User satisfaction with Dental Specialty Centers in Brazil: Proposal of satisfaction index and associated factors.

OBJECTIVES: To investigate the satisfaction of users of Dental Specialty Centers (CEO) in Brazil employing the Service Satisfaction Index (SSI) and identify associated factors. METHODS: This quantitative, evaluative, and cross-sectional study used secondary data extracted from the Second External Evaluation of the Program for the Improvement of Access and Quality of Brazilian Dental Specialty Centers (PMAQ-CEO) held in 2018 in 901 municipalities, accounting for 1097 CEO, of which 1042 were investigated. A total of 10391 users participated in the study. Considering user satisfaction as an aggregate variable, SSI was classified into two categories: Lower Satisfaction (SSI < 20) and Maximum Satisfaction (SSI = 20). Data were analyzed by descriptive and inferential statistics using the SPSS® software. The exploratory factor analysis verified the statistical correlations between attributes and SSI. RESULTS: The maximum satisfaction with the service was 21.1%; factors that expressed the most significant influence on SSI were waiting time (OR = 1.17; CI 95%: 1.05-1.31), feeling that CEO has good conditions of use (OR = 7.05; CI 95%: 5.15-9.65), not wishing to be assisted at another CEO (OR = 4.17; CI 95%: 3.12-5.57), not having treatment interrupted due to lack of material (OR = 2.05; CI 95%: 1.70-2.47), age up to 40 years of users (OR = 1.31; CI 95%: 1.18-1.46) and higher education (OR = 1.30; CI 95%: 1.14-1.49). CONCLUSIONS: SSI appropriately described the user's satisfaction with the service. The maximum satisfaction with the service was influenced by age, education, waiting time, not having treatment interrupted, and considering CEO clean and hygienic environment.

Antifungal activity of the essential oil of cymbopogon citratus (DC) stapf: an in vitro study

Aim. to evaluate the antifungal potential of the essential oil of cymbopogon citratus by determining the minimum inhibitory concentration (MIC) and the minimum fungicidal concentration (MFC) for candida albicans (ATCC 90029), candida albicans (CBS 562), candida tropicalis (ATCC 705) and candida tropicalis strains (CBS 94), as well as to analyze the possible mechanism of action of the oil through the addition of sorbitol to the culture medium. methods. for the MIC determination, inocula were previously adjusted through spectrophotometry and 100µL were added to the wells of plates already containing the culture medium and 100µL of the serial dilutions of the oil, incubating them in aerobiosis for 24 hours, with subsequent staining by 1 percent TCT. for the MFC, 50µL of the supernatant from the MIC assay wells were dripped onto petri dishes and incubated in aerobiosis for 24 hours. tests were performed in triplicate and data analysed by descriptive statistics. results. It was determined that the MIC for C. albicans was 125 µg/mL while MIC for C. tropicalis was 250 µg/mL, with the essential oil presenting fungicidal effect for both analyzed yeasts. conclusion. the essential oil of cymbopogon citratus does not act at the cellular wall level and demonstrated an antimicrobial effect on candida albicans and candida tropicalis, therefore acting as a fungicide.