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      Effect of the COVID‐19 pandemic on behavioural and psychosocial factors related to oral health in adolescents: A cohort study

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          Abstract

          Background

          The impact of the COVID‐19 pandemic on behavioural and psychosocial aspects related to oral health is unknown.

          Aim

          This study evaluated the psychosocial and behavioural changes related to oral health in adolescents immediately before and during the pandemic period of COVID‐19, enabling a longitudinal assessment of the perceived changes.

          Design

          This cohort study evaluated 290 adolescents from November 2019 to February 2020 (T1—before the pandemic in Brazil) and from June to July 2020 (T2) in southern Brazil. Sociodemographic, behavioural, and psychosocial variables were measured before and during the pandemic. Issues related to social distancing and job loss were also collected. The differences between the variables in T1 and T2, as well as the effect of social distancing, were assessed using a multilevel‐adjusted logistic regression model for repeated measures.

          Results

          A total of 207 adolescents were re‐evaluated at T2 (a response rate of 71.3%). During the pandemic, the frequency of toothbrushing, the use of dental services, and the self‐perceived need for dental treatment significantly decreased. Sugar consumption, bruxism, and quality of sleep did not change significantly.

          Conclusion

          Behavioural and psychosocial factors showed significant changes due to the COVID‐19 pandemic in adolescents.

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          Most cited references25

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          The psychological impact of quarantine and how to reduce it: rapid review of the evidence

          Summary The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.
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            Is Open Access

            Dietary Choices and Habits during COVID-19 Lockdown: Experience from Poland

            The outbreak of coronavirus disease (COVID-19) in late December 2019 in China, which later developed into a pandemic, has forced different countries to implement strict sanitary regimes and social distancing measures. Globally, at least four billion people were under lockdown, working remotely, homeschooling children, and facing challenges coping with quarantine and the stressful events. The present cross-sectional online survey of adult Poles (n = 1097), conducted during a nationwide quarantine, aimed to assess whether nutritional and consumer habits have been affected under these conditions. Over 43.0% and nearly 52% reported eating and snacking more, respectively, and these tendencies were more frequent in overweight and obese individuals. Almost 30% and over 18% experienced weight gain (mean ± SD 3.0 ± 1.6 kg) and loss (−2.9 ± 1.5 kg), respectively. Overweight, obese, and older subjects (aged 36–45 and >45) tended to gain weight more frequently, whereas those with underweight tended to lose it further. Increased BMI was associated with less frequent consumption of vegetables, fruit, and legumes during quarantine, and higher adherence to meat, dairy, and fast-foods. An increase in alcohol consumption was seen in 14.6%, with a higher tendency to drink more found among alcohol addicts. Over 45% of smokers experienced a rise in smoking frequency during the quarantine. The study highlights that lockdown imposed to contain an infectious agent may affect eating behaviors and dietary habits, and advocates for organized nutritional support during future epidemic-related quarantines, particularly for the most vulnerable groups, including overweight and obese subjects.
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              Is Open Access

              Tumor microenvironment differences between primary tumor and brain metastases

              The present review aimed to discuss contemporary scientific literature involving differences between the tumor microenvironment (TME) in melanoma, lung cancer, and breast cancer in their primary site and TME in brain metastases (BM). TME plays a fundamental role in the behavior of cancer. In the process of carcinogenesis, cells such as fibroblasts, macrophages, endothelial cells, natural killer cells, and other cells can perpetuate and progress carcinogenesis via the secretion of molecules. Oxygen concentration, growth factors, and receptors in TME initiate angiogenesis and are examples of the importance of microenvironmental conditions in the performance of neoplastic cells. The most frequent malignant brain tumors are metastatic in origin and primarily originate from lung cancer, breast cancer, and melanoma. Metastatic cancer cells have to adhere to and penetrate the blood–brain barrier (BBB). After traversing BBB, these cells have to survive by producing various cytokines, chemokines, and mediators to modify their new TME. The microenvironment of these metastases is currently being studied owing to the discovery of new therapeutic targets. In these three types of tumors, treatment is more effective in the primary tumor than in BM due to several factors, including BBB. Understanding the differences in the characteristics of the microenvironment surrounding the primary tumor and their respective metastasis might help improve strategies to comprehend cancer.
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                Author and article information

                Contributors
                thiardenghi@hotmail.com
                Journal
                Int J Paediatr Dent
                Int J Paediatr Dent
                10.1111/(ISSN)1365-263X
                IPD
                International Journal of Paediatric Dentistry
                John Wiley and Sons Inc. (Hoboken )
                0960-7439
                1365-263X
                06 May 2021
                July 2021
                : 31
                : 4 ( doiID: 10.1111/ipd.v31.4 )
                : 539-546
                Affiliations
                [ 1 ] Department of Pediatric Dentistry and Orthodontics School of Dentistry University of São Paulo São Paulo Brazil
                [ 2 ] Department of Stomatology School of Dentistry Federal University of Santa Maria Santa Maria Brazil
                Author notes
                [*] [* ] Correspondence

                Thiago Machado Ardenghi, Faculdade de Odontologia da Universidade Federal de Santa Maria, Avenida Roraima, 1000, Prédio 26F, 97110‐970 Cidade Universitária, Santa Maria, RS, Brazil.

                Email: thiardenghi@ 123456hotmail.com

                Author information
                https://orcid.org/0000-0001-7792-8032
                https://orcid.org/0000-0001-6291-552X
                https://orcid.org/0000-0003-1711-4103
                https://orcid.org/0000-0002-5109-740X
                Article
                IPD12784
                10.1111/ipd.12784
                8250718
                33730371
                c807eef9-b3df-413e-a384-b82275c44dd9
                © 2021 BSPD, IAPD and John Wiley & Sons Ltd

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 22 February 2021
                : 21 September 2020
                : 05 March 2021
                Page count
                Figures: 0, Tables: 3, Pages: 8, Words: 5512
                Funding
                Funded by: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brazil (CAPES)
                Award ID: 001
                Funded by: Fundação de Amparo à Pesquisa do Estado de São Paulo—FAPESP
                Award ID: 2019/27593‐8
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                July 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.4 mode:remove_FC converted:02.07.2021

                adolescent,behaviour,coronavirus,covid‐19,longitudinal studies,oral health

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