A importância das classes socias na relação médico-paciente: adesão ao pré-natal

This article is focused in the understanding of how can social classes influence in prenatal, throughout the patient medical relationship as well as the many aspects surrounding. In the first chapter, reflected about the adherence to prenatal and considerations in gestational period when dealing with public health treatment offer by SUS. Next chapter, patient medical relationship is addressed as a relationship classes, over questioning how this relationship use to be in front of disadvantaged extracts, focused in prenatal. In the third chapter, the patient medical relationship is analyzed throughout the patient vision, pointing the many factors that can induce the success of a therapeutic. In the last chapter, there are reflections about whereby health professionals upgrading, as well as the improve of basic health care networks are necessary to a larger prenatal adherence.

Conhecimento odontológico de adultos atendidos em uma unidade de saúde da família do município de São Carlos, Brasil

The Family Health Strategy is a primary care public policy that is becoming a decisive step towards the transformation of the Brazilian healthcare model. This study evaluated the dental knowledge among individuals who attended a Family-Health Unit (FHU) in the city of São Carlos, SP, Brazil. Methods: The evaluation was based on a questionnaire with 20 questions about oral health, prevention and development of dental caries and periodontal disease. The questionnaire was given to 168 individuals, over 18 years of age and both sexes, to fill out under the supervision of a trained dentist. After data collection, the answers contained in the original questionnaires were entered into a database built using the program Excel® (Microsoft Corporation, USA) and a descriptive statistical analysis was done. Results: 66.67% of the subjects reported having received information about dental caries and periodontal disease before attending the FHU, and dentists were cited as the main source of such information (60.71%). With regard to dental caries, 70.24% of the individuals stated that they knew about the subject, but the majority of answers revealed incorrect explanation of it. The multifactorial etiology (bacteria/sugar/poor hygiene) was not mentioned. A low percentage of subjects (24.40%) claimed to know what periodontal disease is, and of these, the highest percentage of responses was related to gingivitis (26.83%) and gingival bleeding (12.20%). Out of all subjects, 80.36% affirmed that oral hygiene is important, and among them, the main reasons cited were the maintenance of oral health (29.63%), to avoid diseases (16.30%) and to preserve and prevent disease (14.81%). Conclusion: Responses from the questionnaires revealed deficient dental knowledge among the individuals. To improve the understanding about this issue, the information obtained through the questionnaire can be used to develop educational programs that will focus specifically on the major deficiencies found.

Responsabilidade socioambiental: conhecimento dos profissionais da saúde sobre o gerenciamento de resíduos no serviço público

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A saúde do homem: doenças crônicas não transmissíveis e vulnerabilidade social

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Grouping of countries according to indicators of standard of living

The position of 125 countries is studied on the basis of a collection of 26 basic, health, economic and educational indicators. Multivariate statistical methods were used, including Cluster Analysis, Principal Component Analysis and Multivariate Analysis of Variance. The most discriminating variables were life expectancy the child mortality rate, the mortality rate of children of less than five years of age, the birth and fertility rates and the high-school female matriculation rate. The first principal component was interpreted as a measure of the living standard which made it possible to place the countries in order. Five clusters of countries are suggested.

Hipertensão e diabetes mellitus: perfil assistencial e de usuários em uma unidade de saúde do interior paulista

Pós-graduação em Saúde Coletiva - FMB

Organização da demanda de um Centro de Especialidades Odontológicas

Introduction: Secondary care in oral health in Brazil is still a little researched topic. Objective: The aim of this study was to analyze the resolution of dental services in SUS based on the referral to secondary attention and backreferral to primary attention. Methodology: It’s a descriptive, quantitative study that used secondary data collected from dental records of patients seen at Centre of Dental Specialties (Ceo) in a city of São Paulo State. Result: It was analyzed 1030 dental records. Just 1236 proceedings received referral to Ceo and among then, 86.4% showed the first attendance on Basic Health Unity (UBS) through spontaneous demand and 50.4% (n=623) received referral to endodontic treatment. There was evasion of 2.27% of studied population (n=28) on the first specialized consultation. Among 1208 proceedings that started the treatment in Ceo, 62.6% (n=757) were finalized and received back-referral to primary attention, that finalized 61.1% (n=463) of proceedings. To conclude the treatment, considering the time spent in Ceo and primary attention, there was variation according to specialty: periodontics – 62 days (sd ±68) and endodontics – 71 days (sd ±51.8), requiring 3 consultations in average, regardless specialty. Conclusion: The Centre of Dental Specialties gave referral and attention to the majority of demand, regardless specialty. However, there are many cases of evasion during dental treatment, alerting managers to develop methods to entice these patients, reducing service expenses and raising solvability of dental procedures previously initiated.

Promoção e avaliação da atitude de Vigilância Nutricional na Atenção Básica à Saúde de municípios das bacias Piracicaba-Capivari

Considering the importance of food and nutritional surveillance as part of a community's basic health care, our objective was to expose and discuss the educational experience of eleven municipalities of the state of São Paulo geared to build an attitude of nutritional security. The accounts were made in the form of workshops with the contribution of basic health care workers of each municipality, based on daily field worksheets and followed by an evaluation process, which used a semi-structured questionnaire. The results were classified into four categories. The methodology, based on the actual participation in the workshops was considered adequate, although some exposure and removal of personal inhibitions were necessary. These barriers were left behind with the aid of group dynamic exercises. Among the themes treated, anthropometry was highlighted because of insufficient technical know-how and standardization. An attitude towards nutritional surveillance was recognized by the health-care professionals as an important basis for the nutritional practice in order to attain food and nutritional security.

Densidade mineral óssea, exercício físico no lazer e composição corporal em mulheres pós-menopausa: estudo com usuárias do Sistema Único de Saúde

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A gestão nas unidades básicas de saúde no município de São Paulo: a percepção dos trabalhadores

Pós-graduação em Serviço Social - FCHS

Percepção da doença mental por profissionais de saúde: possibilidades de ampliação do cuidado

This study approached perceptions of mental illness by nineteen professionals who work in a Family Health Unit, by means of graphic representations (drawings). We used qualitative methods. Data was collected by means of a Presentative-Expressive Procedure. Four themes were identified using Thematic Analysis. The professionals associate mental disorders with: health care, medical-centered view, exclusion/inclusion, social environment. These perceptions are related to a biological paradigm, favoring the reproduction of prejudices about mental illness. The analysis also emphasizes the importance of a wide range of cares, while considering how difficult it may be for the professionals. We conclude that it is necessary to invest on professional preparation, in an attempt to transform ideoaffective contents presented by the subjects’ imaginary.

Avaliação de hábitos de vida e proposta de fluxograma de encaminhamento de escolares com necessidades de cuidado nutricional

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Avaliação das ações de alimentação e nutrição na atenção primária a saúde no estado de São Paulo

Pós-graduação em Alimentos e Nutrição - FCFAR

Avaliação do uso de medicamentos psicotrópicos pelos pacientes de uma Unidade Básica de Saúde de um município de pequeno porte do Estado de São Paulo

Pós-graduação em Saúde Coletiva - FMB

Basic hypergeometric polynomials with zeros on the unit circle

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)