ORCID Profile
0000-0003-2404-6612
Current Organisations
International Agency For Research On Cancer
,
Universidad de Antioquia Facultad de Medicina
,
Universidad de Antioquia
,
University of Oxford
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Publisher: FapUNIFESP (SciELO)
Date: 2019
DOI: 10.1590/1807-3107BOR-2019.VOL33.0076
Abstract: The aim of this study was to assess the frequency of opioid analgesics prescribed by Brazilian dentists, potential regional differences and their association with socioeconomic and health-related factors. Data for all opioid prescriptions by dentists was obtained from the 2012 database of the National Controlled Substances Management System, regulated by the Brazilian Health Surveillance Agency. The number of defined daily doses (DDD) and DDDs per 1,000 inhabitants per day for each Brazilian state were calculated as the primary outcomes. DDDs were compared by regions and Brazilian states. Spearman's rho correlation coefficient was used to determine the influence of the states' characteristics, such as the Human Development Index poverty education number of dentists per 100,000 inhabitants visit to the dentist dental care plan good or very good oral health number of pharmaceutical establishments per 100,000/inhabitants and ability to get all prescribed medications. Data analysis was performed using IBM SPSS Statistics 25.0. A total of 141,161 prescriptions for opioids analgesics by 36,929 dentists were recorded, corresponding to 658,855 doses of opioids dispensed in 2012. The most commonly dispensed opioids were codeine associated with paracetamol (83.2% n = 117,493). The national DDDs per 1,000 inhabitants per day was 0.0093 (range: 0.0002-0.0216). DDD per 1,000 inhabitants per day was positively associated to visits to dentists (rs = 0.630 P < 0.001) and inversely associated to poverty (rs = -0.624 p = 0.001). There are significant differences in opioid prescriptions in dentistry among the Brazilian states. These differences may be associated with non-clinical factors.
Publisher: Elsevier BV
Date: 11-2022
Publisher: American Medical Association (AMA)
Date: 03-2022
Publisher: Elsevier BV
Date: 05-2023
Publisher: Elsevier BV
Date: 2022
Publisher: Elsevier BV
Date: 08-2022
Publisher: FapUNIFESP (SciELO)
Date: 2021
Publisher: Elsevier BV
Date: 09-2022
Publisher: Elsevier BV
Date: 03-2022
Publisher: Elsevier BV
Date: 07-2023
Publisher: Elsevier BV
Date: 03-2023
Publisher: Elsevier BV
Date: 10-2021
Publisher: Hindawi Limited
Date: 15-05-2021
DOI: 10.1155/2021/2055513
Abstract: Temporomandibular disorders (TMD) have been traditionally associated with psychosocial factors however, occupational stress as a factor related to TMD has not been adequately assessed in the literature. The aim was to investigate the association between stress at work and TMD on adult paid workers. An electronic search included PubMed, Scopus, Web of Science, Embase, and LILACS databases. Manual searches in the included articles’ reference and gray literature were performed. There were no restrictions regarding language or publication period. The inclusion criteria comprised observational studies with paid workers of any category, of both sexes, above 18 years old, assessing occupational stress/stress or distress and TMD as diagnosis or isolated signs and symptoms. Methodological quality was evaluated using Joanna Briggs tools. We narratively assessed the evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. We collected 12 studies. 50% reported a positive association between stress and TMD diagnostic across various job categories. On the other hand, TMJ sounds (a TMD sign) and work stress were associated only in a musicians’ population. However, the shortage of eligible articles and the methodological limitations provided a very low certainty of the evidence only 4 of the studies used validated tools for both stress and TMD (2 reporting positive association). The association between stress and TMD is inconclusive by the available data. In the future, we expect more robust epidemiologic studies addressing these relevant aspects.
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Jefferson Antonio Buendia.