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1.
Rev. Ciênc. Plur ; 9(2): 31218, 31 ago. 2023. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1509307

ABSTRACT

O Procedimento Operacional Padrão é uma relevante ferramenta de gestão para otimizar o processo de trabalho dentro da perspectiva da resolutividade definida nos princípios do Sistema Único de Saúde.Objetivo:elaborar um Procedimento Operacional Padrãopara estandardizar o funcionamento do fluxo de materiais do almoxarifado da Faculdade de Odontologia da Universidade Federal do Pará. Metodologia:Estudo descritivo que propôs a criação de uma ferramenta de tecnologia leve dividido em três etapas: aprofundamento teórico, elaboração e refinamento. Resultados:A equipe envolvida no processo de trabalho da unidade de saúde colaborou com a construção do instrumento, favorecendo o estabelecimento de vínculo e assertividade. O Procedimento Operacional Padrãoelaborado constitui subsídio para organização do fluxo com o objetivo de esclarecer, facilitar e padronizar o uso do almoxarifado, promovendo estratégias de uso adequado no manejo dos materiais e a racionalização dos mesmos, com a finalidade de tirar máximo proveito e reduzir custos. Conclusões:A elaboração da ferramenta promoveu aprimoramento do processo de trabalho no manejo dos materiais e equipamentos odontológicos. A participação dos sujeitos envolvidos gerou fortalecimento do vínculo e co-responsabilização (AU).


The Standard Operating Procedure is a relevant management tool to optimizethe work processwithin the perspective of resolution as defined in the Unified Health Systemprinciples.Objective:to elaborate a Standard Operating Procedureto standardize the flow use of materials in the storeroom of the College of Dentistry of the Federal University of Pará.Methodology:Descriptive study which proposed the creation of a soft technology tool divided into three stages: theoretical deepening, elaboration and refinement. Results:The team involved in the health center'swork process collaborated with the development of the instrument, promoting the establishment of bonding and assertiveness. The elaborated Standard Operating Procedureconstitutes subsidy for the organization of the flow with the goal of clarifying, facilitating and standardizing the use of the storeroom, promoting strategies of adequate use in the handling of materials and the rationalization of them, in order to take full advantage and reduce costs. Conclusions:The tool elaborationpromoted the improvement of the work process in the handling of dental materials and equipment. The participation of the health center's team strengthened the bond and co-responsibility (AU).


El Procedimiento Operativo Estándar es una herramienta de gestiónrelevante para optimizar el proceso de trabajo en la perspectiva de resolución definida en los principios del Sistema Único de Salud.Objetivo: desarrollar un Procedimiento Operativo Estándarpara estandarizar el flujo de materiales en el almacén de la Facultad de Odontología de la Universidad Federal de Pará. Metodología: Estudio descriptivo que propuso la creación de una herramienta de tecnología liviana dividida en tres etapas: profundización teórica, elaboración y refinamiento. Resultados: El equipo involucrado en el proceso de trabajo delaunidad de saludcolaboró con la construcción del instrumento, favoreciendo el establecimiento de un vínculoe asertividad. El Procedimiento Operativo Estándarelaboradoconstituyesubsidio para la organización del flujo con el objetivo de aclarar, facilitar y estandarizar el uso del almacén, promover estrategias de uso adecuado en el manejo de los materiales y la racionalización de los mismos, con el fin de aprovechar al máximo y reducir los costos.Conclusiones: La elaboración de la herramienta promovió la mejora del proceso de trabajo en el manejo de materiales y equipos odontológicos. La participación de los sujetos involucrados fortaleció el vínculo y la corresponsabilidad (AU).


Subject(s)
Health Management , Material Resource Management , Materials Management, Hospital , Epidemiology, Descriptive
2.
Rev. bioét. (Impr.) ; 31: e3470PT, 2023. tab, graf
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1550741

ABSTRACT

Resumo Por meio de revisão integrativa da literatura, busca-se identificar formas de vulnerabilidade evidenciadas na vida de pessoas lésbicas, gays, bissexuais, transgênero e mais no território brasileiro. A partir da análise de cinco artigos selecionados e classificados, foram elencadas formas de vulnerabilidade mental e física nos contextos de violência, ambientes formadores, covid-19, existir e privação de liberdade. As vulnerabilidades apresentadas são historicamente associadas a esta comunidade e acentuadas ao longo dos anos. Observa-se a necessidade de organização de movimentos voltados à causa e incentivo a produções científicas sobre o tema, na busca de maior visibilidade para reduzir injustiças e provocar mudanças no cenário atual.


Abstract This integrative literature review identifies the forms of vulnerabilities experienced by lesbian, gay, bisexual, transgender individuals and as well as those of other identities in Brazil. The analysis of the five selected and classified articles revealed mental and physical vulnerabilities in contexts of violence, training environments, COVID-19, existence and deprivation of liberty. These vulnerabilities are historically associated with this community and have been accentuated over the years. Organization of social movements for this population and scientific production incentives are needed to afford greater visibility, reduce injustices and promote changes to the current scenario.


Resumen Desde una revisión bibliográfica integradora, se pretende identificar las formas de vulnerabilidad que la comunidad de lesbianas, gais, bisexuales, transgénero y más vive en Brasil. Del análisis de cinco artículos seleccionados y clasificados, se enumeraron formas de vulnerabilidad mental y física en los contextos de violencia, ambientes formativos, COVID-19, existencia y privación de libertad. Las vulnerabilidades presentadas están históricamente asociadas a esta comunidad y se acentúan aún más a lo largo de los años. Es necesario organizar movimientos centrados en la causa y fomentar producciones científicas sobre el tema, en busca de una mayor visibilidad para reducir las injusticias y generar cambios en el escenario actual.

3.
Rev. bioét. (Impr.) ; 30(4): 900-909, out.-dez. 2022. tab, graf
Article in Portuguese | LILACS | ID: biblio-1423047

ABSTRACT

Resumo Por meio de revisão integrativa da literatura, este artigo teve o objetivo de identificar vulnerabilidades da população brasileira evidenciadas durante a pandemia da covid-19. Realizou-se busca nas bases de dados SciELO, LILACS e PubMed no período de fevereiro a março de 2021, sendo selecionados sete artigos, que foram organizados conforme as informações a seguir: título, autor, abordagem dos estudos, objetivos e principais resultados. Foram encontradas as seguintes vulnerabilidades: negação de direitos, falta de poder socioeconômico e violência contra crianças e idosos. Estas foram sistematizadas nas categorias "vulnerabilidade por falta de poder" e "vulnerabilidade por momentos do desenvolvimento humano". Constatou-se que essas fragilidades são historicamente marcadas na população brasileira e têm sido acentuadas neste período de pandemia, o que ressalta a necessidade de intervenção ativa na perspectiva da bioética.


Abstract This integrative literature review sought to identify the vulnerabilities faced by the Brazil population and which were highlighted during the COVID-19 pandemic. Bibliographic search conducted on the SciELO, LILACS and PubMed databases from February to March 2021 identified seven articles, which were organized by title, author(s), methodology, objectives, and main findings. The analysis found the following vulnerabilities: denial of rights, lack of socioeconomic power, and violence against children and the aged. These were systemized into the categories "vulnerability by lack of power" and "vulnerability by human development cycle." Such vulnerabilities are historically marked in Brazil and have increased during the pandemic, thus highlighting the need for a bioethics-based active intervention.


Resumen Desde una revisión integradora de la literatura, este artículo tuvo como objetivo identificar el aumento de las vulnerabilidades de la población brasileña durante la pandemia del covid-19. Se realizó una búsqueda en las bases de datos SciELO, LILACS y PubMed, entre febrero y marzo de 2021, que dio como resultado siete artículos, que fueron organizados por: título, autor, enfoque del estudio, objetivos y principales resultados. Se encontraron las siguientes vulnerabilidades: Negación de derechos, falta de poder socioeconómico y violencia contra niños y adultos mayores. Estos datos se sistematizaron en las categorías de "vulnerabilidad por falta de poder" y "vulnerabilidad por momentos del desarrollo humano". Se constató que estas debilidades ya estaban históricamente marcadas en la población brasileña y se acentuaron aún más en este período de la pandemia, lo que muestra la necesidad de una intervención activa desde la perspectiva de la bioética.


Subject(s)
Health Vulnerability , COVID-19 , Social Vulnerability , Bioethics , Pandemics
4.
Arq. odontol ; 58: 21-31, 2022. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1380382

ABSTRACT

Objetivo: Este estudo teve como objetivo analisar as ações de planejamento e avaliação do processo de trabalho e de atenção ao câncer de boca e o impacto desses fatores no desempenho das Equipes de Saúde Bucal no estado do Pará. Métodos:Foram utilizados dados secundários do 3º ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB) referentes aos profissionais de saúde bucal entrevistados pelo programa. Participaram do estudo 603 equipes. Os dados foram analisados por teste exato de Fisher e por regressão logística bivariada e multivariada. Resultados: Dentre as equipes, a maioria realizava atividades de planejamento de ações (89,4%), participava de reuniões com a equipe de atenção básica (93,2%) e realizava autoavaliação (71,5%). A maioria das equipes realizava ações de prevenção e diagnóstico de câncer de boca (91,4%), porém 84,6% delas não realizava biópsias na unidade primária. Uma melhor certificação de desempenho mostrou-se associada com a realização de atividades como: planejamento das ações da equipe (p = 0,024; OR = 2,409), reunião com a equipe de atenção básica (p = 0,009; OR = 14,038), investigação do perfil epidemiológico de saúde bucal do território (p < 0,001; OR = 2,649) e outros. Conclusões: Realizar atividades do processo de trabalho e atenção ao câncer de boca geraram impacto positivo no desempenho das equipes de saúde bucal do estado do Pará que participaram do 3º ciclo do PMAQ-AB.


Aim: This study aimed to analyze the actions of planning, monitoring, evaluation of the work process, and oral cancer care, as well as the impact of these factors on the performance of Oral Health Teams in the state of Pará.Methods: Secondary data were collected from the 3rd cycle of National Program for Improving Access and Quality of Primary Care regarding oral health professionals; 603 teams participated in the study. The data were evaluated by Fisher's exact test, and bivariate and multivariate logistic regression.Results:Among the teams, the majority carried out action planning activities (89.4%), participated in meetings with the primary care team (93.2%), and carried out self-assessment (71.5%). Most teams performed oral cancer prevention and diagnostic actions (91.4%); however, 84.6% of them did not perform biopsies in the primary unit. Better performance certification was associated with the achievement of activities, such as: planning the team's actions (p = 0.024; OR = 2.409), meeting with the primary care team (p = 0.009; OR = 14.038), investigating the epidemiological profile of oral health in the territory (p < 0.001; OR = 2.649), among others.Conclusion: It was concluded that the activities of the work process and oral cancer care generated a positive impact on the performance of the oral health teams in the state of Pará that participated in the 3rd cycle of the PMAQ-AB.


Subject(s)
Primary Health Care , Health Evaluation , Oral Health , Employee Performance Appraisal
5.
Physis (Rio J.) ; 31(1): e310126, 2021. graf
Article in English | LILACS | ID: biblio-1346704

ABSTRACT

Abstract Health at school is the subject of relevant discussions on health promotion. This study aims to understand the reach of the actions resulting from the School Health Program in municipal public schools in Belem-PA, from the perspective of teachers. It is a descriptive-observational study, with analysis of interviews with 22 teachers of municipal public basic education. Field research took place from April to June 2018. A content analysis was carried out, proposed by Bardin, generating four thematic units. Of those interviewed, 50% were unaware of the referred program or the operation of it. It was possible to perceive different modes of interaction between the program's actuators, from the most punctual and inefficient to the most contextualized and integrative. The study of social health determinants is necessary to better understand the processes and needs of these actions in the municipal school environment, with emphasis on issues of basic sanitation, food insecurity, violence and drugs. There is a need for self-recognition of the teacher as a health educator, in order to make them intrinsic health promoters in their pedagogical practices. The school's articulation with the school community can serve as an input for greater integration and stimulation of social control practices.


Resumo A saúde na escola é tema de discussões relevantes no tocante à promoção da saúde. Este estudo objetiva compreender o alcance das ações resultantes do Programa Saúde na Escola em escolas públicas municipais de Belém-PA, na perspectiva dos professores. Trata-se de estudo descritivo-observacional, com análise de entrevistas com 22 professores da educação básica pública municipal. A pesquisa de campo ocorreu no período de abril a junho de 2018. Foi realizada análise de conteúdo, proposta por Bardin, gerando quatro unidades temáticas. Dos entrevistados, 50% desconheciam o referido programa ou seu funcionamento. Foi possível perceber diferentes modos de interação entre os realizadores das ações do programa, desde os mais pontuais e ineficientes aos mais contextualizados e integrativos. O estudo dos determinantes sociais de saúde se faz necessário para compreender melhor os processos e necessidades dessas ações no âmbito escolar municipal, com destaque para questões de saneamento básico, insegurança alimentar, violência e drogas. Há necessidade de autorreconhecimento do professor enquanto educador em saúde, a fim de torná-los intrínsecos promotores de saúde em suas práticas pedagógicas. A articulação da escola com a comunidade escolar pode servir de insumo para maior integração e estimulação das práticas de controle social.


Subject(s)
Public Policy , School Health Services , Health Education , Intersectoral Collaboration , Brazil , Personal Narratives as Topic , School Teachers
6.
RGO (Porto Alegre) ; 66(2): 154-159, Apr.-June 2018.
Article in English | LILACS | ID: biblio-956210

ABSTRACT

ABSTRACT Oral health is a constitutional right, with its own national policy which guides the relevance of its interrelation to general health within the integrality principles. This manuscript aims at understanding how oral health assessment and actions are observed within the School Program Health, through a qualitative study performed in the city of Belém, State of Pará, Brazil. The sample criterion consisted of 5 nurses, 5 teachers and 5 parents. A semi-structured script was used, written and transcribed with subsequent thematic analysis. The analysis revealed three thematic categories emphasizing the need for policy empowerment and practice in order to understand the meanings of oral health within the SHP as well as to enlarge its specificity in the interdisciplinary work scenario. Thus, it is clear that for the effective functioning of the school / health relationship, it is of utmost importance that SHP policy is applied and recognized while continuously seeking to strengthen the principle of integrality and extended clinic. The study also highlights permanent education and constant need for the participants' skill improvement so that both students' health care and life quality can be fully promoted.


RESUMO A saúde bucal apresenta-se como um direito constitucional, sendo condição relevante à integralidade de saúde. Este artigo objetivou compreender como a avaliação e ações de saúde bucal são contempladas no âmbito do Programa Saúde na Escola, através de pesquisa com abordagem qualitativa no município de Belém, Pará, utilizando roteiro semiestruturado com amostra de três categorias do Programa Saúde na Escola, selecionadas por conveniência e com base no critério de saturação: enfermeiros, professores e pais. A análise resultou três categorias distintas e inter-relacionadas que ressaltam a discussão acerca da necessidade de empoderamento para compreensão dos significados da saúde bucal dentro do PSE e ampliação de sua especificidade no cenário de trabalho transdisciplinar. Para o efetivo funcionamento da articulação escola/saúde, faz-se necessário reconhecer a aplicabilidade da política do Programa Saúde na Escola, buscando cada vez mais implementá-la nas escolas de modo a otimizar a interligação entre os envolvidos. Verificou-se a constante necessidade acerca do aperfeiçoamento de habilidades dos atores deste cenário de modo a atuar munidos de atitudes/comportamentos adequados para a melhoria da qualidade de vida do escolar.

7.
Braz. oral res. (Online) ; 32: e105, 2018. tab, graf
Article in English | LILACS | ID: biblio-974441

ABSTRACT

Abstract The aim of this study was to identify the immunoexpression of methallothionein in oral squamous cell carcinoma as well as to address the correlation with clinical features, histological grade and patient survival. Samples were collected from 93 patients with tongue squamous cell carcinoma who presented for follow-up. Immunohistochemical expression of methallothionein in all groups was performed. The scoring system has previously been published by Tsurutani in 2005, which is based on intensity and distribution of staining. We used Kappa index to evaluate the degree of observers' agreement under metallothionein immunostaining and histological grade. Associations between methallothionein expression and clinical parameters (age, gender, smoking, tumor size, lymph node metastasis and disease stage) were examined for statistical significance using the chi-squared test. The overall survival rates were estimated by the Kaplan-Meier method and the relationship between protein expression and survival was compared using the log-rank test (p < 0.05). Our results showed no statistically significant association between methallothionein immunostaining and the selected clinicopathological variables. Immunohistochemistry results showed positive nuclear immunostaining for metallothionein in 62,37% (58/93) and negative for metallothionein 37,63% (35/93). The degree of examiners agreement by Kappa varied from substantial to perfect and both metallothionein immunostaining and histological grade were explored. The present study suggests that positive methallothionein expression found in tongue squamous cell carcinoma may not help to predict survival in the analyzed samples, as well as no relation between the protein and histological grade and clinical features was observed. In conclusion, the present study suggests that metallothionein is not associated with tongue squamous cell carcinoma clinicopathological characteristics and aggressiveness.


Subject(s)
Humans , Male , Female , Adult , Aged , Aged, 80 and over , Tongue Neoplasms/pathology , Carcinoma, Squamous Cell/pathology , Metallothionein/analysis , Time Factors , Biopsy , Immunohistochemistry , Paraffin Embedding , Tumor Burden , Kaplan-Meier Estimate , Neoplasm Grading , Middle Aged , Neoplasm Staging
8.
Arq. odontol ; 54: 1-10, jan.-dez. 2018. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-997342

ABSTRACT

Objetivo: Identificar e descrever a condição de saúde bucal de crianças pertencentes à etnia Gavião, habitantes da Reserva Indígena Mãe Maria, Bom Jesus do Tocantins, no Estado do Pará, considerando-se aspectos antropológicos do processo saúde-doença desse povo.Métodos: Um estudo transversal foi conduzido com 93 crianças indígenas de 2 a 8 anos, de ambos os sexos e habitantes da Reserva. Exames clínicos foram realizados, analisando-se a prevalência de cárie dentária e qualidade da higiene bucal e a determinação dos índices CPO-D e Índice de Higiene Oral Simplificado (IHOS). Para a avaliação socioeconômica, de hábitos de higiene e alimentares foram aplicados questionários em forma de entrevistas aos responsáveis. Testes do Qui-quadrado e de Wilcoxon foram utilizados para analisar a associação entre variáveis, considerando-se valor de p ≤ 0,05. Resultados: O CPO-D médio foi de 5. Verificou-se que 10,7% dos examinados estavam livres de cárie. O percentual do componente "cariado" foi maior que os demais componentes do índice para ambos os sexos. O IHOS médio encontrado foi de 2,3, não diferindo quanto ao sexo. Encontrou-se associação entre as varáveis: CPO-D/ceo-d e experiência de dor (p = 0,02); CPO-D/ceo-d e o IHOS (p = 0,0001) e entre idade e IHOS (p = 0,0001). Evidenciou-se, portanto, alta prevalência de cárie e qualidade regular de higiene bucal entre os estudados. Conclusão: As crianças indígenas estudadas possuem índice acima da média nacional e regional, no que tange a doença cárie, quando comparado aos resultados nacionais aos 12 anos de idade. Os impactos trazidos pelo contato com a sociedade branca podem ter relação com a condição atual de saúde bucal desse povo.


Aim: To identify and describe the oral health status of Gavião children, an ethnic group inhabitant of the Mãe Maria, Bom Jesus do Tocantins Indigenous Reserve in the State of Pará. Anthropological features of the health-disease process of this people were considered.Methods: A cross-sectional study was conducted with 93 indigenous children, 2 to 8 years of age, from both sexes, inhabitants of the Indian Reserve. Clinical exams were performed to assay the prevalence of dental caries and oral hygiene quality through that set forth in the Decayed, Missing and Filled Teeth Index (DMFT/dmft) and Simplified Oral Hygiene Index (SOHI). Questionnaires were applied to indigenous mothers to evaluate their socioeconomic conditions, as well as their hygiene and eating habits. Chi-square and Wilcoxon tests were used to analyze the association between variables, considering a p-value ≤ 0.05.Results: The average DMFT/dmft was 5. It was found that 10.7% of the children were free of caries. The percentage of "caries" component was higher than the other components of the index for both sexes. The average SOHI found was 2.3, with no difference in sex. An association was found between the variables: DMFT/dmft and pain experience (p = 0,02); DMFT/dmft and the SOHI (p = 0.0001), and between age and SOHI (p = 0.0001). Therefore, this study observed a high prevalence of caries and the regular quality of oral hygiene among the participants. Conclusion: The indigenous children who participated in this study showed a higher index than national and regional averages for caries, when compared to the national results of 12-year-old children. The impacts brought about by contact with a white society may be related to the current oral health condition of these people.


Subject(s)
Child, Preschool , Child , Oral Hygiene , Socioeconomic Factors , Health Profile , Child , Oral Health , Cultural Factors , Dental Caries/epidemiology , Indigenous Peoples , Health of Indigenous Peoples , Cross-Sectional Studies
9.
Article in English | LILACS, BBO | ID: biblio-914296

ABSTRACT

Objective: To evaluate the knowledge and behaviors of nurses on the oral health of pregnant women. Material and Methods: This was a qualitative study, whose data collection was performed with 12 nurses from Belém, Brazil, through questionnaire, with recorded interview applied by a single researcher, according to a semi-structured script composed of five guiding questions, and whose results were analyzed by Content Analysis. Results: Four thematic issues were originated: 1) "All have dental caries", referring to the nurse's perception on oral health related to the biological aspect; 2) "We refer", addresses the issue of nursing care and the nurse's responsibility for prenatal care; 3) "I do not know much", reveals the nurse's sometimes limited knowledge about oral health and discusses the breadth of dental care; and 4) "The demand is very large", brings up the view of nurses regarding the difficulties of accessing dental service in SUS. Conclusion: Nurses know prenatal protocols and refer patients to dental care, but their perception about dental care during pregnancy is not very comprehensive, which instigates the strengthening of interdisciplinary work.


Subject(s)
Humans , Male , Female , Prenatal Care/methods , Oral Health , Qualitative Research , Pregnant Women , Nursing Care , Brazil , Evaluation Studies as Topic/methods , Women's Health
10.
Article in English | LILACS | ID: lil-796383

ABSTRACT

To measure the prevalence of Molar Incisor Hypomineralization (MIH), its severity and association with dental caries among public school children from Belém/PA, Brazil.Material and Methods:This is a cross-sectional study conducted with children enrolled in three public schools of Belém, which were selected by simple random sampling. MIH diagnosis was carried out according tocriteria of the European Academy of Pediatric Dentistry.Results:Among the 260 students that met the inclusion criteria, 56.92% were male and 43.07% female. The average age was 10.22 years. Of these, 8.84% (n = 23) had MIH, but there was no statistically significant difference in this prevalence between sexes (p = 0.6244). The most affected teeth were the upper first permanent molars, followed by lower first permanent molars and upper permanent central incisors. About 43.48% of students had at least one tooth with severe defect in enamel and 30.43% of students with MIH presented dental caries in the affected teeth. Conclusion:Severe MIH was not the most prevalent among schoolchildren, but the relationship with dental caries found demonstrates the importance of knowledge about diagnosis and treatment of enamel defects, which should be part of promotion and prevention actions in oral health due to its epidemiological impact in the demographic change of dental caries...


Subject(s)
Humans , Male , Female , Child , Child , Dental Caries/prevention & control , Molar/anatomy & histology , Tooth Demineralization/etiology , Dental Enamel , Incisor , Oral Health/education , Brazil , Cross-Sectional Studies , Prevalence
11.
Rev. Assoc. Paul. Cir. Dent ; 69(1): 74-79, 2015. ilus, tab
Article in Portuguese | LILACS, BBO | ID: lil-770808

ABSTRACT

Objetivo: O objetivo deste estudo foi avaliar o perfil epidemiológico da cárie dentária em crianças de 6 a 36 meses de idade no município de Belém-PA. Métodos: A amostra consistiu de 340 crianças. Nove examinadores calibrados participaram deste estudo. Índices ceo-d e ceo-s foram utilizados para o exame clínico. As crianças foram divididas de acordo com a idade em: 6-12, 13-24 e 25-36 meses. Os dados foram estatisticamente avaliados através do teste de qui- -quadrado, adotando-se um nível de significância de 5%. Resultados: A prevalência de cárie foi de 32,9% no total da amostra examinada. Índices ceo-d e ceo-s médios foram de 1,12 (dp=2,31) e 1,64 (dp=4,00), respectivamente. Observou-se um aumento significativo quanto à presença da cárie de acordo com a idade (P=0,0020). Do total de 6340 dentes decíduos examinados, houve maior proporção para o componente “cariado” com 362 dentes. Foi observada relação significativa de tratamentos curativos e a faixa etária de 25 a 36 meses (P=0,0057). Conclusão: Estes dados reforçam a importância da atenção odontológica precoce em crianças que se encontram na primeira infância neste município.


Objective: The objective of this study was to evaluate the epidemiological profile of children aged 6-36-months-old living in the city of Belém, Pará, Brazil. Methods: The final sample was 340 children. Nine calibrated examiners participated in this study. The DMFT and DMFS indexes were used for clinical examination. The children were divided by age in: 6-12, 13-24 and 25-36-months-old. Data was statistically analyzed using the Qui-square test, with a significance level of 5%. Results: The prevalence of dental caries was 32,9% in the total of the sample. Indexes dmft and dmfs were 1.12 (sd=2.31) and 1.64 (sd=4,00), respectively. There has been a highly significant increase in caries experience proportionally with increasing age (P=0.0020). From the 6340 examined teeth, it was observed a higher proportion for decayed component with 362 teeth. There was a statistically significance relationship between curatives treatments and the age of 25 to 36-months-old (P=0.0057). Conclusions: The results of the current study emphasize the importance of an early odontological assistance for primary infants living at this city.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Dental Caries/diagnosis , Dental Caries/prevention & control , Epidemiology/statistics & numerical data , Child, Preschool/statistics & numerical data
12.
Reprod. clim ; 28(2): 61-67, 2013. ilus, tab
Article in Portuguese | LILACS | ID: lil-716836

ABSTRACT

Objetivo: Identificar a prevalência da doença periodontal entre mulheres menopausadas e analisar fatores associados à doença periodontal. Método: Trata-se de um estudo transversal exploratório, feito por meio de questionário próprio e exame clínico oral. A amostra foi composta por 40 mulheres usuárias dos serviços de Saúde da Mulher da Fundação Santa Casa de Misericórdia do Pará de janeiro a maio de 2011. Resultados: Os resultados obtidos mostram que 18% são pardas e 45% são casadas. Em relação à presença da síndrome da boca ardente, observou-se que 22,5% das mulheres apresentavam o quadro. De acordo com a análise estatística, o coeficiente de Spearman (rs) = 0,2436 apresentou uma relação entre higiene oral deficiente e maior tendência a apresentar a síndrome da boca ardente (t = 1,5483 e p = 0,1298). Conclusão: Observa-se que o índice de doença periodontal elevado e o grande número de sextantes excluídos na faixa etária analisada demonstram a assistência recebida por essas mulheres, que, pela situação atual do estado de saúde, têm agravamentos da condição periodontal dos elementos dentais restantes. Esses resultados podem auxiliar na formulação de políticas públicas dirigidas à promoção da saúde bucal na região estudada.


Purpose: This study aims to identify the prevalence of periodontal disease among menopausal women and examine factors associated with periodontal disease. Method: This is an exploratory cross-sectional study, conducted by a questionnaire and an oral examination. The sample consisted of 40 women who used the services of Women's Health Foundation of Santa Casa de Misericórdia do Pará, between January and May of 2011. Results: The results of this study show that 18% are brown and 45% were married. Regarding the presence of burning mouth syndrome was observed that 22.5% of women had the picture. In statistical analysis, the Spearman coefficient (rs) = 0.2436 showed a relationship between poor oral hygiene and a greater tendency to present the burning mouth syndrome (t = 1.5483 and p = 0.1298). Conclusion: It is noted that the rate of periodontal disease and the high number of excluded sextants in the age group analyzed, demonstrates the care offered to these women and that the current state of health, is worsening the periodontal condition of the few remaining teeth. These results may help in the formulation of public policies aimed at promoting oral health in the region studied.


Subject(s)
Humans , Female , Adult , Middle Aged , Menopause , Oral Health , Periodontal Index , Women's Health
13.
Epidemiol. serv. saúde ; 22(2): 325-334, 2013. tab, graf
Article in Portuguese | LILACS | ID: lil-682077

ABSTRACT

Objetivo: descrever os indicadores de atenção básica e indicadores de atenção especializada de saúde bucal em municípios do Estado do Pará, Brasil. Métodos: foi realizado estudo ecológico com dados do Sistema de Informações Ambulatoriais do Sistema Único de Saúde (SIA/SUS), sobre o período de 2001-2010 para os indicadores de atenção básica e o período de 2008-2010 para os indicadores de atenção secundária. Resultados: no período 2001-2010, houve aumento da cobertura de primeira Consulta Odontológica Programática (de 7,8 por cento para 14,6 por cento), do número de procedimentos restauradores e periodontais básicos, assim como especializados; observou-se redução na razão entre o número de exodontia de dentes permanentes e procedimentos odontológicos individuais, de 22,2 por cento para 17,5 por cento, embora o número de procedimentos anuais tenha-se mantido estável ao longo do período. Conclusão: houve elevação do número de procedimentos; entretanto, o número de procedimentos per capita demonstra a baixa cobertura populacional, denotando dificuldades de acesso aos procedimentos odontológicos, principalmente os especializados.


Objective: to describe the indicators of primary care and specialized oral health care in municipalities in Pará state. Methods: An ecological study using Unified Health System Outpatient Information System data between 2001-2010 for primary care indicators and between 2008-2010 for secondary care indicators. Residents in the places studied were the reference population. Results: first Programmatic Dental Consultation coverage of basic and specialized restoration and periodontal procedures increased from 7.8 per cent to 14.6 per cent between 2001-2010. A reduction was observed in the proportion of tooth extractions and individual dental procedures from 22.23 per cent to 17.52 per cent, although the annual number of procedures remained stable over the period. Conclusion: the number of procedures increased. However, the number of procedures per capita shows low population coverage, denoting difficulties in accessing dental procedures, especially specialized ones.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Ecological Studies , Health Policy , Indicators of Health Services/statistics & numerical data , Oral Health , Time Series Studies
14.
Braz. oral res ; 25(2): 150-156, Mar.-Apr. 2011. ilus, tab
Article in English | LILACS | ID: lil-583860

ABSTRACT

The purpose of this study was to analyze luxation injuries in children between the ages of 0 and 5 years treated at an emergency service department. A total of 1,703 records, corresponding to a period of 10 years at the Emergency Center of the Baby Clinic at Londrina State University, Brazil, were analyzed. The age, gender, etiologic factors, type of injury, injured teeth, treatment and time interval between injury and treatment were determined for each patient. Of the examined records, 409 patients met the study criteria and included a total of 679 injured teeth. Statistical analyses were carried out using the chi-square test with the level of significance set at 5 percent. Trauma incidence was higher in boys (57.0 percent) and in children less than two years of age (40.3 percent). Falling while walking or running was the most predominant etiologic factor (37.7 percent), and the most prevalent type of injury was subluxation (32.6 percent). Luxation injuries decreased with increasing age (p = 0.045). Treatment usually occurred within the first 1-15 days and was significantly associated with the type of trauma (p = 0.041). "Monitor only" was the treatment most frequently observed (74.0 percent). In conclusion, more luxation injuries were found in younger children, predominantly in boys. Falls resulting from walking or running were the etiologic factor most observed, with subluxation as the most common type of trauma. Treatment usually occurred within the first 15 days after the injury. Despite the severity of these injuries, "monitor only" was the eligible treatment.


Subject(s)
Child, Preschool , Female , Humans , Infant , Male , Tooth Avulsion/epidemiology , Tooth, Deciduous/injuries , Age Distribution , Age Factors , Brazil/epidemiology , Chi-Square Distribution , Emergencies/epidemiology , Prevalence , Retrospective Studies , Sex Distribution , Time Factors , Tooth Avulsion/etiology , Tooth Avulsion/therapy , Tooth Injuries/classification
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