Luiz Gutenberg Toledo de Miranda Coelho Júnior

Job satisfaction among dental assistants in Brazil

The aim of the present study was to investigate the expressed levels of job satisfaction of dental assistants working in Brazil and whether there are relationships among professional formation standards, workplace relations and job satisfaction. An analytical cross-sectional study was carried out with a calculated sample of 443 dental assistants. A questionnaire was developed for this purpose and its validity was verified in a pilot study. The questionnaire provided data for socioeconomic and demographic categorization and identified the variables that could be correlated to professional satisfaction. Job satisfaction was stratified into satisfaction and no satisfaction. All participants signed an informed consent form. Data were analyzed using SPSS software, version 13.0. Pearsons chi-square and Fishers exact tests were performed. Among the 443 participants, 94.6% were women, 72.7% were aged between 21 and 40 years and 65.0% were single. Over half had 37 or more months of job experience and had completed their course at a public institution. The majority earned between US

Cumulative Trauma Disorders among Dentists

141.00 and US

Orofacial Injuries in Children and Adolescents (2009-2013): A 5-Year Study In Porto, Portugal

190.00 per month. Job satisfaction was mentioned by 81.5% of the dental personnel. It was found that most subjects were satisfied with their job, and that the level satisfaction is influenced negatively by salary, workplace, workload and dentists personality.

Physical Violence Against Children and Adolescents in Porto: A 5-Year Study:

Abstract Objectives: The aim of this study was to investigate the cumulative trauma disorders [CTD] among public health dentists according to sex, age, working time, specialty, workload, and physical activity, identifying the frequency, intensity, and limitations caused by CTD in their professional practice. Methods: A cross-sectional study was carried out with 150 dentists in public health units. Subjects were classified according to socioeconomic and demographic levels, the presence or absence of CTD, and type of working process. The Portuguese version of the Nordic Musculoskeletal Questionnaire was used to evaluate these variables. The statistical analysis was performed using the SPSS software. The chi-square and Fishers exact tests were used to evaluate the association between variables, with a confidence interval set at 95% and a significance level at 5%. Results: Most subjects interviewed were female [79.3%] with an average of 20 years of professional experience [46.0%]. Despite 92% of respondents showing symptoms of musculoskeletal disorders, only 20% were diagnosed with CTD. Conclusions: The presence of CTD in the studied sample was high. The large number of dentists with the symptoms compared to the low number of dentists properly diagnosed is suggestive of underreporting and explains why governmental statistics do not have this data.

A Dimensão Política da Humanização em Saúde: o Caso da Autonomia do Paciente em Experiências de Práticas (Des)Humanizadas em Saúde Bucal

The aim of this study was to verify the prevalence of acts of aggression to the head, face and neck towards victims of Physical Violence against Children and Adolescents (PVCA) who were examined at the National Institute of Legal Medicine and Forensic Sciences Delegation North (INMLCF-DN) in Porto, Portugal. A study was carried out on 2,148 complaints of physical aggression against children and adolescents (0 to less than 18 years old) occurred between 2009 and 2013 and which were retrieved from information about violence held on INMLCF-DN data files. Continuous variables were described and the association between them was verified by Chi-square or Fischers Exact tests with 5% significance level. Within the 5-year timespan, 1,380 cases were identified with clinical relation with physical aggression. Most subjects evaluated were male adolescents and the most affected body region was the face, to which 747 injuries (24.7%) were recorded, with statistically significant association between sex and region (head and face). Victims in 15-17-year-old age group are more susceptible to violence than those in the 0-14-year-old age range. Dentists routinely examine the face, neck and skull, which make them the most appropriate health professionals to identify cases of aggression early.

Perfil Demográfico dos Pacientes Atendidos no Centro de Controle da Dor Orofacial da Faculdade de Odontologia de Pernambuco

The aim of the present study was to analyze the prevalence of physical violence against children and adolescents (PVCA) in a 5-year period in the city of Porto, Portugal. All forensic reports between 2009 and 2013 in the clinical services of the North Branch of the National Institute of Legal Medicine and forensic sciences were analyzed. Victims were classified according to sex, age, relationship with perpetrator, traumatic consequences of the event, and year of occurrence. Statistical analysis was performed using SPSS (Version 22.0). Continuous variables were described when appropriated frequencies were displayed. The association between variables was evaluated using chi-square, Fisher’s exact test, or Kruskal–Wallis test, when appropriate and a logistic regression was performed. The margin of error for the statistical tests was 5.0%. A total of 2,148 occurrences were evaluated. Most subjects were male, and mean victim age was 13 years. The single most frequent perpetrator was an unknown individual, but most offenders were known to the victim. The majority site of injury was the face. The larger number of complaints of aggression maintained a similar frequency over the 5 years analyzed. A physical examination to confirm the reasons between the complaint and the type of aggression was performed and shown a high relationship. Adolescents were more susceptible to violence than younger children were. The most affected region was the face.

Em busca de uma educação política para estudantes de Odontologia: percepções acerca do fenômeno político e suas aproximações

Introducao: Sob o principio da autonomia, pacientes sob tratamentos na area de saude tem o direito de aceitar ou recusar propostas de tratamento para seus problemas, desde que estejam em pleno gozo de sua capacidade intelectual. o respeito a esse principio demonstra o cuidado do profissional em tornar a relacao de poder menos assimetrica, garantindo ao paciente uma postura mais proativa e, portanto micropoliticamente responsavel. Pela caracteristica eminentemente cirurgica dos procedimentos odontologicos, pode ser que o exercicio da autonomia durante a proposicao das intervencoes seja praticamente inexistente, comprometendo assim, um aspecto importante da dimensao politica do cuidado em saude. Objetivo: Baseado no exposto, o presente estudo objetivou revisar na literatura o relato de experiencias nas praticas clinicas em saude bucal relacionadas a questao ao (des)respeito da autonomia do paciente como base da dimensao politica na humanizacao em saude. o intuito foi verificar o que a producao cientifica relata sobre tema, levando-se em consideracao os aspectos marcadamente interventivos da assistencia odontologica. Metodo: Tratou-se de uma revisao sistematizada de escopo nacional. Foram utilizadas as bases de dados Medline e SCIELO e selecionados artigos publicados em periodicos nacionais e internacionais. Considerou-se o periodo compreendido entre 2003 e 2013, teve como limite de idioma o portugues e espanhol. a estrategia de busca utilizou os descritores: “humanizacao da assistencia”, “humanizacao dos servicos”, “autonomia pessoal” e “saude bucal”, apos a caracterizacao dos estudos identificados, foi feita uma analise critico-reflexiva dos mesmos como foco no exercicio da postura autonoma dos pacientes quando submetidos aos tratamentos na area de saude bucal. Resultados: Totalizouse 77 documentos cientificos. Destes foram selecionados 11 e 1 documento do Ministerio da Saude, com base na tematica proposta. Detectou-se que ha um profundo desconhecimento por parte dos pacientes sobre metodos de tratamento realizados, o que implica em uma nao-participacao na elaboracao dos planos de tratamento, por falta de informacao ou incompreensao. o usuario do servico de saude precisa perceber que o servico prestado nao e, nem deve ser entendido, como um favor feito a populacao e sim como um direito adquirido. Conclusoes: Sabendo-se que a informacao e a base de decisoes autonomas, os estudos relatam o severo desrespeito a autonomia dos pacientes, ao passo que, em nenhum estudo revisado foi sequer explorado a explicacao das possibilidades terapeuticas. E importante que os pacientes atendidos sejam esclarecidos sobre sua realidade e qual a melhor forma para resolve-la, devendo, a decisao, respeitar valores e crencas pessoais de cada parte envolvida. uma solucao para que a autonomia do paciente seja respeitada pode residir em resgatar funcionarios comprometidos e buscar a humanizacao dos profissionais envolvidos em servicos de saude publica. _________________