José Roberto Zorzatto

Avaliação do uso de medicamentos na rede pública municipal de saúde de Campo Grande/MS

The rational use of therapeutic drugs is arising as a consequence of an increase in the search for advanced therapeutic drugs. The therapeutic drugs use, that is a pharmacoepidemiology deal, can give evidence of how a society manage with all steps of therapeutic drugs use and also all consequence of this use. The therapeutic drugs use evaluation can demonstrate how healthyness/ilness link is handled in that society. The aim of this study was an evaluation of therapeutic drugs use at the Campo Grande/ MS public health. WHO indicators were used in this research. The evaluation was done using the medical prescrition indicator. The data were collected in 12 health care units between July 1998 and June 1999. One thousand four hundred eighty prescriptions were analyzed, 1456 medical visits and 1498 dispensations were followed and 735 patients were interviewed. The results were in agreement with other results in other country regions. However, important differences were found in antibiotics and injectable prescritions among different health care unit staffs evaluated. These differences sugested the necessity of more specific studies. The quality of the users attendance must be improved. The Local Essential Drugs List must be always available and also updated to health care unit staff.

Nutrição e saúde infantil em uma comunidade indígena Teréna, Mato Grosso do Sul, Brasil

This paper describes the health and nutritional situation of South American Indian children from a Teréna community, characterizing their nutritional status, food consumption, and socioeconomic and environmental conditions. The sample included 100 children, ranging from 0 to 59 months of age and living in Aldeia Córrego do Meio, Mato Grosso do Sul. Prevailing nutritional deficits were: 8.0% for the weight-for-age index, 16.0% for height-for-age, and 5.0% for weight-for-height. The growth deficit rate was higher than that of the Brazilian population as a whole, probably reflecting the precarious socioeconomic, environmental, and health conditions in this Teréna community. Analysis of the average nutrient sufficiency in the infant diet showed that nutritional recommendations for the different groups were not complied with. New studies, characterized as transdisciplinary and longitudinal, are necessary to better understand this process.

Conventional dual-cure versus self-adhesive resin cements in dentin bond integrity

During post preparation, the root canal is exposed to the oral cavity, and endodontic treatment may fail because of coronal leakage, bacterial infection and sealing inability of the luting cement. Objective this study quantified the interfacial continuity produced with conventional dual-cure and self-adhesive resin cements in the cervical (C), medium (M) and apical (A) thirds of the root. Material and methods Forty single-rooted human teeth were restored using Reforpost # 01 conical glass-fiber posts and different materials (N=10 per group): group AC=Adper™ ScotchBond™ Multi-purpose Plus + AllCem; group ARC=Adper™ ScotchBond™ Multi-purpose Plus + RelyX ARC; group U100=RelyX U100; and group MXC=Maxcem Elite. After being kept in 100% humidity at 37ºC for 72 hours, the samples were sectioned parallel to their longitudinal axis and positive epoxy resin replicas were made. The scanning electron micrographs of each third section of the teeth were combined using Image Analyst software and measured with AutoCAD-2002. We obtained percentage values of the interfacial continuity. Results Interfacial continuity was similar in the apical, medium and cervical thirds of the roots within the groups (Friedman test, p>0.05). Comparison of the different cements in a same root third showed that interfacial continuity was lower in MXC (C=45.5%; M=48.5%; A=47.3%) than in AC (C=85.9%, M=81.8% and A=76.0%), ARC (C=83.8%, M=82.4% and A=75.0%) and U100 (C=84.1%, M=82.4% and A=77.3%) (Kruskal-Wallis test, p<0.05). Conclusions Allcem, Rely X ARC and U100 provide the best cementation; cementation was similar among root portions; in practical terms, U100 is the best resin because it combines good cementation and easy application and none of the cements provides complete interfacial continuity.

Saúde e estado nutricional infantil de uma população da região Centro-Oeste do Brasil

OBJECTIVE To evaluate the nutritional status of infants who reside in the city of Campo Grande, State of Mato Grosso do Sul, Brazil. METHODS The method used was that of a cross sectional household study by means of an anthropometric social survey, sampling 652 children from 0 to 59 months of age. RESULTS A low prevalence of nutritional deficit, excepting that of height-for-age, starting in the first year of life, was found. The nutritional status proved to be influenced by the socioeconomic conditions, especially concerning per capita family income. Nearly all children started breast-feeding but were weaned during the first month. Exclusive breast-feeding is of short duration and soon replaced by infant formula. The survey of mother-child assistance demonstrated an excellent coverage of prenatal care, but inadequacy in the follow-up of the childs health at all income levels. CONCLUSIONS The need to carry out changes in the approach to preventive actions and in the monitoring of the nutritional situation of the children, concerning the problems identified in this study in order to allow for the development of differential actions in the nutritional field has been identified.Departamento de Tecnologia de Alimentos e Saude Publica do Centro de Ciencias Biologicas e da Saude da Universidade Federal de Mato Grosso do Sul (UFMS). Campo Grande, MS Brasil (DLBR); Departamento de Nutricao da Faculdade de Saude Publica da Universidade de Sao Paulo (FSP/USP). Sao Paulo, SP Brasil (STP); Departamento de Saude Materno-Infantil da FSP/USP. Sao Paulo, SP Brasil (ACD’AT); Departamento de Computacao e Estatistica do Centro de Ciencias Exatas e Tecnologicas da UFMS (JRZ)OBJETIVO: Avaliar o estado nutricional de criancas residentes em Campo Grande, Mato Grosso do Sul, Brasil. METODOS: Trata-se de um estudo transversal, de base domiciliar, atraves de um inquerito antropometrico-social, com amostra de 652 criancas de 0 a 59 meses de idade. RESULTADOS: Foram encontradas baixas prevalencias de deficts nutricionais, com excecao para deficits de altura/idade, tendo inicio ainda no primeiro ano de vida. O estado nutricional mostrou-se influenciado pelas condicoes socioeconomicas, especialmente a renda per capita familiar. Quase a totalidade das criancas iniciaram a amamentacao, mas o desmame teve inicio ainda no primeiro mes. O aleitamento materno exclusivo e de curta duracao, com oferta precoce de substitutos do leite materno. A analise da assistencia materno-infantil apresentou boa cobertura de pre-natal, mas deficiente no acompanhamento da saude infantil em todas as faixas de renda. CONCLUSOES: Identificou-se a necessidade de realizar alteracoes na abordagem das acoes preventivas de vigilância da situacao nutricional das criancas, para que haja condicoes de desenvolver acoes diferenciadas no campo nutricional.