Utilização de auxiliares odontológicos em Ortodontia: implicações éticas e legais

INTRODUÇÃO: o mercado de trabalho tem se mostrado saturado de profissionais atuando nos grandes centros urbanos e, por este motivo, as estratégias de produtividade são imprescindíveis. A delegação de funções aos auxiliares odontológicos tem se tornado vital e corriqueira para aqueles que exercem a Ortodontia. OBJETIVO: conhecer o perfil do cirurgião-dentista especialista nesta área e as funções delegadas por ele à equipe auxiliar. METODOLOGIA: foi aplicado um questionário a todos os especialistas em Ortodontia e Ortopedia Facial inscritos no Conselho Regional de Odontologia de Goiás, com atividade em Goiânia e Aparecida de Goiânia. RESULTADOS E CONCLUSÃO: os resultados demonstraram que os ortodontistas, de um modo geral, aproveitam bem a mão-de-obra auxiliar chegando até a ultrapassar os limites ético-legais.

Percepção dos auxiliares odontológicos na clínica ortodôntica quanto aos seus limites de atuação profissional

INTRODUÇÃO: numa época em que o mercado odontológico exige que os serviços prestados possuam qualidade diferenciada, a utilização adequada de profissionais auxiliares constitui uma ferramenta importantíssima para se obter aumento de produtividade no consultório. Para tanto, a correta utilização dessa ferramenta exige que a equipe auxiliar seja tecnicamente capacitada e envolvida num ambiente onde as funções delegadas estejam fundamentadas nos preceitos éticos e nas bases legais que regem a profissão. OBJETIVO: identificação do perfil técnico da equipe auxiliar, analisando-se a percepção destes profissionais quanto ao seu papel nas atividades pertinentes à clínica ortodôntica, com base na legislação vigente. METODOLOGIA: o presente levantamento foi desenvolvido com base num questionário aplicado a todos os profissionais que auxiliam diretamente os ortodontistas regularmente inscritos no CRO-GO, que atendem nas cidades de Goiânia e Aparecida de Goiânia (GO), no período de maio a julho de 2003. RESULTADOS E CONCLUSÕES: verificou-se que diversos procedimentos não estabelecidos nas normas que regem a delegação de funções em Odontologia estão sendo executados pela equipe auxiliar, demonstrando que o conteúdo dessa legislação está sendo ignorado ou descumprido.

Aspectos legais da morte

The present work intends to clarify and to enhance the legal aspects of the death for the physician. Physicians, as a result of normative attribution, and of the practical circumstances, normally, certify the death in proper document. The legal consequences of the death are focused, with its importance and correlation with the medical declaration of the death. The physician must be more conscientious of his professional act, and, therefore, be more diligent and always zealous with his practices, because of its effects.

Estudo retrospectivo dos procedimentos anestésicos realizados em cães e gatos submetidos a neurocirurgias

Neurosurgeries are frequent in the routine of veterinary hospitals and, therefore, knowledge of the different anesthetic protocols to be used for each patient is necessary to prevent the morbity and mortality in the after and trans-surgical period. The objectives of this study were to evaluate the anesthetic protocols used in patients undergoing neurosurgeries; the results of those protocols; the rate of complications, and if those complications are related to the duration of the anesthesia time. We studied the anesthetical data of 52 dogs and two cats submitted to neurosurgery between January of 2003 and December of 2006, in the Veterinary Hospital of UEL. Findings showed that the main protocols used were propofol for induction and halothane or isofluorane for maintenance of the anesthesia. These protocols induced adequate anesthesia for the surgical procedure and did not occur complications during the anesthetic period in 37/54 (68,5%) of the cases. 7/19 (36.8%) of the complications observed occurred in patients submitted to anesthesia with halothane and 8/32 (25.2%) in patients with isofluorane. The complication most observed in this study was bradicardy, which occurred in 15/54 (27.8%) of the patients. Two deaths occurred in patients submitted to slot cervical. Good knowledge of the neurological disease and of surgical and anesthetic techniques are essential to prevent alterations in the central nervous system caused by the drugs, disease or association of these factors.

Análise dos aspectos legais das prescrições de medicamentos

This article describes a survey of prescriptions dispensed in drugstores and pharmacies in the city of Araraquara in the state of São Paulo, Brazil, in May 2006. Their contents were assessed for compliance with the laws in force on drug prescription and dispensing. A total of 1,335 prescriptions were examined: 40 (3%) were unsigned, 212 (15.9%) did not contain the prescribing physician's stamp, 170 (12.7%) were undated. There were prescriptions containing corrections (4.6%), and written in code (4.4%). Only 58.8% were legible and easy to understand; nevertheless all of them were dispensed. Some did not specify the name of the patient (7.2%). On how to use the medication prescribed, not a single prescription contained all the information required by law. Specifically, 7.6% lacked information on dosage, 54.3% on presentation, 33.6% on how to take the drug, and 51.2% on duration of treatment. The data show a general failure to comply with the laws on drug prescription and dispensing. Incomplete information on the drugs and their correct use could lead to irrational use and errors in medication. The lack of prescribers' signature and stamp, date of emission and name of patient can lead to fraudulent and counterfeit prescriptions. Thus, the data found point to the need for capacitation of prescribing and dispensing professionals and the importance of the role of professional associations in guiding their members.

Valores Referenciais para Procedimentos Odontológicos (VRPO) em Ortodontia

Introduction: The cost of orthodontic treatment is a very important issue. The aim of this study was to analyze the current Indicative Values for Dental Procedures (IVDP) for orthodontic procedures. Methods: Laws, dental entities papers and scientific literature were utilized. Results: Laws are too general and only offer abstract parameters when define remunerations. Current IVDP vary in the same State, according to the consultant entity. Dental entities interpret that general clinicians can practice Corrective Orthodontics, but new scientific studies begin to question this understanding. The Brazilian Association of Orthodontics and Dentofacial Orthopedics (ABOR) suggests that IVDP for orthodontic specialty must be formulated. Conclusion: Current IVDP are not standardized and are below the correct values for orthodontic procedures, because they are the mean of general clinicians and orthodontists remunerations; and ABOR is legally and ethically supported to claim specific IVDP for orthodontic specialty.

Diferentes procedimentos na determinação de indicadores internos para estimativa de produção fecal e fluxo duodenal de matéria seca em bovinos

Times of in situ incubation (144 and 288h) for determination of internal markers IADF and INDF and the effects of differents procedures (wash or not the nylon bag every 72h incubation) was evaluated in samples of diet, duodenal digesta and cattle feces. The duodenal flow dry matter and fecal production utilizing the internal markers to compare with the external marker chromium oxide there was estimated. The animals were fed with sorgum silage, concentrate or urea. In this experiment, a latin square design was used, in a factorial scheme (two times of incubation × two processing nylon bag). No was observed effect of the incubation time or processing in the internal markers INDF and IADF concentration and the in situ incubation after 144h is adequate to reproduce the indigestible markers fraction in samples. For fecal production estimation, the external marker chromium oxide presented similar result (1.26 kg day-1) as the total fecal collection (1.49 kg day-1). Both the internal markers overestimate the duodenal flow dry matter when compared with the external marker chromium oxide.

Plano municipal de saúde: Análise do instrumento de gestão

Among planning instruments used by manager instances of Brazilian Health System it pointed the Health Municipal Plan (PMS) that should be built collectively showing political intentions, directresses, priorities, objectives, goals framework, estimative of resources and need costs to get the goals of the health sector. The aim of this work was to analyze the plans in relation to attendance of legal requirements which manage the Brazilian Health System, its constitution and showing of essential items. The study included three municipalities form São Paulo State. It was used the documental analysis as research technique. Near all plans showed an analysis of situation with detailed descriptions of general situation of municipality, and only one of them realized critical analysis of their epidemiological data; the financial income applied on health was decrypted by only one municipality. About programming, all municipalities described the main problems and its solutions. Although they had goals framework, the question about cost estimative to get the goals was not approached. Any municipality showed an annual review, being one of them delayed over than two years. It was observed no participation of Municipal Health Council on elaboration and review of plans. It was concluded that there was a deficiency in the plans analyzed. It's necessary to execute continuing education with managers in relation to importance of systematic elaboration of plans and to incentive the promotion of active participation of Municipal Health Council promotion of aiming to became true the social control of health actions.

Acupuntura: Um auxílio efetivo em procedimentos de fertilização in vitro?

The purpose of the present study was to evaluate the impact of acupuncture on in vitro fertilization outcomes of patients undergoing acupuncture during embryo transfer. A retrospective study was realized with records of 30 patients undergoing acupuncture and 108 patients not undergoing acupuncture during embryo transfer. The data was compared to verify the differences onto fertilization, embryo cleavage, pregnancy and abortion rate. To the statistical evaluation the X2 Test was performed, set as significant p<0.05. There was no statistical significance difference in any feature analyzed among the groups, although the acupuncture group presented higher pregnancy rate and lower abortion rate. Acupuncture did not presented positive or negative statistical relevant effects into the outcomes of in vitro fertilization procedures. Regardless this result, the present study did not exclude the possibility of acupuncture administration as a tool to pain relief during other procedures, as the transvaginal ultrasound-guided oocyte retrieval. © Todos os direitos reservados a.

Aspectos técnicos e econômicos da poda e do controle químico de Brevipalpus phoenicis no manejo da leprose dos citros

The objective of this study was to evaluate different citrus leprosis management tactics during seven seasons, based in pruning and acaricide applications, considering technical and economic aspects of each tactic. The trial was conducted from October 2003 to August 2010 in an orange plantation of Pera cv. located in the municipality of Reginópolis-SP, Brazil. The plants of citrus used were12 years old and grafted onto Cleopatra tangerine. The experimental design used was randomized blocks, in a factorial scheme, made up of factors type of pruning (A), with six levels: (1) drastic pruning, (2) intermediate pruning without leprosis lesions, (3) intermediate pruning with leprosis lesions (4) light pruning, (5) without pruning and (6) replant; acaricide applications factor (B), with three levels: (1) without acaricides applications, (2) with lime sulfur applications and (3) spirodiclofen or cyhexatin applied in rotation; pruning factor to remove leprosis symptomatic branches (C), with two levels: (1) with pruning for removal, (2) without removal pruning. The combination of factors, with respective levels (6 x 3 x 2), resulted in 36 treatments that were repeated four times, with each parcel being made up of three plants in a row. After seven years, it was observed that the types of the pruning and remove of leprosis symptomatic branches used as single management tactic, is not sufficient to leprosis control. Therefore, the results demonstrated that for leprosis management, it is essential the association between tactics, especially the control mite vector. For ensuring the citrus production economically, the use of acaricides highly efficient is essential in B. phoenicis control. The recommendation of the type of pruning should be in function of the leprosis incidence and severity in the orchard. In orchards with low leprosis incidence and severity the light pruning is more appropriate, because it is efficient and ensures greater financial balance. However, in orchards with high leprosis incidence and severity it is indicated the severe pruning for reducing or eliminating inoculum source. Between the severe prunings, the intermediate pruning with leprosis lesions is the most relevant, because the financial return will be faster. Replant is indicated only for young orchards, because does not imply in changes onto cultural practices.

Diretrizes para implantação coletiva e semipresencial de sistemas certificáveis de gestão

This paper aims to develop guidelines for the collective and semi-presence-based implementation of (a situation in which there is no active participation of a consultant specialist in the company) certifiable management systems. These systems include ISO 9001, ISO 14001, or OHSAS 18001. This is a theoretical and conceptual study which was based on four practical experiences of the theory of collective and semi-presence-based system implementation for the development of the guidelines proposed. These guidelines are drawn up according to the following items: selection of companies; awareness, diagnosis, planning, training, implementation, verification and improvement.

Análise de procedimentos metodológicos para georreferenciamento e cadastramento de atributos de redes elétricas urbanas em atendimento às normas da ANEEL

Pós-graduação em Ciências Cartográficas - FCT

Fotolivro: processos e procedimentos artísticos

Pós-graduação em Artes - IA

Políticas públicas: o ensino de arte na educação básica

Pós-graduação em Artes - IA

Artemídia movente: processos e procedimentos artísticos em animação

Pós-graduação em Artes - IA