029) were higher in the case group. Conclusions: the occurrence of agenesis and dental twinning was more frequent in the case group and may contribute to the definition of oral cleft subphenotype.
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Machado RA, Bonan PRF, da Cruz Perez DE, Martelli DRB, Martelli-Júnior H. I am having trouble keeping up with virtual teaching activities: Reflections in the COVID-19 era. Clinics (Sao Paulo) 2020; 75:e1945. [PMID: 32401961 PMCID: PMC7199292 DOI: 10.6061/clinics/2020/e1945] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Affiliation(s)
- Renato Assis Machado
- Departamento de Diagnostico Oral, Faculdade de Odontologia, Universidade de Campinas (FOP-UNICAMP), Piracicaba, SP, BR
- Hospital de Reabilitacao de Anomalias Craniofaciais, Universidade de Sao Paulo, Bauru, SP, BR
- Corresponding author. E-mail:
| | | | - Danyel Elias da Cruz Perez
- Departamento de Clinica e Odontologia Preventiva, Faculdade de Odontologia, Universidade Federal de Pernambuco, Recife, PE, BR
| | | | - Hercílio Martelli-Júnior
- Diagnostico Oral, Curso de Odontologia, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, MG, BR
- Centro de Anomalias Craniofaciais, Curso de Odontologia, Universidade de Alfenas, Alfenas, MG, BR
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Maciel PP, Martelli Júnior H, Martelli DRB, Machado RA, Andrade PVD, Perez DEDC, Bonan PRF. COVID-19 Pandemic: Oral Repercussions and its Possible Impact on Oral Health. Pesqui Bras Odontopediatria Clín Integr 2020. [DOI: 10.1590/pboci.2020.135] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
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De Alvarenga Diniz Fonseca C, Reis Barbosa Martelli D, Freitas Almeida IL, Hassen Sales G, Soares de Andrade R, Oliveira Dias V, Monteiro de Barros L, Martelli Júnior H. Absence of history of oral cleft in first-degree relatives of patients with prostate cancer. d3000 2019. [DOI: 10.5195/d3000.2019.88] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objective: To evaluate the occurrence of nonsyndromic cleft lip and/or palate (NSCL/P) in families of patients with prostate cancer (PC).Study design: We conducted a case-control study involving a total of 748 individuals, 280 of which had PC, and 468 were free-cancer healthy individuals. The patients answered a questionnaire with basic demographic information and family history of NSCL/P in first-degree relatives. The information collected was stored in a database and analyzed by using the statistical program SPSS® 24.0 for Windows (Chicago, IL, USA). In order to determine the association with NSCL/P, chi-square and Fisher’s exact test and odds ratio (OR) with its 95% confidence interval (95% CI) for risk magnitude assessment. Values with p<0.05 were considered statistically significant.Results: Of total patients with PC, 2 had a positive history of NSCL/P. In the control group, 7 patients reported family history of NSCL/P (1df chi-square, p=0.34; Fisher´s exact test, p=0.49). The average age of the cases diagnosed with PC was 71.35±7.70 years, and control group was 64.42±9.67 years.Conclusion: Despite the limited population, the frequency of NSCL/P was not significantly increased in the first-degree relatives of patients with PC. Studies with larger samples and molecular analyses are needed to better understand the possible relationships in the etiology of cancer and NSCL/P.
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Dias GP, Martelli DRB, Almeida LBD, Barbosa GA, Oliveira EA, Martelli Júnior H. Scientific production of the Brazilian National Council for Scientific and Technological Development (CNPq) researchers in the fields of tropical medicine and infectious diseases. Rev Soc Bras Med Trop 2019; 52:e20190034. [PMID: 31271623 DOI: 10.1590/0037-8682-0034-2019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Accepted: 04/29/2019] [Indexed: 11/21/2022] Open
Affiliation(s)
- Gabriela Pereira Dias
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil
| | - Daniella Reis Barbosa Martelli
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil.,Departamento de Odontologia, Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil
| | | | | | | | - Hercílio Martelli Júnior
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil.,Departamento de Odontologia, Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil
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Cruz GMD, Trezena S, Pêgo SPB, Paranaíba LMR, Martelli DRB, Melo Filho MRD. Profile evaluation of patients diagnosed with non-neoplastic proliferative lesions in a dentistry clinic. Braz J Oral Sci 2019. [DOI: 10.20396/bjos.v18i0.8655140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Non-neoplastic proliferative lesions (NNPLs) are alterations that affect oral mucosal tissues. The etiology of these lesions is associated with local irritant processes, principally inflammation, infections and mechanical irritants. NNPLs are classified into four groups: inflammatory fibrous hyperplasia, pyogenic granuloma, peripheral ossifying fibroma, and peripheral giant cell lesion. Aim: This cross-sectional, quantitative, retrospective, analytical, informative and educational study aimed to evaluate the profiles of patients who were diagnosed with any non-neoplastic proliferative lesion in the Unimontes Stomatology Clinic, Brazil. Methods: From January 2001 to June 2012, 1505 patients were counted who underwent anatomopathological examination, in addition to evaluations for other conditions. Results: Of these 1505 patients, 223 were diagnosed with some type of non-neoplastic proliferative lesion, and statistical analysis showed that 76% were female and 24% male and that 23.3% were between 41 and 50 years of age. Inflammatory fibrous hyperplasia was the most common NNPL (86.5%). Conclusion: Due to the high frequency of these lesions in the dental clinic, this type of survey has significant relevance for informing health professionals about these proliferative processes. This information is necessary, since the dentist is intimately involved in both the etiology, treatment and prevention of these lesions.
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Santos MIP, Fernandes TF, Silveira MF, Veríssimo FM, Dias RADO, Martelli DRB, Martelli Júnior H. Scientific production indicators and researchers training in the Brazilian Collective Health. Rev Bras Enferm 2019; 72:9-18. [PMID: 30916262 DOI: 10.1590/0034-7167-2017-0832] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Accepted: 06/01/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate the scientific production, generation of patents and researchers training among Brazilian Collective Health professors who were awarded a Pq/CNPq productivity scholarship from 2000 to 2012 and to verify the existence of an association between these production modalities and the characteristics of the professors, such as gender, training and origin. METHOD An analytical cross-sectional study was carried out from 2000 to 2012, and the Prevalence Ratio was calculated using Poisson regression. For the statistical analyzes, the SPSS® program was used. RESULTS Of particular note are regional and institutional concentration, consistent scientific output, important researchers training, and a primordial but still timid generation of patents. We found an association between the "scientific production", "researchers training" outcomes, and the gender characteristics, such as the formation and origin of the Pq professor. CONCLUSION These findings can guide the decision-making aimed at the deconcentration of scientific production and researchers training in the Brazilian Collective Health.
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de Andrade RS, Martelli DRB, Swerts MSO, Oliveira EA, Martelli H. Scientific production of the Brazilian Council for Scientific and Technological Development (CNPq) researchers in the field of Oral Medicine and Oral Pathology granted with a scientific productivity fellowship. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 126:553-554. [DOI: 10.1016/j.oooo.2018.07.057] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Accepted: 07/30/2018] [Indexed: 10/28/2022]
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Sales SAG, Santos ML, Machado RA, Dias VO, Nascimento JE, Swerts MSO, Júnior HM, Martelli DRB. Incidence of bifid uvula and its relationship to submucous cleft palate and a family history of oral cleft in the Brazilian population. Braz J Otorhinolaryngol 2018; 84:687-690. [PMID: 28886940 PMCID: PMC9442829 DOI: 10.1016/j.bjorl.2017.08.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Revised: 07/19/2017] [Accepted: 08/01/2017] [Indexed: 11/26/2022] Open
Abstract
Introduction Bifid uvula is a frequently observed anomaly in the general population and can be regarded as a marker for submucous cleft palate. Objective In this study aimed to determine the frequency of bifid uvula and submucous cleft palate and their relationship with oral clefts in a Brazilian population. Methods We conducted a transversal, descriptive and quantitative study of 1206 children between August 2014 and December 2015. A clinical examination of the children was conducted by means of inspection of the oral cavity with the aid of a tongue depressor and directed light. After the clinical examination in children, parents answered a questionnaire with questions about basic demographic information and their family history of oral clefts in their first-degree relatives. After application of the questionnaires, the information collected was archived in a database and analyzed by the statistical program SPSS® version 19.0, by applying Chi-Square tests. Values with p < 0.05 were considered statistically significant. Results Of the 1206 children included in this study, 608 (50.40%) were female and 598 (49.60%) were male (p = 0.773). The average age of children was 3.75 years (standard deviation ± 3.78 years). Of the 1206 children studied, 6 (0.5%) presented with bifid uvula. Submucosal cleft palate was not found in any child. When the family histories of children were examined for the presence of nonsyndromic cleft lip and/or cleft palate, no first degree relatives presented with the congenital anomaly. Conclusion This study revealed that the incidence of bifid uvula and submucous cleft palate in this population was quite similar to previously reported incidence rates. Our study suggests an intensification of new reviews, with broader and diverse populations, seeking to associate the occurrence of bifid uvula, submucous cleft palate and oral clefts.
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Barbosa Martelli DR, Cardoso EF, De Souza JD, De Figueiredo MFL, Machado RA, Vaz Coelho LG, Martelli Júnior H. Nonsyndromic Cleft Lip and/or Palate, Gastric Cancer, and Tooth Agenesis. Oral Surg Oral Med Oral Pathol Oral Radiol 2018. [DOI: 10.1016/j.oooo.2018.02.617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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De Andrade RS, Machado RA, Barbosa Martelli DR, Pires FR, De Abreu Alves F, De Almeida OP, Martelli Júnior H. Brazilian Scientific Publications in Oral Medicine and Oral Pathology. Oral Surg Oral Med Oral Pathol Oral Radiol 2018. [DOI: 10.1016/j.oooo.2018.02.601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Fernandes Maia CM, Nasser LS, Barbosa Martelli DR, Oliveira Swerts MS, Quadros Tonelli JV, Machado RA, Martelli Júnior H. Prevalence of Hypertelorism in Nonsyndromic Cleft Lip and/or Palate. Oral Surg Oral Med Oral Pathol Oral Radiol 2018. [DOI: 10.1016/j.oooo.2018.02.615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Dias VO, Vieira ML, Gonçalves EF, Santos ML, Oliveira Swerts MS, Martelii Júnior H, Barbosa Martelli DR. Dental Anomalies in Patients with Cleft Lip and/or Palate in the Brazilian Population: A Systematic Review. Oral Surg Oral Med Oral Pathol Oral Radiol 2018. [DOI: 10.1016/j.oooo.2018.02.641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Maia CMF, Machado RA, Gil-da-Silva-Lopes VL, Lustosa-Mendes E, Rim PHH, Dias VO, Martelli DRB, Nasser LS, Coletta RD, Martelli-Júnior H. Report of two unrelated families with Jalili syndrome and a novel nonsense heterozygous mutation in CNNM4 gene. Eur J Med Genet 2018; 61:384-387. [PMID: 29421602 DOI: 10.1016/j.ejmg.2018.02.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Revised: 01/10/2018] [Accepted: 02/03/2018] [Indexed: 12/18/2022]
Abstract
Jalili syndrome (JS) is an autosomal recessive disease characterized by a combination of cone-rode retinal dytrophy (CRD) and amelogenesis imperfect (AI). Mutations in cyclin and CBS domain divalent metal cation transport mediator 4 (CNNM4) gene cause JS. Here we described 2 families (3 members) affected by JS. In the first family, JS was caused by the homozygous p.Leu324Pro (c.971T > C) missense mutation and the affected patient developed both CRD and AI. In the second family, a specific combination of a compound heterozygous mutation was found - the p.Leu324Pro (c.971T > C) missense transition and the novel p.Tyr581* (c.1743C > G) nonsense mutation. The proband showed CRD and AI, but her father just developed eye alterations. Together, these findings suggest that the p.Leu324Pro mutation in homozygosis induces a complete phenotype with both CRD and AI, but in heterozygosis and in composition with the novel p.Tyr581* nonsense mutation in CNNM4 promotes variable clinical expressivity, particularly with lack of dental phenotypes. These different phenotypes could be explained by deletions affecting the proband's homologous allele, epistasia or interactions with environmental factors leading to residual activity of protein.
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Affiliation(s)
| | - Renato Assis Machado
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.
| | | | - Elaine Lustosa-Mendes
- Department of Medical Genetics, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil
| | - Priscila Hae Hyun Rim
- Department of Medical Genetics, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil
| | - Verônica Oliveira Dias
- Health Science Program, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | | | - Luciano Sólia Nasser
- Health Science Program, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Ricardo D Coletta
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil
| | - Hercílio Martelli-Júnior
- Health Science Program, State University of Montes Claros, Montes Claros, Minas Gerais, Brazil; Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil
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Carvalho PHPD, Machado RA, Reis SRDA, Martelli DRB, Dias VO, Martelli Júnior H. Parental age is related to the occurrence of cleft lip and palate in Brazilian populations. Braz J Oral Sci 2017. [DOI: 10.20396/bjos.v15i2.8648758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Aim: To evaluate the association of environmental risk factors, particularly paternal and maternal age, with gender and type of oral cleft in newborn with nonsyndromic cleft lip with or without cleft palate (NSCL/P). Methods: This study included 1,346 children with NSCL/P of two Brazilian Services for treatment of craniofacial deformities. Parental ages were classified into the following groups: maternal age <35, 36-39, and ≥40 years; paternal age <39 and ≥40 years. The data was analyzed with chi-square test and multinomial logistic regression analysis. The odds ratios were estimated with a 95% confidence interval. Results: Of the 1,346 children included in this study, CLP was the type of NSCL/P with highest prevalence, followed by, respectively, CL and CP. There was a greater occurrence of NSCL/P in males compared to females (55.8% versus 44.2%). CLP was more common in men, while the CL and CP were more prevalent in women (p=0.000). No association between maternal age and clefts was observed (p=0.747). However, there was evidence of association between father’s aged ≥40 years old and NSCL/P (p=0.031). When patients with CP were analyzed separately, no association between the father’s age and the child’s gender (p=0.728) was observed, i.e. the female gender prevails among patients with CP, regardless of the father’s age. Conclusions: This study showed that there were differences in the distribution of the non-syndromic cleft lip and/or palate and the gender, and fathers aged ≥40 years old may have increased risk of oral cleft. Further studies involving different populations are needed for a better understanding of the effect of maternal and paternal ages as a risk factor for the occurrence of oral clefts.
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Mendes PHC, Martelli DRB, de Melo Costa S, Gonçalves E, Macedo CP, Silveira MF, Martelli Júnior H. Comparison of digit ratio (2D:4D) between Brazilian men with and without prostate cancer. Prostate Cancer Prostatic Dis 2016; 19:107-10. [PMID: 26754259 DOI: 10.1038/pcan.2015.62] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2015] [Revised: 10/21/2015] [Accepted: 11/18/2015] [Indexed: 02/06/2023]
Abstract
BACKGROUND Digit ratio (2D:4D) has been suggested as a proxy biomarker for prenatal androgen activity and has been linked to prostate cancer, as the genes that regulate the formation and differentiation of the fingers are also related to the carcinogenesis of prostate cancer. To investigate the possible correlation between right hand, left hand and right hand minus left hand (DR-L) 2D:4D and prostate cancer of Brazilian subjects by comparing 2D:4D ratios of individuals diagnosed with prostate cancer and individuals without the disease. Also, to inquire the relationship between 2D:4D and severity of prostate cancer through Gleason scores. METHODS Digital measurements of the lengths of the index and ring fingers of both hands of patients diagnosed with prostate cancer (PCA group, n=100) and healthy control individuals (n=100) were obtained using a digital vernier caliper. Means of the 2D:4D ratios were compared. Data were analyzed by the Student's t-test for unpaired samples, Mann-Whitney test and Spearman's correlation with a significance level of 5%. RESULTS The PCA group presented significantly lower right and left 2D:4D (P=0.001 and P=0.002, respectively) in comparison to healthy controls, but DR-L were not significantly different between groups (P=0.589). In addition, digit ratios were not correlated to Gleason score for either hand or in DR-L. CONCLUSIONS 2D:4D seems to be a marker for screening patients for prostate cancer in an admixed population, as males with prostate cancer present lower 2D:4D than healthy subjects. On the other hand, 2D:4D does not appear to be associated with the severity of prostate cancer.
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Affiliation(s)
- P H C Mendes
- Health Science Program, State University of Montes Claros, Montes Claros, Brazil
| | - D R B Martelli
- Health Science Program, State University of Montes Claros, Montes Claros, Brazil
| | - S de Melo Costa
- Health Science Program, State University of Montes Claros, Montes Claros, Brazil
| | - E Gonçalves
- Health Science Program, State University of Montes Claros, Montes Claros, Brazil
| | - C P Macedo
- Medicine School, State University of Montes Claros, Montes Claros, Brazil
| | - M F Silveira
- Department of Biostatistics, Health Science Program, State University of Montes Claros, Montes Claros, Brazil
| | - H Martelli Júnior
- Health Science Program, State University of Montes Claros, Montes Claros, Brazil
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Násser LS, Martelli DRB, Swerts MSO, Popoff DAV, Barros LMD, Martelli Júnior H. Ophthalmic changes in cleft lip and palate. Revista Brasileira de Oftalmologia 2016. [DOI: 10.5935/0034-7280.20160021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Melo Filho MR, Nogueira dos Santos LA, Barbosa Martelli DR, Silveira MF, Esteves da Silva M, de Barros LM, Coletta RD, Martelli-Júnior H. Taurodontism in patients with nonsyndromic cleft lip and palate in a Brazilian population: a case control evaluation with panoramic radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 120:744-50. [DOI: 10.1016/j.oooo.2015.08.005] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2015] [Revised: 07/27/2015] [Accepted: 08/04/2015] [Indexed: 11/25/2022]
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Martelli DRB, Coletta RD, Oliveira EA, Swerts MSO, Rodrigues LAM, Oliveira MC, Martelli Júnior H. Association between maternal smoking, gender, and cleft lip and palate. Braz J Otorhinolaryngol 2015; 81:514-9. [PMID: 26277833 PMCID: PMC9449023 DOI: 10.1016/j.bjorl.2015.07.011] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2014] [Accepted: 09/07/2014] [Indexed: 12/01/2022] Open
Abstract
Introduction Cleft lip and/or palate (CL/P) represent the most common congenital anomalies of the face. Objective To assess the relationship between maternal smoking, gender and CL/P. Methods This is an epidemiological cross-sectional study. We interviewed 1519 mothers divided into two groups: Cases: mothers of children with CL/P (n = 843) and Controls: mothers of children without CL/P (n = 676). All mothers were classified as smoker or non-smoker subjects during the first trimester of pregnancy. To determine an association among maternal smoking, gender, and CL/P, odds ratios were calculated and the adjustment was made by a logistic regression model. Results An association between maternal smoking and the presence of cleft was observed. There was also a strong association between male gender and the presence of cleft (OR = 3.51; 95% CI 2.83–4.37). By binary logistic regression analysis, it was demonstrated that both variables were independently associated with clefts. In a multivariate analysis, male gender and maternal smoking had a 2.5- and a 1.5-time greater chance of having a cleft, respectively. Conclusion Our findings are consistent with a positive association between maternal smoking during pregnancy and CL/P in male gender. The results support the importance of smoking prevention and introduction of cessation programs among women with childbearing potential.
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Affiliation(s)
- Daniella Reis Barbosa Martelli
- Ciências da Saúde, Centro de Ciências Biológicas e da Saúde, Universidade Estadual de Montes Claros (Unimontes), Montes Claros, MG, Brazil
| | - Ricardo D Coletta
- Patologia Bucal, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas (UNICAMP), Piracicaba, SP, Brazil
| | - Eduardo A Oliveira
- Pediatria, Faculdade de Medicina da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | | | - Laíse A Mendes Rodrigues
- Ciências da Saúde, Centro de Ciências Biológicas e da Saúde, Universidade Estadual de Montes Claros (Unimontes), Montes Claros, MG, Brazil
| | - Maria Christina Oliveira
- Pediatria, Faculdade de Medicina da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - Hercílio Martelli Júnior
- Ciências da Saúde, Centro de Ciências Biológicas e da Saúde, Universidade Estadual de Montes Claros (Unimontes), Montes Claros, MG, Brazil; Universidade José do Rosário Vellano (UNIFENAS), Alfenas, MG, Brazil.
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Lima LS, Ribeiro GS, Aquino SND, Volpe FM, Martelli DRB, Swerts MSO, Paranaíba LMR, Martelli Júnior H. Prevalence of depressive symptoms in patients with cleft lip and palate. Braz J Otorhinolaryngol 2015; 81:177-83. [PMID: 25716190 PMCID: PMC9449002 DOI: 10.1016/j.bjorl.2015.01.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2013] [Accepted: 07/06/2014] [Indexed: 11/29/2022] Open
Abstract
Introduction Cleft lip and/or palate (CL/P) represent the most common congenital anomalies of the face. Objective To evaluate the prevalence of depressive symptoms in children and adolescents with nonsyndromic cleft lip and/or palate (nsCL/P). Methods We conducted an observational, case-control study, with a case study group composed of 61 patients with nsCL/P, aged 7–17 years, and a control group of 61clinically normal patients. Both groups were selected at the same institution. Results Depressive symptoms were observed in the case group (nsCL/P), but there were no statistically significant differences compared to the control group. No association was found between the two groups (case and control) in relation to sociodemographic variables: gender, age and education. Conclusions This study identified the prevalence of depressive symptoms in children and adolescents with nsCL/P from a localized geographic population, although the results were not statistically significant when compared to the control group, not justifying the use of CDI (Child Depression Inventory) as a screening instrument for depressive symptoms in the examined population.
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Affiliation(s)
- Leonardo Santos Lima
- Hospital Universitário Clemente de Farias, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, MG, Brazil
| | | | - Sibele Nascimento de Aquino
- Hospital Universitário Clemente de Farias, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, MG, Brazil
| | | | - Daniella Reis Barbosa Martelli
- Hospital Universitário Clemente de Farias, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, MG, Brazil
| | | | - Lívia Maris Ribeiro Paranaíba
- Hospital Universitário Clemente de Farias, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, MG, Brazil
| | - Hercílio Martelli Júnior
- Hospital Universitário Clemente de Farias, Universidade Estadual de Montes Claros (UNIMONTES), Montes Claros, MG, Brazil; Centro Pró-Sorriso, Alfenas, MG, Brazil.
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Martelli DRB, Vieira AR, Fonseca AT, Coletta RD, Soares PBM, Martelli-Júnior H. Risk of nonsyndromic cleft lip and palate in relatives of women with breast cancer. Am J Med Genet A 2013; 164A:270-1. [PMID: 24259269 DOI: 10.1002/ajmg.a.36186] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2012] [Accepted: 07/17/2013] [Indexed: 11/10/2022]
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Popoff DAV, Coelho MP, Martelli DRB, Saini R, Coletta RD, Martelli-Júnior H. Non-syndromic oral clefts and risk of cancer: a systematic review. d3000 2013. [DOI: 10.5195/d3000.2013.11] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objective: To discuss the risk of cancer among relatives of individuals with cleft lip and palate (CL/P), as well as the risk of CL/P among relatives of individuals with cancer, since studies published currently have suggested an increased risk of cancer among relatives of cleft individuals. Design: A systematic literature review was carried out in accordance with the Cochrane Collaboration Group protocol, including literature search strategy, selection of papers through the inclusion and exclusion criteria, data extraction and quality assessment. PubMed, Scopus and ISI - Web of Science databases were systematically searched using the fallowing search strings: “cleft lip and palate” AND “cancer”, “oral clefts” AND “cancer” and “orofacial clefts” AND “cancer”. Results: From 653 studies accessed, 8 comprised the final sample: 6 investigating CL/P index cases and their family history of cancer and 2 investigating individuals with cancer and their family history for CL/P. The sample sizes were not homogeneous. Oral clefts, the type of cancer and the degree of kinship family were not categorized in all studies. Leukemia, breast cancer and colon cancer were the most cited types, even as first-and-second degree relatives. Conclusions: An increased risk of cancer among relatives of cleft individuals could not be entirely confirmed. However, studies with this specific purpose suggest that first-and-second degrees relatives of cleft individuals have some types of cancer more often than unexposed families, highlighting that future studies should expand their samples to investigate possible common molecular mechanisms that allow relating oral clefts and cancer.
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Lima LS, Silverio MDO, Swerts MSO, Aquino SND, Martelli DRB, Martelli-Junior H. Frequency of Cancer in First-Degree Relatives of Patients with Cleft Lip and/or Palate in the Brazilian Population. Braz Dent J 2013; 24:200-3. [DOI: 10.1590/0103-6440201302191] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2013] [Accepted: 05/17/2013] [Indexed: 11/22/2022] Open
Abstract
Congenital malformations and cancer may share common etiological factors and the association between nonsyndromic cleft lip and/or palate (NSCL/P) and cancers has been observed in different studies. The objective of this study was to evaluate the frequency of cancer in relatives of patients with NSCL/P. This investigation was a cross-sectional, case-controlled study, evaluating 358 patients with NSCL/P treated at a Referral Center for craniofacial deformities (case group) and 358 patients without craniofacial alterations (control group). Information concerning the gender, age and family history of cancer in first-degree relatives for both groups was obtained. The frequency of cancer was 6.4% (n=46) in the studied population, with 18 subjects in the case group (5%) and 28 (7.8%) in control. In both groups, the most frequently reported cases were those of breast, colorectal, stomach, prostate and uterus cancers, but there was no association between the two groups. There was no association with a family history of cancer among the first-degree relatives (odds ratio=0.62; 95% IC: 0.34 to 1.15), neither when the analysis was made by type of cancer. In conclusion, both epidemiological and genetic studies have suggested common etiological factors for NSCL/P and cancer. However, in this population-based study, no association between cancer and NSCL/P could be confirmed.
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Affiliation(s)
| | | | | | | | | | - Hercilio Martelli-Junior
- Unimontes - State University of Montes Claros, Brazil; Jose do Rosario Vellano University, Brazil
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Soares PBM, Carneiro JA, Rocha LA, Gonçalves RCR, Martelli DRB, Silveira MF, Martelli Júnior H. The quality of life of disease-free Brazilian breast cancer survivors. Rev Esc Enferm USP 2013; 47:69-75. [DOI: 10.1590/s0080-62342013000100009] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2012] [Accepted: 07/06/2012] [Indexed: 11/22/2022] Open
Abstract
The objective of this study was to compare the quality of life of women who survived breast cancer and women who have not had the disease, and to identify associated factors. It is cross-sectional study in which the comparison group includes survivors of breast cancer aged between 40 and 69 years. One hundred and fifty-four women were included, 70 with breast cancer and 84 without the disease. The SF-36 was used to evaluate quality of life. The chi-square test and multivariate linear models were used to compare the groups. The estimated mean physical and mental components were significantly better for the group who survived the disease (51.10 and 52.25, respectively) compared to the group without cancer (47.26 and 47.93, respectively). The study indicates that survivors of breast cancer had a better quality of life compared to women without the disease.
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Leite BDGL, Oliveira EA, Queiroz IN, Martelli DRB, Oliveira MC, Martelli Júnior H. Perfil dos Pesquisadores com Bolsa de Produtividade no Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) da Área da Educação Física. Motricidade 2012. [DOI: 10.6063/motricidade.8(3).1160] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Barbosa Martelli DR, Machado RA, Oliveira Swerts MS, Mendes Rodrigues LA, de Aquino SN, Júnior HM. Non sindromic cleft lip and palate: relationship between sex and clinical extension. Braz J Otorhinolaryngol 2012; 78:116-20. [PMID: 23108830 PMCID: PMC9450739 DOI: 10.5935/1808-8694.20120018] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2012] [Accepted: 07/23/2012] [Indexed: 12/01/2022] Open
Abstract
Cleft lip and/or palate represent the most common congenital anomalies of the face. Aim Describe the relation between non sindromic cleft lip and/or palate and sex and severity of the clef in Brazilian population. Methods Conducted cross-sectional study, between the years 2009 and 2011, with a population of 366 patients. Data were analyzed with descriptive statistics and using the multinomial logistic regression with an interval of 95% estimated the chances of the types of cleft lip and/or palate between sex. Results Among the 366 cases of non sindromic cleft lip and/or palate, the more frequent clefts were cleft lip and palate, followed respectively by cleft lip and cleft palate. It is noted that cleft palate were more frequent in females, while the cleft lip and palate and cleft labial predominated in males. The risk of occurrence of cleft lip in relation the cleft palate was 2.19 times in males compared to females. While the risk of cleft lip and palate in relation cleft palate was 2.78 times in males compared to females. Conclusion This study showed that there were differences in the distribution of the non sindromic cleft lip and/or palate between male and female.
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Affiliation(s)
- Daniella Reis Barbosa Martelli
- MSc. Professor of Semiology - State University of Montes Claros. PhD student - State University of Montes Claros - Unimontes
| | | | | | | | | | - Hercílio Martelli Júnior
- PhD. Full Professor. Graduate Program in Health Sciences - Center of Biological and Health Sciences - Unimontes
- Send correspodence to: Hercílio Martelli Júnior. Rua Olegário da Silveira, n° 125/201, Centro. Montes Claros - MG. Brazil. CEP: 39400-020
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