Silvia Carréra Austregésilo

Perfil de pacientes idosos e tempo de permanência em ambulatório geronto-geriátrico

Objective: To identify the profile of aged outpatients attended at the Nucleo de Atencao ao Idoso and the variables that interfere on duration of stay in the service. Methods: A quantitative, descriptive, cross-sectional research was carried through, based on the analysis of 1,194 medical reports of aged outpatients attended from 2000 up to 2004. The variables were: socio-demographic data, clinical registers in medical evaluation and duration of stay of the aged outpatients at the clinic. A logistic regression was performed to analyze the relation between clinical variables and time of stay. Results: Women (76.5%) were more numerous than men (23.5%), in all age intervals. According to scholarship, 12.9% were illiterate and the most prevalent category (37.1%) had incomplete first degree. The number of aged widower women (38%) was three times those of widower men (12%). The majority of aged (94.4%) had a company of housing and 84.4% did not have health plan. The mean duration of stay in the service was 2 years and 8 months, with standard deviation of 1.5 years. The variables with major influence on duration of stay were: age, dizziness complaints, refractive, hearing and urinary disturbances, cataract, and bone fractures. Conclusions: According to the logistic regression, surgical history, hearing and urinary disturbances, as well as bone fractures contributed to increase duration of stay, but dizziness complaints, refractive disturbances and cataract reduced the stay of the elderly in the service.

Therapeutic play to prepare children for invasive procedures: a systematic review,

OBJECTIVE To analyze the available evidence regarding the efficacy of using therapeutic play on behavior and anxiety in children undergoing invasive procedures. DATA SOURCE The systematic review search was performed in the MEDLINE, LILACS, CENTRAL and CINAHL databases. There was no limitation on the year or language. SYNTHESIS OF DATA The literature search found 1892 articles and selected 22 for full reading. Eight articles were excluded, as they did not address the objectives assessed in this review. Twelve studies, representing 14 articles, were included. The studies were conducted between 1983 and 2015, five in Brazil, one in the United States, five in China, one in Lebanon, one in Taiwan, and one in Iran. Most studies showed that intervention with therapeutic play promotes reduction in the level of anxiety and promotes collaborative behavior and acceptance of the invasive procedure. CONCLUSIONS Evidence related to the use of therapeutic play on anxiety and behavior of children undergoing invasive procedures is still questionable. The absence, in most studies, of the creation of a random sequence to assign the subjects to either the control or the experimental group, as well as allocation concealment, are factors that contribute to these questions. Another issue that characterizes an important source of bias is the absence of blinded evaluators. It is necessary to perform further studies that will take into account greater methodological stringency.Objective To analyze the available evidence regarding the efficacy of using therapeutic play on behavior and anxiety in children undergoing invasive procedures.

A Interface entre a Atenção Primária e os Serviços Odontológicos de Urgência (SOU) no SUS: a interface entre níveis de atenção em saúde bucal

Considering that emergency dental services include the referral network and the counter-referral network, interacting at the intersection between primary, secondary and tertiary healthcare, this study aims to describe the interface between primary healthcare (APS - Atenção Primária a Saúde), particularly of the Family Health Strategy, and secondary care in oral health, using the Emergency Dental Services (SOU), in the municipality of Recife. It is a qualitative, exploratory and descriptive case study. The data was collected through semi-structured interviews. Classical ALCESTE analysis was used based on the Descending Hierarchical Classification Dendrogram, making it possible to understand the expressions and each one of the words spoken by the dental health professionals, analyzing them using their social places and contexts as a starting point. What we found was only a fragile degree of integration, and little capacity for solution, between the levels of care - a partially disconnected network. Undoubtedly the problems with the interface between primary care and the emergency services in oral health are multiple and complex. The individual solutions have low efficacy, and are complex in their operation.Considering that emergency dental services include the referral network and the counter-referral network, interacting at the intersection between primary, secondary and tertiary healthcare, this study aims to describe the interface between primary healthcare (APS – Atencao Primaria a Saude), particularly of the Family Health Strategy, and secondary care in oral health, using the Emergency Dental Services (SOU), in the municipality of Recife. It is a qualitative, exploratory and descriptive case study. The data was collected through semi-structured interviews. Classical ALCESTE analysis was used based on the Descending Hierarchical Classification Dendrogram, making it possible to understand the expressions and each one of the words spoken by the dental health professionals, analyzing them using their social places and contexts as a starting point. What we found was only a fragile degree of integration, and little capacity for solution, between the levels of care – a partially disconnected network. Undoubtedly the problems with the interface between primary care and the emergency services in oral health are multiple and complex. The individual solutions have low efficacy, and are complex in their operation.

Avaliação de Serviços Odontológicos de Urgência (SOU): A Visão Dos Gestores, Gerentes e Profissionais

Resumen pt: Objetivo: Avaliar, sob a otica de gestores/gerentes e profissionais, a qualidade dos Servicos Odontologicos de Urgencia (SOU) da cidade do Recife, Brasil...

Review articleTherapeutic play to prepare children for invasive procedures: a systematic reviewBrinquedo terapêutico no preparo de crianças para procedimentos invasivos: revisão sistemática☆☆☆

OBJECTIVE To analyze the available evidence regarding the efficacy of using therapeutic play on behavior and anxiety in children undergoing invasive procedures. DATA SOURCE The systematic review search was performed in the MEDLINE, LILACS, CENTRAL and CINAHL databases. There was no limitation on the year or language. SYNTHESIS OF DATA The literature search found 1892 articles and selected 22 for full reading. Eight articles were excluded, as they did not address the objectives assessed in this review. Twelve studies, representing 14 articles, were included. The studies were conducted between 1983 and 2015, five in Brazil, one in the United States, five in China, one in Lebanon, one in Taiwan, and one in Iran. Most studies showed that intervention with therapeutic play promotes reduction in the level of anxiety and promotes collaborative behavior and acceptance of the invasive procedure. CONCLUSIONS Evidence related to the use of therapeutic play on anxiety and behavior of children undergoing invasive procedures is still questionable. The absence, in most studies, of the creation of a random sequence to assign the subjects to either the control or the experimental group, as well as allocation concealment, are factors that contribute to these questions. Another issue that characterizes an important source of bias is the absence of blinded evaluators. It is necessary to perform further studies that will take into account greater methodological stringency.Objective To analyze the available evidence regarding the efficacy of using therapeutic play on behavior and anxiety in children undergoing invasive procedures.

Ações intergeracionais: respeito e valorização dos idosos

Uma politica para o envelhecimento deve manter na comunidade o maior numero de idosos. Nessa premissa, a incorporacao de praticas alternativas de assistencia a este segmento populacional deve valorizar um modo de vida ativo e integrado. Atualmente o descaso, o desrespeito e a falta de paciencia dos jovens para com os idosos vem crescendo, gerando conflitos entre geracoes e exclusao dos idosos. Tal situacao sugere uma reorientacao da compreensao do envelhecimento ja na escola, com a participacao dos idosos reforcando valores e atitudes positivas em relacao a velhice, com estimulo ao exercicio da cidadania e solidariedade. Objetivos: estimular no aprendizado da 1.a a 4.a series o respeito e a valorizacao aos idosos; vivenciar de forma ludica o conhecimento da cultura e da historia do nosso povo; elevar a autoestima do idoso usando o seu conhecimento na relacao intergeracional; elaborar uma cartilha com as brincadeiras vivenciadas durante a execucao do projeto. Metodologia: dinâmicas de grupos; oficinas de sensibilizacao e capacitacao, trabalhos em pequenos grupos e discussao circular. Resultado: participaram 180 alunos e 10 professores da rede estadual do ensino fundamental, 141 avos e 4 alunas dos cursos de graduacao da UFPE, num processo de aprendizado. Conclusao: o projeto despertou nas criancas o aprender, brincar e crescer com respeito e solidariedade aos idosos, bem como favoreceu a autoestima e a melhoria da qualidade de vida dos mais velhos, num convivio intergeracional.