Epidemiologia das fraturas de face em crianças num pronto-socorro de uma metrópole tropical

Facial trauma and background level: a study on the population’s perspective

ABSTRACT Purpose: to verify the population’s understanding on facial trauma, according to their level of schooling. Methods: an observational, cross-sectional, quantitative, documentary study conducted, based on 852 interviews carried out in two Brazilian state capitals. The association between the levels of schooling and varied knowledge of facial trauma was investigated. The data were analyzed with Pearson’s chi-square test or Fisher’s exact test, with a margin of error of 5%. Results: there was a statistically significant association between the participants’ schooling and their understanding on the consequences of trauma in: functions (p = 0.001), mouth mobility (p = 0.005), and dental issues (p = 0.003). In the most affected population, schooling was also associated with youth (p = 0.001) and adults (p = 0.044). Regarding causes, there was association with falls (p = 0.034) and traffic accidents (p = 0.034). There was association with bikers (p = 0.016) and motorcyclists (p = 0.001) as the population with greater propensity. Schooling was associated with all the professionals. Concerning the consequences to the victim’s life, there was association also with general health (p = 0.049), household chores (p = 0.001), and social life (p = 0.001). Recklessness was the only cause with an association (p = 0.004). Schooling was associated with previous knowledge of trauma (p = 0.001). Conclusion: their understanding on the consequences of trauma, most affected population, main causes, professionals involved in the treatment, repercussion for people’s lives, and previous knowledge of the subject increased along with the levels of background.

Pediatric maxillofacial trauma: Epidemiologic study between the years 2012 and 2015 in an Israeli medical center

BACKGROUND/AIM

Trauma is the leading cause of morbidity and mortality in the pediatric population worldwide, and Israel is no different in this aspect. Of these injuries, craniofacial trauma is a significant cause of morbidity in the pediatric population. The high occurrence of pediatric trauma is possibly related to a lower perception for the hazards that surround them, combined with the restless and adventurous nature that is typical of children. The aim was to perform a retrospective, epidemiological study on facial trauma in children examined in the emergency room in order to analyze the different patterns in pediatric maxillofacial trauma, to emphasize this data and educate those involved in preventing and treating children's injuries.

MATERIALS AND METHODS

The database of pediatric maxillofacial trauma patients younger than 18 years registered at the Department of Oral and Maxillofacial Surgery at the Baruch Padeh Medical Center, Poriya during a period of 4 years (2012-2015) was reviewed and examined. The data collected were analyzed for each year separately and then comparisons and cross sections were made.

RESULTS

This study examined 3034 files of pediatric maxillofacial and head trauma patients aged under 18. The comparison of frequency of the injuries between seasons reveals more injuries occur in the summer and 69.3% of the injuries occurred in boys. Average age was 6.5 years, with the most prevalent group being 0-5 years. The most common type of injury was blunt head trauma followed by facial lacerations and dental injuries. Most (84.5%) of the injuries occurred outside the education system. The number of injuries at the Arab villages was higher than in the Jewish villages.

CONCLUSION

There is a marked difference in the injured children population with an increase incidence in the Arab child population and children under the age of 6.

An overview of recently published medical papers in Brazilian scientific journals

A brief review intended as information to the readership of Clinics on papers recently published under various medical headings in Brazilian scientific journals recently indexed or about to be indexed in ISI-THOMSON Journal Citation Reports. Journals covered in this review are Acta Ortopédica Brasileira, Arquivos Brasileiros de Cardiologia, Jornal Brasileiro de Pneumologia, Revista Brasileira de Cirurgia Cardiovascular and Revista da Associação Médica Brasileira.