Publications by authors named "Antonio J Cunha"

This study compared prevalence and risk factors of dental anxiety between men and women. The sample consisted of 244 participants (n = 122 men) aged 18 years or older who sought dental care at a public Dental Education Institution from March 2018 to November 2019. The Modified Dental Anxiety Scale was used to determine presence of dental anxiety.

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Arboviruses are emerging infectious diseases with the ability to expand geographically and rapidly affect large populations. The recent epidemic caused by the Zika virus in the Americas and congenital Zika syndrome associated with maternal infection has called out attention to the importance of studying arboviruses during pregnancy. This is a review on selected arboviruses infections during gestation, including Zika, Chikungunya, Dengue and Yellow Fever viruses.

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Considering the currently confirmed cases of microcephaly and related deaths associated with Zika virus in Brazil, the estimated case fatality rate is 8.3% (95% confidence interval: 7.2-9.

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Article Synopsis
  • Preeclampsia prevalence studies in Brazil are limited and lack classification based on gestational age at delivery.
  • A cross-sectional study analyzed 4,464 single deliveries, finding a total of 301 cases of preeclampsia, resulting in a prevalence of 6.74%.
  • The prevalence rates were 0.78%, 1.92%, and 6.74% for deliveries before 34, 37, and 42 weeks, respectively, with preeclampsia linked to adverse outcomes like fetal death and prematurity.
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In the last two months, there have been indications that the Zika virus epidemic is on the decline in Brazil. We reviewed the surveillance data published by the Brazilian Ministry of Health to assess trends of microcephaly and neurological abnormalities suggestive of congenital infection, as well as Zika virus disease in Brazil as a whole and its various regions. From November 2015 to July 2016, 8301 cases of microcephaly were reported in Brazil, mainly in the Northeast region.

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Objectives: Assess the electromagnetic interference (EMI) of endodontic equipment with cardiovascular implantable electronic devices (CIEDs) and related factors.

Methods: The laser device, electronic apex locators (EAL), optical microscope, endodontic rotary motors, gutta-percha heat carrier (GH), gutta-percha gun and ultrasonic device were tested next to CIEDs (Medtronic and Biotronik) with varied sensitivity settings and distances. CIEDs were immersed in a saline solution to simulate the electrical resistence of the human body.

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Objectives: To describe the concept of the first 1000 days, its importance for health, and actions to be implemented, particularly by pediatricians, in order to attain healthy nutrition and development.

Sources: A nonsystematic review was carried out in the SciELO, LILACS, MEDLINE, Scopus, and Web of Science databases, encompassing the last decade, using the terms 1000 days, child nutrition, child development, childhood, and child. A non-systematic search was performed online for organizations that use the 1000-day concept and give recommendations on children's health.

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Measles is a highly contagious disease that can be effectively prevented through vaccination. The recent increase in vaccination coverage was successful in reducing the mortality globally of the disease by 74%. As a whole, the Americas have been considered a disease-free zone.

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Background: Leprosy is an endemic infectious disease caused by Mycobacterium leprae that predominantly attacks the skin and peripheral nerves, leading to progressive impairment of motor, sensory and autonomic function. Little is known about how this peripheral neuropathy affects corticospinal excitability of handgrip muscles. Our purpose was to explore the motor cortex organization after progressive peripheral nerve injury and upper-limb dysfunction induced by leprosy using noninvasive transcranial magnetic stimulation (TMS).

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The present study aimed to determine the prevalence of supplementation between 1987 and 2007, and to measure the impact of this on morbidity. Five sequential cross-sectional studies in a 20-year time span were analyzed. Each had a sample of 8,000 domiciles representative of Ceará, in northeastern Brazil.

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Objectives: To describe the social participation frequency and the physical disability of patients who were discharged after the multidrug therapy (MDT/WHO) and factors associated with these variables.

Method: A cross-sectional and analytical study, examining associations, which took place Nova Iguaçu/Brazil. A random sample of patients treated with multidrug therapy from 1997 to 2006 was selected.

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This study examined neonatal deaths in the live-births cohort in the Birth in Brazil survey, which interviewed and examined medical records of 23,940 mothers from February 2011 to October 2012. Potential risk factors were analyzed using hierarchical modeling. Neonatal mortality rate was 11.

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This study used data from the Birth in Brazil survey, a nationwide hospital-based study of 24,197 postpartum women and their newborns, collected between February 2011 and July 2012. A three-stage cluster sampling design (hospitals, days, women) was used consisting of stratification by geographic region, type of municipality (capital or non-capital), and type of hospital financing. Logistic regression was used to identify variables that were potential predictors of neonatal mortality and neonatal near miss indicators.

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To describe the experience of Ceará, Northeast of Brazil, state on improving child survival, over a 20 year period, and discuss its contribution to Brazil's progress toward the achievement of MDG 4. Five population-based, statewide household surveys, with children <3 years of age, known as PESMIC (Mother and Child Health Survey of Ceará), were conducted in 1987, 1990, 1994, 2001 and 2007. They aimed to investigate levels and causes of mortality and access to child health services.

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Objective: To analyze the evolution in the prevalence and determinants of malnutrition in children in the semiarid region of Brazil.

Methods: Data were collected from two cross-sectional population-based household surveys that used the same methodology. Clustering sampling was used to collect data from 8,000 families in Ceará, Northeastern Brazil, for the years 1987 and 2007.

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Objective: Analyze malnutrition and anemia trends in Peruvian children under 5 years of age and their association with determinants in the 2000-2011 period.

Methods: Nutritional indicators for children under 5 years of age from the 2011 Demographic and Family Health Survey (ENDES), and their evolution based on data from the 2000, 2005, and 2008 ENDES, were analyzed. Chronic malnutrition (CM) (height/age ≤ 2 SD), acute malnutrition (AM), (height/weight ≤ 2 SD), and anemia trends were estimated.

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Article Synopsis
  • Leprosy remains prevalent in some developing countries, like India and Brazil, caused by the bacterium Mycobacterium leprae, leading to significant health complications.
  • Although sensory loss is a major symptom, chronic pain associated with leprosy is now being acknowledged as a serious late complication.
  • The article explores methods to assess leprosy-related pain and suggests potential factors contributing to its persistence, as well as new treatment avenues for chronic pain management in affected individuals.
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Aim: To assess trends in caesarean sections in Brazil, identify associated factors and evaluate changes in these factors over time.

Methods: Nationally representative data from the 1996 Demographic and Health Survey (n = 4918) and the 2006 Brazilian National Survey (n = 6125) were analysed using binomial logistic regression to assess variations in caesarean sections. Univariate logistic regression and multivariate analysis were used to select variables for predicting caesarean sections and assess potential factors associated with them.

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Article Synopsis
  • - The study aimed to assess the prevalence and severity of asthma in 6- to 7-year-old children in Rio de Janeiro and its relationship with sex, using a telephone survey based on the ISAAC questionnaire.
  • - Researchers conducted a cross-sectional analysis of 3,216 interviews with parents, revealing that asthma symptoms such as "wheezing" and "severe asthma" were significantly more common in boys compared to girls.
  • - The findings indicate that asthma is highly prevalent among schoolchildren in Rio, with results consistent with similar studies, suggesting telephone surveys can effectively gather epidemiological data on childhood asthma.
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Article Synopsis
  • Surgical nerve decompression in leprosy aims to prevent nerve damage and enhance patients' quality of life (QoL) and sensory motor function.
  • A study analyzed the QoL of 33 leprosy patients who had undergone neurolysis, focusing on their demographic and clinical information along with QoL scores.
  • Results indicated an overall QoL mean of 11.2, with particular domain scores showing the highest satisfaction in social relations, suggesting the importance of incorporating QoL measures in patient rehabilitation assessments.
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Objective: To describe the case-fatality rate (CFR) and risk factors of death in children with community-acquired acute pneumonia (CAP) in a pediatric university hospital.

Method: A longitudinal study was developed with prospective data collected from 1996 to 2011. Patients aged 1 month to 12 years were included in the study.

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The scope of this study is to describe aspects related to the dimensions of access, the service characteristics and factors associated with satisfaction of mothers in the city of Fortaleza, Ceará. It is an observational, cross-sectional population-based study conducted in 2008 in Fortaleza, Ceará. Families with at least one child under 5 years of age living at home and who were users of the Unified Health System (SUS) were included, The Pearson chi-square test, and when appropriate the Fisher exact test, were used for the statistical associations.

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Background: Caesarean section rates in Brazil have been steadily increasing. In 2009, for the first time, the number of children born by this type of procedure was greater than the number of vaginal births. Caesarean section is associated with a series of adverse effects on the women and newborn, and recent evidence suggests that the increasing rates of prematurity and low birth weight in Brazil are associated to the increasing rates of Caesarean section and labour induction.

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Objective: To assess the reproducibility and validity of the International Study of Asthma and Allergies in Childhood (ISAAC) asthma written questionnaire (IAWQ) for 6- to 7-year-old children administered to their parents/caregivers through a telephone interview.

Methods: Our study included 100 children selected from three health units in Rio de Janeiro, Brazil. In total, 50 asthmatic and 50 non-asthmatic children were evaluated; all participants were required to own a household telephone line.

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Objective: This study described the sociodemographic profile and professional qualifications of pediatric intensive care physicians in the State of Rio de Janeiro (RJ), southeastern Brazil.

Methods: This investigation was an observational, cross-sectional and descriptive study that was conducted in neonatal, pediatric and mixed intensive care units in the State of Rio de Janeiro. Physicians working in the participating intensive care units voluntarily completed a semistructured and anonymous questionnaire.

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