Helenita Correa Ely

Percepções de usuários e trabalhadores de saúde sobre a implantação do acolhimento em uma unidade de saúde em Porto Alegre-RS, Brasil

INTRODUCTION: This study boards the uses and the senses about the user embracement in the organization and redefinition of the attention processes in oral health. OBJECTIVE: Assess the perception of users and health workers of the Centro de Extensao Universitaria da Vila Fatima (CEUVF) on the deployment of welcoming reception to oral health services, through a qualitative approach. METHODOLOGY: It question is a qualitative inquiry with 5 users and 5 professionals of the Centro de Extensao Universitaria da Vila Fatima (CEUVF) - PUCRS - a teaching and health unity linked to the public service of Porto Alegre. Through semi-structured interviews and subsequent content analysis, it was aimed to describe and evaluate the perceptions of users and health workers about the use of welcoming reception in front of the signs-concepts such as: access, universality, resolutivity, humanization, integrality and redirection of the attention model. RESULT: The analysis of the implementation of the welcoming reception revealed the obstacles and difficulties reported by participants themselves. There are difficulties in ensuring universal access and resoluteness guaranteed by the host. The welcoming reception meant a change in the health care provided in CEUVF, more humane and comprehensive.

Impacto das equipes de saúde bucal da Estratégia da Saúde da Família na saúde bucal de adolescentes do sul do Brasil

The Family Health Strategy (FHS) has produced effective results in health indicators. In this cross-sectional study, the impact of the oral health teams (OHT) of the Family Health Strategy was evaluated on the oral health of 2581 adolescent schoolchildren aged 12 and 15-19 years in 36 municipalities (19 with and 17 without OHT/FHS). Four dentists performed oral examinations. Socioeconomic status, the use of and access to health services were assessed via a structured questionnaire. The presence of the OHT in the FHS were the main independent variables. Outcomes were Decayed, Missing, Filled Teeth (DMFT) and its components, toothache, gingival bleeding, and dental calculus. The data were analyzed by means of negative binomial and Poisson regression. Multilevel analysis was conducted to adjust the outcomes to OHT/FHS and individual variables. In the unadjusted model there was no association between the OHT in the FHS and the outcomes analyzed. After adjustment, young people in areas not covered by the OHT/FHS had almost half of the tooth loss of adolescents from the areas covered (RM = 0.64 CI 95%, 0.43 to 0.94).The Family Health Strategy (FHS) has produced effective results in health indicators. In this cross-sectional study, the impact of the oral health teams (OHT) of the Family Health Strategy was evaluated on the oral health of 2581 adolescent schoolchildren aged 12 and 15-19 years in 36 municipalities (19 with and 17 without OHT/FHS). Four dentists performed oral examinations. Socioeconomic status, the use of and access to health services were assessed via a structured questionnaire. The presence of the OHT in the FHS were the main independent variables. Outcomes were Decayed, Missing, Filled Teeth (DMFT) and its components, toothache, gingival bleeding, and dental calculus. The data were analyzed by means of negative binomial and Poisson regression. Multilevel analysis was conducted to adjust the outcomes to OHT/FHS and individual variables. In the unadjusted model there was no association between the OHT in the FHS and the outcomes analyzed. After adjustment, young people in areas not covered by the OHT/FHS had almost half of the tooth loss of adolescents from the areas covered (RM = 0.64 CI 95%, 0.43 to 0.94).

Redução da cárie dentária em adolescentes: distribuição temporal e espacial em 36 municípios do Sul do Brasil 2003 e 2011

OBJETIVO:descrever a experiencia de carie dentaria em adolescentes e sua distribuicao espacial-temporal.METODOS:estudo ecologico com 4.205 (2003) e 3.531 (2011) escolares de 12 e 15-19 anos de idade, respectivamente, em 36 municipios do Rio Grande do Sul, em cujas macrorregioes de saude foram georreferenciados os indicadores de media de dentes cariados, perdidos e obturados (CPOD), prevalencia de livres de carie (CPOD=0) e de carie nao tratada.RESULTADOS:em 2003 e 2011, respectivamente, as medias de CPOD foram de 3,63 e 1,66 (12 anos) e de 7,43 e 3,43 (15-19 anos); aumentaram os adolescentes livres de carie, de 18,6 para 42,1% (12 anos) e de 7,5 para 22,2% (15-19 anos); reduziu-se a carie nao tratada, de 50,9 para 27,2% (12 anos) e de 56,1 para 32,4% (15-19 anos), diferentemente entre municipios e macrorregioes.CONCLUSAO:no periodo, diminuiu a experiencia de carie, permanecendo a distribuicao desigual entre municipios e macrorregioes.

O modelo de vigilância da água e a divulgação de indicadores de concentração de fluoreto

Water surveillance is an essential strategy to ensure safety and high quality standards for human consumption. Among the parameters, fluoride stands out. The objective of this study was to describe the surveillance framework of water quality and present a proposal of indicators and dissemination of information to the population regarding the fluoride concentration indicators. Based on main scientific evidences, it is explained the importance of maintaining the parameter under control in the supplies systems and it is presented a concise description of the water surveillance framework in Brazil, showing that the design does not offer indicators for longitudinally monitoring the parameter or visibility to all those who have right to information. Next, the operational and technical foundations of Public Water Supply Fluoridation Surveillance System are presented, a proposal to improve the framework. Indicators to the dissemination of the information are described, arguing that the Country has resources and conditions to overcome the precariousness of information on fluoride concentration and on the coverage of water fluoridation in all units of national territory.

Necessidade de tratamento ortodôntico em adolescentes do Rio Grande do Sul: relação entre autopercepção e necessidade clínica

Objective: to analyze the association between self-perception and clinical need for orthodontic treatment, and to investigate the relationship between the need for orthodontic treatment and the impact on daily activities of eating, smiling, and speaking, in adolescents. Subjects and method: cross-sectional study with 1630 school children aged 15 through 19 years from 36 cities of the state of Rio Grande do Sul, Brazil. The instruments used to determine the need for orthodontic treatment were the Dental Aesthetic Index (DAI) and the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN). The data were analyzed with the SPSS 21.0 software using Pearson’s chi-square or linear trend chi-square tests and Poisson regression. The significance level was 5%. Results: there was a positive association between IOTN and DAI. The proportion of subjects who perceived the need for orthodontic treatment increased with the recommendation from the dentist. However, most of the adolescents interviewed did not perceive the need for orthodontic treatment. After adjustment, there was an association of malocclusion with the performance of the daily activity of smiling (PR = 2.03) and the gender of school children (PR = 1.28). An association was also observed for the gender of adolescents (PR = 1.23) and paternal level of education (PR = 1.21) with the daily activity of eating. The daily activity of speaking was associated with the paternal level of education (PR = 2.11). Conclusion: there is an association between self-perception of orthodontic treatment and the clinical need. Malocclusion affects the activity of smiling among adolescents, but the same does not occur with the activities of eating and speaking.