Influência do programa de Educação pelo Trabalho na atuação em saúde bucal do agente comunitário de saúde / Influence of WORK-BASED educaTion program on oral health in performance of community HEALTH worker

Objetivo: Avaliar a influência das ações realizadas pelo Programa de Educação pelo Trabalho (PET-Saúde) no trabalho e conhecimento em saúde bucal de Agentes Comunitários de Saúde (ACS). Método: Utilizou-se um instrumento de pesquisa validado para a análise da influência do conhecimento em saúde bucal dos ACS, em estudo transversal desenvolvido em dois distritos administrativos municipais (DAGUA e DASAC). Os dados obtidos foram analisados estatisticamente pelo SPSS. Resultados: Os ACS eram em maioria do sexo feminino com idade entre 30 a 39 anos e renda familiar de um a três salários, a maioria residia na comunidade há mais de seis anos e atuava na comunidade entre 1 e 3 anos, abrangendo cerca de 500 a 599 indivíduos nas suas microáreas. Observou-se que a maioria dos ACS não realizava atividade de educação em saúde bucal por não terem recebido capacitação para tal, com exceção dos ACS do distrito administrativo sob área de cobertura da Universidade Federal do Pará, onde o PET-Saúde se fez pertinente. Sobre o conhecimento em saúde bucal, os ACS dos distritos DAGUA e DASAC obtiveram nível moderado. Conclusões: O PET-Saúde proporcionou construção coletiva do conhecimento para os ACS retornando em mudanças positivas sobre o cuidado em saúde bucal para as comunidades. Percebeu-se maior nível de conhecimentos relacionados à saúde bucal entre os ACS do DAGUA, apesar de não ter havido grande diferença entre os distritos analisados. As atividades do PET deveriam ser incorporadas nos projetos pedagógicos, dos cursos de graduação e ter caráter de continuidade nas comunidades fortalecendo as ações de integração ensino-serviço-comunidade.

Objective: To evaluate the influence of actions carried out by the Work-Based Education Program (WBEP-Health) on oral health work and the knowledge of Community Health Workers (CHW). Method: A validated research instrument was used to analyze the influence of oral health knowledge on CHW in a cross-sectional study developed in two municipal administrative districts (DAGUA and DASAC). Results obtained were submitted to statistical analysis using SPSS. Results: CHW were mostly females, between 30 and 39 years old, with a family income of one to three years, the majority resided in the community for more than six years and used to work in the community for 1 to 3 years, covering about 500 to 599 individuals within their micro area. It was observed that the majority of the CHW did not perform oral health education activity, due to a lack of training, except for the CHW of administrative district under the coverage area of the Federal University of Pará, where the WBEP-Health made itself relevant. In relation to knowledge about oral health, the CHW of the districts DAGUA and DASAC were classified as moderate. Conclusions: WBEP-Health provided a collective construction of knowledge for CHW, resulting in positive changes in oral health care for communities. It was observed that the knowledge level in relation to oral health was greater in the CHW from the district DAGUA, even though the difference between districts was insignificant. WBEP activities should be incorporated into pedagogical projects, undergraduate courses with continued work within communities strengthening integrated teaching-service-community actions.

Melanotic neuroectodermal tumor of infancy of the jaw bones: Update on the factors influencing survival and recurrence.

The aim of the present study was to integrate the available data published on melanotic neuroectodermal tumor of infancy (MNTI) of the jaw bones. An electronic search was undertaken in April 2018. Hundred forty-seven publications and 371 patients were included. The lesion was more prevalent in males and in the second to sixth months of life. The lesions mostly presented as a rapidly growing bluish swelling and the most commonly involved was the anterior maxilla. The mean follow-up was 51.1 months (range 1-408 months). Age (P ≤ .0001), location (P = .007), occurrence of lymph node metastasis (P ≤ .0001), treatment (P = .001), recurrence (P ≤ .0001), and distant metastasis (P = .0001) were independently associated with survival. Recurrence was significantly correlated with age (P = .0001), distant metastasis (P = .0001), and treatment (P = .0001). Patients older than 12 months, with lesions in the mandible, positive regional lymph node metastasis, treated with chemotherapy, recurrence, or distant metastasis presented the worst prognosis.

Periodontal growth in areas of vascular malformation in patients with Sturge-Weber syndrome: a management protocol.

Sturge-Weber syndrome (SWS) is a very rare condition characterized by abnormal vascular formations that encompass several manifestations: cutaneous, neurologic, ocular, and oral. Neurologic conditions are the most important factor, especially epilepsy, which frequently leads patients to make use of anticonvulsants. These drugs are capable of inducing abnormal tissue growth in the oral cavity that can be situated over areas with vascular malformation, requiring special attention by the clinician. This report describes 1 case of SWS and performs a literature review of treatments for this condition, providing a protocol of treatment for these clinical situations.