Luiz Cordoni Junior

Hábito alimentar de escolares adolescentes de um município do oeste do Paraná

OBJECTIVE: The objective of this study was to identify the food intake patterns of 2562 students aging from 14 to 19 years from public and private schools of the municipality of Toledo, Parana, Brazil. Associations between intake patterns and gender and intake patterns and social class were also investigated. METHODS: A validated food frequency questionnaire was used to characterize food intake. Statistical analysis was based on the food guide pyramid and the variables associated with the chi-square test, using a significance level set at 5%. RESULTS: The foods with highest intakes were: bread and rice, lettuce and tomato, banana and orange, whole milk and skim milk, beef and poultry, beans, margarine and mayonnaise, sugar and candies/sweets. The association between intake frequency and family income was significant among the poorest for the following groups: breads, cereals, nuts and seeds, legumes and oils and fats. Among the wealthiest, the groups were: vegetables, fruits, milks and dairy. Regarding gender, girls consume more vegetables and sweets and boys consume more milk, legumes, oils and fats. CONCLUSION: These results show that there is a difference in intakes between genders and suggest that family income is associated with food intake among students.

O papel do professor na percepção dos alunos de odontologia

E necessario que a qualidade das estrategias de ensino-aprendizagem utilizadas no ensino superior seja revista em decorrencia das demandas da sociedade e da implantacao das diretrizes curriculares nacionais. Neste contexto, analisamos a percepcao de alunos do curso de graduacao em odontologia da Universidade Estadual de Londrina a respeito do papel do professor no processo ensino-aprendizagem. Para isso, adotamos a abordagem qualitativa. A geracao de dados ocorreu por meio de entrevista semi-estruturada. O estudo revelou que o professor tem papel fundamental no processo de ensino-aprendizagem. O ensino de graduacao em odontologia pode ser compreendido como um sistema formador de profissionais para o mercado de trabalho; as estrategias de ensino-aprendizagem baseiam-se em exposicoes orais, e o metodo de avaliacao consta de provas tradicionais teoricas e praticas. Podemos concluir, portanto, que ha uma necessidade de mudancas na graduacao do cirurgiao-dentista para que seja possivel formar os profissionais de forma generalista, humanista, critica e reflexiva.

Atenção odontológica à gestante: papel dos profissionais de saúde

The scope of this article involved qualitative research conducted together with pregnant women attended by the Brazilian Unified Health System (SUS) and private services, seeking to identify the perception of these women on the role of health professionals in relation to dental care during pregnancy. The data were collected through recorded, semi-structured interviews based on a questionnaire and analyzed by assessment of thematic content. It was noted that some health professionals propagate and reinforce misconceptions and fears about dental care and oral health during pregnancy. The need for investment in education on dental care during pregnancy, both at undergraduate and graduate level, was clearly revealed, since knowledge on the subject can contribute to a review of concepts, and consequently the manifest behavior vis-a-vis this segment of the population.

Perceptions of dentistry teachers in the teaching and learning process

The didactic-pedagogical training of the university professor and of the quality of higher education must be revised due to the demands of the dynamic society and to the implementation of national curricular guidelines. Within this context, it was analyzed the perceptions of dentistry undergraduate of Universidade Estadual de Londrina teachers about the role of the teacher in the teaching and learning process. A qualitative research was carried out and data were collected through semi-structured interviews. Results showed that the teacher plays an essential role in the teaching and learning process, being the sole provider of knowledge. Teaching and learning strategies are based on oral transmission. Most part of the teachers got their didactic-pedagogical education from postgraduate Courses (Masters and/or PhD), that do not qualify teachers adequately for their teaching career. The teachers are not formally prepared for their teaching careers. In conclusion, findings from this study must be revised both regarding the training and the didactic-pedagogical upgrading in search of a general, humanist, critical and reflexive formation of the student.

Força de trabalho em saúde na Atenção Básica em Municípios de Pequeno Porte do Paraná

Este artigo tem como objetivo caracterizar o perfil e as relacoes laborais dos trabalhadores da Atencao Basica em Municipios de Pequeno Porte localizados no Parana. Trata-se de estudo transversal descritivo, realizado em 49 municipios do norte do estado, por meio de questionario aplicado aos profissionais de saude. Os resultados obtidos indicaram a existencia de baixa precarizacao das relacoes de trabalho, diversidade profissional, escolaridade adequada ou superior ao cargo exercido e vinculos laborais formais. Foram classificados como aspectos negativos a inexistencia de plano de carreira, um numero insuficiente de medicos, a multiplicidade de vinculos empregaticios e o descumprimento de carga horaria. Deste modo, recomenda-se a implantacao de politicas especificas aos municipios avaliados, bem como a implantacao de medidas de acompanhamento/avaliacao.

Aspectos demográficos do processo de envelhecimento populacional em cidade do sul do Brasil

O trabalho analisa a evolucao demografica relacionada ao processo de envelhecimento no Municipio de Londrina, Estado do Parana, Brasil. Foi estudada a evolucao demografica da populacao geral no periodo de 1970 a 2000, por sexo e faixa etaria, utilizando-se como fonte de dados os censos populacionais da Fundacao Instituto Brasileiro de Geografia e Estatistica (IBGE). Calculou-se o indice de envelhecimento e o indice de dependencia, este subdividido em indice de dependencia-jovem e indice de dependencia-idoso. Os fenomenos observados foram: o processo migratorio ocorrido com o exodo rural (a populacao rural passou de 52,07% para, aproximadamente, 3%); reducao do tamanho da familia, com a intensificacao da presenca da mulher na chefia dos nucleos familiares; alteracoes na distribuicao por faixa etaria, com crescimento proporcional da populacao idosa (de 4,03% para 9,34%, no periodo estudado); aumento do indice de envelhecimento (de 0,10 para 0,35); e queda do indice de dependencia total, basicamente em razao do indice de dependencia-jovem e do aumento do indice de dependencia-idoso, o que significa um impacto socioeconomico relevante. Palavras-chave: demografia; envelhecimento populacional; transicao demografica. Summary This study analyses the demographic evolution of the population of the Municipality of Londrina, Parana State, Brazil, in the aging process. The general population was studied over the period from 1970 to 2000 by gender and age, using population census data from the Brazilian Institute of Geography and Statistics Foundation (IBGE). Ratios of aging and dependency were calculated, the latter ratio divided into youngest (age 0-15 years) and retirees (age 60+). The outcomes indicate: a strong migratory process due to a rural exodus (decline in rural population from 52.07% to 3%); smaller family size rates, and Increase in the number of female heads-of-family; changes in age distribution, with proportional growth of retired (from 4.03% to 9.34% during the period); aging ratio increase (from 0.10 to 0.35); and fall in the total dependency ratio due to the ratio for the youngest category and increase of the oldest, which demonstrating a relevant socioeconomic impact.

Consórcio de medicamentos no Paraná: análise de cobertura e custos

Public administrators are always concerned in reducing the costs of drug purchases. This article analyzes the coverage and costs of the Parana Health Consortium (CPS) which was created to purchase drugs for municipalities of the state of Parana, Brazil. Coverage included the participating municipalities and their populations. The costs of the acquired drugs were compared to the values available in the Price Database of the Health Department (BP/MS). Until the end of 2000, the CPS had covered 88.2% of the municipalities and 55.6% of the Parana population. Among the participating municipalities, 83.5% had fewer than 20,000 inhabitants. The prices of 55 items available on the purchase list of the CPS and in the BP/ MS were compared: 46 were lower, one was the same and eight were higher than those of the BP/MS. Acquisition by the consortium has cost R

Perfil dos gerentes de Atencao Primaria a Saude de municipios de pequeno porte do norte do Parana, Brasil

332,397.70 (29.7%) less than that by the BP/MS standards. The implementation of the CPS was found to be a good administrative strategy of pharmacoeconomics which led to agility and rationality in the use of financial resources, allowing wider access of the population to drugs.

Análise das práticas gerenciais na Atenção Primária à Saúde nos municípios de pequeno porte do norte do Paraná, Brasil

The scope of this article was to establish the profile of Primary Health Care (PHC) managers in 49 small municipalities (up to 20,000 inhabitants) in the north of the state of Parana. A semi-structured questionnaire was applied to 90 managers in a quantitative-based study. For statistical analysis the EpiInfo 3.5.1. program was used. The results of the manager profile showed that 91.1% were women, 83.3% nurses, 50% aged 21 to 30 years and 75.6% with specialization. Concerning the entry into employment, 70% were through public exam/selective test. Regarding professional experience, 40% had worked professionally for more than 5 years, 43.4% had been involved in PHC up to 5 years and 32.2% had been in the current primary health care unit for less than 1 year. Regarding specific training for performing a managerial role, 71.1% had not taken any courses; only 23.3% reported having taken a management course, though 37.7% had already acted as managers. The conclusion reached is that there is a lack of professionalism, training and institutionalization of the position for the performance of this function.

O Sistema Único de Saúde como paradigma nas representações sociais dos cirurgiões-dentistas

The scope of this article is to describe management practices in primary health care (PHC) in 49 small-scale municipalities (less than 20,000 inhabitants) in the north of the state of Parana. The study conducted in 2011 adopts a quantitative approach with the application of a semi-structured questionnaire to 90 managers. The responses in the research revealed that 85.6% had meetings with the team, 77.8% knew about the health goals and indicators for 2010, 73.3% planned actions, 70% staged meetings with the community, 64.5% of the managers discussed the goals and indicators with the workers of the unit, 61.1% knew the health indicators for 2009 and 61.1% conducted evaluations of health actions and services and also evaluated the workers. However, analysis of the results made it possible to pinpoint distortions and/or failings in team and community meetings, relevant participation of the communities, knowledge of indicators, planning, evaluation of teams and training of the managers. The main conclusion is that the managers suffer from poor professionalism and insufficient training.