Maria Inês Barreiros Senna

Nem tudo é estágio: contribuições para o debate

This paper discusses supervised training as a fundamental opportunity for the consolidation of the teaching space and also as means of facing the challenges posed by the guidelines for dental courses. It is not a new proposal. It is in fact a fight for changes in dental practicing which began in the 70s with the movement for the integration between dental teaching and dental services. It approaches public health services spaces and the world of work as central for a new teaching strategy. That would generate the opportunity to graduate professionals with a more critical profile, also capable of understanding reality and intervening on it. The paper points the risks of understanding and misunderstanding - supervised training with practicing inside the dental school, under the label of curricular supervised training. In that perspective traditional practices, with emphasis on technical and biological aspects would not have the potential to achieve the changes proposed by the curricular guidelines. While highlighting the relevance of curricular supervised training in professional education, the paper sets a dialogue with ABENO, contesting some of its positions. In that sense, the paper shows the need for a deeper and more participative discussion, that joins as many dental schools as possible.

Factors associated with dentists' willingness to treat HIV/AIDS patients in the National Health System in Belo Horizonte, Minas Gerais, Brazil

A cross-sectional study was conducted among dentists in the Unified National Health System (SUS) in Belo Horizonte, Minas Gerais, Brazil, to identify factors associated with their willingness to treat HIV/AIDS patients. Questionnaires were distributed at the participants workplace. Some 140 out of 345 selected dentists (41.0%) participated. Prevalence of willingness to treat was 55.0%. Results adjusted by multiple logistic regression showed that willingness to treat was significantly associated with a realistic perception of occupational risk (OR = 4.8; 95%CI: 1.32-18.04), knowledge of the exposure protocol (OR = 4.5; 95%CI: 1.61-13.07), positive attitudes towards dealing with the epidemic (OR = 3.2; 95%CI: 1.37-7.45), previous professional experience with HIV/AIDS patients (OR = 3.0; 95%CI: 1.30-7.19), and opposition to compulsory testing of patients for HIV (OR = 2.3; 95%CI: 0.96-5.40). Dentists with prior accidental exposure to potentially contaminated material showed less willingness to treat (OR = 0.4; 95%CI: 0.15-0.85). Fear of contamination was the main source of anxiety for health workers dealing with HIV/ AIDS patients.

A new topical treatment protocol for oral hairy leukoplakia

OBJECTIVE The aim of this study was to present a new topical treatment protocol for oral hairy leukoplakia (OHL), consisting of a 25% podophyllin resin with a 1% penciclovir cream (PP), and to compare this topical treatment protocols efficacy with that of 2 other topical treatment protocols: a 25% podophyllin resin (P) and a 25% podophyllin resin with a 5% acyclovir cream (PA). STUDY DESIGN Forty-two human immunodeficiency virus-positive patients with 69 OHL lesions were randomly treated using P, PA, or PP (14 patients in each topical treatment protocol). Clinical healing was determined when the white plaque could no longer be seen in the primary location of the lesion. Topical treatment performance was evaluated by clinical healing within each week of topical treatment protocol as well as by the recurrence of the lesion. Statistical survival analysis was performed using a Cox proportional hazards model. RESULTS Approximately 55% of the patients presented with clinical healing of OHL within 7-8 weeks of each topical treatment protocol. After the sixth week, the PA treatment protocol presented a faster clinical healing rate of OHL. Recurrence was observed in 3 and 7 OHL lesions treated with P and PP treatment protocols, respectively. CONCLUSIONS The PP treatment protocol proved to be effective; however, the PA treatment protocol was more effective in the clinical healing rate for OHL than P and PP after the sixth week of treatment, and no recurrent OHL was observed in the PA treatment group.

Formação em Saúde: reflexões a partir dos Programas Pró-Saúde e PET-Saúde

Tem-se como objetivo refletir sobre o Programa Nacional de Reorientacao da Formacao Profissional em Saude - Pro-Saude e o Programa de Educacao pelo Trabalho para a Saude - PET-Saude. Trata-se de um estudo descritivo com o uso das ferramentas qualitativas da analise documental. A partir dos documentos e dados apreendidos, foram construidos como eixos analiticos: (1) raizes historicas – explorando origens; (2) Pro-Saude e PET-Saude: conhecendo trajetorias; (3) integracao ensino-servico: uma ideia-chave estruturante; (4) do desejo de mudanca as praticas de integracao e aprendizagem interprofissional: e por falar em potencias e limites. Conclui-se que os Programas Pro-Saude e Pet-Saude tem potencia significativa para atuarem como politicas indutoras da reorientacao em saude que sinalizam avancos no tocante a integracao ensino-servico e a formacao interprofissional.This paper aims to reflect on the National Reorientation Program of Professional Education in Health (Pro-Health) and the Education by Work for Health Program (PET-Health). This is a descriptive study using qualitative tools of document analysis. From the acquired documents and data, we developed the following analytical axes: (1) historical roots: exploring origins; (2) Pro-Health and PET-Health: knowledge trajectories; (3) integrating teaching and service: structuring key ideas; and (4) from the desire to change to the actual practice of interprofessional integration and learning: discussing powers and limits. We concluded that the Pro-Health and PET-Health Programs have significant power to act as health reorientation policies that indicate progress regarding the integration of teaching/service and interprofessional education.

Formación en Salud: reflexiones de los Programas Pro-Salud y PET-Salud.

Tem-se como objetivo refletir sobre o Programa Nacional de Reorientacao da Formacao Profissional em Saude - Pro-Saude e o Programa de Educacao pelo Trabalho para a Saude - PET-Saude. Trata-se de um estudo descritivo com o uso das ferramentas qualitativas da analise documental. A partir dos documentos e dados apreendidos, foram construidos como eixos analiticos: (1) raizes historicas – explorando origens; (2) Pro-Saude e PET-Saude: conhecendo trajetorias; (3) integracao ensino-servico: uma ideia-chave estruturante; (4) do desejo de mudanca as praticas de integracao e aprendizagem interprofissional: e por falar em potencias e limites. Conclui-se que os Programas Pro-Saude e Pet-Saude tem potencia significativa para atuarem como politicas indutoras da reorientacao em saude que sinalizam avancos no tocante a integracao ensino-servico e a formacao interprofissional.This paper aims to reflect on the National Reorientation Program of Professional Education in Health (Pro-Health) and the Education by Work for Health Program (PET-Health). This is a descriptive study using qualitative tools of document analysis. From the acquired documents and data, we developed the following analytical axes: (1) historical roots: exploring origins; (2) Pro-Health and PET-Health: knowledge trajectories; (3) integrating teaching and service: structuring key ideas; and (4) from the desire to change to the actual practice of interprofessional integration and learning: discussing powers and limits. We concluded that the Pro-Health and PET-Health Programs have significant power to act as health reorientation policies that indicate progress regarding the integration of teaching/service and interprofessional education.

Relationship Between Quality of Complete Dentures and User Satisfaction at 1 and 5 Years Postinsertion

AIMS To evaluate the effects of complete denture (CD) quality and user satisfaction on the use of CDs provided by primary care services at 1 and 5 years postinsertion. MATERIALS AND METHODS A random sample of 233 individuals were evaluated regarding the use of maxillary and/or mandibular CDs at 1 and 5 years after insertion; at both time points, denture quality, integrity, and user satisfaction were measured. The covariates included age, gender, marital status, years of education, family income, past use of CD, time since maxillary teeth loss, mandibular ridge height, and frequency of return visits to the dentist after receiving the prostheses. The effect of the variables on the use of CDs throughout the period was estimated using logistic regression models with random effects in the intercept. RESULTS Overall, 64.9% and 64.1% of the participants were using their CD at 1 and 5 years, respectively. Of those who used the pair of prostheses at 5 years, 86.3% reported using them in the first evaluation. Use of CDs at 1 year was greater among users with some degree of education, higher satisfaction, and those whose CD had adequate stability and free functional space. Use of CDs at 5 years was greater in satisfied users and those with a stable CD. CONCLUSION Denture quality and user satisfaction were associated with the use of CDs after 1 and 5 years. CD use was greater in individuals who had used it for 1 year, indicating greater abandonment in the first year than in other periods.

Preenchimento da Caderneta de Saúde da Criança nos serviços de saúde em Belo Horizonte, Minas Gerais, Brasil

OBJECTIVE to describe the filling process of the Child Health Record (CHR) in health care services. METHODS descriptive study held in Belo Horizonte, Minas Gerais, Brazil; an interview was conducted with parents/guardians of children aged 3-5 years old; 21 essential items to child monitoring were observed in the CHR during the 2014 Multi-vaccination Day; fields that should be filled in maternity wards, Primary Health Care (PHC), and other services were assessed separately. RESULTS 367 children (96.1%) were included; 44.5% of CHR presented ≥60% of completeness; among the items that should be recorded in maternity wards, birth weight showed the highest proportion of completeness (64.5%); for those that should be filled in PHC/other services, records of vaccines (94.0%) presented the highest completeness; there was more filling in maternity wards than in PHC and other services (p<0.001). CONCLUSION a low proportion of filling was observed, especially in PHC and other services.

Avaliação do preenchimento da Caderneta de Saúde da Criança e qualidade do preenchimento segundo o tipo de serviço de saúde usado pela criança

Resumo Objetivou-se avaliar o preenchimento da Caderneta de Saude da Crianca (CSC) e a associacao entre qualidade do preenchimento e o tipo de servico usado para o acompanhamento da saude das criancas. Estudo transversal com amostra estratificada e proporcional aos 9 Distritos Sanitarios de Belo Horizonte, selecionada entre criancas de 3 a 5 anos, no Dia da Campanha de Vacinacao Infantil 2014. Realizou-se entrevista com os pais e observacao de 21 itens da CSC. A variavel dependente foi definida pela qualidade (satisfatoria/insatisfatoria) do preenchimento da CSC, sendo considerado satisfatorio o preenchimento > 60%. As variaveis independentes foram o tipo de servico para acompanhamento da saude da crianca, caracteristicas demograficas e condicoes de saude da mae e da crianca, e atencao em saude recebida pela crianca. Participaram 367 pais. A proporcao de preenchimento insatisfatorio foi 55,5%. Nao houve associacao significativa entre qualidade de preenchimento e tipo de servico de saude. O preenchimento insatisfatorio esteve associado a idade gestacional < 37 semanas, falta de acesso a informacoes sobre a CSC e ausencia de anotacoes dos pais na CSC. A CSC tem sido insatisfatoriamente empregada como um instrumento de vigilância da saude independentemente do tipo de servico usado pela crianca.The scope of this study was to assess the way Child Health Records (CHRs) are filled out and the association between the quality of entries and type of service used to monitor the health of children. It involved a cross-sectional study with a stratified sample - proportional for the nine Health Districts of Belo Horizonte, State of Minas Gerais - of 3- to 5-year-old children selected on Child Vaccination Campaign Day in 2014. Interviews with parents including observation of the 21 CHR items were conducted. The dependent variable was defined by the quality of the CHR entry (satisfactory/unsatisfactory), where satisfactory entries were > 60%. The independent variables were the type of service for monitoring child health, demographic and health conditions of the mother and child and healthcare treatment received by the child, with the participation of 367 (96.10%) parents. The prevalence of unsatisfactory entries was 55.5%. No significant association was found between quality of entry and type of healthcare. Unsatisfactory entries were associated with gestational age < 37 weeks, lack of access to information about the CHR and the absence of parental entries on the CHR. The CHR has been unsatisfactorily employed as a tool for monitoring health, irrespective of the type of service used by the child.

Education in Health: reflections from the Pro-Health and PET-Health Programs.

Tem-se como objetivo refletir sobre o Programa Nacional de Reorientacao da Formacao Profissional em Saude - Pro-Saude e o Programa de Educacao pelo Trabalho para a Saude - PET-Saude. Trata-se de um estudo descritivo com o uso das ferramentas qualitativas da analise documental. A partir dos documentos e dados apreendidos, foram construidos como eixos analiticos: (1) raizes historicas – explorando origens; (2) Pro-Saude e PET-Saude: conhecendo trajetorias; (3) integracao ensino-servico: uma ideia-chave estruturante; (4) do desejo de mudanca as praticas de integracao e aprendizagem interprofissional: e por falar em potencias e limites. Conclui-se que os Programas Pro-Saude e Pet-Saude tem potencia significativa para atuarem como politicas indutoras da reorientacao em saude que sinalizam avancos no tocante a integracao ensino-servico e a formacao interprofissional.This paper aims to reflect on the National Reorientation Program of Professional Education in Health (Pro-Health) and the Education by Work for Health Program (PET-Health). This is a descriptive study using qualitative tools of document analysis. From the acquired documents and data, we developed the following analytical axes: (1) historical roots: exploring origins; (2) Pro-Health and PET-Health: knowledge trajectories; (3) integrating teaching and service: structuring key ideas; and (4) from the desire to change to the actual practice of interprofessional integration and learning: discussing powers and limits. We concluded that the Pro-Health and PET-Health Programs have significant power to act as health reorientation policies that indicate progress regarding the integration of teaching/service and interprofessional education.