A face vitimada: morbidade entre mulheres atendidas em serviços sentinelas no brasil / The face victimized: morbidity between women incoming in sentinel service in Brazil / El rostro victimizado: morbilidad entre mujeres atendidas en servicios de centinela en Brasil

Introdução:Mulheres têm sido subjugadas pela violência em prol da identidade machista e domínio viril do homem. Objetivo: analisar os atendimentos de emergência em mulheres vítimas de violência na região de cabeça e pescoço. Metodologia:Análise de dados do inquérito de Vigilância e Acidentes em 25 capitais e no Distrito Federal no ano de 2011 por meio de amostra de 351 atendimentos de mulheres entre 15 e 49 anos em relação à ocorrência de violência na região de cabeça e pescoço. Resultados:A ocorrência da violência foi predominante em mulheres pretas (70,8%),jovens (68,3% 20-29 anos)e com pouca escolaridade (< 8 anos de estudo), sendo mais frequentes no domicílio (45,5%), cometida de forma intencional (86,9%) por um agressor do sexo masculino (77,4%), identificado como parceiro ou ex-parceiro íntimo (44,5%), sendo aface (87,0%) a região de cabeça/pescoço mais atingida. Conclusões:A violência contra a mulher perpassa a discussão das desigualdades de gênero, interseccionalidade e capital social. O importante não é o gênero em si, mas a junção do gênero, raça e classe socioeconômica. Isto requer políticas públicas intersetoriais e mobilização social em prol do capital social. Para tanto, o modelo de Redes de Atenção, com a consequente multiprofissionalidade, intersetorialidade e transdisciplinaridadeé fundamental. Isto pressupõe, inclusive, a maior inserção do cirurgião-dentista na identificação e acolhimento das vítimas para posteriores encaminhamentos (AU).

Introduction:Women have been subjugated by violence in favor of the male identity and virile dominance of men. Objective:to analyze emergency care for women victims of violence in the head and neck region. Methodology:Analysis of data from the Surveillance and Accident Survey in 25 state capitals and the Federal District in 2011 througha sample of 351 visits to women between 15 and 49 years old regarding the occurrence of violence in the head and neck region. Results:The occurrence of violence was predominant in black women (70.8%), young (68.3% 20-29 years) and with little schooling (< 8 years of study), being more frequent at home (45.5 %), committed intentionally (86.9%) by a male aggressor (77.4%), identified as a partner or former intimate partner (44.5%), with the face (87.0%) the most affected head/neck region. Conclusions:Violence against women permeates the discussion of gender inequalities, intersectionality and social capital. What is important is not gender per se, but the combination of gender, race and socioeconomic class. This requires intersectoral public policies and social mobilization in favor of social capital. Therefore, the model of Care Networks, with the consequent multiprofessionality, intersectoriality and transdisciplinarity is fundamental. This presupposes, including, greater involvement of the dental surgeon in the identification and reception of victims for subsequent referrals (AU).

Introducción:Las mujeres han sido subyugadas por la violencia a favor de la identidad masculina y el dominio viril de los hombres. Objetivo:analizar la atención de emergencia a mujeres víctimas de violencia en la región de cabeza y cuello. Metodología:Análisis de datos de la Encuesta de Vigilancia y Accidentalidad en 25 capitales de estado y Distrito Federal en 2011 a través de una muestra de 351 visitas a mujeres entre 15 y 49 años sobre la ocurrencia de violencia en la región de cabeza y cuello. Resultados: Predominó la ocurrencia de violencia en mujeres negras (70,8 %), jóvenes (68,3 % 20-29 años) y con poca educación(< 8 años de estudio), siendo más frecuente en el hogar (45,5 %), cometida intencionalmente (86,9%) por un agresor masculino (77,4%), identificado como pareja o ex pareja íntima (44,5%), siendo el rostro (87,0%) la región de cabeza/cuello más afectada. Conclusiones:La violencia contra las mujeres permea la discusión sobre las desigualdades de género, la interseccionalidad y el capital social. Lo importante no es el género per se, sino la combinación de género, raza y clase socioeconómica. Esto requiere políticas públicas intersectoriales y movilización social a favor del capital social. Por ello, es fundamental el modelo de Redes de Atención, con la consiguiente multiprofesionalidad, intersectorialidad y transdisciplinariedad. Esto presupone incluso una mayor inserción del cirujano dentista en la identificación y recepción de las víctimas para su posterior derivación (AU).

Violência doméstica e abuso de álcool e drogas na adolescência / Domestic violence and abuse of alcohol and drugs during adolescence

Objetivo: Este estudo apresenta características gerais de adolescentes e a relação entre a violência doméstica, seja ela psicológica, sexual ou física com o álcool e uso de drogas em uma amostra de adolescentes que participam do Programa de Assistência à Saúde do Adolescente (PASA-Natal/RN). Método: Estudo transversal, não probabilístico, no qual foram entrevistados quatrocentas e sessenta e três adolescentes, que responderam um questionário estruturado com relação à violência doméstica e usos de álcool e outras drogas. Resultados: A forma de violência mais prevalente foi a psicológica, presente em 70,6% dos casos. A violência entre as adolescentes esteve associada ao uso de álcool e/ou drogas, dependência química na família e a ter presenciado violência dentro de casa (p<0,01). Conclusão: Pode-se concluir que as adolescentes estão submetidas a uma situação de vulnerabilidade familiar e a mudança nesse panorama depende da incorporação da violência doméstica em políticas públicas que visem incorporar mudanças eficazes nas relações interpessoais e afetivas, com ênfase na educação, saúde, segurança pública e apoio social (AU).

Objective: This study presents general characteristics of adolescents and the relationship between domestic violence, be it psychological, sexual or physical with alcohol and drug use in a sample of adolescents participating Assistance Program Adolescent Health (PASA-Natal/RN). Method: Four hundred sixty-three teens, and a structured questionnaire was used. Results: Among teens, the most prevalent form of violence was psychological, present in 70.6% of cases. There was a statistically significant association between the use of alcohol and drugs, chemical dependency in the family and to have witnessed violence at home as a teenager to have suffered some act of violence. Conclusion: It is observed that the use and abuse of alcohol and drugs is related to the presence of domestic violence and the change in this scenario depends on the incorporation of domestic violence in public policies that incorporate effective changes in interpersonal and affective relations, with emphasis on education, health, public safety and welfare (AU).

Efficacy and safety of midazolam for sedation in pediatric dentistry: a controlled clinical trial.

PURPOSE: Pharmacological management of uncooperative children is becoming increasingly common in the dental setting. The purpose of this study was to determine the efficacy and safety of 3 different doses of midazolam for sedation in 2- to 4- year-old children with multiple dental needs and negative behavior. METHODS: Ten children participated in this crossover, controlled, double-blinded clinical trial, which evaluated their behavior, appointment length and patient response after administration of 3 different doses of midazolam or placebo. Oxygen saturation, heart rate, respiratory rate, and blood pressure were monitored in all sessions. RESULTS: Sedated children exhibited a more positive behavior compared to the placebo group, both at the beginning of the appointment (sitting in the chair) and during administration of local anesthesia (P=.008 and P<.03, respectively). The use of midazolam allowed for longer appointments, and doses of at least 0.3 mg/kg produced a higher rate of positive behavior overall. No changes in oxygen saturation, heart rate, respiratory rate, and blood pressure were observed. CONCLUSION: Midazolam was effective and safe for pediatric sedation in the dosages studied.

Dificuldades diárias associadas às próteses totais / Daily difficulties associated with full conventional dentures

A efetividade de serviços de saúde pode ser avaliada pela ótica da qualidade de vida. Assim, este estudo avaliou o serviço de reabilitação a partir das dificuldades diárias associadas a próteses totais convencionais (PTC), produzidas entre 2007 e 2009, pelos Centros de Especialidades Odontológicas (CEO) de uma mesorregião do Rio Grande do Norte (RN). Realizou-se um estudo seccional com 138 usuários dessas PTC, coletando-se os dados por exame clínico e questionário baseado no indicador Oral Impacts on Daily Performances. Utilizaram-se os testes de Fisher e Qui-quadrado para testar associação das variáveis. Como resultado, 42% da amostra relatou dificuldades, relacionadas à PTC, para executar atividades bucais. Tais dificuldades foram mais frequentes e intensas nas atividades de comer, falar e sorrir. No total, 58,7% da amostra não tinha dentes funcionais. Quanto à avaliação clínica das PTC, 57,2% das superiores e 9,2% das inferiores estavam satisfatórias. Houve associação da presença de dificuldades e a ausência de dentes funcionais, mas não com PTC inadequadas. Assim, os CEO foram efetivos na reabilitação com PTC superior, já que as dificuldades encontradas integram limitações próprias a tal reabilitação. Por outro lado, o custo benefício da reabilitação inferior deve ser reavaliado.

The effectiveness of health services can be evaluated from the quality of life (QOL) standpoint. Thus, this study evaluated rehabilitation services using full conventional dentures (FCD) of Specialized Dental Care Centers (SDCC) in Rio Grande do Norte (RN) regarding daily difficulties associated with these dentures made between 2007 and 2009. A cross-sectional study was conducted with 138 users of these FCD, collecting data by clinical examination and a questionnaire based on the Oral Impacts on Daily Performances index. The Fisher and chi-square tests were used to test the association between the variables. The result was that 42% of users reported difficulties in executing oral activities due to FCDs. These difficulties were more frequent and intense in the activities of eating, speaking and smiling. In general, 58.7% of users did not have functional teeth. In relation to the clinical evaluation of FCDs, 57.2% of upper and 9.2% of lower FCDs were satisfactory. There was an association between difficulty and the absence of functional teeth, but not with inadequate FCDs. Thus, the SDCCs were effective in upper FCD rehabilitation, since the difficulties encountered are within the standard limitations of this type of rehabilitation. On the other hand, the cost-benefit of rehabilitation of lower FCDs must be evaluated.

[Daily difficulties associated with full conventional dentures]. / Dificuldades diárias associadas às próteses totais.

The effectiveness of health services can be evaluated from the quality of life (QOL) standpoint. Thus, this study evaluated rehabilitation services using full conventional dentures (FCD) of Specialized Dental Care Centers (SDCC) in Rio Grande do Norte (RN) regarding daily difficulties associated with these dentures made between 2007 and 2009. A cross-sectional study was conducted with 138 users of these FCD, collecting data by clinical examination and a questionnaire based on the Oral Impacts on Daily Performances index. The Fisher and chi-square tests were used to test the association between the variables. The result was that 42% of users reported difficulties in executing oral activities due to FCDs. These difficulties were more frequent and intense in the activities of eating, speaking and smiling. In general, 58.7% of users did not have functional teeth. In relation to the clinical evaluation of FCDs, 57.2% of upper and 9.2% of lower FCDs were satisfactory. There was an association between difficulty and the absence of functional teeth, but not with inadequate FCDs. Thus, the SDCCs were effective in upper FCD rehabilitation, since the difficulties encountered are within the standard limitations of this type of rehabilitation. On the other hand, the cost-benefit of rehabilitation of lower FCDs must be evaluated.

Avaliação da qualidade dos tratamentos endodônticos em centros de especialidades odontológicas da Grande Natal - RN / Quality of endodontic treatments at dental specialty centers in the Greater Natal, RN, Brazil

Objetivo: Avaliar a qualidade técnica dos tratamentos endodônticos realizados em Centros de Especialidades Odontológicas (CEOs) da Grande Natal/RN no período de 2006 a 2008. Método: Estudo transversal com amostra de 282 dentes submetidos a tratamento endodôntico há pelo menos um ano. Os participantes da pesquisa foram avaliados através de exames clínicos e radiográficos. Os dentes tratados endodonticamente foram examinados por uma especialista em endodontia, que comparou e analisou as radiografias realizadas ao final do tratamento e anexadas ao registro do paciente no CEO com tomadas radiográficas atuais. Os dados coletados foram apresentados de forma descritiva através de números absolutos, percentuais e médias. Para a determinaçÆo da associaçÆo entre as variáveis independentes e as variáveis dependentes realizou-se análise bivariada através do teste do qui-quadrado e exato de Fisher. Resultados: Dos elementos dentários examinados 79,8% apresentaram-se sem lesÆo periapical, 84,4% sem dor, 8,2% fraturados e 3,2% extraídos. As obturaçães dos canais encontravam-se adequadas em 81,2%. Com relaçÆo ao limite longitudinal, 135 (47,9%) das obturaçães foram consideradas com limite ideal, 50 (17,7%) sobreobturados e 88 (31,2%) subobturados. A persistência de lesÆo periapical esteve associada ao estado periapical inicial (p<0,05). ConclusÆo: Os tratamentos endodônticos que foram realizados nos Centros de Especialidades Odontológicas possuem uma adequada qualidade técnica, resultando no sucesso da terapia endodôntica realizada nestes Centros...

Objective: To evaluate the technical quality of the endodontic treatments performed at Dental Specialty Centers (DSC) in the Greater Natal, RN, Brazil, between 2006 and 2008. Method: A cross-sectional design was used with a sample of 282 teeth with endodontic treatments completed at least 1 year before the study. The participants were subjected to clinical and radiographic. The endodontically treated teeth were examined by an endodontist who compared and analyzed the radiographs taken at the end of the treatment as part of the patient?s documentation at the DSC with the current radiographs. The collected data were presented by descriptive statistics in absolute numbers, percentages and means. Association among the independent and dependent variables was made by bivariate analysis with the chi-square and Fisher?s exact tests. Results: As much as 79.8% of the teeth did not present periapical lesion, 84.4% had no associated painful symptomatology, 8.2% were fractured and 3.2% had been extracted. The root fillings were adequate in 81.2% of the teeth. Regarding the apical limit of root canal filling, adequate filling was observed in 135 teeth (47.9%), overfilling in 50 (17.7%) and underfilling in 88 (31.2%). Persistence of periapical lesion was associated with the initial stage of apical periodontitis (p<0.05). Conclusion: The endodontic treatments performed at the DSC have adequate technical quality, resulting in success of the root canal therapy...

Qualidade técnica e satisfação relacionadas às próteses totais / Technical quality and satisfaction related to full conventional dentures

A perda dentária é muito prevalente no Brasil, sobretudo entre idosos, onde mais de 3 milhões precisam de prótese total bimaxilar. Para mudar este quadro, o governo Federal instituiu os Centros de Especialidades Odontológicas (CEO). Assim, este estudo avaliou uma das atribuições desses Centros, a provisão de próteses totais convencionais (PTC) sob a ótica da qualidade e satisfação relacionadas a este produto. Para tanto, fez-se um estudo seccional com 149 indivíduos reabilitados em CEO do Rio Grande do Norte com tais próteses entre 2007 a 2009. Os dados foram obtidos por questionário e exame clínico da PTC quanto a sua retenção, estabilidade, estética e fixação. Das 233 PTC avaliadas; 52,7% das superiores e 9,5% das inferiores foram tecnicamente satisfatórias. Contudo, 69,1% (n = 103) dos entrevistados relataram satisfação com suas próteses. Quanto a associação entre qualidade técnica e satisfação, o teste Qui-quadrado indicou que PTC superiores tecnicamente adequadas (p = 0,041), sobretudo quanto a retenção (p = 0,002) e estabilidade (p = 0,000), estavam associados à satisfação positiva do usuário. Assim, as próteses satisfizeram à população assistida, apesar dos déficits técnicos. No entanto, essa satisfação pode advir da reabilitação em si e não de sua funcionalidade.

Tooth loss is highly prevalent in Brazil, especially among the elderly, where more than three million need bimaxillary dentures. The federal government instituted Specialized Dental Care Centers (SDCC) to remedy this situation. The scope of this study was to evaluate one attribute of these Centers, namely the provision of full conventional dentures (FCD) from the perspective of quality and satisfaction related to this product. A cross-sectional study was conducted with 149 individuals fitted with such dentures in SDCC of Rio Grande do Norte between 2007 and 2009. Data were obtained by questionnaire and clinical examination of FCD regarding its retention, stability, aesthetics, and fixation. From the 233 dentures evaluated, 52.7% of upper FCD and 9.5% of lower FCD were technically satisfactory. With respect to the association between technical quality and satisfaction, the chi-square test indicated that upper FCDs were technically adequate (p = 0.041), particularly in terms of retention (p = 0.002) and stability (p = 0.000) and were associated with patient satisfaction. Thus, the FCD satisfied the users, despite the technical defects. However, this satisfaction may come from the fitting itself rather than its functionality.

[Technical quality and satisfaction related to full conventional dentures]. / Qualidade técnica e satisfação relacionadas às próteses totais.

Tooth loss is highly prevalent in Brazil, especially among the elderly, where more than three million need bimaxillary dentures. The federal government instituted Specialized Dental Care Centers (SDCC) to remedy this situation. The scope of this study was to evaluate one attribute of these Centers, namely the provision of full conventional dentures (FCD) from the perspective of quality and satisfaction related to this product. A cross-sectional study was conducted with 149 individuals fitted with such dentures in SDCC of Rio Grande do Norte between 2007 and 2009. Data were obtained by questionnaire and clinical examination of FCD regarding its retention, stability, aesthetics, and fixation. From the 233 dentures evaluated, 52.7% of upper FCD and 9.5% of lower FCD were technically satisfactory. With respect to the association between technical quality and satisfaction, the chi-square test indicated that upper FCDs were technically adequate (p = 0.041), particularly in terms of retention (p = 0.002) and stability (p = 0.000) and were associated with patient satisfaction. Thus, the FCD satisfied the users, despite the technical defects. However, this satisfaction may come from the fitting itself rather than its functionality.