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1.
Cien Saude Colet ; 25(7): 2653-2662, 2020 Jul 08.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32667548

RESUMO

Since fluoridation of water is an established public health measure for the prevention of dental caries and considering that monitoring of the method is crucial to its success, this study aimed to analyze the results of the analysis of the fluorine content of public water supply of 40 municipalities in the state of São Paulo, from November 2004 to December 2016. Samples were analyzed monthly using the potentiometric method. Of the 32,488 samples, 50.94% contained fluoride levels within the recommended range. In 2004, it was verified that 21 cities (52.50%) had mean levels within the recommended parameter, increasing to 32 cities (80.00%) in 2016. It was observed that 15 municipalities that initially had levels of fluoride below 0.55 mgF/L in their water supply adjusted to adequate levels during the project. In the first year of the study, 47.76% of the samples had values in the recommended range, which increased to 58.22% in 2016. Most of the municipalities adjusted the levels of fluoride in their waters over the years, evidencing the performance of heterocontrol programs as important strategies that assist in the monitoring of the method and have significant participation in the control of the water quality supplied to the population.

2.
Oral Health Prev Dent ; 17(3): 283-288, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31209448

RESUMO

PURPOSE: This study evaluated carious tissue removal by mechanical and chemomechanical methods (Carisolv and Papacárie) through colony-forming unit (CFU) counts of Streptococcus mutans and Lactobacillus sp. Treatment acceptability, presence and level of pain, use of anesthesia, time required for caries removal and pain 24 h after treatment were also compared. MATERIALS AND METHODS: A clinical trial with 32 individuals who had at least two deciduous molars with active occlusal caries lesions were selected and randomly divided into two groups (I and II). One lesion in each individual was excavated with hand excavator only. The remaining lesions were excavated using modified hand excavation and Carisolv in group 1 or modified hand-excavation and Papacárie in group 2. Bacterial samples were taken from each caries lesion before and after treatment. RESULTS: All the methods reduced the amount of cultivable Streptococcus mutans and Lactobacillus sp. after treatment (p < 0.05) and no statistically significant difference was found between the groups (p > 0.05). There was 97% acceptability of treatments, and anesthesia was used in 14% of teeth. Pain was present 24 h after treatment in 6% of teeth. The mean times for caries removal by the mechanical and chemomechanical treatments were not statistically significantly different (p > 0.05). CONCLUSIONS: All treatments were found to effectively reduce bacterial counts (p < 0.05). There were no statistically significant differences (p > 0.05) among treatments or between clinical variables (p > 0.05).


Assuntos
Cárie Dentária , Preparo da Cavidade Dentária , Dentina , Humanos , Dente Molar , Dente Decíduo
3.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4178, 01 Fevereiro 2019. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-997922

RESUMO

Objective: To analyze prenatal care in the primary care of the Brazilian Unified Health System. Material and Methods: This is a survey cross sectional research with inquiry-type quantitativequalitative approach. Data collection was performed in 28 cities of the São Paulo state, through on- site observations and interviews with health secretaries, coordinators of primary and oral health care. The following variables were analyzed: Primary health care services for pregnant woman as educational activities, presence of care and referral protocol and the organization of oral health care. Content analysis was performed for the answers of the open questions and the quantitative treatment of the discursive data was obtained through the categorial analysis. For the answers of the closed questions a descriptive analysis was performed. Results: The total number of participants interviewed was 84 managers. It was observed that 78.6 %% of cities carried out educational activities; 42.9% do not have an active care protocol and 57.1% do not have formal referral guidelines to high-risk pregnancies. The rapid tests for HIV, Syphilis, Hepatitis B and C were confirmed by 53.6% of managers and only 39.3% reported evaluating the vaccine situation. As to dental care, 71.4% of the municipalities do not have an established guideline; 46.4% reported that access occurs through spontaneous demand; 32.1% do not consider pregnant woman a priority care group and 67.9% have instituted prenatal dental care. Conclusion: Prenatal care has guaranteed educational activities, but it has deficiencies related to the work process and to the management of services, due, for the most part, to the inexistence of assistance and organizational protocols.


Assuntos
Humanos , Cuidado Pré-Natal , Atenção Primária à Saúde , Sistema Único de Saúde , Brasil , Pessoal de Saúde , Educação em Saúde , Estudos Transversais , Entrevistas como Assunto/métodos , Inquéritos e Questionários , Pesquisa Qualitativa
4.
Rev. ABENO ; 19(1): 127-133, 2019. graf
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1022740

RESUMO

Scientific Initiation is a Brazilian undergraduate research programme that aims to awaken the scientific vocation of undergraduate students and to encourage potential talents through their participation in research projects under the guidance of a qualified researcher. This study's purpose was to analyse the scientific production of graduate students based on their previous experience with Scientific Initiation. A cross-sectional, descriptive study was conducted by searching databases of Brazilian public agencies ­ the Sucupira Platform, by the Ministry of Education, and the Lattes Platform, by the Ministry of Science, Technology, Innovation and Communication. We collected studies published between 2012 and 2018 and included all students and newcomers enrolled in master's degree and PhD programmes. We assessed the number of students enrolled in the Public Health Dentistry Graduate Programme of the São Paulo State University (Unesp), School of Dentistry, Araçatuba, Brazil. We analysed the number of scientific papers published by each PhD student and observed that PhD students who performed Scientific Initiation (n=19) achieved a higher average of scientific production (p=0.047). In total, 55 master's and PhD students were enrolled in the Public Health Dentistry Graduate Programme; of these, 63.64 percent (n=35) carried out Scientific Initiation during their undergraduate course. It was concluded that graduate students with Scientific Initiation published more papers than those without this experience (AU).


A Iniciação Científica tem como objetivo despertar a vocação científica em estudantes de graduação e incentivar potenciais talentos por meio de sua participação em projetos de pesquisa, sob a orientação de um pesquisador qualificado. Este estudo objetivou analisar a produção científica de pós-graduandos com e sem iniciação científica. Trata-se de um estudo transversal, retrospectivo, descritivo, com consulta nas plataformas Sucupira do Ministério da Educação e Lattes do Ministério da Ciência, Tecnologia, Inovações e Comunicações no período de 2012 a 2018. No período, foram avaliados o número de alunos de mestrado e doutorado do Programa de Pós-Graduação em Odontologia Preventiva e Social da Universidade Estadual Paulista (Unesp), da Faculdade de Odontologia de Araçatuba. O número de artigos científicos de cada aluno de doutorado com e sem iniciação científica foi analisado. No total, 55 alunos de mestrado e doutorado estavam matriculados no Programa de Pós-Graduação em Odontologia Preventiva e Social, destes 63,64% (n = 35) realizaram iniciação científica durante a graduação. Observou-se também que os estudantes de doutorado que realizaram iniciação científica (n = 19) obtiveram melhor produção científica (p = 0,047). Concluiu-se que os estudantes de pós-graduação com iniciação científica alcançaram um número de publicações mais significativo em comparação com aqueles sem essa experiência (AU).


Assuntos
Humanos , Masculino , Feminino , Estudos Retrospectivos , Educação em Odontologia , Educação de Pós-Graduação em Odontologia , Pesquisa Científica e Desenvolvimento Tecnológico , Brasil , Estudos Transversais/métodos , Artigo de Revista
5.
Cien Saude Colet ; 23(5): 1657-1666, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29768618

RESUMO

The aim of this study was to learn about the users' perceptions concerning the case-resolving capacity of dental care in the Unified Health System and to analyze the associations between solving capacity and both sociodemographic characteristics and access to the service. This was a cross-sectional study with a quantitative approach, in which 461 users responded to individual interviews. The outcome variable was the case-resolving capacity of dental care, obtained through the question: "In your opinion, is the dentist of this health center managing to solve all your oral health problems (Yes/No)". Independent variables were grouped into the following: sociodemographic and related to the access to the service. Most participants reported that their oral health problems were being solved. By using the Poisson regression, the lack of case-resolving capacity was found to be associated to the patients' not considering the dental surgeon's working hours convenient; to the long time they had to wait to get an appointment in the health center; and to the long time they had to wait in the waiting room. The results showed the positive view that users have about the case-resolving capacity of public dental care, and the relationship between access to the service and the said solving capacity.


Assuntos
Assistência Odontológica/organização & administração , Acesso aos Serviços de Saúde , Programas Nacionais de Saúde/organização & administração , Saúde Bucal , Adolescente , Adulto , Agendamento de Consultas , Atitude Frente a Saúde , Brasil , Estudos Transversais , Odontólogos/organização & administração , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Percepção , Distribuição de Poisson , Adulto Jovem
6.
Ciênc. Saúde Colet ; 23(5): 1657-1666, Mai. 2018. tab
Artigo em Inglês | LILACS-Express | ID: biblio-890567

RESUMO

Abstract The aim of this study was to learn about the users' perceptions concerning the case-resolving capacity of dental care in the Unified Health System and to analyze the associations between solving capacity and both sociodemographic characteristics and access to the service. This was a cross-sectional study with a quantitative approach, in which 461 users responded to individual interviews. The outcome variable was the case-resolving capacity of dental care, obtained through the question: "In your opinion, is the dentist of this health center managing to solve all your oral health problems (Yes/No)". Independent variables were grouped into the following: sociodemographic and related to the access to the service. Most participants reported that their oral health problems were being solved. By using the Poisson regression, the lack of case-resolving capacity was found to be associated to the patients' not considering the dental surgeon's working hours convenient; to the long time they had to wait to get an appointment in the health center; and to the long time they had to wait in the waiting room. The results showed the positive view that users have about the case-resolving capacity of public dental care, and the relationship between access to the service and the said solving capacity.


Resumo O objetivo neste estudo foi conhecer a percepção do usuário sobre a resolutividade do serviço odontológico no Sistema Único de Saúde, e analisar as associações entre resolutividade e características sociodemográficas e de acesso ao serviço. Tratou-se de uma pesquisa transversal com abordagem quantitativa, na qual 461 usuários responderam a entrevistas individuais. A variável desfecho foi a resolutividade do serviço odontológico, obtida através da seguinte pergunta: "Em sua opinião, o dentista desta unidade de saúde está conseguindo resolver todos os seus problemas de saúde bucal? (sim/não)". As variáveis independentes foram agrupadas em: sociodemográficas, e de acesso ao serviço. A maioria dos participantes relatou que seus problemas de saúde bucal estavam sendo resolvidos. Por meio da regressão de Poisson, observou-se que a falta de resolutividade esteve associada a não considerar o horário de trabalho do cirurgião-dentista conveniente; à grande demora para conseguir realizar o agendamento para a unidade de saúde; e ao tempo na sala de espera ser muito demorado. Os resultados revelaram a percepção positiva que o usuário teve sobre a resolutividade do serviço público odontológico, e a relação existente entre o acesso ao serviço e a capacidade resolutiva referida.

7.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 3726, 15/01/2018. ilus, tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-965631

RESUMO

Objective: To investigate the association of tooth loss and periodontal disease with socioeconomic and demographic factors, the need for and use of health services, and the effect of oral health on the daily lives of older Brazilians. Material and Methods: We abstracted data from a nation-wide, representative, cross-sectional survey of 7619 Brazilians aged between 65 to 74 years. Poisson regression models were created to investigate associations between oral diseases and income, education level, gender, ethnicity, region of residence, and use of dental services; statistical significance was set at 5%. Results: The mean age of the 7619 subjects studied was 69 years (95% Confidence Interval, 68.9­69.1); 61.9% were women. Regarding ethnicity, 46.95% were White, 38.90% were Brown, 11.54% were Black and 2.53% belonged to other ethnic groups. Bleeding on probing or dental calculus was present in 26.67% of subjects, whereas LOA was present in 87.27%. The loss of at least one tooth was observed in 48.90% of subjects, while 47.03% were completely edentulous. Low educational status increased the prevalence ratio (PR) of all diseases (loss of attachment, PR=5.54; bleeding on probing, PR=3.93; tooth loss, PR=2.24; edentulousness, PR=3.34). The prevalence of tooth loss was 2.58 times higher in subjects who reported a monthly income of less than 301 USD. The effect on daily life was occasionally a protective factor and occasionally increased the likelihoods of diseases. Conclusion: These findings substantiate the association of socioeconomic conditions, demographic features, and use of dental services with bleeding on probing, presence of dental calculus, loss of periodontal attachment, tooth loss, and edentulousness among older Brazilian subjects.


Assuntos
Humanos , Masculino , Feminino , Idoso , Fatores Socioeconômicos , Brasil , Idoso , Saúde Bucal , Perda de Dente , Distribuição de Qui-Quadrado , Disparidades nos Níveis de Saúde , Iniquidade Social
8.
RGO (Porto Alegre) ; 66(1): 50-59, Jan.-Mar. 2018. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-896058

RESUMO

ABSTRACT Objective: The objective was to analyze the satisfaction with the academic experience among graduates of the Biological Sciences and Health area of a Brazilian public university (n=30), Pharmacy (n=45), Physical Education (n=44), Nursing (n=30), Medicine (n=39) and Dentistry (n=35), resulting in a sample of 223 academics. Methods: The data were collected through the validated instrument - 'Satisfaction Scale with Academic Experience', composed of 35 indicators and three dimensions: 'course satisfaction', 'development opportunity' and 'institution satisfaction', measured by the Five point likert scale. Descriptive statistics and Anova, Kruskal-Wallis and t-tests were applied. Results: The 'course satisfaction' dimension was the best evaluated (p<0.001), while 'institution satisfaction' was worse. Most of the academics were satisfied with most of the indicators evaluated. Greater satisfaction was attributed to interpersonal relationships, especially those involving the teacher-student relationship and the training of professionals. Worst assessments related to structural aspects such as safety, comfort and equipment supply. Medical students presented the highest overall satisfaction score, differing significantly from the worst scores: Biological Sciences (p<0.001) and Pharmacy (p<0.001). There were also differences between courses in the other dimensions (p<0.05). Regarding the demographic factors, there was no significant divergence (p>0.05). Conclusion: It is concluded that the investigated students are satisfied with the institution of higher education; However, strategies should still be established to qualify their educational process, especially institutional infrastructure.


RESUMO Objetivo: Objetivou-se analisar a satisfação com a experiência acadêmica entre concluintes da área das Ciências Biológicas e da Saúde de uma universidade pública brasileira. Métodos: Estudo transversal, quantitativo foi desenvolvido junto a acadêmicos dos cursos presenciais de Ciências Biológicas (n=30), Farmácia (n=45), Educação Física (n=44), Enfermagem (n=30), Medicina (n=39) e Odontologia (n=35), resultando em uma amostra de 223 acadêmicos. Os dados foram coletados através do instrumento validado - 'Escala de Satisfação com a Experiência Acadêmica', composto por 35 indicadores e três dimensões: 'satisfação com o curso', 'oportunidade de desenvolvimento' e 'satisfação com a instituição', com mensuração pela escala likert de cinco pontos. Aplicou-se estatística descritiva e testes de Anova, Kruskal-Wallis e teste t. Resultados: A dimensão 'satisfação com o curso' foi a melhor avaliada (p<0,001), enquanto a 'satisfação com a instituição' a pior. A maioria dos acadêmicos mostrou-se satisfeita com a grande parte dos indicadores avaliados. Atribuiu-se maior satisfação às relações interpessoais, em especial as envolvendo o relacionamento docente-discente e a capacitação de profissionais. Piores avaliações relacionaram-se a aspectos estruturais como segurança, conforto e suprimento de equipamentos. Estudantes de medicina apresentaram o maior escore de satisfação geral, divergindo significativamente dos piores escores: Ciências Biológicas (p<0,001) e Farmácia (p<0,001). Foram verificadas também diferenças entre os cursos nas demais dimensões (p<0,05). Em relação aos fatores demográficos não houve divergência significativa (p>0,05). Conclusão: Conclui-se que os acadêmicos investigados apresentam-se satisfeitos em relação à instituição de ensino superior; contudo, devem ainda ser estabelecidas estratégias que visem qualificar o seu processo educacional, em especial, a infraestrutura institucional.

9.
Rev. ABENO ; 18(1): 74-83, 2018. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-883808

RESUMO

Poucos estudos têm examinado as condutas de saúde da população universitária em sua totalidade. O objetivo deste estudo foi avaliar a influência da posição acadêmica, considerando estudantes de graduação e pós-graduação, sobre a aquisição de condutas de saúde. A amostra foi composta por 223 graduandos e 67 pós-graduandos, ambos concluintes dos cursos de Odontologia, Farmácia, Medicina, Educação Física, Enfermagem e Ciências Biológicas de uma universidade pública da região Sul do Brasil. Utilizou-se um instrumento para a coleta de dados demográficos e o questionário autoaplicável National College Health Risk Behavior Survey (NCHRBS), para a avaliação das dimensões segurança no trânsito e violência, consumo de tabaco e álcool, comportamento sexual e alimentação, atividade física e peso. Observou-se que a posição acadêmica não exerceu papel significativo na aquisição de condutas inadequadas, estando estas mais relacionadas com o perfil demográfico dos indivíduos. Estudantes mais jovens, do gênero masculino e solteiros apresentaram maior prevalência de hábitos considerados prejudiciais à saúde, principalmente relacionados ao consumo de bebida alcoólica e ao envolvimento em agressão física. Estudantes mulheres apresentaram aquisição significativa de métodos inapropriados para o controle do peso corporal. Os resultados encontrados refletem a importância da efetivação de políticas que visem à intervenção e prevenção de comportamentos prejudiciais à saúde entre universitários, considerando-se o universo de graduandos e pós-graduandos (AU).


Few studies have examined healthy behaviors of the university population in its entirety. The aim of this study was to evaluate the influence of the academic position, considering undergraduate and graduate students, on the acquisition of healthy behaviors. The sample consisted of 223 undergraduate and 67 postgraduate students of the Life and Health Sciences area (Dentistry, Pharmacy, Medicine, Physical Education, Nursing and Biological Sciences courses) of a public university in southern Brazil. An instrument for the collection of demographic data and the National College Health Risk Behavior Survey (NCHRBS) was used to assess four dimensions: security in traffic and violence, tobacco and alcohol consumption, sexual behavior and nutrition, and physical activity and weight. It was observed that the academic position did not play a significant role in the acquisition of risky habits, being this acquisition more related to the demographic profile of the individuals. Younger, male and unmarried students had a higher prevalence of habits considered harmful to health, mainly related to alcohol consumption and involvement in physical aggression. Female students presented statistical significant difference for using inappropriate methods for body weight control. The results reflect the importance of effective policies, which aim at intervention and prevention of risk behaviors among the college population, considering the undergraduate and graduate students (AU).


Assuntos
Humanos , Masculino , Feminino , Brasil , Educação Superior , Estilo de Vida Saudável , Políticas Públicas de Saúde , Estudantes , Distribuição por Idade , Distribuição de Qui-Quadrado , Estudos Transversais/métodos , Inquéritos e Questionários
10.
Rev. Ciênc. Plur ; 4(1): 7-21, 2018. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-907074

RESUMO

Introdução: Os povos indígenas do Brasil compõem um cenário diversificado do ponto de vista cultural. A garantia de assistência à saúde geral e bucal indígena, atualmente, foi estabelecida pelo Subsistema de Atenção à Saúde Indígena, integrado ao Sistema Único de Saúde. Objetivos: Analisar a política de saúde bucal inserida no subsistema de saúde indígena, evidenciando a sua evolução no processo histórico e legal. Metodologia: Trata-se de um estudo descritivo e exploratório, em que foram consultados decretos, leis e portarias, já com as recentes e respectivas mudanças na legislação. Discussão: Apesar dos avanços, há recorrentes disparidades ao analisarmos a saúde bucal indígena em comparação à população brasileira não indígena. Essa diferença é observada nos perfis de saúde indígena, os quais são relativos aos âmbitos nacionais e regionais, em uma combinação de fatores socioeconômicos, ambientais e políticos. Ao longo do tempo, a saúde indígena esteve sob responsabilidade de distintas instituições. Recentemente, um projeto de lei propôs a criação do Instituto Nacional de Saúde Indígena, com intuito de simplificar os processos administrativos. Conclusão: A trajetória da saúde bucal indígena brasileira é marcada por dissidências e existem bases jurídicas que garantem o acesso aos cuidados de saúde deste grupo, embora a descontinuidade das políticas impeça a integralidade das ações de saúde bucal (AU).


Introducion: From a cultural point of view the Brazilian indigenous peoples compose a diversified cultural scenario. The guarantee of general and oral health assistance of indigenous people has been established by the Subsystem of Attention to Indigenous Health, integrated into the Brazilian Unified Health System. Objectives: To analyze the oral health policy inserted in the subsystem of indigenous health, evidencing its evolution in the historical and legal process. Methodology: It was a descriptive and exploratory study, in which decrees, laws and rules were consulted, with recent and relevant changes in legislation. Discussion: Despite the advances there are recurrent disparities when analyzing indigenous oral health in comparison to the nonindigenous Brazilian population. This difference is observed in indigenous health profiles, which are related to national and regional levels, in a combination of socioeconomic, environmental and political factors. Over the years, indigenous health has been under the responsibility of different institutions. Recently, a bill proposed the creation of the National Institute of Indigenous Health, in order to simplify administrative processes. Conclusion: The trajectory of Brazilian indigenous oral health is marked by dissidents and there are legal bases that guarantee the access to health care of this group, although the discontinuity of the policies blocks the integrality of oral health actions (AU).


Assuntos
Humanos , Saúde de Populações Indígenas , Índios Sul-Americanos , Saúde Bucal/educação , Políticas Públicas de Saúde , Brasil , Pesquisa Qualitativa
11.
Braz Oral Res ; 31: e115, 2017 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-29267676

RESUMO

This study aims to investigate variables related to adherence to oral self-care in the Brazilian adult population. It is an exploratory study, using secondary data from a population-based survey on a representative sample of the adult population of the entire Brazilian territory (n=60202). The sample was selected using a multiple stage approach. The oral self-care indicator was defined by grouping the variables: periodicity of dentist appointments, use of dental floss, toothbrush and toothpaste, frequency of brushing and replacement of the toothbrush. The scores obtained from the indicator were categorized into adequate, partially adequate, and inadequate care. Statistical analysis consisted of dimensionality reduction, and oral self-care-related variables were submitted to logistic regression. The variables mostly related to inadequate or partially adequate oral self-care were: illiteracy (OR = 11.20, OR = 4.81), low educational level (OR = 3.50, OR = 1.96), negative oral health self-concept (OR=3.73, OR=1.74), absence of natural teeth (OR = 4.98, OR=2.60), edentulous lower arch (OR = 3.09; _____), number of missing upper teeth (OR=1.14, OR=1.05), absence of health insurance (OR=2.23, OR=2.07), sedentary lifestyle (OR=2.77, OR=1.51), and smoking (OR=2.18, OR=1.40). It was concluded that the individual's level of education is one of the main factors for adherence to adequate oral self-care, followed by level of oral health self-concept and tooth loss. Likewise, lifestyle also bears a significant influence.


Assuntos
Inquéritos de Saúde Bucal/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Cooperação do Paciente/estatística & dados numéricos , Autocuidado/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Brasil , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Fatores Socioeconômicos , Adulto Jovem
12.
Int. j. odontostomatol. (Print) ; 11(2): 198-206, June 2017. ilus
Artigo em Espanhol | LILACS-Express | ID: biblio-893251

RESUMO

Este estudio tuvo como objetivo evaluar, comparativamente, las diferencias en el conocimiento sobre salud oral de equipos pedagógicos que recibieron y que no recibieron el Programa de Salud Oral, promovido por la Facultad de Odontología de Araçatuba (FOA), en las escuelas de enseñanza infantil del municipio de Araçatuba, São Paulo, Brasil. Participaron de esta investigación transversal 76 profesores de 10 escuelas municipales de enseñanza infantil (EMEB). Los equipos pedagógicos del grupo experimental recibieron las actividades del Programa de Salud Oral de la FOA (n=38); en cambio, los equipos establecidos en el grupo de control no las recibieron (n=37). Se recolectaron los datos por medio de un cuestionario que trazaba el perfil del profesor (sexo, función en la escuela, edad, nivel de escolaridad) y evaluaba su conocimiento sobre salud oral (placa dental, caries dental, cepillo de dientes, almacenamiento de cepillos, dentífrico, chupete, hábitos de higiene oral). Se compararon las variables independientes entre los grupos por medio de tests estadísticos. El 76,6 % de la muestra eran de profesores de enseñanza infantil y solo uno era del sexo masculino. La media de edad de los dos grupos fue de 41 años y el grado de escolaridad fue de posgrado completo (88,1 %). La investigación identificó comportamiento muy semejante en las respuestas del cuestionario en ambos los grupos encuestados, siendo sus respuestas muy cerca a las del sentido común. Esta investigación concluye que no hay diferencias significativas en el conocimiento sobre salud oral entre los grupos evaluados.


This study's goal was to comparatively evaluate the differences between the oral health knowledge of two teaching staff groups: those that were part of the oral health promotion programs and those that were not. Seventy six (76) teachers at ten nursery schools participated in this transversal study. The teaching staff of the intervention group were part of the activities of the "Oral Health Promotion Program in state-funded nursery schools of Araçatuba, São Paulo State" of the Araçatuba Dental School (Faculdade de Odontologia de Araçatuba - FOA/UNESP) (n=38), however, the teachers from the control group were not part of the activities (n=37). The data were collected through questionnaire with the goal of identifying the educator (sex; function at the school; age; years of schooling), and to evaluate the educator's knowledge regarding oral health (dental plaque, dental caries, toothbrush, storage of toothbrushes, tooth paste, pacifier, oral hygiene habits). The independent variables were compared between the groups through statistical tests. 76.6 % of the sample was of teachers of the nursery schools and only one participant was male. The average age between both groups was 41 and the average education level was of graduation (88.1 %). The research identified a very similar behavior in the questionnaire answers from both groups, and the knowledge identified on the evaluation was close to common sense. This study concluded that there were not significant differences on the oral health knowledge between the evaluated groups.

13.
Biosci. j. (Online) ; 33(3): 799-808, may/jun. 2017. tab, ilus
Artigo em Inglês | LILACS | ID: biblio-966240

RESUMO

This study aimed to assay the development process and the characteristics of a program in uninterrupted activity for over 11 years, which monitors fluoride content in public water supplies, emphasizing the methodology used in the research, the services provided to cities and specificities of water distribution networks, the products derived from project implementation, the main results obtained in its course, and its importance in favor of public health. Monitoring is necessary to reach the maximum benefit in the prevention of tooth decay and minimum risk in fluorosis development. To develop the study, documents and reports of the project's database and the results of water samples were analyzed. A survey of the intellectual productions generated by the project was performed, maps of water distribution networks of 40 cities in the northwest region of São Paulo state included in the project were analyzed, and the research methodology was presented. The activities carried out in the project have been described with details regarding the main methodological aspects, such as the form of establishment of sample collection points, the laboratory methodology used for the analysis of water samples, the extension experience the project offers to all parties involved, the results of 11 years of sample analyses, the benefits generated to health managers and those responsible for water treatment, among other considerations on the cities. The methodology adopted by the project allows identifying areas where the population may be exposed to higher fluoride concentrations. From November 2004 to December 2015, 50.98% of water samples from all cities were within the optimal parameters.


O objetivo deste estudo foi analisar o processo de desenvolvimento e as características de um programa em atividade ininterrupta há mais de 11 anos, que realiza o monitoramento do nível de flúor nas águas de abastecimento público, enfatizando a metodologia utilizada na pesquisa; os serviços prestados para as cidades e as especificidades das redes de distribuição de água; produtos gerados com a implementação do projeto; os principais resultados obtidos em seu curso; e sua importância em favor da saúde pública. A vigilância do método é necessária para se alcançar o máximo benefício na prevenção da cárie dentária e mínimo risco no desenvolvimento de fluorose. Para o desenvolvimento do estudo, foram feitas análises documentais e de relatórios do banco de dados do projeto e os resultados das amostras de água. Foi realizado um levantamento das produções intelectuais que o projeto gerou, a análise dos mapas de redes de distribuição de água das 40 cidades do noroeste do estado de São Paulo incluídas no projeto, e apresentação da metodologia de pesquisa. As atividades desenvolvidas no projeto foram descritas com detalhes quanto aos principais aspectos metodológicos, tais como: a forma de estabelecimento de pontos de coleta das amostras; a metodologia laboratorial utilizada para a análise de amostras de água; a experiência extensionista que o projeto oferece a todas as partes envolvidas; os resultados de 11 anos de análise das amostras; os benefícios gerados para os gestores de saúde e os responsáveis pelo tratamento de água; entre outras considerações sobre as cidades. A metodologia adotada pelo projeto permite a identificação de áreas onde a população pode estar exposta a altas concentrações de flúor. De novembro de 2004 a dezembro de 2015, 50,98% das amostras de água de todas as cidades estavam dentro dos parâmetros ideais.


Assuntos
Abastecimento de Água , Fluoretação , Saúde Pública , Vigilância em Saúde Pública , Flúor
14.
Trab. educ. saúde ; 15(1): 269-282, Jan.-Apr. 2017.
Artigo em Português | LILACS | ID: biblio-962987

RESUMO

Resumo Este estudo qualitativo introduz o tema das representações de conselheiros tutelares com o objetivo de ampliar a compreensão do universo desses atores sociais e conhecer as suas implicações sobre a dinâmica do seu processo de trabalho. O estudo foi realizado no município de Coronel Vivida, Paraná, no ano de 2013. Para a coleta de dados foi utilizado questionário semiestruturado e entrevista informal, e o material foi tratado pela técnica de análise do Discurso do Sujeito Coletivo. Os resultados mostram que as percepções dos conselheiros tutelares transcorreram pelo reconhecimento de alguns aspectos terminantes e inerentes à sua práxis, como a impotência diante dos perturbadores cenários sociais a que são expostos, adjudicada à restrição do alcance de sua atuação vinculada a entraves estruturais das redes vigentes de proteção social e à baixa adesão da população ao seu processo de trabalho. Evidenciam também uma satisfação arraigada nos desdobramentos laborais concluídos e naqueles que inferem positivamente sobre a violência infanto-juvenil. Esse contentamento, por sua vez, é considerado combustível para o desenvolvimento de suas competências profissionais. As considerações apreendidas no presente estudo ratificam a presença de gradações relevantes, inerentes ao processo relacional do conselheiro tutelar em seu ambiente de trabalho, corroborando o reconhecimento de parâmetros norteadores da relação intersubjetiva conselheiro tutelar e práxis social.


Abstract This qualitative study introduces the theme of the tutelary counselors' representations to broaden the understanding of these social players' universe and to get to know their implications regarding the dynamics of their work process. The study was conducted in the city of Coronel Vivida, in the state of Paraná, Brazil, in 2013. A semi-structured questionnaire and an informal interview were used to collect the data, and the material was treated using the Collective Subject Discourse analysis technique. The results show that the tutelary counselors' perceptions went through the recognition of a few peremptory aspects inherent to their practice, such as impotence in the face of the disturbing social scenarios to which they are exposed, along with the restriction of the scope of their action linked to structural barriers in the existing social protection networks, in addition to the population's low levels of adherence to their work process. They also reveal a deep-seated satisfaction in the developments of work they have done and that which has a positive impact on juvenile violence; this satisfaction, in turn, is considered as fuel for the development of their professional skills. The considerations this study captured confirm the presence of relevant gradations inherent in the relational process of the tutelary counselors in their work environment, supporting the recognition of the guiding parameters of the intersubjective relationship between the tutelary counselor and the social praxis.


Resumen Este estudio cualitativo introduce el tema de las representaciones de consejeros tutelares con el objetivo de ampliar la comprensión del universo de estos actores sociales y conocer sus implicaciones sobre la dinámica de su proceso de trabajo. El estudio se realizó en el municipio de Coronel Vivida, en el estado de Paraná, Brasil, en el año de 2013. Para la recolección de los datos se utilizó un cuestionario semiestructurado y entrevista informal, y el material se trató mediante la técnica de análisis del Discurso del Sujeto Colectivo. Los resultados muestran que las percepciones de los consejeros tutelares transcurrieron por el reconocimiento de algunos aspectos terminantes e inherentes a su praxis, como la impotencia frente a los perturbadores escenarios sociales a que están expuestos, atribuida a la restricción del alcance de su actuación vinculada a obstáculos estructurales de las redes vigentes de protección social y a la escasa adhesión de la población a su proceso de trabajo. Ponen de manifiesto también una satisfacción arraigada en los desdoblamientos laborales concluidos y en aquellos que infieren positivamente sobre la violencia infantil-juvenil, y esta satisfacción, a su vez, se considera combustible para el desarrollo de sus competencias profesionales. Las consideraciones aprendidas en el presente estudio ratifican la presencia de graduaciones relevantes, inherentes al proceso de relación del consejero tutelar en su ambiente de trabajo, corroborando el reconocimiento de parámetros orientadores de la relación intersubjetiva consejero tutelar y praxis social.


Assuntos
Humanos , Violência , Criança , Adolescente , Relações Comunidade-Instituição
15.
Cad. saúde colet., (Rio J.) ; 25(1): 1-6, jan.-mar. 2017. tab
Artigo em Português | LILACS-Express | ID: biblio-839622

RESUMO

Resumo Introdução Objetivou-se analisar a qualidade do acolhimento no serviço de saúde bucal, considerando sua capacidade de resposta às necessidades do usuário. Metodologia Fizeram parte do estudo transversal, quantitativo, usuários da rede pública odontológica no âmbito da Atenção Primária à Saúde (APS) de três municípios de diferentes estados brasileiros (n = 1.312). A obtenção dos dados deu-se através de entrevista no interior das unidades de saúde. O estudo contemplou 15 variáveis referentes ao processo de acolhimento, as quais foram analisadas preliminarmente com testes qui-quadrado. As que apresentaram associação com a variável desfecho “capacidade de resposta às necessidades do usuário” foram analisadas, posteriormente, por meio da regressão logística e teste de seleção de atributos. Resultados Verificou-se que avaliação negativa do cumprimento das necessidades esteve estatisticamente associada ao atendimento do cirurgião-dentista e equipe; disponibilidade para dialogar sobre dúvidas, preocupações e problemas de saúde bucal; receptividade ao adentrar o serviço odontológico na APS; e recebimento de informações sobre condição de saúde bucal na APS. As demais variáveis não permaneceram associadas de forma significativa após o teste de seleção de atributos. Conclusão A qualidade do acolhimento dos serviços de saúde bucal está significativamente relacionada à humanização do atendimento, receptividade do cirurgião-dentista e equipe e aos processos de escuta e orientação.


Abstract Introduction This study aimed to analyze the quality of care in oral health services regarding its responsiveness to users’ needs. Methodology This cross-sectional and quantitative study included users of the public dental service in the context of Primary Health Care (PHC) in municipalities of three different Brazilian states (n = 1312). Data collection occurred through interviews within health facilities. The study included 15 variables related to the reception process, which were preliminarily analyzed with chi-square tests. The variables associated with the outcome 'responsiveness to users’ needs' were analyzed through logistic regression and feature selection test. Results Negative assessments of full attention to users’ needs were significantly associated with: care provided by the dental surgeon and staff; willingness to discuss doubts, concerns and oral health problems; initial receptivity in the PHC dental service; and provision of information on oral health in the PHC. The other variables were not significantly associated with the outcome variable after the feature selection test. Conclusion the quality of reception in oral health services is significantly related to the humanization of care, responsiveness of dentists and staff and the processes of listening and providing guidance.

16.
Cien Saude Colet ; 22(1): 151-160, 2017 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28076538

RESUMO

The objective was to confront the view of users and health professionals about the satisfaction with the public dental service. Interviews were conducted with users, professionals considered directly (ESB) and indirectly (ACS) involved in oral health. Variables were evaluated individually and grouped into domains. A score was created for the analysis and the Kruskal-Wallis test was applied. The respondents positively assessed the quality of the dental services. The ACS demonstrated less satisfaction compared to users regarding general satisfaction in the Physical Structure and Medical Care domains and the variables: quality of clinical care; guidance to the patient after treatment performed in the specialty; and period of dental care. The ESB professionals expressed greater satisfaction than the users in the Medical Care domain and in the variables related to the provision of guidance, answering questions, attention solvability and consultation scheduling. It is concluded that the ESB professionals demonstrated a high degree of similarity to the satisfaction displayed by users, although positively expanded, and the ACS expressed more critically discrepant opinions in relation to users.


Assuntos
Assistência à Saúde/normas , Assistência Odontológica/normas , Satisfação do Paciente , Brasil , Auxiliares de Odontologia/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Humanos , Entrevistas como Assunto
17.
Ciênc. saúde coletiva ; 22(1): 151-160, jan. 2017. tab, graf
Artigo em Português | LILACS | ID: biblio-839896

RESUMO

Resumo Objetivou-se confrontar a visão de usuários e de profissionais da saúde acerca da satisfação com o serviço público odontológico. Realizou-se entrevista com usuários, profissionais considerados diretamente (ESB) e indiretamente (ACS) envolvidos com a saúde bucal. As variáveis foram avaliadas individualmente e agrupadas em domínios. Para análise criou-se um escore e aplicou-se o teste Kruskal-Wallis. Os entrevistados avaliaram positivamente a qualidade dos serviços odontológicos. Os ACS demonstraram satisfação menor na comparação com usuários quanto à satisfação geral, nos domínios Estrutura Física e Cuidados Médicos, e nas variáveis: qualidade do atendimento clínico; orientação ao paciente após tratamento realizado na especialidade; e período de atendimento odontológico. Os profissionais da ESB expuseram satisfação maior do que a dos usuários no domínio Cuidados Médicos e nas variáveis relacionadas à prestação de orientação, esclarecimento de dúvidas, resolubilidade na atenção e agendamento de consulta. Conclui-se que os profissionais da ESB demonstraram alto grau de similaridade com a satisfação exposta pelos usuários, ainda que positivamente ampliado, e os ACS expuseram opiniões discrepantes, de forma mais crítica em relação aos usuários.


Abstract The objective was to confront the view of users and health professionals about the satisfaction with the public dental service. Interviews were conducted with users, professionals considered directly (ESB) and indirectly (ACS) involved in oral health. Variables were evaluated individually and grouped into domains. A score was created for the analysis and the Kruskal-Wallis test was applied. The respondents positively assessed the quality of the dental services. The ACS demonstrated less satisfaction compared to users regarding general satisfaction in the Physical Structure and Medical Care domains and the variables: quality of clinical care; guidance to the patient after treatment performed in the specialty; and period of dental care. The ESB professionals expressed greater satisfaction than the users in the Medical Care domain and in the variables related to the provision of guidance, answering questions, attention solvability and consultation scheduling. It is concluded that the ESB professionals demonstrated a high degree of similarity to the satisfaction displayed by users, although positively expanded, and the ACS expressed more critically discrepant opinions in relation to users.


Assuntos
Humanos , Assistência à Saúde/normas , Assistência Odontológica/normas , Satisfação do Paciente , Brasil , Auxiliares de Odontologia/estatística & dados numéricos , Odontólogos/estatística & dados numéricos , Entrevistas como Assunto
18.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3112, 13/01/2017. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914469

RESUMO

Objective: To verify user satisfaction with the public oral health services in its different dimensions of care and relate them to the socioeconomic and demographic conditions. Material and Methods: Cross-sectional survey, developed with users interviewed of the public oral health services under the Primary Health Care of a Brazilian city (n=461). The associations of satisfaction with the socioeconomic and demographic conditions were analyzed using the chi-square test. Questions concerning satisfaction with the service were grouped into five domains - 'physical structure', 'relation and communication', 'information and support', 'health care' and 'organization of services' - analyzed using the Kruskal-Wallis Test. Results: Elderly individuals with low education and male, tended to be more satisfied with the services. The users reported being satisfied with the service, that were unhappy, referred to the time and the form to schedule a consultation, the time expected to be attended and the resolving capacity of oral health problems, as the causes. The overall satisfaction index was 0.8. The top rated domains were 'physical structure' (0.9) and 'relation and communication' (0.85). The 'service organization' domain received the worst evaluation (0.71) and when compared to the others domain presenting a significant difference. The 'physical structure' domain was significantly highlighted from the domains of 'oral health care' (0.78) and 'information and support' (0.78). The 'relation and communication' domain, also significantly excelled over the areas of 'oral health care'. Conclusion: The users rated the aspects of health care in a very positive way. The areas of highest user satisfaction were 'physical structure' and 'relation and communication'. However, the need for directing production processes in health became evident, especially regarding the organization of services, the domain with the worst rating.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Serviços de Saúde Bucal/normas , Pesquisa sobre Serviços de Saúde/métodos , Satisfação do Paciente , Atenção Primária à Saúde/métodos , Fatores Socioeconômicos , Brasil , Distribuição de Qui-Quadrado , Estudos Transversais/métodos , Saúde Bucal , Estatísticas não Paramétricas , Inquéritos e Questionários
19.
Ciênc. Saúde Colet ; 22(1): 151-160, Jan. 2017. tab, graf
Artigo em Português | LILACS-Express | ID: biblio-890126

RESUMO

Resumo Objetivou-se confrontar a visão de usuários e de profissionais da saúde acerca da satisfação com o serviço público odontológico. Realizou-se entrevista com usuários, profissionais considerados diretamente (ESB) e indiretamente (ACS) envolvidos com a saúde bucal. As variáveis foram avaliadas individualmente e agrupadas em domínios. Para análise criou-se um escore e aplicou-se o teste Kruskal-Wallis. Os entrevistados avaliaram positivamente a qualidade dos serviços odontológicos. Os ACS demonstraram satisfação menor na comparação com usuários quanto à satisfação geral, nos domínios Estrutura Física e Cuidados Médicos, e nas variáveis: qualidade do atendimento clínico; orientação ao paciente após tratamento realizado na especialidade; e período de atendimento odontológico. Os profissionais da ESB expuseram satisfação maior do que a dos usuários no domínio Cuidados Médicos e nas variáveis relacionadas à prestação de orientação, esclarecimento de dúvidas, resolubilidade na atenção e agendamento de consulta. Conclui-se que os profissionais da ESB demonstraram alto grau de similaridade com a satisfação exposta pelos usuários, ainda que positivamente ampliado, e os ACS expuseram opiniões discrepantes, de forma mais crítica em relação aos usuários.


Abstract The objective was to confront the view of users and health professionals about the satisfaction with the public dental service. Interviews were conducted with users, professionals considered directly (ESB) and indirectly (ACS) involved in oral health. Variables were evaluated individually and grouped into domains. A score was created for the analysis and the Kruskal-Wallis test was applied. The respondents positively assessed the quality of the dental services. The ACS demonstrated less satisfaction compared to users regarding general satisfaction in the Physical Structure and Medical Care domains and the variables: quality of clinical care; guidance to the patient after treatment performed in the specialty; and period of dental care. The ESB professionals expressed greater satisfaction than the users in the Medical Care domain and in the variables related to the provision of guidance, answering questions, attention solvability and consultation scheduling. It is concluded that the ESB professionals demonstrated a high degree of similarity to the satisfaction displayed by users, although positively expanded, and the ACS expressed more critically discrepant opinions in relation to users.

20.
Braz. oral res. (Online) ; 31: e115, 2017. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-952093

RESUMO

Abstract: This study aims to investigate variables related to adherence to oral self-care in the Brazilian adult population. It is an exploratory study, using secondary data from a population-based survey on a representative sample of the adult population of the entire Brazilian territory (n=60202). The sample was selected using a multiple stage approach. The oral self-care indicator was defined by grouping the variables: periodicity of dentist appointments, use of dental floss, toothbrush and toothpaste, frequency of brushing and replacement of the toothbrush. The scores obtained from the indicator were categorized into adequate, partially adequate, and inadequate care. Statistical analysis consisted of dimensionality reduction, and oral self-care-related variables were submitted to logistic regression. The variables mostly related to inadequate or partially adequate oral self-care were: illiteracy (OR = 11.20, OR = 4.81), low educational level (OR = 3.50, OR = 1.96), negative oral health self-concept (OR=3.73, OR=1.74), absence of natural teeth (OR = 4.98, OR=2.60), edentulous lower arch (OR = 3.09; _____), number of missing upper teeth (OR=1.14, OR=1.05), absence of health insurance (OR=2.23, OR=2.07), sedentary lifestyle (OR=2.77, OR=1.51), and smoking (OR=2.18, OR=1.40). It was concluded that the individual's level of education is one of the main factors for adherence to adequate oral self-care, followed by level of oral health self-concept and tooth loss. Likewise, lifestyle also bears a significant influence.

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